Notice of Introduction for Senate Bill 6173 - Update: 10 Year Analysis Complete

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UPDATE: The 10 year analysis for SB 6173, titled AN ACT Relating to creating an apple health employer assessment to fund the health care affordability account, has been completed. The Office of Financial Management has identified this bill as requiring a ten-year projection of increased cost to the taxpayers or affected fee payers.

Ten-year projection:

Fiscal Year		Apple Health Corporate Assessment Account
2026		$0
2027		$0
2028		$190,300,000
2029		$768,800,000
2030		$784,200,000
2031		$800,000,000
2032		$816,100,000
2033		$832,500,000
2034		$849,200,000
2035		$866,300,000
Total:		$5,907,400,000

Employment Security Department:

Employment Security Department (ESD) does not have the necessary data to provide accurate estimates of revenue collections. Therefore, the cash receipts are considered partially indeterminant at this time. HCA has provided a monthly Medicaid fair share capitation amount and ESD has found estimates on the number of workers on Medicaid that contained data on Medicaid worker’s firm characteristics. The agency was able to obtain high level assumptions about private sector firms and employer size. However, the agency doesn’t have any information on member months as current wage reporting is based on quarterly hourly reporting, not monthly, and there is no way to connect the number of workers on Medicaid to employers in ESD’s systems without first addressing data sharing policies. Although, the agency can provide the following estimates to illustrate potential universe of workers on Medicaid and high-level revenue estimates: 

 1. There are roughly 202,026 individuals who are working and on Medicaid. 

 a. About 43.6% work at employers with 100 employees or less. 

 b. 7.7% work in the public sector. 

 c. There were about 98,387 workers on Medicaid that are employed by employers who could meet the assessment criteria of this bill. However, ESD cannot cross reference employer and employee data with Medicaid enrollment at this time. 

 2. Annual Medicaid fair share capitation rate in 2026 was $7,284 ($607 per member per month) 

 a. ESD assumes all workers are covered for a full twelve months as per month enrollment in Medicaid is not available. 

 3. ESD assumes a 1% growth rate of the capitation rate and workers on Medicaid.

Ten-year projection prepared in consultation with the following agencies:

Employment Security Department


Bill sponsors and contact information:

Senator Emily Alvarado, Prime Sponsor
Democrat
(360) 786-7667
Emily.Alvarado@leg.wa.gov

Senator June Robinson
Democrat
(360) 786-7674
june.robinson@leg.wa.gov

Senator Manka Dhingra
Democrat
(360) 786-7672
manka.dhingra@leg.wa.gov

Senator Jessica Bateman
Democrat
(360) 786-7642
jessica.bateman@leg.wa.gov

Senator Noel Frame
Democrat
(360) 786-7670
noel.frame@leg.wa.gov

Senator Derek Stanford
Democrat
(360) 786-7600
derek.stanford@leg.wa.gov

Senator Jamie Pedersen
Democrat
(360) 786-7628
jamie.pedersen@leg.wa.gov

Senator Liz Lovelett
Democrat
(360) 786-7678
liz.lovelett@leg.wa.gov

Senator Yasmin Trudeau
Democrat
(360) 786-7652
yasmin.trudeau@leg.wa.gov

Senator Bob Hasegawa
Democrat
(360) 786-7616
bob.hasegawa@leg.wa.gov

Senator Mike Chapman
Democrat
(360) 786-7646
mike.chapman@leg.wa.gov

Senator Annette Cleveland
Democrat
(360) 786-7696
Annette.Cleveland@leg.wa.gov

Senator Steve Conway
Democrat
(360) 786-7656
steve.conway@leg.wa.gov

Senator T'wina Nobles
Democrat
(360) 786-7654
T'wina.Nobles@leg.wa.gov

Senator Tina Orwall
Democrat
(360) 786-7664
tina.orwall@leg.wa.gov

Senator Marcus Riccelli
Democrat
(360) 786-7604
marcus.riccelli@leg.wa.gov

Senator Rebecca Saldaña
Democrat
(360) 786-7688
rebecca.saldana@leg.wa.gov

Senator Javier Valdez
Democrat
(360) 786-7690
javier.valdez@leg.wa.gov

Senator Claire Wilson
Democrat
(360) 786-7658
claire.wilson@leg.wa.gov




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