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WA SB5704
WA SB5704Concerning material changes to the operations and governance structure of participants in the health care marketplace.
summary
Introduced
02/07/2025
02/07/2025
In Committee
02/07/2025
02/07/2025
Crossed Over
Passed
Dead
Introduced Session
2025-2026 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; and providing an 6 effective date. 7
AI Summary
This bill establishes a comprehensive framework for reviewing and regulating material changes (such as mergers, acquisitions, or contracting affiliations) in the healthcare marketplace in Washington state. The legislation aims to ensure that any significant changes in healthcare organizations do not negatively impact the accessibility, affordability, and quality of healthcare services. Key provisions include requiring parties to a material change transaction to submit detailed notices to the health care authority and attorney general at least 90 days before the transaction, conducting thorough reviews that assess potential impacts on community health services, and establishing ongoing monitoring for five years after the transaction. The bill mandates that such transactions must not reduce access to critical healthcare services like emergency, primary, reproductive, gender-affirming, and end-of-life care. It also requires public hearings and creates a comprehensive review process that evaluates the potential effects on patient care, healthcare costs, staffing, and community benefits. The attorney general is given significant oversight powers, including the ability to approve, modify, or disapprove transactions and to impose penalties for non-compliance. The legislation is designed to protect consumers by ensuring that healthcare market changes prioritize patient access, affordability, and quality of care, with a particular focus on serving marginalized and underserved communities.
Committee Categories
Justice
Sponsors (17)
Manka Dhingra (D)*,
Emily Alvarado (D),
Bob Hasegawa (D),
Claudia Kauffman (D),
Deborah Krishnadasan (D),
Liz Lovelett (D),
T'wina Nobles (D),
Jamie Pedersen (D),
Bill Ramos (D),
Marcus Riccelli (D),
Rebecca Saldaña (D),
Sharon Shewmake (D),
Vandana Slatter (D),
Derek Stanford (D),
Yasmin Trudeau (D),
Javier Valdez (D),
Claire Wilson (D),
Last Action
By resolution, reintroduced and retained in present status. (on 01/12/2026)
bill text
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bill summary
| Document Type | Source Location |
|---|---|
| State Bill Page | https://app.leg.wa.gov/billsummary?BillNumber=5704&Year=2025&Initiative=false |
| Fiscal Note - 5704 SB (Final) | https://fnspublic.ofm.wa.gov/FNSPublicSearch/GetPDF?packageID=73895 |
| BillText | https://lawfilesext.leg.wa.gov/biennium/2025-26/Pdf/Bills/Senate%20Bills/5704.pdf |
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