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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 22,375,857,000
Net change from current biennium 3,215,836,000 Increase
Percent change from current biennium 16.8% Increase

Operating Budget: Summary

Appropriated Funds

2017-19 Appropriations Appropriated Funds Expenditures
Amount Estimated Balance   2015-17 Actual 2017-19 Estimated 2019-21 Proposed
12,796,581,000 General Fund - Basic Account - Federal 11,143,452,334 12,796,581,000 14,442,666,000
222,688,000 General Fund - Basic Account - Private/Local 68,503,804 222,688,000 319,049,000
4,662,347,000 General Fund - Basic Account - State 3,975,105,381 4,662,347,000 6,080,873,000
15,086,000 Emer Med Ser/Trauma Care Sys Trust - State 15,081,981 15,086,000 15,086,000
6,490,000 Criminal Justice Treatment Account - State 6,490,000 12,986,000
728,000 Problem Gambling Account - State 728,000 1,461,000
693,099,000 Hospital Safety Net Assessment Acct - State 686,952,000 693,099,000 721,718,000
59,385,000 Health Benefit Exchange Account - State 51,488,510 59,385,000 56,672,000
28,154,000 Medicaid Fraud Penalty Account - State 14,481,231 28,154,000 19,181,000
64,507,000 Dedicated Marijuana Acct - State 22,363,000 64,507,000 94,383,000
34,481,000 St Health Care Authority Admin Acct - State 34,479,457 34,481,000 37,085,000
5,395,000 Pension Funding Stabilization Acct - State 5,395,000 6,258,000
28,730,000 School Employees' Insur Admin Acct - State 28,730,000 25,624,000
528,000 Medical Aid Account - State 526,225 528,000 538,000
18,618,199,000 Total Appropriated Funds 16,012,433,923 18,618,199,000 21,833,580,000

Non-Appropriated Funds

2017-19 Non-Appropriated Funds Expenditures
Amount Balance Non-Apropriated Funds 2015-17 Actual 2017-19 Estimated 2019-21 Proposed
(1,533,000) Flexible Spending Admin Account - Nonappropriated 1,524,641 1,533,000 2,036,000
(62,000) Prescription Drug Consortium Acct - Nonappropriated 14,089 62,000 62,000
(402,549,000) Basic Health Plan Trust Account - Nonappropriated 260,332,000 402,549,000 380,000,000
(12,686,000) Uniform Dental Plan Benefits Admin - Nonappropriated 12,076,777 12,686,000 13,342,000
(124,992,000) Uniform Medical Plan Benefits Acct - Nonappropriated 106,933,401 124,992,000 128,449,000
Info Tech Invest Rev Acct - Nonappropriated 2,802,195
SEBB Flex Spend Dep Care Admin Acct - Nonappropriated 937,000
SEBB Dental Benefits Admin Acct - Nonappropriated 6,000,000
SEBB Medical Benefits Admin Acct - Nonappropriated 11,451,000
Public Employees/Retirees Insurance - Nonappropriated 3,985,062,931
(541,822,000) Total Non-Appropriated Funds 4,368,746,034 541,822,000 542,277,000

Operating Budget: Program Summary

Program Title Actual Estimated Proposed
Actual Estimated Estimated Proposed Proposed
Annual Total 8,368,086,176 8,724,377,320 3,743,973,092 11,085,852,000 11,290,005,000

Operating Budget: Change from Preceding Biennium

Actual Estimated Proposed
Amount Percent Amount Percent Amount Percent
3,047,929,887 22.8% (3,927,766,614) (24.0%) 9,907,506,589 79.5%

Employment Summary

  Actual Estimated Proposed
  2016-17 Actual 2017-18 Estimated 2018-19 Estimated 2019-20 Proposed 2020-21 Proposed
FTE Staff Years 1,088.2 1,143.5 1,276.6 1,415.1 1,401.8