The bill seeks to rename and restructure the governor's interagency coordinating council on health disparities, now called the "council for health justice and equity." It updates the Revised Code of Washington (RCW) to include new definitions, such as "health disparities," which refers to differences in health outcomes among specific population groups. The council will consist of 24 members from various commissions and state departments, focusing on creating a statewide vision and policy recommendations to address health inequities. It will also engage communities in health policy development and recognize racism as a public health crisis, conducting public hearings and research to inform its initiatives. An initial report detailing the council's vision and goals is due by October 31, 2027, with updates every two years until 2039.

Additionally, the bill establishes a universal health care commission aimed at improving health care access and delivery in Washington. The commission is required to make its reports publicly available and utilize health impact reviews to guide its recommendations. It will also develop policy positions and form advisory committees that include community members. A baseline report on the current health care system's performance and strategies for transitioning to a unified health care financing system is due by November 1, 2022. The bill also amends laws regarding hospitals' community health needs assessments, requiring detailed reports and wider availability of these assessments, while repealing the previous section related to the governor's interagency coordinating council on health disparities to promote a more integrated approach to health equity and justice.

Statutes affected:
Original Bill: 43.20.270, 43.20.275, 43.20.280, 41.05.840, 70.41.470