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AN ACT Relating to updating the name, authority, membership, and 1
duties of the governor's interagency coordinating council on health 2
disparities; amending RCW 43.20.270, 43.20.275, 43.20.280, 41.05.840, 3
and 70.41.470; reenacting and amending RCW 43.20.025; and repealing 4
RCW 44.28.810. 5
BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF WASHINGTON:6
Sec. 1. RCW 43.20.025 and 2019 c 185 s 1 are each reenacted and 7
amended to read as follows: 8
The definitions in this section apply throughout this chapter 9
unless the context clearly requires otherwise. 10
(1) "Commissary" means an approved food establishment where food 11
is stored, prepared, portioned, or packaged for service elsewhere.12
(2) (("Commissions" means the Washington state commission on 13
African American affairs established in chapter 43.113 RCW, the 14
Washington state commission on Asian Pacific American affairs 15
established in chapter 43.117 RCW, the Washington state commission on 16
Hispanic affairs established in chapter 43.115 RCW, and the 17
governor's office of Indian affairs.18
(3))) "Consumer representative" means any person who is not an 19
elected official, who has no fiduciary obligation to a health 20
Z-0107.2
HOUSE BILL 1262
State of Washington 69th Legislature 2025 Regular Session
By Representatives Santos, Thai, Doglio, Berry, Ryu, Obras, Ormsby,
Scott, Parshley, Timmons, Pollet, Macri, Simmons, Hunt, and Hill; by
request of Governor’s Interagency Council on Health Disparities
Read first time 01/14/25. Referred to Committee on Health Care &
Wellness.
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facility or other health agency, and who has no material financial 1
interest in the rendering of health services. 2
(((4))) (3) "Council" means the governor's ((interagency 3
coordinating)) council ((on)) for health ((disparities)) justice and 4
equity, convened according to this chapter. 5
(((5))) (4) "Department" means the department of health.6
(((6))) (5) "Health disparities" means the difference in 7
incidence, prevalence, mortality, or burden of disease and other 8
adverse health conditions, including lack of access to proven health 9
care services that exists between specific population groups in 10
Washington state. 11
(((7))) (6) "Health impact review" means a review of a 12
legislative or budgetary proposal completed according to the terms of 13
this chapter that determines the extent to which the proposal 14
improves or exacerbates health disparities. 15
(((8))) (7) "Local health board" means a health board created 16
pursuant to chapter 70.05, 70.08, or 70.46 RCW. 17
(((9))) (8) "Local health officer" means the legally qualified 18
physician appointed as a health officer pursuant to chapter 70.05, 19
70.08, or 70.46 RCW. 20
(((10))) (9) "Mobile food unit" means a readily movable food 21
establishment. 22
(((11))) (10) "Regulatory authority" means the local, state, or 23
federal enforcement body or authorized representative having 24
jurisdiction over the food establishment. The local board of health, 25
acting through the local health officer, is the regulatory authority 26
for the activity of a food establishment, except as otherwise 27
provided by law. 28
(((12))) (11) "Secretary" means the secretary of health, or the 29
secretary's designee. 30
(((13))) (12) "Servicing area" means an operating base location 31
to which a mobile food unit or transportation vehicle returns 32
regularly for such things as vehicle and equipment cleaning, 33
discharging liquid or solid wastes, refilling water tanks and ice 34
bins, and boarding food. 35
(((14))) (13) "Social determinants of health" means those 36
elements of social structure most closely shown to affect health and 37
illness, including at a minimum, early learning, education, 38
socioeconomic standing, safe housing, gender, incidence of violence, 39
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convenient and affordable access to safe opportunities for physical 1
activity, healthy diet, and appropriate health care services.2
(((15))) (14) "State board" means the state board of health 3
created under this chapter. 4
Sec. 2. RCW 43.20.270 and 2006 c 239 s 1 are each amended to 5
read as follows: 6
The legislature finds that women and people of color experience 7
significant disparities from men and the general population in 8
education, employment, healthful living conditions, access to health 9
care, and other social determinants of health. The legislature finds 10
that these circumstances coupled with lower, slower, and less 11
culturally appropriate and gender appropriate access to needed 12
medical care result in higher rates of morbidity and mortality for 13
women and persons of color than observed in the general population. 14
Health disparities are defined by the national ((institute[s])) 15
institutes of health as the differences in incidence, prevalence, 16
mortality, and burden of disease and other adverse health conditions 17
that exist among specific population groups in the United States.18
It is the intent of the Washington state legislature to create 19
the healthiest state in the nation by striving to eliminate health 20
disparities in people of color and between men and women. In meeting 21
the intent of ((chapter 239, Laws of 2006 )) this chapter , the 22
legislature creates the governor's ((interagency coordinating council 23
on health disparities )) council for health justice and equity . This 24
