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Home » Budget » State budgets » 2021-23 Gov. Inslee's proposed budgets » Agency detail budgets » Wash State Health Care Authority

Wash State Health Care Authority

RCW 41.05

The Washington State Health Care Authority brings together the three largest purchasers of health care in state government – the Public Employees Benefits Board program, the Apple Health medical assistance program and the Community Behavioral Health program. The Public Employees Benefits Board program assures access to quality and affordable health care coverage for more than 350,000 public employees, retirees and others authorized by the Legislature; the Apple Health and Community Behavioral Health programs provide quality medical and behavioral health care with federal matching for more than 1.2 million low-income Washington residents. The Health Care Authority is a resource for both public and private health care, bending the cost curve to keep the state’s medical per-capita inflation rate below the national trend while maintaining administrative expenses around 3 percent of its annual budget. The Health Care Authority advises other employers on health care purchasing issues, strengthens health care policy formulation, and enhances the quality of health care delivery and primary care access in Washington state. Beginning in calendar year 2020, the Health Care Authority will administer the School Employees Benefits Board program, which will provide quality, cost-effective health care coverage for employees in Washington’s K-12 school districts, educational service districts and charter schools.

Agency Mission

The Health Care Authority provides high-quality health care through innovative health policies and purchasing strategies.
Request 22,882,500,000
Net change from current biennium 555,702,000 Increase
Percent change from current biennium 2.5% Increase

Operating Budget: Summary

Appropriated Funds

2019-21 Appropriations Appropriated Funds Expenditures
Amount Estimated Balance   2017-19 Actual 2019-21 Estimated 2021-23 Proposed
14,639,292,155 217,070,155 General Fund - Federal 12,653,776,917 14,422,222,000 14,494,875,000
282,731,000 General Fund - Private/Local 226,539,814 282,731,000 384,963,000
100,000 100,000 Problem Gambling Account - Private/Local
6,047,993,000 708,000 General Fund - State 4,660,190,218 6,047,285,000 6,317,652,000
15,086,000 Emer Med Ser/Trauma Care Sys Trust - State 15,078,365 15,086,000 15,086,000
17,486,000 Criminal Justice Treatment Account - State 6,052,838 17,486,000 21,988,000
2,000,000 2,000,000 Disaster Response Account - State
1,961,000 Problem Gambling Account - State 716,070 1,961,000 1,463,000
715,909,000 Hospital Safety Net Assessment Acct - State 709,922,252 715,909,000 722,198,000
60,117,000 Health Benefit Exchange Account - State 57,115,506 60,117,000 64,590,000
10,259,000 10,259,000 Medicaid Fraud Penalty Account - State 18,895,415
98,806,000 Dedicated Marijuana Acct - State 64,125,829 98,806,000 98,880,000
37,455,000 St Health Care Authority Admin Acct - State 28,583,634 37,455,000 36,142,000
6,258,000 6,258,000 Pension Funding Stabilization Acct - State 5,392,767
27,766,000 School Employees' Insur Admin Acct - State 18,427,591 27,766,000 24,888,000
Performance Audits of Government - State 292,000
538,000 Medical Aid Account - State 526,966 538,000 536,000
21,963,757,155 236,395,155 Total Appropriated Funds 18,465,344,184 21,727,362,000 22,183,553,000

Non-Appropriated Funds

2019-21 Non-Appropriated Funds Expenditures
Amount Balance Non-Apropriated Funds 2017-19 Actual 2019-21 Estimated 2021-23 Proposed
(2,036,000) Flexible Spending Admin Account - Nonappropriated 1,602,321 2,036,000 2,063,000
(62,000) Prescription Drug Consortium Acct - Nonappropriated 3,676 62,000 62,000
(418,230,000) Basic Health Plan Trust Account - Nonappropriated 402,523,000 418,230,000 490,439,000
(708,000) Indian Health Improvement Rein Acct - Nonappropriated 708,000 1,416,000
(13,342,000) Uniform Dental Plan Benefits Admin - Nonappropriated 12,419,592 13,342,000 13,456,000
(128,449,000) Uniform Medical Plan Benefits Acct - Nonappropriated 116,117,451 128,449,000 137,373,000
594,952 594,952 Info Tech Invest Rev Acct - Nonappropriated
(937,000) SEBB Flex Spend Dep Care Admin Acct - Nonappropriated 937,000 1,250,000
(6,900,000) SEBB Dental Benefits Admin Acct - Nonappropriated 6,900,000 10,518,000
School Employees' Insur Admin Acct - Nonappropriated 15,000
(28,772,000) SEBB Medical Benefits Admin Acct - Nonappropriated 28,772,000 42,355,000
Public Employees/Retirees Insurance - Nonappropriated 4,458,900,074
594,952 (598,841,048) Total Non-Appropriated Funds 4,991,566,114 599,436,000 698,947,000

Operating Budget: Program Summary

Program Title Actual Estimated Proposed
Actual Estimated Estimated Proposed Proposed
Annual Total 10,273,632,904 10,741,647,126 4,564,992,163 11,605,399,000 11,277,101,000

Operating Budget: Change from Preceding Biennium

Actual Estimated Proposed
Amount Percent Amount Percent Amount Percent
2,604,760,393 15.9% (3,691,370,935) (19.4%) 7,575,860,711 49.5%

Employment Summary

  Actual Estimated Proposed
  2018-19 Actual 2019-20 Estimated 2020-21 Estimated 2021-22 Proposed 2022-23 Proposed
FTE Staff Years 1,294.1 1,341.2 1,293.1 1,504.8 1,495.4