Status Summary

First reading, referred to Appropriations in 1.20.2020. Public hearing in the House Committee on Appropriations on 1.27.2020. Executive action taken in the House Committee on Appropriations on 2.8.2020; 1st substitute bill passed. Referred to Rules 2 Review on 2.11.2020. 1st substitute bill heard in the House and passed (56-40) on 2.17.2020. IN THE SENATE: First reading, referred to Health & Long Term Care on 2.18.2020. Executive action taken in the Senate Committee on Health & Long Term Care on 2.21.2020; majority pass and refer to Ways & Means. Referred to Ways & Means on 2.24.2020. Public hearing in the Senate Committee on Ways & Means on 2.27.2020. Executive action taken in the Senate Committee on Ways & Means on 2.29.2020; majority pass with amendment(s). Passed to Rules Committee for second reading on 3.2.2020. Placed on second reading by Rules Committee on 3.5.2020. Striking amendment adopted by the Senate, and passed unanimously on 3.6.2020. IN THE HOUSE: House concurred in Senate striking amendment on 3.10.2020.  Passed final passage on 3.10.2020 Speaker signed on 3.11.2020. IN THE SENATE: President signed on 3.12.2020. OTHER THAN LEGISLATIVE ACTION. Delivered to the Governor on 3.12.2020. (updated 3.13.2020)

Legislative Session





Rep. Slatter

The Health Care Authority, in collaboration with the University of Washington, shall implement a Tele-behavioral health video call center called the Partnership Access Line (PAL). The PAL shall provide emergency department, primary care and correctional facility providers with access to psychiatric and substance use disorder clinical consultation for adult patients. Beginning in fiscal year 2021, PAL shall be available at all hours, and UW shall collect the data that are outlined, included data from the pilot PAL for Moms and Kids. A collaborative funding plan is outlined and the Tele-behavioral Health Access Account is created. The funding plan includes elements, such as:

  • The HCA, in consultation with the University of WA Dept. of Psychiatry and behavioral sciences and any hospital that the UW collaborates with to administer the programs, shall determine the annual costs of operating each program, as well as the HCA’s costs for administering the programs.
  • For each program, the HCA shall calculate the proportion of clients that are covered by programs administered pursuant to chapter 74.09 RCW, based on data collected by the UW Dept. of Psychiatry and behavioral sciences in coordination with any hospital that UW collaborates with to administer the programs.
  • The HCA shall collect a proportional share of program costs from each of the following entities that are not under contract with the authority as Medicaid managed care organizations.
  • The HCA may contract with a 3rd party administrator to calculate and administer the assessments of the entities identified in the bill.

[and mores….]

Additionally, the Tele-behavioral health access account is created in the state treasury.  All receipts from collections under section 4 of the act must be deposited into the account.  Expenditures may only be used to support Tele-behavioral health programs identified.


1st Substitute:

  • Codifies the implementation of the Psychiatry Consultation Line (PCL).
  • Modifies data and reporting requirements for the Partnership Access Line (PAL), PCL, PAL for Moms, and PAL for Kids Referral and Assistance programs.
  • Establishes a funding model for the PAL and PCL programs.
  • Creates the Telebehavioral Health Access Account.
  • Directs the Joint Legislative Audit and Review Committee to conduct a review of the PAL, PCL, PAL for Moms, and PAL for Kids Referral Assistance Service programs.

Striking amendment:

  • Moves the requirement for HCA to develop a funding model and for collecting funding PAL and psychiatric consultation line from January to July 2021.
  • Removes a requirement that the UW submit a report to the governor and legislature on the PAL for moms and PAL for kids.
  • Removes a requirement for HCA to submit a report to the Governor and Legislature on findings and recommendations for improving services and service delivery by the PAL.
  • Clarifies that for carriers that provide health care, must calculate their proportional share or annual program costs by determining the annual cost of operating the program that is not covered by state or federal funds.
  • Clarifies that entities subject to the assessment provide enrollment data and logistical information to DOH; it specifies that these entities must provide information needed to calculate the proportional share of program costs.
  • Requires JLARC to consult with HCA, in addition to UW and Seattle Children's, in conducting a review of the PAL and psychiatric consultation line.
  • Permits HCA to request data from the Washington vaccine association.