council shall create an action plan and statewide policy to include 25
health impact reviews that measure and address other social 26
determinants of health that lead to disparities as well as the 27
contributing factors of health that can have broad impacts on 28
improving status, health literacy, physical activity, and nutrition.29
Sec. 3. RCW 43.20.275 and 2018 c 58 s 19 are each amended to 30
read as follows: 31
(1) In collaboration with staff whom the office of financial 32
management may assign, and within funds made expressly available to 33
the state board for these purposes, the state board shall ((assist 34
the governor by convening and providing )) convene and provide 35
assistance to the council. 36
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(2) The council shall consist of 24 members which shall include 1
((one representative from each of )) the following ((groups: Each of 2
the commissions,)) representatives:3
(a) One from the commission on African American affairs;4
(b) One from the commission on Asian Pacific American affairs;5
(c) One from the commission on Hispanic affairs;6
(d) One from the governor's office of Indian affairs;7
(e) One from the governor's committee on disability issues and 8
employment;9
(f) One from the LGBTQ commission;10
(g) One from the women's commission;11
(h) One from the state board((,));12
(i) One from the department((,));13
(j) One from the department of social and health services((,));14
(k) One from the department of commerce((,));15
(l) One from the health care authority((,));16
(m) One from the department of agriculture((,));17
(n) One from the department of ecology((,));18
(o) One from the office of the superintendent of public 19
instruction((,));20
(p) One from the department of children, youth, and 21
families((,));22
(q) One from the workforce training and education coordinating 23
board((, and two));24
(r) One from a federally recognized tribe; and25
(s) Six members of the public ((who will represent the interests 26
of health care consumers. The council is a class one group under RCW 27
43.03.220. The two public members shall be paid per diem and travel 28
expenses in accordance with RCW 43.03.050 and 43.03.060. The council 29
shall reflect diversity in race, ethnicity, and gender. The governor 30
or the governor's designee shall chair the council.31
(2) The council shall promote and facilitate communication, 32
coordination, and collaboration among relevant state agencies and 33
communities of color, and the private sector and public sector, to 34
address health disparities. The council shall conduct public 35
hearings, inquiries, studies, or other forms of information gathering 36
to understand how the actions of state government ameliorate or 37
contribute to health disparities. All state agencies must cooperate 38
with the council's efforts.39
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(3) The council with assistance from the state board, shall 1
assess through public hearings, review of existing data, and other 2
means, and recommend initiatives for improving the availability of 3
culturally appropriate health literature and interpretive services 4
within public and private health-related agencies.5
(4) In order to assist with its work, the council shall establish 6
advisory committees to assist in plan development for specific issues 7
and shall include members of other state agencies and local 8
communities.9
(5) The advisory committee shall reflect diversity in race, 10
ethnicity, and gender )), including at least two youth 11
representatives, who have direct lived experience with health 12
inequities and will bring the voices of communities who have been 13
systematically excluded from the power, opportunities, access, and 14
resources needed to attain health and well-being.15
(3) The council shall establish its decision making and voting 16
procedures within council bylaws.17
(4) Councilmembers must be persons who are committed to and well-18
informed regarding principles of health justice and equity and who, 19
to the greatest extent practicable, reflect diversity in race, 20
ethnicity, age, disability status, sexual orientation, gender, gender 21
identity, military or military family status, urban and rural areas, 22
and regions of the state.23
(a) To promote agency commitment and coordination, each state 24
agency on the council shall identify an executive team level staff 25
person or designee to participate on behalf of the agency.26
(b) Councilmembers who are not representing a Washington state 27
governmental entity shall be appointed by the governor with guidance 28
from the office of equity.29
(c) The youth representatives must be 26 years of age or younger 30
at the time of appointment.31
(d) The governor shall appoint cochairs who have expertise or 32
experience with health justice and equity. At least one cochair must 33
be selected from among councilmembers listed in subsection (2)(a) 34
through (g), (r), or (s) of this section. The governor shall consider 35
cochair nominations or recommendations from the council.36
(5) When representing the council, councilmembers may communicate 37
policy recommendations and positions on behalf of the council instead 38
of their respective agency or organization.39
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(6) The council is a class one group under RCW 43.03.220. 1
Eligible members of the council shall be compensated and reimbursed 2
