Legislative reports
Find reports submitted by the Health Care Authority (HCA) to the Washington State Legislature. Reports are posted by their original due date to the Legislature.
Looking for Medicaid Transformation reports?
Find them on our Medicaid Transformation Project reports webpage.
2025
Apple Health
2024
Apple Health
- HIV antiviral drugs (December 1)
- Prior authorization modernization: managed care implementation update (December)
- Employment status of Apple Health clients and non-client individuals with dependents who are Apple Health clients (November)
- Apple Health (Medicaid) performance measures analysis: Service coordination organization performance measures & Apple Health managed care preventive services and vaccinations (September)
- Connecting Apple Health clients to dental services with the DentistLink tool (June)
Behavioral health
- Behavioral health comparison rate development: phase three (December 31)
- Crisis Workforce and Resilience Training Collaborative recommendations (December 31)
- Pursuing a statewide certified community behavioral health clinic initiative in Washington (December 31)
- Behavioral health consultation, referral, and provider training programs, prenatal through age 18 (December 31)
- Behavioral health outcomes: 2023 Integrated Managed Care data (December 29)
- Rapid Methadone Induction Pilot Program (December 9)
- Recommendations on bulk purchasing and distribution of prescription drugs (naloxone) (December 9)
- Behavioral health access and network adequacy for Apple Health children and youth (prenatal – age 25) (December 1)
- North Sound Behavioral Health – Administrative Service Organization Proviso 13(b) pilot (December 1)
- Mobile medication unit rate development interim report (December 1)
- Summary of streamlining substance use disorder (SUD) authorization and reauthorization processes across all payors (December 1)
- Operation of community behavioral health service delivery system (December 1)
- Safe supply work group recommendations (December 1)
- Research and analysis of Neonatal Abstinence Syndrome (December 1)
- Implementation plan to continue the expansion of civil long-term inpatient capacity (December 1)
- Island County pilot program (December 1)
- Statewide substance use disorder (SUD) prevalence and cross-sector interactions: inventory of data and reporting capabilities (December 1)
- Substance Use Recovery Services (SURS) plan progress report (December 1)
- Evidence-Based Practice Institute annual report (December 1)
- Foundational Community Supports (FCS) program: streamlining eligibility and provider payments (December 1)
- Behavioral Health Administrative Service Organization (BH-ASO) reserve levels (December)
- Addressing crisis services funding gaps (December)
- Evaluation of young adults’ access to Program of Assertive Community Treatment (PACT) services (December)
- Prenatal substance exposure (November 13)
- Family Initiative Treatment (FIT): Increasing access to behavioral health services for minors (November 1)
- Targeted behavioral health provider rate increase (November 1)
- Rural Access Study (November)
- Outpatient Competency Restoration Program annual report (November 1)
- Recommendations on alternative models for long-acting injectable buprenorphine (October 15)
- Substance use disorder (SUD) recovery programs implementation (July)
- Olympic Heritage Behavioral Health - summary of provider interest survey (June)
- Recovery Navigator Program and Law Enforcement Assisted Diversion Program report and status assessment (June)
Employee and retiree benefits
- Study on consolidating the PEBB and SEBB programs (December 1)
- Anti-obesity medications in Uniform Medical Plan (UMP) (December 1)
- PEBB and SEBB customer service complaints and appeals (September 30)
Housing
- Apple Health and Homes: Update on program implementation and preparedness (December 1)
- Foundational Community Supports (FCS) short-term housing subsidies (December 1)
- Recommendations for Increasing Stable Housing in the Community Performance Measure Utilization (July)
Work groups, coalitions, and boards
- Prescription Drug Affordability Board (PDAB) annual report (December 15)
- Children and Youth Behavioral Health Work Group Annual Report, Part 1, updated with statements of support (December 9)
- SUDISA work group recommendations (December 1)
- Health Care Cost Transparency Board annual report (December 1)
- Dr. Robert Bree Collaborative annual report (November 15)
- Children and Youth Behavioral Health Work Group Annual Report, Part 2 (November 5)
- Children and Youth Behavioral Health Work Group Annual Report, Part 1 (November 1)
- Health and Human Services Enterprise Coalition (November 1)
- Universal Health Care Commission Washington Health Trust (SB 5335) analysis report (June)
Other topics
- HCA workforce staffing analysis: 2024 internal assessment of indirect costs and staff attrition trends (December 29)
- Home Care Safety Net Assessment (December 1)
- 340B Drug Pricing Program (December 1)
