Meetings and materials

Public comment

All Cost Board meetings are public meetings. We welcome members of the public and encourage you to share your input. Board members receive all feedback.

Share your input

• Speak during the designated public comment time at meetings. To provide public comment during the designated public comment period, please use the raise hand function in Zoom or raise your hand if you are attending in person.
• Submit written comments at any time. If you want your written comments to be included in an upcoming meeting, email comments 10 days before that meeting occurs.

Upcoming meetings

Health Care Cost Transparency Board

Location and directions

Washington State Health Care Authority
Cherry Street Plaza
Sue Crystal Center, Conference Rooms 106A and 106B
626 8th Ave. SE
Olympia, WA 98501

Visitor map with parking instructions

Accommodation requests

You can request live close captioning, or Communication Access Real-time Transcription (CART) services, for our meetings. Scheduling CART services takes up to three weeks, so please send a request by email as soon as possible.

For other language access accommodations, call 1-855-682-0787 (or Telecommunications Relay Service 711).

All meetings sponsored by HCA meet Americans with Disabilities Act (ADA) requirements. Read HCA’s nondiscrimination statement for more details.

Past meetings

This section includes Cost Board and committee meetings from 2023 through 2025. To request materials from 2022 and earlier, contact the Cost Board.

2025

Health Care Cost Transparency Board

Date	Location	Topics	Materials
July 22	This meeting was held on Zoom and at HCA.	Feedback from our advisory committees Washington State Health Plan Impact of federal budget	View the meeting materials (07/22/2025) Watch the recording (07/22/2025)
June 3	This meeting was held on Zoom and at HCA.	Legislative session recap Analytic Support Initiative strategy and recommendation Hospital global budgets	View meeting materials (06/03/2025) Watch the recording (06/03/2025)
April 24	This meeting was held on Zoom and at HCA.	Legislative session update Hospital expenditures: current data, policy options, and discussion Advisory committee reflections	View meeting materials (04/24/2025) Watch the recording (04/25/2025)
March 5	This meeting was held on Zoom and at HCA.	Bills impacting health care costs and other legislative updates Two data projects that review health care expenditures and cost growth Potential data gaps related to the National Academy for State Health Planning (NASHP) Comprehensive Consolidation Model Addressing Transaction Oversight, Corporate Practice of Medicine and Transparency	View the meeting materials (03/05/2025) Watch the recording (03/05/2025)
January 30	This meeting was held on Zoom and at HCA.	Reflections about the performance against the benchmark analysis with a deeper dive into the data. Operational updates, including new HCA staff and the functions of its Data Issues and Stakeholder Advisory Committees.	View the meeting materials (1/30/2025) Watch the recording (01/30/2025)

Health Care Stakeholders and Data Issues Advisory Committees

Date and time	Location	Topics	Materials
September 25	This meeting was held on Zoom and at HCA.	Cost Board updates Data call updates Bill presentations	View meeting materials (09/25/2025) Watch the recording (09/25/2025)
May 22	This meeting was held on Zoom and at HCA.	Analytic Support Initiative strategy analysis Hospital expenditures Legislative update	View the meeting materials (05/22/2025) Watch the recording (05/22/2025)
March 27	This meeting was held on Zoom and at HCA.	Advisory committee charters updates Cost Board meeting updates Member experience and process improvement discussion	View the meeting materials (03/27/2025) Watch the recording (03/27/2025)
August 7	This meeting was cancelled.

Advisory Committee on Primary Care

Date and time	Location	Topics	Materials
August 28	This meeting was held on Zoom and at HCA.	Primary care expenditure in Washington state Updates on the passing of SB 5084 (Concerning health carrier reporting) Policies and strategies to reach the 12 percent primary care expenditure target	View meeting materials (08/28/2025) Watch the recording (08/28/2025)

Nominating Committee

Date and time	Location	Topics	Materials
October 2	This meeting was held on Zoom and at HCA.	Primary Care Advisory Committee nominations Stakeholder Advisory Committee nominations	View the materials (amended 10/03/2025) Watch the recording (10/02/2025)
July 30	This meeting was cancelled.
March 26	This meeting was cancelled.
January 22	This meeting was held on Zoom and at HCA.	Nominations review Committee charter update	View the meeting materials (01/22/2025) Watch the recording (01/22/2025)

