This bill adds legislative findings about a severe shortage of primary care providers in Washington, the cost-effectiveness of primary care-focused delivery, and the potential to expand supply through efficient use of clinical rotations and preceptorships without excessive student debt. It amends RCW 70.390.080 (and 2022 c 155 s 1) to impose new measurement and reporting duties on a statutorily referenced "board." The amendment requires that board to measure primary care spending and report on progress toward a target of primary care accounting for 12 percent of total health care expenditures. It creates new procedural reporting requirements: a preliminary report (addressing how to define primary care for expenditure calculations, data barriers, annual progress needed to reach 12 percent, methods to determine achievement, incentive and reimbursement approaches, and the board’s ongoing role) due December 1, 2022; annual reports beginning August 1, 2023 to the governor and relevant legislative committees that include primary care expenditures by insurance carrier and market/payer (total and percent), breakdowns by physical versus behavioral health, provider type, and payment mechanism, and identification of reporting barriers with recommendations; and a December 1, 2027 report reviewing the cost of primary care preceptorships in hospitals and other clinical settings for training physicians for rural and unserved areas. The board must consult primary care providers and review specified prior reports and studies when developing measures and reports. The text provided does not identify which specific board is required to comply, and it does not include any transitional language explaining why some report deadlines are dated before the bill’s session. Other statutory sections or clarifying provisions may appear elsewhere in the bill but are not included in the extracted facts.

If enacted, a state board would be required to start measuring and reporting how much is spent on primary care and whether spending is moving toward a 12% target, producing a specified preliminary report and annual reports with breakdowns by insurer, market/payer, provider type, payment mechanism, and physical versus behavioral health. The board must also review the cost of primary care preceptorships in hospitals and other clinical settings and report findings by December 1, 2027, and must consult primary care providers and review several named prior studies while doing this work. The immediate practical effects are new ongoing responsibilities and likely extra staff time or costs for that board, and administrative burdens for insurers, payers, hospitals, and training sites who will be asked for detailed spending and cost information. Primary care providers and their representative organizations will be consulted and may see reimbursement practices scrutinized. Important details are missing here: the bill text does not identify which specific board is responsible, some report deadlines listed are dated before the bill, and there is no funding or enforcement language shown, so the scope of required data collection, the resources to do it, and how the findings would change actual payments remain uncertain.