Legislative relations
Find current and past legislative reports and presentations for the Health Care Authority (HCA).
On this page
The legislative team
HCA's legislative team engages on state and federal policy issues to help ensure Washington State residents — from public employees to Washington Apple Health (Medicaid) clients — have access to high-quality health care at the best possible cost.
Our work includes:
- Monitoring state and federal legislation — and guiding lawmakers, when needed, about how to best serve our constituents.
- Proposing state legislation that benefits how we serve our constituents.
- Keeping lawmakers and stakeholders informed on the latest issues affecting the health care industry and our efforts to transform health care.
Legislative priorities
- 2024 HCA budget and legislation proposals
-
SUMMARY: HCA leads state efforts to transform health care, including mental health and substance use disorders. HCA focuses on expanding access, investing in the workforce, controlling costs, prevention efforts, and using HCA’s purchasing power to enhance value and quality for those we serve.
Our 2024 Request Legislation and Decision Packages build on the significant investments the state has made in its health care delivery system over the past decade and will keep the state well-positioned to drive better health outcomes and control costs. This document is a summary that reflects the agency’s highest priority requests, but is not a comprehensive list of items the agency will request for the Governor’s budget.
-
Legislative presentations
2023
We've listed presentations from this year in chronological order.
- PHE Unwind (July 19)
- Apple Health expansion program (July 18)
- Pharmacy Benefit Managers (April 18)
- HCA post-pandemic facilities use (March 10)
- Apple Health (January 30)
- Long-Term Civil Commitment Community Bed Capacity (January 26)
- Opioid Crisis and State Response (January 26)
- Children and Youth Behavioral Health Work Group Recommendations (January 17)
- HCA Overview:
- House Health Care & Wellness Committee (January 10)
- Senate Health and Long-Term Care Committee (January 10)
Past presentations
- 2022
- 2021
-
- List of behavioral health investments (May 17, 2021)
- Apple Health COVID-19 response (January 20, 2021)
- Health transformation update (January 22, 2021)
Legislative fact sheets
- Behavioral health and recovery
-
2023
Block grants
- Behavioral health workforce pilot program and training grants program (House Bill 1504) fact sheet
- Community Mental Health Services Block Grant (MHBG)
- Mental Health Block Grant (MHBG) supplemental and enhancement funding
- Substance Abuse Prevention and Treatment Block Grant (SABG)
- Substance Abuse Prevention and Treatment Block Grant: COVID-19 supplemental and enhancement funding
Prenatal - 25 services
- Children's Long-Term Inpatient Program (CLIP)
- Collegiate Recovery Support network
- Family Initiated Treatment (FIT)
- Family Substance Use Disorder education and curriculum
- Family Youth System Partner Round Table (FYSPRT)
- First Episode Psychosis - New Journeys
- Intensive Outpatient (IOP) partial hospitalization pilot program
- Mental Health Assessment for Young Children (MHAYC)
- Neurodevelopmental Behavioral Treatment Center (NBTC), formerly known as the Habilitative Mental Health (HMH) program
- Parent Child Assistance Program (PCAP)
- Parent Trust in Recovery
- Pregnant and Parenting Women (PPW) services
- Regional Youth Behavioral Health Navigators
- Residential Crisis Stabilization Program (RCSP)
- Statewide youth network
- Substance Use Disorder Family Navigator program
- System of Care
- Washington State children's behavioral health statewide family network
- Washington State fetal alcohol syndrome diagnostic and prevention (FASDPN)
- Wraparound with Intensive Services (WISe)
- Youth Substance Use Disorder (SUD) treatment services
Prevention services
- Cannabis legalization/Initiative 502 mandates
- Community Prevention and Wellness Initiative (CPWI)
- High potency THC policy
- Partnerships For Success (PFS) 2018 grant
- Prescription drug and opioid misuse prevention
- Prevention workforce development
- School-based prevention and intervention services
- State prevention consortium and plan
- Strategic prevention framework for prescription drugs (SPF Rx) grant
- Suicide prevention mental health promotion
- Washington Healthy Youth (WHY) coalition
