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Bill > SB5241

WA SB5241

WA SB5241
Concerning material changes to the operations and governance structure of participants in the health care marketplace.

summary

Introduced
01/10/2023
In Committee
02/26/2024
Crossed Over
02/08/2024
Passed
Dead
04/12/2024

Introduced Session

Potential new amendment
2023-2024 Regular Session

Bill Summary

AN ACT Relating to material changes to the operations and 2 governance structure of participants in the health care marketplace; 3 amending RCW 19.390.010, 19.390.020, 19.390.030, 19.390.040, 4 19.390.050, 19.390.080, and 19.390.070; adding new sections to 5 chapter 19.390 RCW; creating a new section; providing an effective 6 date; and providing an expiration date. 7

AI Summary

This bill aims to ensure that material changes to the operations and governance structure of participants in the health care marketplace, such as mergers, acquisitions, and contracting affiliations, result in the affected communities having the same or greater access to quality, affordable care, including emergency care, primary care, reproductive care, end-of-life care, and gender affirming care. The bill grants the attorney general the authority to review these material change transactions, impose conditions or modifications to ensure requirements are met, and monitor compliance for at least 10 years after the transaction occurs. It also requires the attorney general to conduct public hearings, hire an independent contractor to assess health equity impacts, and potentially appoint a review board of stakeholders to provide recommendations. The bill imposes penalties for noncompliance and requires the attorney general to commission studies on the impact of these transactions in Washington state.

Committee Categories

Budget and Finance, Justice

Sponsors (18)

Last Action

By resolution, returned to Senate Rules Committee for third reading. (on 03/07/2024)
(1 Companion Bills)

