BILL · 2019–20 SESSION · LATEST VERSION ESSB 5523

SB 5523: Medicaid managed care perf.

Improving managed care organization performance in caring for medicaid clients.

Summary

Requires the Health Care Authority to contract with an external quality review organization (EQRO) to evaluate managed care plans under the Medicaid program.
Makes Medicaid managed care funding contingent upon for each of seven performance measure areas evaluated by the EQRO.
Allows HCA to waive the performance requirement once every five years.
Adds standard reporting for performance measures for Managed Care Organizations.

From the Engrossed Substitute Senate Bill Report (ESSB 5523), written by the Legislature's nonpartisan staff. Read the full report ↗

Did not pass Did not pass · passed Senate, stalled in House

AN ACT Relating to improving managed care organization performance in caring for medicaid clients;

Passed March 13, 2019

Version voted on: ESSB 5523

48 Yea 0 Nay 0 Absent 1 Excused

Party	Yea	Nay	Absent	Excused
Democrat	28	0	0	1
Republican	20	0	0	0

How each member voted

Feb 24, 2020Senate Rules "X" file. (ESSB 5523)
Jan 13, 2020By resolution, reintroduced and retained in present status. (ESSB 5523)
Apr 28, 2019By resolution, returned to Senate Rules Committee for third reading. (ESSB 5523)
Mar 15, 2019First reading, referred to Appropriations. (ESSB 5523)
Mar 13, 2019Third reading, passed; yeas, 48; nays, 0; absent, 0; excused, 1. (ESSB 5523)
Mar 13, 2019Rules suspended. Placed on Third Reading. (ESSB 5523)
Mar 13, 2019Floor amendment(s) adopted. (ESSB 5523)
Mar 13, 20191st substitute bill substituted. (ESSB 5523)
Mar 13, 20191st substitute bill substituted.
Mar 9, 2019Placed on second reading by Rules Committee. (ESSB 5523)
Mar 9, 2019Placed on second reading by Rules Committee.
Feb 27, 2019Passed to Rules Committee for second reading. (ESSB 5523)
Feb 27, 2019Passed to Rules Committee for second reading.
Feb 25, 2019WM - Majority; 1st substitute bill be substituted, do pass. (ESSB 5523)
Feb 25, 2019Minority; without recommendation. (ESSB 5523)
Feb 25, 2019Minority; without recommendation.
Feb 25, 2019WM - Majority; 1st substitute bill be substituted, do pass.
Jan 31, 2019Referred to Ways & Means.
Jan 30, 2019And refer to Ways & Means.
Jan 30, 2019HLTC - Majority; without recommendation.
Jan 23, 2019First reading, referred to Health & Long Term Care.

Bill numbers restart every two years, so the same number is a different bill in each session.

SB 5523 (2025–26) Higher ed. gov./students · Did not pass · stalled on the Senate floor
SB 5523 (2023–24) Forensic pathologists · Enacted · Chapter 442, Laws of 2023
SB 5523 (2021–22) Controlled sub. possession · Did not pass · died in committee
SB 5523 (2017–18) RCW provisions not needed · Did not pass · stalled on the Senate floor
SB 5523 (2015–16) Process servers' SSN's · Did not pass · passed Senate, stalled in House
SB 5523 (2013–14) Mobile homes property tax · Did not pass · passed Senate, stalled in House
SB 5523 (2011–12) State printing · Did not pass · stalled on the Senate floor
SB 5523 (2009–10) Pub retiremt benefits/courts · Did not pass · passed Senate, stalled in House