The proposed bill seeks to improve access to protected health care services in Washington State, including reproductive health care, end-of-life care, and gender-affirming care. It mandates the Washington State Department of Health to review health care business transactions that may affect access to these services, granting the Department the authority to approve, conditionally approve, or deny such transactions. The Attorney General is also empowered to intervene in transactions lacking necessary approvals. Key provisions require health care entities to submit detailed applications for transactions, conduct public hearings, and report annually on compliance, while emphasizing the need to maintain or enhance access to these critical services.

Additionally, the bill amends existing law to establish a comprehensive health care facilities and services plan, which includes an inventory of current facilities, future needs projections, and policies for new services. It also introduces a rural health resource plan to address the specific needs of rural communities. The bill outlines a framework for biennial updates to the health care strategy, ensuring public involvement through hearings and comments. The main provisions are set to take effect on December 1, 2026, with certain sections related to health care transactions effective earlier on July 1, 2026, highlighting the importance of data availability and community engagement in enhancing health care access statewide.

Statutes affected:
Original Bill: 43.370.030