The bill amends RCW 70.38.111 to exempt elective percutaneous coronary interventions performed in hospitals owned or operated by a state entity from the certificate of need requirements. This change aims to streamline the process for these specific medical services, allowing state-operated hospitals to offer them without the need for additional regulatory approval. The new legal language specifies that these services will not require a certificate of need, thereby facilitating quicker access to care for patients needing such interventions.

In addition to this new exemption, the bill also reenacts and amends various provisions related to existing exemptions for health maintenance organizations and health care facilities regarding tertiary health services. The amendments clarify the conditions under which these organizations can operate without a certificate of need, ensuring that they meet specific enrollment and accessibility criteria. Overall, the bill seeks to enhance healthcare service delivery in Washington by reducing regulatory barriers for certain medical procedures and facilities.