The bill amends RCW 74.09.830 to extend postpartum health care coverage in Washington state. It establishes that until June 30, 2026, postpartum individuals with a countable income at or below 210 percent of the federal poverty level will receive health care coverage. The bill ensures that all individuals approved for pregnancy or postpartum coverage are continuously eligible for postpartum coverage for six months after the end of their pregnancy, regardless of any changes in income during that period. Additionally, it mandates that health care coverage must be provided during this six-month period, as opposed to the previous twelve-month coverage.

The bill also emphasizes the importance of expediting eligibility determinations for individuals who may qualify for federal health care coverage under Title XIX or Title XXI of the Social Security Act. It requires the authority to submit quarterly reports on the status of these individuals and their eligibility determinations. Furthermore, the bill mandates that managed care organizations contracted to provide postpartum coverage report annually to the legislature on their efforts to improve maternal health services for enrollees. Overall, the bill aims to enhance postpartum care accessibility and ensure that eligible individuals receive the necessary support and services.

Statutes affected:
Original Bill: 74.09.830
Substitute Bill: 74.09.830