- Non-emergency medical transportation (NEMT) overview and gap analysis (December 1)
- Inpatient Hospital Certified Public Expenditure (CPE) program (November 1)
- Washington State All-Payer Claims Database (APCD) grant activity report (October 1)
- Washington State All-Payer Claims Database and Lead Organization - biennial report (March)
- Preliminary report on addressing crisis services funding gaps (January)
- Community Health Worker Grant Program Update (January)
- 2023
-
Apple Health/Medicaid
- HIV antivirals (December 1, 2023)
- Apple Health and Homes program launch plan (December 1, 2023)
- Medicaid Funding Options for Clinical Training Programs (December 1, 2023)
- Service Coordination Organization Performance Measures (December 1, 2023)
- Employment Status of Apple Health Clients and Individuals with Dependents Who are Apple Health Clients (November 2023)
- Proportion of Non-Participating Providers Serving Apple Health Enrollees (January 1, 2023)
- Opioid overdose reversal medication bulk purchasing and distribution program (January 1, 2023)
- Apple Health (Medicaid) managed care preventive services and vaccinations (September 15, 2023)
Behavioral health
- Behavioral Health Outcomes: 2021-22 Integrated Managed Care Data (December 2023)
- Create and expand housing supports for adults with behavioral health conditions (December 31, 2023)
- Behavioral Health Emergency Response and Coordination Services pilot (December 31, 2023)
- Behavioral health outcomes - integrated managed care data (December 30, 2023)
- Behavioral health consultation and referral services (December 30, 2023)
- Intensive Outpatient and Partial Hospitalization Services (December 30, 2023)
- Island county pilot program (December 1, 2023)
- UW behavioral health teaching facility long-term inpatient care beds (December 1, 2023)
- Law Enforcement Assisted Diversion pilot program (December 1, 2023)
- Safe supply work group (December 1, 2023)
- Substance use and recovery services plan (December 1, 2023)
- Foundational Community Supports (FCS) Housing subsidies (December 1, 2023)
- Access to behavioral health services for children, youth, and young adults (December 1, 2023)
- Analysis of workforce retention and recruitment related to one-time assistance payments (December 1, 2023)
- Alternative Response Team Grant Program (December 1, 2023)
- Re-Entry Community Services Workgroup (December 1, 2023)
- Reimbursements for FY 2022 Involuntary Treatment Act Judicial Services (December 1, 2023)
- Evidence-Based Practice Institute (December 1, 2023)
- Updated implementation plan to continue the expansion of civil long-term inpatient capacity (December 1, 2023)
- 988 usage report (November 2023)
- Targeted behavioral health provider rate increases (November 1, 2023)
- Outpatient Competency Restoration Program annual report (November 1, 2023)
- Increasing access to Behavioral Health services for minors (November 1, 2023)
- Behavioral Health Workforce Pilot Program and Training Grants Program (September 30, 2023)
- Criminal Justice Treatment Account (CJTA) administration (September 30, 2023)
- Best Telehealth Practices for Pediatric Behavioral Health - Final Report (February 1, 2023)
- Teaching Clinic Enhancement Rate for Behavioral Health Agencies (February 1, 2023)
- Habilitative Mental Health CLIP facility standup (June 30, 2023)
- Behavioral Health Comparison Rate Development - Phase Two (June 30, 2023)
- Behavioral Health Outcomes (June 30, 2023)
Employee and retiree benefits
- Study on Contracting for Administration of UMP (December 31, 2023)
- PEBB Retiree Medicare Benefits (December 1, 2023)
- PEBB Cost and Utilization Trends (November 11, 2023)
- PEBB Customer service complaints and appeals (September 30, 2023)
Work groups, coalitions, and boards
- Children and Youth Behavioral Health Work Group Annual Report, Part 2 (December 20, 2023)
- Prescription Drug Affordability Board Annual Report 2023 (December 15, 2023)
- Children and Youth Behavioral Health Work Group Annual Report, Part 1 - UPDATED (December 12, 2023)
- Washington Psilocybin Task Force (December 1, 2023)
- Dr. Robert Bree Collaborative annual report (November 15, 2023)
- Children and Youth Behavioral Health Work Group Annual Report, Part 1 (November 6, 2023)
- Health and Human Services Enterprise Coalition (November 1, 2023)
- Total Cost of Insulin Work Group - final report (July 1, 2023)
- Health Care Cost Transparency Board annual report (August 1, 2023)
Other topics
- Mobile Crisis Response Payment Options (December 1, 2023)
- Statewide SUD prevalence and cross-sector interactions (December 1, 2023)
- Rates established for ancillary charges during hospital administrative days (December 1, 2023)
- Accountable Communities of Health Alignment with Community Identified Health Needs (December 1, 2023)
- Predicting Referrals for Competency Evaluation (December 1, 2023)
- Inpatient Hospital Certified Public Expenditure (CPE) program (November 1, 2023)
- Review of Program Integrity Managed Care Oversight, Accountability, and Savings (October 1, 2023)