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bill summary

Document Type Source Location
State Bill Page https://app.leg.wa.gov/billsummary?BillNumber=5241&Year=2023&Initiative=false
Fiscal Note - 5241 ESB AMH APP H3433.2 (Final) https://fnspublic.ofm.wa.gov/FNSPublicSearch/GetPDF?packageID=71386
Fiscal Note - 5241 ESB AMH APP H3433.2 (Partial) https://fnspublic.ofm.wa.gov/FNSPublicSearch/GetPDF?packageID=71378
Fiscal Note - 5241 ESB AMH APP H3433.2 (Partial) https://fnspublic.ofm.wa.gov/FNSPublicSearch/GetPDF?packageID=71331
Walen 5241.E AMH WALE BUR 193 https://lawfilesext.leg.wa.gov/biennium/2023-24/Pdf/Amendments/House/5241.E%20AMH%20WALE%20BUR%20193.pdf
Simmons 5241.E AMH SIMM ADAM 129 https://lawfilesext.leg.wa.gov/biennium/2023-24/Pdf/Amendments/House/5241.E%20AMH%20SIMM%20ADAM%20129.pdf
Reeves 5241.E AMH REEV BUR 192 https://lawfilesext.leg.wa.gov/biennium/2023-24/Pdf/Amendments/House/5241.E%20AMH%20REEV%20BUR%20192.pdf
Walen 5241.E AMH WALE BUR 191 https://lawfilesext.leg.wa.gov/biennium/2023-24/Pdf/Amendments/House/5241.E%20AMH%20WALE%20BUR%20191.pdf
Reeves 5241.E AMH REEV BAKY 389 https://lawfilesext.leg.wa.gov/biennium/2023-24/Pdf/Amendments/House/5241.E%20AMH%20REEV%20BAKY%20389.pdf
Reeves 5241.E AMH REEV BAKY 386 https://lawfilesext.leg.wa.gov/biennium/2023-24/Pdf/Amendments/House/5241.E%20AMH%20REEV%20BAKY%20386.pdf
Reeves 5241.E AMH REEV BAKY 385 https://lawfilesext.leg.wa.gov/biennium/2023-24/Pdf/Amendments/House/5241.E%20AMH%20REEV%20BAKY%20385.pdf
Fiscal Note - 5241 ESB AMH APP H3433.2 (Partial) https://fnspublic.ofm.wa.gov/FNSPublicSearch/GetPDF?packageID=71303
Fiscal Note - 5241 ESB AMH CRJ H3362.1 (Final) https://fnspublic.ofm.wa.gov/FNSPublicSearch/GetPDF?packageID=71317
Fiscal Note - 5241 ESB AMH CRJ H3362.1 (Partial) https://fnspublic.ofm.wa.gov/FNSPublicSearch/GetPDF?packageID=71302
Walen 5241.E AMH WALE STER 074 https://lawfilesext.leg.wa.gov/biennium/2023-24/Pdf/Amendments/House/5241.E%20AMH%20WALE%20STER%20074.pdf
Walen 5241.E AMH WALE BAKY 387 https://lawfilesext.leg.wa.gov/biennium/2023-24/Pdf/Amendments/House/5241.E%20AMH%20WALE%20BAKY%20387.pdf
Cheney 5241.E AMH CHEN BAKY 388 https://lawfilesext.leg.wa.gov/biennium/2023-24/Pdf/Amendments/House/5241.E%20AMH%20CHEN%20BAKY%20388.pdf
Walsh 5241.E AMH WALJ STER 072 https://lawfilesext.leg.wa.gov/biennium/2023-24/Pdf/Amendments/House/5241.E%20AMH%20WALJ%20STER%20072.pdf
Volz 5241.E AMH VOLZ ADAM 123 https://lawfilesext.leg.wa.gov/biennium/2023-24/Pdf/Amendments/House/5241.E%20AMH%20VOLZ%20ADAM%20123.pdf
Thai 5241.E AMH THAI BUR 190 https://lawfilesext.leg.wa.gov/biennium/2023-24/Pdf/Amendments/House/5241.E%20AMH%20THAI%20BUR%20190.pdf
Simmons 5241.E AMH SIMM BUR 185 https://lawfilesext.leg.wa.gov/biennium/2023-24/Pdf/Amendments/House/5241.E%20AMH%20SIMM%20BUR%20185.pdf
Sandlin 5241.E AMH SAND ADAM 124 https://lawfilesext.leg.wa.gov/biennium/2023-24/Pdf/Amendments/House/5241.E%20AMH%20SAND%20ADAM%20124.pdf
Robertson 5241.E AMH ROBE ADAM 120 https://lawfilesext.leg.wa.gov/biennium/2023-24/Pdf/Amendments/House/5241.E%20AMH%20ROBE%20ADAM%20120.pdf
