The bill aims to enhance the procurement and administration of medical assistance services, particularly focusing on behavioral health crisis services for Medicaid enrollees in Washington State. It introduces a new section to chapter 74.09 RCW, mandating the authority to consult with various departments quarterly to plan for new or expanded services in regional areas. This includes adjusting Medicaid managed care rates based on changes in service availability and ensuring stakeholder input in the reprocurement process. The bill also emphasizes the need for methodologies to measure network access and adequacy, as well as opportunities to streamline managed care contract requirements.

Additionally, the bill amends existing laws to strengthen the responsibilities of behavioral health administrative services organizations. Key provisions include the establishment of a 24/7 behavioral health crisis hotline, the requirement for adequate networks of evaluation and treatment services, and the development of electronic care coordination standards by January 1, 2026. It also mandates collaboration with tribal governments and the creation of an operational plan for a behavioral health administrative services organization serving American Indians and Alaska Natives. The bill stipulates that if specific funding is not provided by June 30, 2025, it will become null and void.

Statutes affected:
Original Bill: 71.24.380, 74.09.871
Substitute Bill: 71.24.380, 74.09.871
Second Substitute: 71.24.380
Engrossed Second Substitute: 71.24.380
Bill as Passed Legislature: 71.24.380