- Trueblood Diversion Grant Programs (June 30, 2023)
- Fertility Treatment Benefit (June 30, 2023)
- 2022
-
Apple Health/Medicaid
- Statewide Medicaid Benefit for Medical Respite Care (January 15, 2022)
- Washington Rural Health Access Preservation pilot - final report (June 15, 2022)
- Medicaid Managed Care Preventive Services and Vaccinations (September 15, 2022)
- Child Health Services Provider Performance (September 30, 2022)
- Integrating Value-Based Purchasing into Managed Care Contracts (October 1, 2022)
- Employment Status of Apple Health Care Clients (November 2022)
- Apple Health for Kids Toll-Free Hotline Statistics (November 15, 2022)
- Preliminary Psilocybin Services, Wellness, and Opportunities (December 1, 2022)
- Coverage for HIV Antiviral Drugs without Prior Authorization annual report (December 1, 2022)
- Service Coordination Organization Performance Measures (December 1, 2022)
- Progress of Extended Oral Health Connections Pilot Project (December 1, 2022)
Behavioral health
- Opioid overdose reversal medication bulk purchasing and distribution program (January 1, 2022)
- Performance Measures Coordinating Committee Implementation (July 1, 2022)
- Best telehealth practices for prenatal to young adult behavioral health (June 30, 2022)
- Results of problem gambling adult prevalence study (June 30, 2022)
- Status of Implementation Plan to Continue Expansion of Civil Long-term Inpatient Capacity (October 15, 2022)
- Inpatient Hospital Certified Public Expenditures Program (November 1, 2022)
- Outpatient Competency Restoration Programs Annual Report (November 1, 2022)
- Increasing Access to Behavioral Health for Minors (November 1, 2022)
- Family Initiated Treatment (FIT) expansion (November 1, 2022)
- Targeted behavioral health provider rate increases (November 1, 2022)
- Alternative Payment Model 4 Program Evaluation (November 15, 2022)
- Substance Use and Recovery Services Plan (December 2022)
- Operation of community behavioral health service delivery system (December 1, 2022)
- Access to behavioral health services for children and youth (December 1, 2022)
- Expanding Efforts to Provide Opioid Use Disorder Medication (December 1, 2022)
- Study of the Access to Behavioral Health Services in Rural Communities (December 1, 2022)
- Peer Crisis Response (December 1, 2022)
- Status of Contracting to Assist with Recruiting Behavioral Health Peers for BIPOC Communities (December 1, 2022)
- Status of Efforts to Implement Clubhouse Programs (December 1, 2022)
- Foundational Community Supports (FCS) housing subsidies (December 1, 2022)
- Intensive Outpatient and Partial Hospitalization Services Progress Report (December 1, 2022)
- Apple Health and Homes Update (December 1, 2022)
- Enhancement for community-based behavioral health services (December 1, 2022)
- Island County pilot program to improve behavioral health outcomes for youth (December 1, 2022)
- New Journeys final progress report (December 29, 2022)
- Behavioral health consultation and referral services - annual report (December 30, 2022)
- High THC Concentration Cannabis Policy, Final Report (December 31, 2022)
- Involuntary Treatment Access Barriers Study (December 31, 2022)
- Funding certified community behavioral health clinics in Washington State (December 31, 2022)
Employee and retiree benefits
- PEBB one-time enrollment window for retirees to reestablish eligibility (January 1, 2022)
- Public Employees Benefits Board annual report (September 30, 2022)
Work groups, coalitions, and boards
- Health Care Cost Transparency Board - First Annual Report (August 1, 2022)
- Health and Human Services Enterprise Coalition Annual Report (November 1, 2022)
- Children and Youth Behavioral Health Work Group recommendations (November 10, 2022)
- Dr. Robert Bree Collaborative Annual Report (November 15, 2022)
- Washington Psilocybin Stakeholder Workgroup (December 1, 2022)
- Reentry Services Work Group Subcommittee Final Report (December 1, 2022)
- Health Care Cost Transparency Board Preliminary Report on Primary Care Expenditures (December 1, 2022)
- Prescription Drug Affordability Board (PDAB) Annual Report (December 15, 2022)
- Total cost of insulin Work Group - preliminary report (December 1, 2022)
Other topics
- Washington State All-Payer Claims Database and Lead Organization biennial report (March 31, 2022)
- Reentry Services Work Group Progress Report (July 1, 2022)
- WA State All-Payer Claims Database - Grant activity (September 1, 2022)
- Behavioral Health Provider Relief Expenditures (December 1, 2022)
- Accountable Communities of Health's Alignment Community Needs Assessment (December 1, 2022)
- Jail Transition Services Annual Report (December 1, 2022)
- Association of Washington Cities Seed Grant - Alternative Response Team Program (December 1, 2022)
- Cascade Select Public Option (December 1, 2022)
- UW Evidence-Based Practice Institute Funding Plan (December 1, 2022)
- Whatcom crisis stabilization pilot (December 1, 2022)