in accordance with RCW 43.03.050, 43.03.060, and 43.03.220.3
Sec. 4. RCW 43.20.280 and 2006 c 239 s 4 are each amended to 4
read as follows: 5
(1) The council shall ((consider in its deliberations and by 6
2012, create an action plan for eliminating health disparities. The 7
action plan must address, but is not limited to, the following 8
diseases, conditions, and health indicators: Diabetes, asthma, infant 9
mortality, HIV/AIDS, heart disease, strokes, breast cancer, cervical 10
cancer, prostate cancer, chronic kidney disease, sudden infant death 11
syndrome (SIDS), mental health, women's health issues, smoking 12
cessation, oral disease, and immunization rates of children and 13
senior citizens. The council shall prioritize the diseases, 14
conditions, and health indicators according to prevalence and 15
severity of the health disparity. The council shall address these 16
priorities on an incremental basis by adding no more than five of the 17
diseases, conditions, and health indicators to each update or revised 18
version of the action plan. The action plan shall be updated 19
biannually. The council shall meet as often as necessary but not less 20
than two times per calendar year. The council shall report its 21
progress with the action plan to the governor and the legislature no 22
later than January 15, 2008. A second report shall be presented no 23
later than January 15, 2010, and a third report from the council 24
shall be presented to the governor and the legislature no later than 25
January 15, 2012. Thereafter, the governor and legislature shall 26
require progress updates from the council every four years in odd-27
numbered years. The action plan shall recognize the need for 28
flexibility)) work with governmental and nongovernmental partners to 29
create a statewide vision and universal goals for health and well-30
being as well as policy recommendations to move Washington toward 31
achieving its vision and goals.32
(a) The vision, goals, and policy recommendations shall:33
(i) Provide an actionable framework to support communities, state 34
agencies, the governor, and the legislature in advancing health 35
justice and equity in Washington state;36
(ii) Recognize racism as a public health crisis;37
(iii) Recognize how climate change affects us all and exacerbates 38
inequities;39
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(iv) Incorporate the diversity of communities across the state 1
and recognize the intersecting forms of oppression people may 2
experience as barriers to attaining optimal health and reaching their 3
full potential;4
(v) Guide state agencies as they continue to fulfill requirements 5
pursuant to chapters 70A.02 and 43.06D RCW; and6
(vi) Work toward resolving the negative structural and social 7
determinants of health and promoting the positive determinants.8
(b) In the development of the vision, goals, and policy 9
recommendations, the council shall engage communities and may use 10
participatory methods that promote community-led planning and design, 11
so that communities who are disproportionately impacted by inequities 12
have meaningful opportunity and power to shape narratives, 13
priorities, and policy recommendations.14
(2) The council shall promote and facilitate communication, 15
information sharing, coordination, and collaboration among relevant 16
state agencies, organizations that have been established for and by 17
the people most impacted by an issue such as racism and health 18
inequities, communities of color and other marginalized communities, 19
and the private and public sectors to support health justice and 20
equity, well-being, truth and reconciliation, and healing.21
(3) The council, with assistance from state agencies and other 22
partners, shall conduct public hearings, research, inquiries, 23
studies, or other forms of information gathering to:24
(a) Understand how the actions of state government ameliorate or 25
contribute to health inequities; and26
(b) Recommend initiatives for improving the availability of 27
culturally and linguistically appropriate information and services 28
within public and private health-related agencies.29
(4) The council shall collaborate with the environmental justice 30
council, the state poverty reduction work group, the state office of 31
equity, and other state agencies, boards, committees, and commissions 32
to propel state government toward actions that are coordinated and 33
rooted in antiracism, access, belonging, and justice so that these 34
efforts benefit all Washingtonians.35
(5) The council shall submit an initial report to the governor 36
and relevant committees of the legislature by October 31, 2027, with 37
the statewide vision and universal goals for health and well-being 38
detailed in subsection (1) of this section. Beginning October 31, 39
2029, and every two years thereafter until 2039, the council shall 40
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submit an update to the governor and relevant committees of the 1
legislature with policy recommendations, the status of policy 2
adoption and implementation among relevant state agencies, the 3
governor, and the legislature, as well as any revisions to the 4
statewide vision and universal goals for health and well-being. The 5
council shall make its reports publicly available on its website to 6
provide convenient access to all state agencies. 7
(6) Within available resources, all relevant state agencies shall 8
