5241.E AMH WALJ BAKY 383

ESB 5241 - H AMD TO APP COMM AMD (H-3433.2/24) 1178

By Representative Walsh

On page 7, line 37 of the striking amendment, after "(3)" insert "For material change transactions where none of the parties are hospitals or hospital systems or an affiliate of a hospital or hospital system, and the material change transaction would not result in: Reducing access to health services, including reproductive health care services, end-of-life care services, and gender-affirming health care services, if appropriate; worsening health care outcomes; and increasing consumers' health care costs; the written notice provided by the parties, as required by RCW 19.390.030, must include:

(a) The information and documentation required under subsection (1)(a) through (d) of this section; and

(b) Documentation describing how the parties will address health care access, outcomes, and costs, and how the material change transaction will likely impact the delivery and cost of health-related services to the community and help address health inequities.

(4)"

Renumber the remaining subsections consecutively and correct any internal references accordingly.

On page 7, line 38 of the striking amendment, after "(1)" strike "and (2)" and insert "through (3)"

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