WA People
BILL · 2023–24 SESSION · LATEST VERSION 2SSB 5103

SB 5103: Medicaid patients/discharge

Concerning payment to acute care hospitals for difficult to discharge medicaid patients.

Summary

  • Requires hospitals to be reimbursed for medical assistance enrollees staying in a hospital when they do not meet inpatient care criteria and are not discharged from the hospital because an appropriate placement is not available.
  • Directs the Health Care Authority to adopt rules to identify which health care services must be included in the daily reimbursement rate and which services may be billed separately for patients who are in a hospital and do not meet inpatient criteria.

From the Second Substitute Senate Bill Report (2SSB 5103), written by the Legislature's nonpartisan staff. Read the full report ↗

Enacted Enacted · Chapter 315, Laws of 2023
  1. IntroducedJan 9, 2023
  2. Out of committeeFeb 24, 2023
  3. Passed SenateMar 8, 2023
  4. Passed HouseApr 12, 2023
  5. GovernorMay 4, 2023
  6. LawMay 4, 2023
Prime sponsor
Ron Muzzall (R-10)
Introduced
January 9, 2023 in the Senate
Last action
May 4, 2023
Session law
Chapter 315, Laws of 2023
Budget
Has a fiscal note
Versions
SB 5103, SSB 5103, 2SSB 5103

AN ACT Relating to payment to acute care hospitals for difficult to discharge medicaid patients who do not need acute care but who are waiting in the hospital to be appropriately and timely discharged to postacute and community settings;

Sponsors

Prime sponsor: Ron Muzzall (R-10)

2 co-sponsors (1 Democrat, 1 Republican)

Annette Cleveland D-49Senator R-18

Votes

Senate · 3rd Reading & Final Passage

Passed March 8, 2023
Version voted on: 2SSB 5103
49 Yea 0 Nay 0 Absent 0 Excused
PartyYeaNayAbsentExcused
Democrat29000
Republican20000
How each member voted

Yea (49)

Permalink to this vote

House · Final Passage as Amended by the House

Passed April 12, 2023
Version voted on: 2SSB 5103
97 Yea 0 Nay 0 Absent 1 Excused
PartyYeaNayAbsentExcused
Democrat57001
Republican40000
How each member voted

Yea (97)

Excused (1)

Permalink to this vote

Senate · Final Passage as Amended by the House

Passed April 14, 2023
Version voted on: 2SSB 5103
46 Yea 0 Nay 0 Absent 3 Excused
PartyYeaNayAbsentExcused
Democrat28001
Republican18002
How each member voted

Excused (3)

Permalink to this vote

History

  1. Effective date 7/23/2023. (2SSB 5103)
  2. Chapter 315, 2023 Laws. (2SSB 5103)
  3. Governor signed. (2SSB 5103)
  4. Delivered to Governor. (2SSB 5103)
  5. Speaker signed. (2SSB 5103)
  6. President signed. (2SSB 5103)
  7. Passed final passage; yeas, 46; nays, 0; absent, 0; excused, 3. (2SSB 5103)
  8. Senate concurred in House amendments. (2SSB 5103)
  9. Third reading, passed; yeas, 97; nays, 0; absent, 0; excused, 1. (2SSB 5103)
  10. Rules suspended. Placed on Third Reading. (2SSB 5103)
  11. Committee amendment(s) adopted as amended. (2SSB 5103)
  12. Rules Committee relieved of further consideration. Placed on second reading. (2SSB 5103)
  13. Referred to Rules 2 Review. (2SSB 5103)
  14. APP - Majority; do pass with amendment(s) but without amendment(s) by Health Care & Wellness. (2SSB 5103)
  15. APP - Executive action taken by committee. (2SSB 5103)
  16. Referred to Appropriations. (2SSB 5103)
  17. HCW - Majority; do pass with amendment(s). (2SSB 5103)
  18. HCW - Executive action taken by committee. (2SSB 5103)
  19. First reading, referred to Health Care & Wellness. (2SSB 5103)
  20. Third reading, passed; yeas, 49; nays, 0; absent, 0; excused, 0. (2SSB 5103)
  21. Rules suspended. Placed on Third Reading. (2SSB 5103)
  22. 2nd substitute bill substituted. (2SSB 5103)
  23. 2nd substitute bill substituted. (SSB 5103)
  24. 2nd substitute bill substituted.
  25. Placed on second reading by Rules Committee. (2SSB 5103)
  26. Placed on second reading by Rules Committee. (SSB 5103)
  27. Placed on second reading by Rules Committee.
  28. Passed to Rules Committee for second reading. (2SSB 5103)
  29. Passed to Rules Committee for second reading. (SSB 5103)
  30. Passed to Rules Committee for second reading.
  31. WM - Majority; 2nd substitute bill be substituted, do pass. (2SSB 5103)
  32. WM - Majority; 2nd substitute bill be substituted, do pass. (SSB 5103)
  33. WM - Majority; 2nd substitute bill be substituted, do pass.
  34. Referred to Ways & Means. (SSB 5103)
  35. Referred to Ways & Means.
  36. And refer to Ways & Means. (SSB 5103)
  37. HLTC - Majority; 1st substitute bill be substituted, do pass. (SSB 5103)
  38. Minority; without recommendation. (SSB 5103)
  39. Minority; without recommendation.
  40. HLTC - Majority; 1st substitute bill be substituted, do pass.
  41. And refer to Ways & Means.
  42. First reading, referred to Health & Long Term Care.
  43. Prefiled for introduction.

SB 5103 in other sessions

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

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