collaborate and be responsive to the council's requests.9
(7) The council may:10
(a) Use topics and findings from health impact reviews, as 11
authorized by RCW 43.20.285, to inform the council's priorities, 12
strategies, and recommendations;13
(b) Use disaggregated data to inform its work;14
(c) Develop policy positions; and15
(d) Form advisory committees or implement participatory models, 16
such as collaboratives or community assemblies, to support the 17
council in gathering information and developing policy priorities, 18
recommendations, and positions. These groups may include members of 19
the community and state agencies. 20
Sec. 5. RCW 41.05.840 and 2021 c 309 s 2 are each amended to 21
read as follows: 22
(1) The universal health care commission is established to create 23
immediate and impactful changes in the health care access and 24
delivery system in Washington and to prepare the state for the 25
creation of a health care system that provides coverage and access 26
for all Washington residents through a unified financing system once 27
the necessary federal authority has become available. The authority 28
must begin any necessary federal application process within 60 days 29
of its availability. 30
(2) The commission includes the following voting members:31
(a) One member from each of the two largest caucuses of the house 32
of representatives, appointed by the speaker of the house of 33
representatives; 34
(b) One member from each of the two largest caucuses of the 35
senate, appointed by the president of the senate; 36
(c) The secretary of the department of health, or the secretary's 37
designee; 38
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(d) The director of the health care authority, or the director's 1
designee; 2
(e) The chief executive officer of the Washington health benefit 3
exchange, or the chief executive officer's designee;4
(f) The insurance commissioner, or the commissioner's designee;5
(g) The director of the office of equity, or the director's 6
designee; and 7
(h) Six members appointed by the governor, using an equity lens, 8
with knowledge and experience regarding health care coverage, access, 9
and financing, or other relevant expertise, including at least one 10
consumer representative and at least one invitation to an individual 11
representing tribal governments with knowledge of the Indian health 12
care delivery in the state. 13
(3)(a) The governor must appoint the chair of the commission from 14
any of the members identified in subsection (2) of this section for a 15
term of no more than three years. A majority of the voting members of 16
the commission shall constitute a quorum for any votes of the 17
commission. 18
(b) The commission's meetings shall be open to the public 19
pursuant to chapter 42.30 RCW. The authority must publish on its 20
website the dates and locations of commission meetings, agendas of 21
prior and upcoming commission meetings, and meeting materials for 22
prior and upcoming commission meetings. 23
(4) The health care authority shall staff the commission.24
(5) Members of the commission shall serve without compensation 25
but must be reimbursed for their travel expenses while on official 26
business in accordance with RCW 43.03.050 and 43.03.060.27
(6) The commission may establish advisory committees that include 28
members of the public with knowledge and experience in health care, 29
in order to support stakeholder engagement and an analytical process 30
by which key design options are developed. A member of an advisory 31
committee need not be a member of the commission. 32
(7) By November 1, 2022, the commission shall submit a baseline 33
report to the legislature and the governor, and post it on the 34
authority's website. The report must include: 35
(a) A complete synthesis of analyses done on Washington's 36
existing health care finance and delivery system, including cost, 37
quality, workforce, and provider consolidation trends and how they 38
impact the state's ability to provide all Washingtonians with timely 39
access to high quality, affordable health care; 40
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(b) A strategy for developing implementable changes to the 1
state's health care financing and delivery system to increase access 2
to health care services and health coverage, reduce health care 3
costs, reduce health disparities, improve quality, and prepare for 4
the transition to a unified health care financing system by actively 5
examining data and reports from sources that are monitoring the 6
health care system. Such sources shall include data or reports from 7
the health care cost transparency board under RCW 70.390.070, the 8
public health advisory board, the governor's ((interagency 9
coordinating)) council ((on)) for health ((disparities)) justice and 10
equity under RCW 43.20.275, the all-payer health care claims database 11
established under chapter 43.371 RCW, prescription drug price data, 12
performance measure data under chapter 70.320 RCW, and other health 13
care cost containment programs; 14
(c) An inventory of the key design elements of a universal health 15
care system including: 16
(i) A unified financing system including, but not limited to, a 17
single-payer financing system; 18
(ii) Eligibility and enrollment processes and requirements;19
(iii) Covered benefits and services; 20
(iv) Provider participation; 21
(v) Effective and efficient provider payments, including 22
