The bill aims to protect access to health care services for Washington state residents by limiting eligibility for charity care to individuals who meet specific residency requirements. It highlights the significant charity care provided by hospitals in Washington, which amounted to $483 million in 2022. The bill addresses a recent change in policy by the Department of Health that removed residency restrictions for charity care, potentially leading to increased medical tourism and strain on local hospital resources. The legislature expresses concern that this could delay care for Washington residents and raise costs for those who do pay for services.

To implement these changes, the bill introduces a new section to chapter 70.170 RCW, defining residency criteria for charity care eligibility. It specifies that only Washington state residents, including certain minors and individuals without fixed addresses, are eligible for charity care. The bill also clarifies that individuals seeking health care in Washington from other states or countries do not qualify as residents. Additionally, it amends existing definitions in RCW 70.170.020 to include residency requirements for indigent persons seeking charity care. The act is declared necessary for the immediate preservation of public health and safety, taking effect immediately.