Bill > SB5642

This bill aims to improve maternal health and preventative cancer screening for Medicaid clients by requiring several key actions. The Health Care Authority, in collaboration with the Department of Health and other stakeholders, must develop educational and outreach materials by December 31, 2025, focusing on breast cancer screening, cervical cancer screening, timely prenatal care, and postpartum care. The bill recognizes the importance of comprehensive healthcare for women, highlighting that early prenatal care can prevent health problems and that the postpartum period is critical for long-term health. By December 31, 2025, the Health Care Authority must create an implementation plan to incentivize Medicaid managed care organizations to improve their performance metrics in these areas. The authority will be required to submit annual reports to the governor and legislature starting November 30, 2028, detailing savings, performance improvements, and comprehensive data on client enrollment and service delivery. Additionally, the bill instructs the Health Care Authority to develop billing guide instructions and amend managed care organization contracts to encourage earlier identification of pregnant women through a specific procedural terminology code. The overall goal is to ensure Medicaid clients receive appropriate, timely, and cost-effective healthcare while maintaining accountability for state-purchased health services.

Health and Social Services

https://app.leg.wa.gov/billsummary?BillNumber=5642&Year=2025&Initiative=false