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 requirement of obtaining a certificate of need. This change aims to streamline the process for these specific medical services, allowing state-operated hospitals to offer them without the regulatory burden typically associated with certificate of need applications.

In addition to this new exemption, the bill also reenacts and amends various provisions related to existing exemptions for health maintenance organizations, health care facilities, and nursing homes, among others. The amendments clarify the conditions under which these entities can operate without a certificate of need, ensuring that they meet specific enrollment and accessibility criteria. Overall, the bill seeks to enhance access to certain health services while maintaining regulatory oversight where necessary.