The bill establishes the Washington health care board, which is tasked with designing and implementing a state-based universal health care plan that provides all medically necessary health care services to residents. The implementation of this plan is contingent upon the state obtaining a federal waiver and funding. The board will consist of 19 members appointed by the governor, including representatives from various sectors such as employers, health care providers, and health-related state agencies. Members will serve four-year terms and will be responsible for conducting necessary analyses, hiring staff, setting timelines for implementation, and making recommendations to the legislature regarding statutory changes needed for the plan.

Additionally, the bill includes a provision that it will take effect only when federal law allows states to obtain waivers for establishing such health care plans and receiving federal funding. The health care authority is required to notify relevant parties of the effective date once the federal law is enacted.