Health carrier reporting

AN ACT Relating to health carrier reporting on primary care 1
spending; and amending RCW 48.43.800. 2
BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF WASHINGTON:3
Sec. 1. RCW 48.43.800 and 2022 c 155 s 2 are each amended to 4
read as follows: 5
(1) The commissioner may ((include an assessment of carriers' )) 6
require health carriers to annually report primary care expenditures 7
in ((the)) previous ((plan year )) calendar years or anticipated for 8
((the)) upcoming ((plan year in its reviews of health plan form or 9
rate filings. In conducting the review, the commissioner must 10
consider any definition of primary care expenditures and any primary 11
care expenditure targets established under RCW 70.390.080)) calendar 12
years. 13
(2) The commissioner may determine the form and content of 14
carrier primary care expenditure reporting. In developing the form 15
and content for reporting, the commissioner shall consider the 16
definition of primary care expenditures and any primary care 17
expenditure targets established under RCW 70.390.080 as well as 18
primary care expenditure reporting systems implemented by the health 19
care authority for medical assistance and employee benefits coverage 20
administered under chapter 41.05 or 74.09 RCW.21
S-0063.1
SENATE BILL 5084
State of Washington 69th Legislature 2025 Regular Session
By Senators Robinson, Muzzall, Dhingra, Hasegawa, Krishnadasan,
Nobles, and Salomon
Prefiled 12/19/24. Read first time 01/13/25. Referred to Committee
on Health & Long-Term Care.
p. 1 SB 5084
(3) Primary care expenditure reports submitted by carriers under 1
this section are public information.2
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p. 2 SB 5084