The bill adds new reporting requirements to Washington law by inserting new sections in chapter 48.43 RCW (insurance carriers), chapter 74.09 RCW (managed care organizations), and chapter 41.05 RCW (health plans for public employees). Under the bill each carrier, managed care organization, and public employee health plan must annually report prior plan year data about claims payment timeliness to the relevant regulator (the insurance commissioner for carriers; the Health Care Authority for managed care organizations and public employee plans). The regulators must compile the submitted data, identify reporting entities, summarize results and complaints, analyze trends, and publish and submit the compiled report to relevant legislative committees by July 1, 2027 and annually thereafter. Required reporting elements include total claims submitted by participating providers and facilities; counts of claims determined to be “clean claims” and not clean claims; counts of claims where itemized billing or additional information was requested; average and range of days between providers’ submission of requested additional information and the regulator’s determination; average and range of days from submission to payment for clean and non-clean claims; the percentage of claims fully paid within 30 days; and any other claims-timeliness information the commissioner or authority specifies. The bill defines “clean claim” in each new section as a claim without defect or impropriety that would prevent timely payment. Each entity’s initial report is due January 1, 2027 and annually thereafter, in a form and manner set by the commissioner or authority. This is a procedural administrative change that creates new reporting obligations and public reporting duties; it does not create a new crime or change criminal penalties. The extracted text does not show the exact new RCW section numbers, definitions for terms such as “carrier,” “managed care organization,” “health plan,” “provider,” or “plan year,” which legislative committees must receive the compiled reports, the specific submission format, or any enforcement, penalty, confidentiality, exemption, or threshold provisions. The bill is Substitute Senate Bill 5683 (S-1626.1), 69th Legislature, 2025 Regular Session.

If enacted, insurers, managed care organizations, and public-employee health plans will have a new, recurring obligation to compile and submit detailed annual data about claims payment timeliness (counts of clean vs non-clean claims, requests for additional information, averages and ranges for time to payment, percent paid within 30 days, and similar metrics) for the prior plan year beginning with a report due January 1, 2027. That will create ongoing administrative work and likely additional staffing or contract costs to collect, calculate, and deliver identified, entity-level data in whatever form the insurance commissioner or the Health Care Authority requires; those entities will also face greater public exposure and reputational risk because the regulators must publish identifying information and trend analyses by July 1, 2027 and each year after. The Office of the Insurance Commissioner and the Health Care Authority will take on the work of receiving, analyzing, and publishing individual-entity data, complaint summaries, and statewide trends, which could increase their workload and create demands for analytical and public-facing resources, though the bill text here does not specify funding, enforcement, or confidentiality rules. Several key details are left open in the provided text — including exact statutory section numbers, definitions of key terms (like "carrier" and "plan year"), the specific data submission format, any exemptions or penalties, and what additional information the regulators might require — so the practical burden and legal effects could vary depending on how those points are implemented.