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Toppenish hospital leaders urge Legislature to equalize Medicaid payments
Summary
Health system leaders and hospital executives testified in favor of Senate Bill 6,194, saying Toppenish Hospital needs cost‑based Medicaid reimbursement to remain solvent after losing enhanced payments in 2021 and to preserve care for Yakama Nation and agricultural communities.
Committee staff described Senate Bill 6,194 as narrowly targeted legislation to allow Medicaid payments based on allowable costs for a rural hospital located on a federally recognized Indian reservation — in practice, Toppenish Hospital.
Sandy Stith, staff to the committee, said the bill would allow allowable‑cost payments beginning in a future fiscal period (staff noted implementation timing may require a January 1, 2027 start) and summarized fiscal estimates in the fiscal…
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