consideration of global budgets and health plan payments;23
(vi) Cost containment and savings strategies that are designed to 24
assure that total health care expenditures do not exceed the health 25
care cost growth benchmark established under chapter 70.390 RCW;26
(vii) Quality improvement strategies; 27
(viii) Participant cost sharing, if appropriate;28
(ix) Quality monitoring and disparities reduction;29
(x) Initiatives for improving culturally appropriate health 30
services within public and private health-related agencies;31
(xi) Strategies to reduce health disparities including, but not 32
limited to, mitigating structural racism and other determinants of 33
health as set forth by the office of equity; 34
(xii) Information technology systems and financial management 35
systems; 36
(xiii) Data sharing and transparency; and 37
(xiv) Governance and administration structure, including 38
integration of federal funding sources; 39
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(d) An assessment of the state's current level of preparedness to 1
meet the elements of (c) of this subsection and steps Washington 2
should take to prepare for a just transition to a unified health care 3
financing system, including a single-payer financing system. 4
Recommendations must include, but are not limited to, administrative 5
changes, reorganization of state programs, retraining programs for 6
displaced workers, federal waivers, and statutory and constitutional 7
changes; 8
(e) Recommendations for implementing reimbursement rates for 9
health care providers serving medical assistance clients who are 10
enrolled in programs under chapter 74.09 RCW at a rate that is no 11
less than 80 percent of the rate paid by medicare for similar 12
services; 13
(f) Recommendations for coverage expansions to be implemented 14
prior to and consistent with a universal health care system, 15
including potential funding sources; and 16
(g) Recommendations for the creation of a finance committee to 17
develop a financially feasible model to implement universal health 18
care coverage using state and federal funds. 19
(8) Following the submission of the baseline report on November 20
1, 2022, the commission must structure its work to continue to 21
further identify opportunities to implement reforms consistent with 22
subsection (7)(b) of this section and to implement structural changes 23
to prepare the state for a transition to a unified health care 24
financing system. The commission must submit annual reports to the 25
governor and the legislature each November 1st, beginning in 2023. 26
The reports must detail the work of the commission, the opportunities 27
identified to advance the goals under subsection (7) of this section, 28
which, if any, of the opportunities a state agency is implementing, 29
which, if any, opportunities should be pursued with legislative 30
policy or fiscal authority, and which opportunities have been 31
identified as beneficial, but lack federal authority to implement.32
(9) Subject to sufficient existing agency authority, state 33
agencies may implement specific elements of any report issued under 34
this section. This section shall not be construed to authorize the 35
commission to implement a universal health care system through a 36
unified financing system until there is further action by the 37
legislature and the governor. 38
(10) The commission must hold its first meeting within 90 days of 39
July 25, 2021. 40
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Sec. 6. RCW 70.41.470 and 2021 c 162 s 5 are each amended to 1
read as follows: 2
(1) As of January 1, 2013, each hospital that is recognized by 3
the internal revenue service as a 501 (c)(3) nonprofit entity must 4
make its federally required community health needs assessment widely 5
available to the public and submit it to the department within 6
fifteen days of submission to the internal revenue service. Following 7
completion of the initial community health needs assessment, each 8
hospital in accordance with the internal revenue service shall 9
complete and make widely available to the public and submit to the 10
department an assessment once every three years. The department must 11
post the information submitted to it pursuant to this subsection on 12
its website. 13
(2)(a) Unless contained in the community health needs assessment 14
under subsection (1) of this section, a hospital subject to the 15
requirements under subsection (1) of this section shall make public 16
and submit to the department a description of the community served by 17
the hospital, including both a geographic description and a 18
description of the general population served by the hospital; and 19
demographic information such as leading causes of death, levels of 20
chronic illness, and descriptions of the medically underserved, 21
low-income, and minority, or chronically ill populations in the 22
community. 23
(b)(i) Beginning July 1, 2022, a hospital, other than a hospital 24
designated by medicare as a critical access hospital or sole 25
community hospital, that is subject to the requirements under 26
subsection (1) of this section must annually submit to the department 27
an addendum which details information about activities identified as 28
community health improvement services with a cost of $5,000 or more. 29
The addendum must include the type of activity, the method in which 30
the activity was delivered, how the activity relates to an identified 31
