The bill establishes an abortion savings program in Washington State, aimed at providing grants to ensure access to direct patient abortion clinical care services. It introduces a new section to chapter 48.14 RCW, requiring health carriers to pay an annual coverage assessment to the state treasurer, starting at $0.82 per coverage month in the first year and decreasing to $0.165 in subsequent years. Penalties for non-compliance include potential revocation of the health carriers' certificate of authority. All collected revenues will be deposited into a newly created abortion savings account, which is designated solely for grants under the abortion savings program. The bill also includes privacy protections for individuals involved in the program and mandates that at least 85% of the funds appropriated be awarded to eligible organizations providing abortion services to those in need. Additionally, the bill amends existing laws related to the treasury income account, clarifying its management and the distribution of earnings. It specifies that the treasury income account will receive all earnings from surplus investments and will be used for federal program-related funds without requiring appropriation for refunds or allocations. The state treasurer is responsible for distributing earnings monthly, with the general fund receiving the majority, while the newly inserted abortion savings account will also receive its proportionate share based on average daily balances. The bill includes provisions for the expiration of certain sections by specified dates, ensuring compliance with constitutional requirements regarding the allocation of earnings from treasury accounts.