The bill aims to enhance Medicaid coverage for traditional health care practices by amending existing definitions and establishing new provisions within RCW 43.71B.010. Notably, it introduces the definition of "traditional health care practices," which encompasses the knowledge and skills indigenous to various cultures used for maintaining health and treating illnesses. Additionally, the bill redefines several terms related to Indian health care, including "tribally operated facility" and "urban Indian organization," to ensure clarity in the context of health services provided to American Indians and Alaska Natives.

Furthermore, the bill mandates that the health care authority apply for a waiver from the Centers for Medicare and Medicaid Services by September 1, 2025, to allow for the coverage of these traditional health care practices. Upon approval, Medicaid beneficiaries will have access to these services through Indian health service facilities and those operated by tribes or urban Indian organizations. The bill also includes a provision stating that if specific funding for its implementation is not provided by June 30, 2025, the act will become null and void.