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

Overview of Governor Inslee's proposed budget 

Summary: Governor Jay Inslee recently released a proposed update to Washington’s operating budget for the current fiscal year 2024 and the upcoming fiscal year 2025. This document highlights his proposals impacting the Washington State Health Care Authority (HCA).​​​​​

Functioning as the state's largest health care purchaser, the Medicaid authority, and its behavioral health authority, HCA is a leader in ensuring Washington residents have the opportunity to be healthy. There are three pillars of our work: Apple Health (Medicaid); health benefits for public and school employees; and behavioral health and recovery. Under these pillars, HCA purchases and coordinates health care services, including behavioral health treatment, for more than 2.7 million Washington residents and provides behavioral health prevention, crisis, and recovery supports to all Washington residents. For a summary of our agency's highest legislative priorities, please view our 2024 legislative budget requests

Health Care Authority involved IT projects - 2024

HCA and our agency partners in the HHS Coalition envision a modern, connected, and efficient healthcare system. To further these efforts, participating entities are working to implement years-long projects to connect Washingtonians to a large suite of health and human services. This document summarizes HCA’s efforts to integrate systems, coordinate crisis response, and ensure equitable access to programs and services. It provides an overview of the following projects:

  • Integrated Eligibility and Enrollment (IE&E)
  • 988 Crisis Line
  • Enterprise Electronic Health Records (EHR)
  • Community Information Exchange (CIE)

HCA Legislative Symposium

Summary: HCA hosts an annual Legislative Symposium, inviting members of the Legislature and staff to learn more about agency projects and priorities. The goal of the symposium is to provide a deeper dive into these topics and answer questions that are not regularly afforded by the time constraints of work sessions and committee briefings.

2023 Legislative Symposium

The topics of the 2023 Legislative Symposium included: 

  • HCA’s Involvement in Washington’s Opioid/Fentanyl Response
  • Building Community Behavioral Health Capacity
  • Highlights from Washington’s Medicaid Transformation Project 5-year Renewal
  • Understanding Health Care Affordability

2023 Symposium resources

Past Symposiums

Legislative presentations


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

Legislative fact sheets

Behavioral health and recovery


Block grants

Prenatal - 25 services

Prevention services

Recovery services

Substance use disorder treatment

Treatment services


Apple Health (Medicaid)


Email: Shawn O'Neill
Legislative relations manager