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 prior approval from the department, thereby potentially increasing access to care for patients in need of these procedures.

In addition to this new exemption, the bill also reenacts and amends various provisions related to the certificate of need process for other health services, including those provided by health maintenance organizations and nursing homes. The amendments clarify the conditions under which certain health care facilities can operate without a certificate of need, ensuring that the requirements for exemptions are clearly defined and that the department has the authority to approve or disapprove applications based on compliance with these requirements.