McEntire 5241.E AMH MCEN ADAM 118 https://lawfilesext.leg.wa.gov/biennium/2023-24/Pdf/Amendments/House/5241.E%20AMH%20MCEN%20ADAM%20118.pdf
Jacobsen 5241.E AMH JACO ADAM 119 https://lawfilesext.leg.wa.gov/biennium/2023-24/Pdf/Amendments/House/5241.E%20AMH%20JACO%20ADAM%20119.pdf
Goehner 5241.E AMH GOEH ADAM 125 https://lawfilesext.leg.wa.gov/biennium/2023-24/Pdf/Amendments/House/5241.E%20AMH%20GOEH%20ADAM%20125.pdf
Corry 5241.E AMH CORR ADAM 122 https://lawfilesext.leg.wa.gov/biennium/2023-24/Pdf/Amendments/House/5241.E%20AMH%20CORR%20ADAM%20122.pdf
Corry 5241.E AMH CORR ADAM 121 https://lawfilesext.leg.wa.gov/biennium/2023-24/Pdf/Amendments/House/5241.E%20AMH%20CORR%20ADAM%20121.pdf
Cheney 5241.E AMH CHEN BUR 189 https://lawfilesext.leg.wa.gov/biennium/2023-24/Pdf/Amendments/House/5241.E%20AMH%20CHEN%20BUR%20189.pdf
Walsh 5241.E AMH WALJ STER 071 https://lawfilesext.leg.wa.gov/biennium/2023-24/Pdf/Amendments/House/5241.E%20AMH%20WALJ%20STER%20071.pdf
Walsh 5241.E AMH WALJ STER 070 https://lawfilesext.leg.wa.gov/biennium/2023-24/Pdf/Amendments/House/5241.E%20AMH%20WALJ%20STER%20070.pdf
Walsh 5241.E AMH WALJ STER 069 https://lawfilesext.leg.wa.gov/biennium/2023-24/Pdf/Amendments/House/5241.E%20AMH%20WALJ%20STER%20069.pdf
Walsh 5241.E AMH WALJ STER 068 https://lawfilesext.leg.wa.gov/biennium/2023-24/Pdf/Amendments/House/5241.E%20AMH%20WALJ%20STER%20068.pdf
Walsh 5241.E AMH WALJ STER 067 https://lawfilesext.leg.wa.gov/biennium/2023-24/Pdf/Amendments/House/5241.E%20AMH%20WALJ%20STER%20067.pdf
Walsh 5241.E AMH WALJ STER 066 https://lawfilesext.leg.wa.gov/biennium/2023-24/Pdf/Amendments/House/5241.E%20AMH%20WALJ%20STER%20066.pdf
Walsh 5241.E AMH WALJ BUR 187 https://lawfilesext.leg.wa.gov/biennium/2023-24/Pdf/Amendments/House/5241.E%20AMH%20WALJ%20BUR%20187.pdf
Walsh 5241.E AMH WALJ BUR 186 https://lawfilesext.leg.wa.gov/biennium/2023-24/Pdf/Amendments/House/5241.E%20AMH%20WALJ%20BUR%20186.pdf
Walsh 5241.E AMH WALJ BAKY 383 https://lawfilesext.leg.wa.gov/biennium/2023-24/Pdf/Amendments/House/5241.E%20AMH%20WALJ%20BAKY%20383.pdf
Walsh 5241.E AMH WALJ BAKY 382 https://lawfilesext.leg.wa.gov/biennium/2023-24/Pdf/Amendments/House/5241.E%20AMH%20WALJ%20BAKY%20382.pdf
Walsh 5241.E AMH WALJ BAKY 381 https://lawfilesext.leg.wa.gov/biennium/2023-24/Pdf/Amendments/House/5241.E%20AMH%20WALJ%20BAKY%20381.pdf
Walsh 5241.E AMH WALJ BAKY 380 https://lawfilesext.leg.wa.gov/biennium/2023-24/Pdf/Amendments/House/5241.E%20AMH%20WALJ%20BAKY%20380.pdf
Stokesbary 5241.E AMH STOK BUR 184 https://lawfilesext.leg.wa.gov/biennium/2023-24/Pdf/Amendments/House/5241.E%20AMH%20STOK%20BUR%20184.pdf
Abbarno 5241.E AMH ABBA H3416.1 https://lawfilesext.leg.wa.gov/biennium/2023-24/Pdf/Amendments/House/5241.E%20AMH%20ABBA%20H3416.1.pdf
Walsh 5241.E AMH WALJ BUR 183 https://lawfilesext.leg.wa.gov/biennium/2023-24/Pdf/Amendments/House/5241.E%20AMH%20WALJ%20BUR%20183.pdf
Walsh 5241.E AMH WALJ BUR 182 https://lawfilesext.leg.wa.gov/biennium/2023-24/Pdf/Amendments/House/5241.E%20AMH%20WALJ%20BUR%20182.pdf