community need in the community health needs assessment, the target 32
population for the activity, strategies to reach the target 33
population, identified outcome metrics, the cost to the hospital to 34
provide the activity, the methodology used to calculate the 35
hospital's costs, and the number of people served by the activity. If 36
a community health improvement service is administered by an entity 37
other than the hospital, the other entity must be identified in the 38
addendum. 39
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(ii) Beginning July 1, 2022, a hospital designated by medicare as 1
a critical access hospital or sole community hospital that is subject 2
to the requirements under subsection (1) of this section must 3
annually submit to the department an addendum which details 4
information about the 10 highest cost activities identified as 5
community health improvement services. The addendum must include the 6
type of activity, the method in which the activity was delivered, how 7
the activity relates to an identified community need in the community 8
health needs assessment, the target population for the activity, 9
strategies to reach the target population, identified outcome 10
metrics, the cost to the hospital to provide the activity, the 11
methodology used to calculate the hospital's costs, and the number of 12
people served by the activity. If a community health improvement 13
service is administered by an entity other than the hospital, the 14
other entity must be identified in the addendum. 15
(iii) The department shall require the reporting of demographic 16
information about participant race, ethnicity, any disability, gender 17
identity, preferred language, and zip code of primary residency. The 18
department, in consultation with interested entities, may revise the 19
required demographic information according to an established six-year 20
review cycle about participant race, ethnicity, disabilities, gender 21
identity, preferred language, and zip code of primary residence that 22
must be reported under (b)(i) and (ii) of this subsection (2). At a 23
minimum, the department's consultation process shall include 24
community organizations that provide community health improvement 25
services, communities impacted by health inequities, health care 26
workers, hospitals, and the governor's ((interagency coordinating )) 27
council ((on)) for health ((disparities)) justice and equity . The 28
department shall establish a six-year cycle for the review of the 29
information requested under this subsection (2)(b)(iii).30
(iv) The department shall provide guidance on participant data 31
collection and the reporting requirements under this subsection 32
(2)(b). The guidance shall include a standard form for the reporting 33
of information under this subsection (2)(b). The standard form must 34
allow for the reporting of community health improvement services that 35
are repeated within a reporting period to be combined within the 36
addendum as a single project with the number of instances of the 37
services listed. The department must develop the guidelines in 38
consultation with interested entities, including an association 39
representing hospitals in Washington, labor unions representing 40
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workers who work in hospital settings, and community health board 1
associations. The department must post the information submitted to 2
it pursuant to this subsection (2)(b) on its website.3
(3)(a) Each hospital subject to the requirements of subsection 4
(1) of this section shall make widely available to the public a 5
community benefit implementation strategy within one year of 6
completing its community health needs assessment. In developing the 7
implementation strategy, hospitals shall consult with community -based 8
organizations and stakeholders, and local public health 9
jurisdictions, as well as any additional consultations the hospital 10
decides to undertake. Unless contained in the implementation strategy 11
under this subsection (3)(a), the hospital must provide a brief 12
explanation for not accepting recommendations for community benefit 13
proposals identified in the assessment through the stakeholder 14
consultation process, such as excessive expense to implement or 15
infeasibility of implementation of the proposal. 16
(b) Implementation strategies must be evidence -based, when 17
available; or development and implementation of innovative programs 18
and practices should be supported by evaluation measures.19
(4) When requesting demographic information under subsection 20
(2)(b) of this section, a hospital must inform participants that 21
providing the information is voluntary. If a hospital fails to report 22
demographic information under subsection (2)(b) of this section 23
because a participant refused to provide the information, the 24
department may not take any action against the hospital for failure 25
to comply with reporting requirements or other licensing standards on 26
that basis. 27
(5) For the purposes of this section, the term "widely available 28
to the public" has the same meaning as in the internal revenue 29
service guidelines. 30
NEW SECTION. Sec. 7. RCW 44.28.810 (Review of governor's 31
interagency coordinating council on health disparities — Report to the 32
legislature) and 2006 c 239 s 7 are each repealed.33
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