This bill creates a new legislative findings section about a severe shortage of primary care providers and the potential role of clinical rotations and preceptorships, and it amends RCW 70.390.080 to impose new measurement and reporting duties on "the board" (the bill text does not identify the board). The amendment requires the board to measure and report on primary care expenditures and on progress toward increasing primary care spending to 12 percent of total health care expenditures, to consult with primary care providers and representative organizations, and to review specified existing work when developing measures and reports. The bill sets specific reporting deadlines and content requirements: a preliminary report due December 1, 2022 addressing how to define and measure primary care expenditures, barriers to data access, the annual progress needed to reach 12 percent, accountability and incentive approaches, reimbursement practices, and the board’s ongoing role; annual reports beginning August 1, 2023 providing annual primary care expenditure data by insurance carrier and payer/market, breakdowns by characteristics (physical versus behavioral health, provider type, payment mechanism), and identification of reporting barriers with recommendations; and a required review of the cost of primary care preceptorships for hospitals and other clinical settings with a findings report due December 1, 2027. This is a procedural change that creates reporting and review obligations rather than a new crime or penalty change. Important details are unclear in the provided text: the identity and statutory authority of "the board" are not specified, "primary care" is not defined in this excerpt, the specific "relevant committees of the legislature" are not named, and the text includes past deadlines (e.g., December 1, 2022) without indicating whether they were met. The amendment references prior reports and work by OFM (December 2019) and several health organizations.

If enacted, the law would force a state board to start routinely measuring and publicly reporting how much is spent on primary care and how close spending is to a 12% target, with detailed annual breakdowns by insurer, payer market, provider type, and payment method and a focused review of the costs hospitals and clinical sites face for primary care preceptorships to train clinicians for rural and unserved areas (with findings due by December 1, 2027). In practice that means more transparency and data for lawmakers and regulators, likely new administrative work and costs for the board to collect and analyze insurer and payer data, and new reporting burdens for insurers and payers; it may also create policy pressure to shift funds or change reimbursement and incentive approaches toward primary care once the data and recommendations are in hand. The parties most affected will be the unnamed “board” (additional responsibilities, staffing and analytic costs), insurance carriers and other payers (must provide the required data and face potential policy changes), and primary care providers and hospitals (consultation, scrutiny of preceptorship costs, and possible future changes in funding or reimbursement). Key details are missing here — the bill text does not identify which board has these duties, it does not define “primary care,” and it does not specify which legislative committees will receive the reports — so how the requirements are implemented and enforced, and the exact scale of reporting burdens or funding shifts, remain unclear.