Walsh 5241.E AMH WALJ BUR 181 https://lawfilesext.leg.wa.gov/biennium/2023-24/Pdf/Amendments/House/5241.E%20AMH%20WALJ%20BUR%20181.pdf
Walsh 5241.E AMH WALJ BUR 180 https://lawfilesext.leg.wa.gov/biennium/2023-24/Pdf/Amendments/House/5241.E%20AMH%20WALJ%20BUR%20180.pdf
Thai 5241.E AMH THAI BUR 178 https://lawfilesext.leg.wa.gov/biennium/2023-24/Pdf/Amendments/House/5241.E%20AMH%20THAI%20BUR%20178.pdf
Appropriations 5241.E AMH APP H3433.2 https://lawfilesext.leg.wa.gov/biennium/2023-24/Pdf/Amendments/House/5241.E%20AMH%20APP%20H3433.2.pdf
Engrossed House Bill Report https://lawfilesext.leg.wa.gov/biennium/2023-24/Pdf/Bill%20Reports/House/5241.E%20HBR%20APP%2024.pdf
Fiscal Note - 5241 ESB AMH CRJ H3362.1 (Partial) https://fnspublic.ofm.wa.gov/FNSPublicSearch/GetPDF?packageID=71177
Fiscal Note - 5241 ESB AMH CRJ H3362.1 (Partial) https://fnspublic.ofm.wa.gov/FNSPublicSearch/GetPDF?packageID=71125
Fiscal Note - 5241 ESB (Final) https://fnspublic.ofm.wa.gov/FNSPublicSearch/GetPDF?packageID=71104
Civil Rights & Judiciary 5241.E AMH CRJ H3362.1 https://lawfilesext.leg.wa.gov/biennium/2023-24/Pdf/Amendments/House/5241.E%20AMH%20CRJ%20H3362.1.pdf
Engrossed House Bill Report https://lawfilesext.leg.wa.gov/biennium/2023-24/Pdf/Bill%20Reports/House/5241.E%20HBR%20CRJ%2024.pdf
Fiscal Note - 5241 ESB (Partial) https://fnspublic.ofm.wa.gov/FNSPublicSearch/GetPDF?packageID=70875
Fiscal Note - 5241 ESB (Partial) https://fnspublic.ofm.wa.gov/FNSPublicSearch/GetPDF?packageID=70768
Fiscal Note - 5241 ESB (Partial) https://fnspublic.ofm.wa.gov/FNSPublicSearch/GetPDF?packageID=70706
Engrossed House Bill Analysis 2024 https://lawfilesext.leg.wa.gov/biennium/2023-24/Pdf/Bill%20Reports/House/5241.E%20HBA%20CRJ%2024.pdf
BillText https://lawfilesext.leg.wa.gov/biennium/2023-24/Pdf/Bills/Senate%20Bills/5241.E.pdf
Engrossed Senate Bill Report https://lawfilesext.leg.wa.gov/biennium/2023-24/Pdf/Bill%20Reports/Senate/5241.E%20SBR%20APS%2024.pdf
Senate Bill Report https://lawfilesext.leg.wa.gov/biennium/2023-24/Pdf/Bill%20Reports/Senate/5241%20SBR%20WM%20OC%2023.pdf
Senate Bill Report https://lawfilesext.leg.wa.gov/biennium/2023-24/Pdf/Bill%20Reports/Senate/5241%20SBR%20WM%20TA%2023.pdf
Senate Bill Report https://lawfilesext.leg.wa.gov/biennium/2023-24/Pdf/Bill%20Reports/Senate/5241%20SBA%20WM%2023.pdf
Senate Bill Report https://lawfilesext.leg.wa.gov/biennium/2023-24/Pdf/Bill%20Reports/Senate/5241%20SBR%20LAW%20OC%2023.pdf
Senate Bill Report https://lawfilesext.leg.wa.gov/biennium/2023-24/Pdf/Bill%20Reports/Senate/5241%20SBR%20LAW%20TA%2023.pdf
Senate Bill Report (Orig.) https://lawfilesext.leg.wa.gov/biennium/2023-24/Pdf/Bill%20Reports/Senate/5241%20SBA%20LAW%2023.pdf
Wagoner 5241 AMS WAGO S4933.1 https://lawfilesext.leg.wa.gov/biennium/2023-24/Pdf/Amendments/Senate/5241%20AMS%20WAGO%20S4933.1.pdf
Short 5241 AMS SHOR S4924.1 https://lawfilesext.leg.wa.gov/biennium/2023-24/Pdf/Amendments/Senate/5241%20AMS%20SHOR%20S4924.1.pdf
