5167-S.E AMH COUT MORM 019
ESSB 5167 - H AMD TO H AMD (H-2095.1/25) 916
By Representative Couture
NOT ADOPTED 03/31/2025
On page 126, line 6, decrease the general fund-state appropriation for fiscal year 2026 by $6,282,000
On page 126, line 7, increase the general fund-state appropriation for fiscal year 2027 by $58,007,000
On page 126, line 8, increase the general fund-federal appropriation for fiscal year 2027 by $456,315,000
On page 126, line 25, correct the total.
On page 142, beginning on line 32, strike all of subsection (51)
Renumber the remaining subsections consecutively and correct any internal references accordingly.
On page 146, after line 39, insert the following:
"(64) $64,380,000 of the general fund-state appropriation for fiscal year 2026, $128,269,000 of the general fund-state appropriation for fiscal year 2027, and $456,315,000 of the general fund-federal appropriation are provided solely for the authority to increase professional services payment rates covered by medicaid, including fee-for-service and managed care, effective January 1, 2026, to no less than the corresponding medicare rates for those services on October 1, 2023."
On page 150, line 12, decrease the general fund-state appropriation for fiscal year 2026 by $5,753,000
On page 150, line 13, decrease the general fund-state appropriation for fiscal year 2027 by $5,753,000
On page 150, line 29, correct the total.
On page 175, beginning on line 26, strike all of subsection (49)
Renumber the remaining subsections consecutively and correct any internal references accordingly.
| EFFECT: Removes funding for the Health Care Authority (HCA) Apple Health Expansion program, which provides health care coverage for Washington residents with incomes at or below 138 percent of the federal poverty level, regardless of immigration status, effective July 1, 2025. Provides funding for HCA to increase professional services payment rates covered by Medicaid, effective January 1, 2026, to no less than the corresponding Medicare rates.
FISCAL IMPACT (2025 Supplemental): None.
FISCAL IMPACT (2025-27): Increases General Fund - State by $40,219,000. Increases General Fund - Federal by $456,315,000.
FOUR-YEAR OUTLOOK EXPENDITURE EFFECT: Increases General Fund - State by $144,727,000. Increases General Fund - Federal by $1,064,427,000.
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