2024

Health Care Cost Transparency Board

Date	Location	Topics	Materials
Public Hearing December 12	This meeting was held on Zoom and at HCA	Washington’s established health care cost growth benchmark. Health care spending data and benchmark performance through 2022. Panel presentations focused on consumers, health plans and providers, and business and labor representatives.	View the agenda (12/12/2024) View the meeting packet (12/12/2024) View the 2022 Performance Against the Benchmark executive summary (12/12/2024) Watch the recording (12/12/2024) View the meeting summary (12/12/2024)
November 7	This meeting was held on Zoom and at HCA	Best practices from other state cost boards, including comprehensive data collection, compliance mechanisms, market oversight authority, price regulation authority, and adequate funding via sustainable funding mechanisms. Model policy to address consolidation and closures in health care and consider potential recommendations for health care market oversight and transparency. Review spending trends in Washington state from 2010-2022. Review a summary of work to date on facility fees. Vote on the Cost Board’s final draft 2024 Legislative Report.	View the agenda (11/07/2024) View the meeting materials (11/07/2024) Watch the meeting (11/07/2024) View the meeting summary (11/07/2024)
October 24	This meeting was cancelled
September 19	This meeting was held on Zoom and at HCA	Update from the Advisory Committee on Primary Care Facility fees Recap and follow-up presentation Massachusetts Health Policy Commission’s site-based neutral recommendations Discussion and vote Office of Insurance Commissioner (OIC) final Affordability Report	View the meeting materials (09/19/2024) Watch the meeting (09/19/2024)
July 30	This meeting was held on Zoom and at HCA	Facility fees panel National perspective with Q&A Provider perspective with Q&A Potential recommendations for facility fees	View the meeting materials (07/30/2024) Watch the meeting (07/30/2024)
May 15	This meeting was held on Zoom and at HCA	Presentations on: Financial analysis of Washington hospitals Business oversight: mergers and acquisitions, private equity investments, provider ownerships and closures Facility fees Consumer medical debt Update from the Analytic Support Initiative (ASI)	View the meeting materials (05/15/2024) Watch the meeting (05/15/2024)
April 10	This meeting was held on Zoom and at HCA	Legislative updates Presentation: medical debt in America Discussion and strategy of policy selections from the Cost Board retreat	View the meeting materials (04/10/2024) Watch the meeting (04/10/2024)
Board retreat February 9	This meeting was held on Zoom and at HCA	Affordability presentations from the Office of Insurance Commissioner (OIC) and Attorney General's Office Presentations from Cost Boards in other states, including Oregon, Rhode Island, and Massachusetts Priorities for 2024	View the board book (02/09/2024) Watch the meeting View the meeting summary (02/09/2024)

Health Care Stakeholders Advisory Committee

Date	Location	Topics	Materials
November 20 Joint meeting with the Advisory Committee on Data Issues	The meeting was held on Zoom and in-person at HCA	Panel on the impact of medical debt on consumers and consider policy options to address that debt. Review spending trends in Washington state from 2010-2022.	The first half of this meeting was just the Health Care Stakeholders Advisory Committee. Agenda for Health Care Stakeholders meeting (11/20/2024) Meeting packet (11/20/2024) The second half of this meeting was a joint meeting with the Advisory Committee on Data Issues. Agenda for the joint committee meeting (11/20/2024) Joint meeting packet (11/20/2024)
Thursday, October 24	This meeting was cancelled
August 21	The meeting was held on Zoom and in-person at HCA	Overview of medical debt State protections against medical debt Initial discussion on medical debt policy prioritization	View the meeting materials (08/21/2024) Watch the recording (08/21/2024)
June 12 Joint meeting with the Advisory Committee on Data Issues	The meeting was held on Zoom and in-person at HCA	Welcome new committee chair and new committee members Review charter Policy discussion on medical debt Review of May Cost Board meeting and 2024 workplan Analytic Support Initiative (ASI) disease expenditure report & discussion Update on provider reporting and methodologies	The first half of this meeting was just the Health Care Stakeholders Advisory Committee. View the meeting materials (06/12/2024) Watch the recording (06/12/2024) The second half of this meeting was a joint meeting with the Advisory Committee on Data Issues. View the meeting materials for the joint meeting (06/12/2024) Watch the recording (06/12/2024) View the meeting summary (06/12/2024)
March 7 Joint meeting with the Advisory Committee on Data Issues	The meeting was held on Zoom and in-person at HCA	Legislative updates Cost Board workplan and discussion 2024 Data Call	View the meeting materials (03/07/2024) Watch the meeting (03/07/2024)
January 18 Joint meeting with the Advisory Committee on Data Issues	The meeting was held on Zoom and in-person at HCA	Making Care Primary: next steps and implications Policies and strategies to reach the 12% primary care expenditure target Presentations on workforce development.	View the meeting materials (01/18/2024) Watch the meeting (01/18/2024) Read the meeting summary (01/18/2024)