- Washington State Healthy Youth Survey
- Washington State young adult health survey
Recovery services
- Clubhouse and Peer-Run Organization programs
- Foundational Community Supports (FCS)
- Foundational Community Supports – Transition Assistance Program (TAP)
- Homeless Outreach Stabilization and Transition (HOST)
- Housing and Recovery through Peer Services (HARPS)
- Oxford House
- Peer Bridger
- Peer respites
- Project for Assistance in Transition from Homelessness (PATH)
- Recovery residence
- Supporting Recovery in Community
Treatment services
- 90- or 180-day long term civil commitment bed capacity
- Assisted outpatient treatment (AOT)
- Certified Community Behavioral Health Clinic (CCBHC)
- Contingency Management
- Criminal justice treatment account (CJTA)
- Crisis System Enhancement and 988 Implementation
- Crisis triage and stabilization facilities
- Fee-For-Service programs for American Indian/Alaskan Natives
- Firearm background check
- Hub and Spoke projects
- Intensive behavioral health treatment facilities
- Intensive residential teams
- Involuntary treatment act
- Mobile Crisis Response Teams Enhancements
- Medication for Opioid Use Disorder (MOUD) in jails
- Naloxone distribution
- Opioid overdose reversal medication distribution (Senate Bill 5195)
- Opioid Treatment Networks
- Problem gambling treatment
- Program of Assertive Community Treatment (PACT)
- Recovery navigator program
- Reentry Community Services Program (RCSP)
- Rural access study
- Secure Withdrawal Management and Stabilization (SWMS) facility
- State Opioid Response III
- Substance Use Disorder outpatient treatment and residential services
2022
Prevention services
- Community Prevention and Wellness Coalition Initiative (CPWI)
- Emergency response suicide prevention grant
- Healthy youth survey
- Partnerships for success
- Prescription drug/opioid prevention
- Prevention workforce development
- Retail marijuana
- School based prevention and intervention
- State prevention consortium and plan
- Suicide prevention and mental health promotion
- Washington Healthy Youth (WHY) coalition
- Washington Strategic Prevention Framework for Prescription Drugs Grant (WA SPF Rx)
- Young adult health survey
Treatment services
- 2022 Substance Abuse Block Grant (SABG) funding
- 2022 Mental Health Services Block Grant (MHBG)
- Adult withdrawal management services
- Behavioral health intensive facilities
- Certified community behavioral health clinic expansion grant
- Contingency management (CM) project
- Criminal justice treatment account (CJTA)
- Crisis triage/crisis stabilization facilities
- ESB 5476 SURSAC committee
- Evaluation and treatment facilities
- Fee-for-Service programs
- Fentanyl fact sheet
- Firearms compliance
- Hub and spoke projects
- Intensive residential teams
- Involuntary treatment services
- Long term civil commitment
- Mental Health Block Grant COVID funding
- Medication for Opioid Use disorders in jails
- Naloxone distribution
- Nurse care manager project
- Offender re-entry program
- Opioid Treatment Network (OTN)
- PACT expansion
- Problem gambling
- Recovery help line
- Secure Withdrawal Management Services (SWMS)
- Substance Abuse Block Grant COVID funding COVID funding
- Substance Use Disorder (SUD) outpatient treatment and residential services
- State Opioid Response Plan
Recovery services
- 1115 mental health IMD waiver
- 1115 substance use disorder IMD waiver
- Behavioral health marketing campaign
- Family Initiated Treatment (FIT)
- Fetal Alcohol Syndrome Diagnostic and Prevention Network (FAS DPN)
- Foundational Community Supports (FCS) overview
- Foundational Community Supports (FCS) program update
- HB 1504 program fact sheet
- Healthy transitions project
- Homeless Outreach Stabilization and Transition (HOST)
- Intensive outpatient and partial hospitalization program
- Office of Recovery Partnerships
- Peer bridger
- Peer pathfinder project
- Proviso 40 criminal background check
- Proviso 74 teaching clinic enhancement rates
- Recovery navigator program
- Recovery residences
- Safe and supportive transition to stable housing for youth ages 16 to 25
- Statewide family network
- Statewide youth leadership network
- Supportive housing
- Supporting recovery in community
- Apple Health (Medicaid) and PEBB coverage
-
Apple Health (Medicaid) and PEBB coverage by legislative district
Contact
Email: Shawn O'Neill
Legislative relations manager