Short 5241 AMS SHOR S4914.1 https://lawfilesext.leg.wa.gov/biennium/2023-24/Pdf/Amendments/Senate/5241%20AMS%20SHOR%20S4914.1.pdf
Rivers 5241 AMS RIVE S4916.1 https://lawfilesext.leg.wa.gov/biennium/2023-24/Pdf/Amendments/Senate/5241%20AMS%20RIVE%20S4916.1.pdf
Rivers 5241 AMS RIVE S4911.1 https://lawfilesext.leg.wa.gov/biennium/2023-24/Pdf/Amendments/Senate/5241%20AMS%20RIVE%20S4911.1.pdf
Padden 5241 AMS PADD S4659.2 https://lawfilesext.leg.wa.gov/biennium/2023-24/Pdf/Amendments/Senate/5241%20AMS%20PADD%20S4659.2.pdf
Padden 5241 AMS PADD S4651.2 https://lawfilesext.leg.wa.gov/biennium/2023-24/Pdf/Amendments/Senate/5241%20AMS%20PADD%20S4651.2.pdf
Padden 5241 AMS PADD S4649.3 https://lawfilesext.leg.wa.gov/biennium/2023-24/Pdf/Amendments/Senate/5241%20AMS%20PADD%20S4649.3.pdf
Muzzall 5241 AMS MUZZ S4917.1 https://lawfilesext.leg.wa.gov/biennium/2023-24/Pdf/Amendments/Senate/5241%20AMS%20MUZZ%20S4917.1.pdf
Holy 5241 AMS HOLY S4919.1 https://lawfilesext.leg.wa.gov/biennium/2023-24/Pdf/Amendments/Senate/5241%20AMS%20HOLY%20S4919.1.pdf
Fortunato 5241 AMS FORT S4656.2 https://lawfilesext.leg.wa.gov/biennium/2023-24/Pdf/Amendments/Senate/5241%20AMS%20FORT%20S4656.2.pdf
Braun 5241 AMS BRAU S4918.1 https://lawfilesext.leg.wa.gov/biennium/2023-24/Pdf/Amendments/Senate/5241%20AMS%20BRAU%20S4918.1.pdf
Braun 5241 AMS BRAU S4915.1 https://lawfilesext.leg.wa.gov/biennium/2023-24/Pdf/Amendments/Senate/5241%20AMS%20BRAU%20S4915.1.pdf
Boehnke 5241 AMS BOEH S4922.1 https://lawfilesext.leg.wa.gov/biennium/2023-24/Pdf/Amendments/Senate/5241%20AMS%20BOEH%20S4922.1.pdf
Kuderer 5241 AMS KUDE S4913.1 https://lawfilesext.leg.wa.gov/biennium/2023-24/Pdf/Amendments/Senate/5241%20AMS%20KUDE%20S4913.1.pdf
Cleveland 5241 AMS CLEV S4934.2 https://lawfilesext.leg.wa.gov/biennium/2023-24/Pdf/Amendments/Senate/5241%20AMS%20CLEV%20S4934.2.pdf
Mullet 5241 AMS MULL S4898.1 https://lawfilesext.leg.wa.gov/biennium/2023-24/Pdf/Amendments/Senate/5241%20AMS%20MULL%20S4898.1.pdf
Randall 5241 AMS RAND S4880.1 https://lawfilesext.leg.wa.gov/biennium/2023-24/Pdf/Amendments/Senate/5241%20AMS%20RAND%20S4880.1.pdf
Fiscal Note - 5241 SB (Final) https://fnspublic.ofm.wa.gov/FNSPublicSearch/GetPDF?packageID=65827
Senate Bill Report https://lawfilesext.leg.wa.gov/biennium/2023-24/Pdf/Bill%20Reports/Senate/5241%20SBR%20WM%20OC%2023.pdf
Senate Bill Report https://lawfilesext.leg.wa.gov/biennium/2023-24/Pdf/Bill%20Reports/Senate/5241%20SBR%20WM%20TA%2023.pdf
Senate Bill Report https://lawfilesext.leg.wa.gov/biennium/2023-24/Pdf/Bill%20Reports/Senate/5241%20SBA%20WM%2023.pdf
Senate Bill Report https://lawfilesext.leg.wa.gov/biennium/2023-24/Pdf/Bill%20Reports/Senate/5241%20SBR%20LAW%20OC%2023.pdf
Senate Bill Report https://lawfilesext.leg.wa.gov/biennium/2023-24/Pdf/Bill%20Reports/Senate/5241%20SBR%20LAW%20TA%2023.pdf
Senate Bill Report (Orig.) https://lawfilesext.leg.wa.gov/biennium/2023-24/Pdf/Bill%20Reports/Senate/5241%20SBA%20LAW%2023.pdf
BillText https://lawfilesext.leg.wa.gov/biennium/2023-24/Pdf/Bills/Senate%20Bills/5241.pdf
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