Advisory Committee on Data Issues

Date	Location	Topics	Materials
November 20 Joint meeting with the Health Care Stakeholders Advisory Committee	The meeting was held on Zoom and in-person at HCA	Review spending trends in Washington state from 2010-2022. Presentation from the Department of Health on the data reports they receive from hospitals. Discussion on opportunities to improve the efficiency and transparency of all hospital reporting.	The first half of this meeting was a joint meeting with the Health Care Stakeholders Advisory Committee. Agenda for the joint committee meeting (11/20/2024) Joint meeting packet (11/20/2014) The second half of this meeting was just the Advisory Committee on Data Issues. Agenda for Data Issues meeting (11/20/2024) Meeting packet (11/20/2024)
October 24	This meeting was cancelled
August 21	The meeting was held on Zoom and in-person at HCA	State agencies report on health care business oversight Initial discussion on additional data sources supporting Cost Board efforts View the meeting materials for this meeting	View the meeting materials (08/21/2024) Watch the recording (08/21/2024)
June 12 Joint meeting with the Health Care Stakeholders Advisory Committee	The meeting was held on Zoom and in-person at HCA	Review of May Cost Board meeting and 2024 workplan Analytic Support Initiative (ASI) disease expenditure report & discussion Update on provider reporting and methodologies Welcome new committee chair Data sources for facility fees Data sources for business oversight	The first half of this meeting was a joint meeting with the Health Care Stakeholders Advisory Committee. View the meeting materials for the joint meeting (06/12/2024) Watch the recording (06/12/2024) The second half of this meeting was just the Advisory Committee on Data Issues. View the meeting materials (06/12/2024) Watch the recording (06/12/2024)
March 7 Joint meeting with the Health Care Stakeholders Advisory Committee	The meeting was held on Zoom and in-person at HCA	Legislative updates Cost Board workplan and discussion 2024 Data Call	View the meeting materials (03/07/2024) Watch the meeting (03/07/2024)
January 18 Joint meeting with the Advisory Committee on Data Issues	The meeting was held on Zoom and in-person at HCA	Making Care Primary: next steps and implications Policies and strategies to reach the 12% primary care expenditure target Presentations on workforce development.	View the meeting materials (01/18/2024) Watch the meeting (01/18/2024) Read the meeting summary (01/18/2024)

