This bill aims to enhance access to pediatric primary care and behavioral health services in Washington State by amending RCW 74.09.520. Key provisions include the establishment of a standardized definition and reporting mechanism for wait times for pediatric primary care and applied behavior analysis service codes, which must be implemented by December 31, 2026. Additionally, starting July 1, 2027, the authority is prohibited from reducing medical assistance reimbursement rates for any pediatric primary care or applied behavior analysis service code if the average statewide waitlist for that service exceeds 30 days.

Furthermore, the bill outlines a structured approach for making reductions in funding, prioritizing administrative costs, nonbargained executive management salaries, and lastly, reimbursement rates affecting benefit and client services. It also mandates that any rate increases for pediatric primary care or applied behavior analysis service codes provided by the legislature must be applied as a distinct layer in addition to the base rate, ensuring that funding for these critical services is protected and prioritized.

Statutes affected:
Original bill: 74.09.520