Concerning reimbursement for primary care services for medicaid beneficiaries.
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SB 6676 — Concerning reimbursement for primary care services for medicaid beneficiaries.
Last action — Returned to Senate Rules 3.
No card. One bill, free forever — alerts when it moves.
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✓Introduced
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✓In Committee
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3Passed Senate
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4Passed House
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5To Executive
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6Enacted
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This bill is no longer active — its legislative session has ended, so there is no live prognosis.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 removedPlain-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.
S-6350.1SUBSTITUTES-6033.1SENATE SENATE BILL 6676State of Washington66th Legislature2020 Regular SessionBySenateSessionBySenators Ways & Means (originally sponsored by Senators Frockt, Randall, Rolfes, Darneille, Braun, Billig, Salomon, Stanford, Dhingra, and Van De Wege,WegeAN 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;
A new section is added to chapter 74.09 RCW to read as follows:(1) ExceptMedicaid 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,a physician assistant,with osteopathic physician assistant, physician, or osteopathic physician, on a fee-for-serviceprimary basisspecialty asdesignation wellof asfamily throughmedicine, managedgeneral healthinternal caremedicine, systems,or mustpediatric bemedicine ator leastprovided fifteenby percentsubspecialists abovewithin medicalthese assistanceprimary ratesspecialties as recognized in effectaccordance onwith Januarythe 1,American 2019.(2)board Beginningof Januarymedical 1,specialties, 2021,the medicaidAmerican paymentboard forof pediatricphysician criticalspecialties, care, neonatal critical care, and neonatal intensive care services that are reimbursed solely at the existingAmerican medical assistance rates, furnished by a nurse practitioner, naturopath, physician assistant, osteopathic physicianassociation, assistant, physician, or osteopathic physician, on a fee-for-service basis as well as through managed health care systems, must be at leasta twenty-onerate not less than seventy-five percent aboveof medicalthe assistancepayment ratesrate asthat inapplies effectto onthose Januaryservices 1,and 2019.(3)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,act.(3) 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 primary care rates under this section through adoption of a uniformminimum percentagefee increaseschedule for network providers pursuant to 42 C.F.R.
438.6(c)(1)(iii)(B),438.6(c)(1)(iii)(A), as existing on January 1, 2020.--- END ---
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Action History
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Returned to Senate Rules 3.
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First reading, referred to Appropriations.
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Third reading, passed; yeas, 48; nays, 0; absent, 0; excused, 1.
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Rules suspended. Placed on Third Reading.
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1st substitute bill substituted.
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1st substitute bill substituted.
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Placed on second reading by Rules Committee.
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Placed on second reading by Rules Committee.
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Passed to Rules Committee for second reading.
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Passed to Rules Committee for second reading.
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Scheduled for public hearing in the Senate Committee on Ways & Means at 10:00 AM
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Minority; without recommendation.
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WM - Majority; 1st substitute bill be substituted, do pass.
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Minority; without recommendation.
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WM - Majority; 1st substitute bill be substituted, do pass.
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Scheduled for public hearing in the Senate Committee on Ways & Means at 03:30 PM
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First reading, referred to Ways & Means.
Sponsors
- Frockt · Primary
- Randall · Cosponsor
- Rolfes · Cosponsor
- Darneille · Cosponsor
- John Braun · Cosponsor
- Billig · Cosponsor
- Jesse Salomon · Cosponsor
- Derek Stanford · Cosponsor
- Manka Dhingra · Cosponsor
- Brown · Cosponsor
- Carlyle · Cosponsor
- Annette Cleveland · Cosponsor
- Steve Conway · Cosponsor
- Das · Cosponsor
- Bob Hasegawa · Cosponsor
- Keiser · Cosponsor
- Curtis King · Cosponsor
- Kuderer · Cosponsor
- Marko Liias · Cosponsor
- Liz Lovelett · Cosponsor
- McCoy · Cosponsor
- Mullet · Cosponsor
- Jamie Pedersen · Cosponsor
- Lisa Wellman · Cosponsor
- Claire Wilson · Cosponsor
- Joe Nguyen · Cosponsor
- Van De Wege · Cosponsor
Sponsorship breakdown
Export CSV (upgrade) →1 sponsors · 26 co-sponsors · 124 not signed on
Sponsors (1)
- Frockt
Co-sponsors (26)
- 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
- Van De Wege
Not signed on (124)
124 members have not signed on to this bill.
Show all 124 →"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.
Votes
| Party | Yea | Nay | Present | Not Voting |
|---|---|---|---|---|
| Unaffiliated | 25 | 0 | 0 | 0 |
| Republican | 9 | 0 | 0 | 1 |
| Democrat | 14 | 0 | 0 | 0 |
| Total | 48 | 0 | 0 | 1 |
| % 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 |
Subjects
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?
- Track SB 6676 free on One Click Politics — get push/email alerts when it moves.
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