Advisory Committee on Primary Care

Date	Location	Topics	Materials
June 26	This meeting was held on Zoom and at HCA	Discuss policies and strategies to reach the 12% primary care expenditure target Discuss and vote on policy modifications and final language Vote on recommendation package for submission to the Cost Board	View the meeting materials (06/24/2024) Watch the meeting (06/26/2024)
May 30	This meeting was held on Zoom and at HCA	Potential policy recommendation on strategies for increasing the primary care expenditure ratio Advisory Committee on Primary Care wrap up for 2024 Next steps for the Advisory Committee on Primary Care	View the meeting materials (05/30/2024) Watch the meeting (05/30/2024)
April 25	This meeting was held on Zoom and at HCA	Timeline and voting for policy primary care recommendations Policy recommendations: Patient engagement: issues, background, and recent developments Measuring primary care expenditure targets on a per-member-per-month (PMPM) basis Engaging patients through shared decision making in Washington State	View the meeting materials (04/25/2024) Watch the meeting (04/25/2024)
March 28	This meeting was cancelled.
February 29	This meeting was held on Zoom and at HCA	Workforce development (committee members will be voting whether to bring these policy recommendations to the Cost Board) Aligning primary care and public health to advance prevention and whole person care in Washington Multi-payer collaborative alignment Primary Care Transformation Model	View the meeting materials (02/29/2024) Watch the meeting (2/29/2024) View the meeting summary (02/29/2024)
January 23	This meeting was held on Zoom and at HCA	Making Care Primary: next steps and implications Policies and strategies to reach the 12% primary care expenditure target Presentations on workforce development.	Meeting materials (01/23/2024) Watch the meeting (01/23/2024) View the meeting summary (01/23/2024)

Nominating Committee

Date	Location	Topics	Materials
July 17	This meeting was held on Zoom and at HCA	Nominations review	View the meeting materials (07/17/2024) Watch the meeting (07/17/2024)
April 23	This meeting was held on Zoom and at HCA	Committee charter HB 1508 updates Recruitment strategies and committee applications	View the meeting materials (04/23/2024) Watch the meeting (04/23/2024)

