Vote Yes on this bill if you want Washington to end private Medicaid managed care, pay providers directly at Medicare rates, fund care coordination separately, create one inclusive statewide network, ban AI-generated denials, publish public data, and add local oversight to improve access and equity.

Organizations that support this bill may include community health centers, patient and disability advocates, tribal and rural health providers, behavioral health organizations, public health departments, and transparency and equity coalitions seeking lower administrative costs and faster access to care.

Vote No on this bill if you want to keep insurer-run managed care with capitated payments and private networks, avoid a large state administrative transition, preserve current prior authorization practices, and maintain the existing Medicaid contracting model.

Organizations that oppose this bill may include managed care organizations and health insurers, risk-bearing intermediaries and their vendors, and some hospital and consultant groups concerned about losing capitation, network control, and facing state-run administration.