Washington 2019-2020 Regular Session Status: Passed Senate Bipartisan · 12 D · 2 R cosponsors

SB 6676 — Concerning reimbursement for primary care services for medicaid beneficiaries.

Last action — Returned to Senate Rules 3.

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  1. ✓
    Introduced
  2. ✓
    In Committee
  3. 3
    Passed Senate
  4. 4
    Passed House
  5. 5
    To Executive
  6. 6
    Enacted

This bill died with 2019-2020 Regular Session. It reached “Passed Senate” and never advanced before the session ended, so it can no longer move — a new version would have to be reintroduced in the current session.

This bill is no longer active — its legislative session has ended, so there is no live prognosis. It would have to be reintroduced in the current session to move again.

Bill Text

What changed in the latest version

1 added · 1 removed

Plain-language change summary

The updated version of Bill SB 6676 modifies how Medicaid reimburses primary care services, focusing on specific types of providers like nurse practitioners and certain physicians. The key changes include establishing a baseline reimbursement rate of at least 75% of Medicare rates, which is an increase compared to the earlier requirement of 15% above previous rates. This change is significant because it aims to improve compensation for primary care services, making it more attractive for healthcare providers to serve Medicaid patients, ultimately enhancing access to essential healthcare for vulnerable populations.

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S-6350.1SUBSTITUTE SENATE BILL 6676State of Washington66th Legislature2020 Regular SessionBySenate Ways & Means (originally sponsored by Senators Frockt, Randall, Rolfes, Darneille, Braun, Billig, Salomon, Stanford, Dhingra, Van De Wege, Brown, Carlyle, Cleveland, Conway, Das, Hasegawa, Keiser, King, Kuderer, Liias, Lovelett, McCoy, Mullet, Nguyen, Pedersen, Wellman, and Wilson, C.)READ FIRST TIME 02/11/20.AN ACT Relating to reimbursement for primary care services for medicaid beneficiaries;
S-6033.1SENATE BILL 6676State of Washington66th Legislature2020 Regular SessionBySenators Frockt, Randall, Rolfes, Darneille, Braun, Billig, Salomon, Stanford, Dhingra, and Van De WegeAN ACT Relating to reimbursement for primary care services for medicaid beneficiaries;
A new section is added to chapter 74.09 RCW to read as follows:(1) Except as provided in subsection (2) of this section, beginning January 1, 2021, medicaid payment for primary care services that are reimbursed solely at the existing medical assistance rates, furnished by a nurse practitioner, naturopath, physician assistant, osteopathic physician assistant, physician, or osteopathic physician, on a fee-for-service basis as well as through managed health care systems, must be at least fifteen percent above medical assistance rates as in effect on January 1, 2019.(2) Beginning January 1, 2021, medicaid payment for pediatric critical care, neonatal critical care, and neonatal intensive care services that are reimbursed solely at the existing medical assistance rates, furnished by a nurse practitioner, naturopath, physician assistant, osteopathic physician assistant, physician, or osteopathic physician, on a fee-for-service basis as well as through managed health care systems, must be at least twenty-one percent above medical assistance rates as in effect on January 1, 2019.(3) The authority must apply reimbursement rates required under this section to payment codes in a manner consistent with the temporary increase in medicaid reimbursement rates under federal rules and guidance in effect on January 1, 2014, implementing the patient protection and affordable care act, except that the authority may not require provider attestations.(4) The authority must pursue a state plan amendment to require medicaid managed care organizations to increase rates under this section through adoption of a uniform percentage increase for network providers pursuant to 42 C.F.R.
A new section is added to chapter 74.09 RCW to read as follows:(1) Medicaid payment for primary care services that are reimbursed solely at the existing medical assistance rates, furnished by a nurse practitioner, a physician with a primary specialty designation of family medicine, general internal medicine, or pediatric medicine or provided by subspecialists within these primary specialties as recognized in accordance with the American board of medical specialties, the American board of physician specialties, and the American osteopathic association, on a fee-for-service basis as well as through managed health care systems, must be at a rate not less than seventy-five percent of the payment rate that applies to those services and providers under medicare.(2) The authority must apply reimbursement rates required under this section to payment codes in a manner consistent with the temporary increase in medicaid reimbursement rates under federal rules and guidance in effect on January 1, 2014, implementing the patient protection and affordable care act.(3) The authority must pursue a state plan amendment to require medicaid managed care organizations to increase primary care rates under this section through adoption of a minimum fee schedule pursuant to 42 C.F.R.
438.6(c)(1)(iii)(B), as existing on January 1, 2020.--- END ---
438.6(c)(1)(iii)(A), as existing on January 1, 2020.--- END ---
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Action History

  1. Returned to Senate Rules 3.

  2. First reading, referred to Appropriations.

  3. Third reading, passed; yeas, 48; nays, 0; absent, 0; excused, 1.

  4. Rules suspended. Placed on Third Reading.

  5. 1st substitute bill substituted.