2023

Meeting	Date	Location	Topics	Materials
Health Care Cost Transparency Board	December 7, 2023	This meeting was held on Zoom and at HCA	Analytic support initiative (ASI) Benchmark and analytic status report	View the board book (12/7/2023) Watch the meeting Read the meeting summary (12/7/2023)
Advisory Committee of Health Care Providers and Carriers	December 5, 2023	This meeting was cancelled.
Advisory Committee on Primary Care	November 28, 2023	This meeting was held on Zoom and at HCA	Approaches to primary care investment in Rhode Island. Code-level definition data analysis. The Centers for Medicare & Medicaid Service’s (CMS) Making Care Primary (MCP) initiative	View the meeting materials (11/28/2023) Watch the meeting View the meeting summary (11/28/2023)
Advisory Committee on Primary Care	October 26, 2023	This meeting was held on Zoom and at HCA	Approaches to primary care investment in Rhode Island Code-level definition data analysis. This discussion will also include committee voting The Centers for Medicare & Medicaid Service’s (CMS) Making Care Primary (MCP) initiative	View the meeting materials (10/26/2023) Watch the meeting Watch the Making Care Primary webinar View the meeting summary (10/26/2023)
Health Care Cost Transparency Board	October 18, 2023	This meeting was held on Zoom and at HCA	Statewide affordability efforts Analytics Support Initiative (ASI)	View the board book (10/18/2023) Watch the meeting Read the meeting summary (10/18/2023)
Advisory Committee on Data Issues	October 3, 2023	This meeting was held on Zoom and at HCA	Washington Hospital Costs, Price, and Profit Analysis: Second Level Analysis Analytic Support Initiative (ASI) Advisory Committee on Primary Care recommendation on Non-Claims Based Measurement	View the meeting materials (10/03/2023) Watch the meeting (10/03/2023)
Advisory Committee on Primary Care	September 28, 2023	This meeting was held on Zoom and at HCA	Centers for Medicare & Medicaid Services’ (CMS) Making Care Primary (MCP) initiative Primary care data collection and reporting	View the meeting materials (09/28/2023) Watch the meeting View the meeting summary (09/28/2023)
Advisory Committee of Health Care Providers and Carriers	September 7, 2023	This meeting was held on Zoom and at HCA	Making Care Primary (MCP) initiative Washington State health care affordability activities	View the meeting materials (09/07/2023) Watch the meeting (09/07/2023)
Advisory Committee on Primary Care	August 31, 2023	This meeting was held on Zoom and at HCA	Primary care payment reform strategies in Oregon Primary care payment policy context United Healthcare’s plan perspective reaching the primary care spending target in Rhode Island	View the meeting materials (08/31/2023) Watch the meeting View the meeting summary (08/31/2023)
Advisory Committee on Primary Care	July 25, 2023	This meeting was held on Zoom and at HCA	Policies to support achievement of the 12 percent primary care expenditure target	View the meeting materials (07/25/2023) Watch the meeting View the meeting summary (07/25/2023)
Health Care Cost Transparency Board	July 18, 2023	This meeting was cancelled
Advisory Committee on Primary Care	June 28, 2023	This meeting was held on Zoom and at HCA	Committee's charge to identify data collection barriers and propose solutions Finalization of primary care codes Preparation for July primary care committee meeting and discussion of policy recommendation framework	View the materials book (06/28/2023) Watch the meeting View the meeting summary (06/28/2023)
Health Care Cost Transparency Board	June 21, 2023	This meeting was held on Zoom and at HCA	Analytic support initiative (ASI) presentation Primary care claims-based measurement recommendations, discussion, and vote	View the board book (06/21/2023) Watch the meeting Read the meeting summary (06/21/2023)
Advisory Committee of Health Care Providers and Carriers Advisory Committee on Data Issues	June 6, 2023	The meeting was held on Zoom	Presentation on primary care claims-based measurement recommendation Analytic Support Initiative (ASI) presentation Cost growth driver study phase two	View the meeting materials (06/06/2023) Watch the meeting (06/06/2023) Read the meeting summary (06/06/2023)
Advisory Committee on Primary Care	May 25, 2023	This meeting was held on Zoom and at HCA	Defining non-claims based primary care spending Oregon's approach to measuring non-claims based payments	View the materials book (05/25/2023) Watch the meeting View the meeting summary (05/25/2023)
Health Care Cost Transparency Board	May 17, 2023	This meeting was cancelled
Advisory Committee on Primary Care	April 27, 2023	This meeting was held on Zoom	Amendment to definition of primary care Data to support primary care Policies to increase and support primary care	View the materials book (04/27/2023) Watch the meeting View the meeting summary (04/27/2023)
Health Care Cost Transparency Board	April 19, 2023	This meeting was held on Zoom	Claims-based measurements from the Advisory Committee on Primary Care Second-level analysis methodology for the Washington hospital costs, price, and profit analysis Historical review of the data collected and the methodology for the benchmark Updates to the 2023 benchmark data call	View the board book (04/19/2023) Watch the meeting Read the meeting summary (04/19/2023)
Advisory Committee on Data Issues	April 4, 2023	This meeting was held on Zoom	Evaluating hospital costs Benchmark data submissions Cost growth driver study	View the materials book (04/04/2023) Watch the meeting (04/04/2023) View the meeting summary (04/04/2022)
Advisory Committee on Primary Care	March 30, 2023	This meeting was held on Zoom	Committee’s progress to date A review of previously discussed goals Code level discussion of primary care services	View the materials book (03/30/2023) Watch the meeting View the meeting summary (03/30/2023)
Advisory Committee of Health Care Providers and Carriers	March 7, 2023	This meeting was cancelled.
Advisory Committee on Primary Care	February 23, 2023	This meeting was held on Zoom	Discussion on providers, facilities, and primary care services	View the materials book (02/23/2023) Watch the meeting View the meeting summary (02/23/2023)
Health Care Cost Transparency Board	February 15, 2023	This meeting was held on Zoom	Analysis of Cascade Select (Washington's public option) Recommendations from the Advisory Committee on Primary Care Impact of inflation on health care spending and implications for the cost growth benchmark Cost growth driver analysis	View the board book (02/15/2023) Watch the meeting Read the meeting summary (02/15/2023)
Advisory Committee of Health Care Providers and Carriers Advisory Committee on Data Issues	February 7, 2023	The meeting was held on Zoom	Preliminary findings of the 2022 Cost Growth Drivers Survey Recommendations from the Advisory Committee on Primary Care on the Primary Care Transformation Model (PCTM)	View the materials book (02/07/2023) Watch the meeting (02/07/2023) Read the meeting summary (02/07/2023)
Advisory Committee on Primary Care	January 31, 2023	This meeting was held on Zoom	Discussion on primary care providers and facilities	View the materials book (01/31/2023) View the meeting summary (01/31/2023) Watch the meeting