Legislative relations

Find current and past legislative reports and presentations for the Health Care Authority (HCA).

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


We've listed presentations from this year in chronological order.

Past presentations




Legislative fact sheets

Behavioral health and recovery


Block grants

Prenatal - 25 services

Prevention services

Recovery services

Treatment services


Prevention services

Treatment services

Recovery services

Apple Health (Medicaid) and PEBB coverage

Apple Health (Medicaid) and PEBB coverage by legislative district


Email: Shawn O'Neill
Legislative relations manager