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 | 37,687,345,000 |
---|---|
Net change from current biennium | 5,754,317,000 Increase |
Percent change from current biennium | 18.0% Increase |
Operating Budget: Summary
Appropriated Funds
2023-25 Appropriations | Appropriated Funds | Expenditures | |||
---|---|---|---|---|---|
Amount | Estimated Balance | 2021-23 Actual | 2023-25 Estimated | 2025-27 Proposed | |
(56,669,000) | General Fund - | 56,669,000 | 2,570,000 | ||
19,974,462,000 | 60,854,000 | General Fund - Federal | 18,505,421,335 | 19,913,608,000 | 23,665,626,000 |
Coronavirus St Fiscal Recovery Fund - Federal | 189,493,024 | ||||
1,291,177,000 | General Fund - Private/Local | 372,599,791 | 1,291,177,000 | 1,860,269,000 | |
100,000 | 100,000 | Problem Gambling Account - Private/Local | |||
Industrial Insurance Premium Refund - Nonappropriated | |||||
Fire Service Training Account - Nonappropriated | 2,063,000 | ||||
Flexible Spending Admin Account - Nonappropriated | 1,898,341 | 9,000 | |||
(62,000) | Prescription Drug Consortium Acct - Nonappropriated | 636 | 62,000 | 62,000 | |
Salary Reduction Account - Nonappropriated | 90,029,969 | ||||
(491,045,000) | Basic Health Plan Trust Account - Nonappropriated | 491,060,000 | 491,045,000 | 473,977,000 | |
(1,416,000) | Indian Health Improvement Rein Acct - Nonappropriated | 23,023,444 | 1,416,000 | 1,512,000 | |
Uniform Dental Plan Benefits Admin - Nonappropriated | 13,516,306 | 16,745,000 | |||
Uniform Medical Plan Benefits Acct - Nonappropriated | 129,221,197 | 157,699,000 | |||
Info Tech Invest Rev Acct - Nonappropriated | |||||
SEBB Flex Spend Dep Care Admin Acct - Nonappropriated | 806,855 | 1,259,000 | |||
SEBB Dental Benefits Admin Acct - Nonappropriated | 10,379,200 | 14,223,000 | |||
(16,513,000) | School Employees' Insurance Account - Nonappropriated | 3,606,430,136 | 16,513,000 | 36,590,000 | |
SEBB Medical Benefits Admin Acct - Nonappropriated | 45,043,070 | 63,038,000 | |||
Public Employees/Retirees Insurance - Nonappropriated | 5,392,072,241 | ||||
SEBB Salary Reduction Account - Nonappropriated | 48,259,743 | ||||
8,123,778,000 | 1,000,000 | General Fund - State | 6,795,146,566 | 8,122,778,000 | 8,902,146,000 |
15,086,000 | Emer Med Ser/Trauma Care Sys Trust - State | 15,086,000 | 15,086,000 | 15,092,000 | |
22,001,000 | Criminal Justice Treatment Account - State | 21,939,881 | 22,001,000 | 22,046,000 | |
Disaster Response Account - State | |||||
350,000 | Education Legacy Trust Account - State | 350,000 | 350,000 | ||
3,738,000 | Problem Gambling Account - State | 2,090,448 | 3,738,000 | 3,255,000 | |
1,517,493,000 | Hospital Safety Net Assessment Acct - State | 682,687,437 | 1,517,493,000 | 1,886,062,000 | |
83,528,000 | Health Benefit Exchange Account - State | 77,327,220 | 83,528,000 | 85,030,000 | |
Indian Health Improvement Rein Acct - State | |||||
14,316,000 | Ambulance Transport Fund - State | 14,309,978 | 14,316,000 | 12,388,000 | |
8,318,000 | Telebehavorial Health Access Accoun - State | 6,838,576 | 8,318,000 | 8,490,000 | |
125,000,000 | State Health Care Affordability Acc - State | 11,599,368 | 125,000,000 | 85,000,000 | |
45,123,000 | Stw988BehavHealth&SuicidePrevLine - State | 711,947 | 45,123,000 | 59,161,000 | |
99,637,000 | Opioid Abatement Settlement Account - State | 99,637,000 | 97,862,000 | ||
7,000,000 | 7,000,000 | Family Medicine Workforce Dev Acct - State | |||
Tribal Opioid Prev & Treatment Acc - State | 16,381,000 | ||||
104,316,000 | Dedicated Cannabis Account - State | 101,936,142 | 104,316,000 | 100,738,000 | |
44,982,000 | 44,982,000 | St Health Care Authority Admin Acct - State | 37,824,737 | 50,047,000 | |
2,629,000 | 2,629,000 | SW Info Tech Sys Dev Rev Acct - State | 266,583 | ||
Pension Funding Stabilization Acct - State | |||||
33,739,000 | 33,739,000 | School Employees' Insur Admin Acct - State | 27,383,380 | 36,968,000 | |
314,000 | Long-Term Servs & Sup Trust Account - State | 314,000 | 10,142,000 | ||
540,000 | Medical Aid Account - State | 539,882 | 540,000 | 545,000 | |
31,517,627,000 | (415,401,000) | Total Appropriated Funds | 36,714,943,434 | 31,933,028,000 | 37,687,345,000 |
Non-Appropriated Funds
Operating Budget: Program Summary
Program Title | Actual | Estimated | Proposed | ||
---|---|---|---|---|---|
Actual | Estimated | Estimated | Proposed | Proposed | |
Annual Total | 14,481,293,679 | 14,696,776,019 | 7,106,124,883 | 19,072,441,000 | 18,578,314,000 |
Operating Budget: Change from Preceding Biennium
Actual | Estimated | Proposed | |||
---|---|---|---|---|---|
Amount | Percent | Amount | Percent | Amount | Percent |
5,006,785,140 | 22.2% | (5,775,250,442) | (20.9%) | 15,847,854,098 | 72.7% |
Employment Summary
Actual | Estimated | Proposed | |||
---|---|---|---|---|---|
2022-23 Actual | 2023-24 Estimated | 2024-25 Estimated | 2025-26 Proposed | 2026-27 Proposed | |
FTE Staff Years | 1,546.0 | 1,679.7 | 1,753.7 | 1,663.6 | 1,774.6 |