  6. 1st substitute bill substituted.

  7. Placed on second reading by Rules Committee.

  8. Placed on second reading by Rules Committee.

  9. Passed to Rules Committee for second reading.

  10. Passed to Rules Committee for second reading.

  11. Scheduled for public hearing in the Senate Committee on Ways & Means at 10:00 AM

  12. Minority; without recommendation.

  13. WM - Majority; 1st substitute bill be substituted, do pass.

  14. Minority; without recommendation.

  15. WM - Majority; 1st substitute bill be substituted, do pass.

  16. Scheduled for public hearing in the Senate Committee on Ways & Means at 03:30 PM

  17. First reading, referred to Ways & Means.

Sponsors

Sponsorship breakdown

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1 sponsors · 26 co-sponsors · 124 not signed on

Sponsors (1)

  • Frockt

Co-sponsors (26)

Not signed on (124)

124 members have not signed on to this bill.

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"Not signed on" means a member has not sponsored or co-sponsored this bill — it does not imply opposition. Members flagged Voted No have a recorded No vote on this bill.

Whip count is in markup. Polling the chamber and every recorded vote this session. Only the first open is slow. It’s instant for you after this. Calling the roll · Tallying · Engrossing

Votes

Passed 48 Yea · 0 Nay · 1 Other
Party YeaNayPresentNot Voting
Unaffiliated 25000
Republican 9001
Democrat 14000
Total 48001
% of votes cast 98%0%0%2%
How each member voted (49)
Member Party Vote
Becker — Yea
Billig — Yea
Brown — Yea
Carlyle — Yea
Darneille — Yea
Das — Yea
Ericksen — Yea
Frockt — Yea
Hawkins — Yea
Hobbs — Yea
Honeyford — Yea
Keiser — Yea
Kuderer — Yea
McCoy — Yea
Mullet — Yea
O'Ban — Yea
Padden — Yea
Randall — Yea
Rivers — Yea
Rolfes — Yea
Sheldon — Yea
Takko — Yea
Wilson, L. — Yea
Zeiger — Yea
Van De Wege — Yea
Annette Cleveland Democrat Yea
Bob Hasegawa Democrat Yea
Claire Wilson Democrat Yea
Derek Stanford Democrat Yea
Jamie Pedersen Democrat Yea
Jesse Salomon Democrat Yea
Joe Nguyen Democrat Yea
Lisa Wellman Democrat Yea
Liz Lovelett Democrat Yea
Manka Dhingra Democrat Yea
Marko Liias Democrat Yea
Rebecca Saldaña Democrat Yea
Steve Conway Democrat Yea
Victoria Hunt Democrat Yea
Curtis King Republican Yea
Jeff Holy Republican Yea
Jim Walsh Republican Yea
John Braun Republican Yea
Judy Warnick Republican Yea
Keith Wagoner Republican Yea
Mark Schoesler Republican Yea
Phil Fortunato Republican Not Voting
Ron Muzzall Republican Yea
Shelly Short Republican Yea

Official roll call →

Subjects

Cross-referencing the record. Reading this bill against every other bill in the corpus by meaning, not keywords. Only the first open is slow. It’s instant for you after this. Matching · Ranking · Engrossing

Frequently asked questions

Who sponsors SB 6676?
SB 6676 is sponsored by Frockt, Randall, Rolfes, Darneille, John Braun (Republican), Billig, Jesse Salomon (Democrat), Derek Stanford (Democrat), Manka Dhingra (Democrat), Brown, Carlyle, Annette Cleveland (Democrat), Steve Conway (Democrat), Das, Bob Hasegawa (Democrat), Keiser, Curtis King (Republican), Kuderer, Marko Liias (Democrat), Liz Lovelett (Democrat), McCoy, Mullet, Jamie Pedersen (Democrat), Lisa Wellman (Democrat), Claire Wilson (Democrat), Joe Nguyen (Democrat), and Van De Wege.
What is the current status of SB 6676?
This bill died with 2019-2020 Regular Session. It reached “Passed Senate” and never advanced before the session ended, so it can no longer move — a new version would have to be reintroduced in the current session.
Where can I track SB 6676?
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Last checked for changes 3 months ago · updated continuously

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