Passed by the House February 12, 2024 Yeas 97 Nays 0 LAURIE JINKINS Speaker of the House of Representatives Passed by the Senate March 1, 2024 Yeas 49 Nays 0 DENNY HECK President of the Senate	CERTIFICATE I, Bernard Dean, Chief Clerk of the House of Representatives of the State of Washington, do hereby certify that the attached is SECOND SUBSTITUTE HOUSE BILL 1941 as passed by the House of Representatives and the Senate on the dates hereon set forth. BERNARD DEAN Chief Clerk Chief Clerk
Approved March 19, 2024 9:43 AM	FILED March 19, 2024
JAY INSLEE Governor of the State of Washington	Secretary of State State of Washington

ByHouse Appropriations (originally sponsored by Representatives Couture, Schmidt, Reed, Graham, Barnard, Kloba, Cheney, Riccelli, Pollet, Griffey, and Jacobsen)

AN ACT Relating to providing for health home services for medicaid-eligible children with medically complex conditions; adding a new section to chapter 74.09 RCW; and creating new sections.

(a) Children with medical complexity deserve coordinated and effective care delivered in a high quality setting. Families should be able to focus solely on their child's needs and not waste precious time fighting a fragmented care system or the complexities of medicaid;

(b) In 2019, the federal government adopted the advancing care for exceptional kids act to address these concerns. This law created a new health home model that will coordinate prompt care for children with medically complex conditions, develop an individualized, comprehensive, pediatric, family-centered care plan, coordinate access to subspecialized care, and coordinate appropriate care with out-of-state providers; and

(c) The federal law provides health homes with a higher federal matching rate, making this proposal beneficial to Washington's children with medical complexities while also being financially prudent.

(2) The legislature, therefore, intends to actively support these medically complex children by taking the steps necessary to implement health homes in Washington.

By January 1, 2025, the authority shall submit a state plan amendment to the federal centers for medicare and medicaid services to allow medicaid-eligible children with medically complex conditions to voluntarily enroll in a health home as provided in section 3 of the medicaid services investment and accountability act of 2019 (P.L. 116-16).

NEW SECTION. Sec. 3. If specific funding for the purposes of this act, referencing this act by bill or chapter number, is not provided by June 30, 2024, in the omnibus appropriations act, this act is null and void.

Passed by the House February 12, 2024.

Passed by the Senate March 1, 2024.

Approved by the Governor March 19, 2024.

Filed in Office of Secretary of State March 19, 2024.