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An individual is eligible for the premium assistance provided if the 1 individual: (a) Has income up to 250 percent of the federal poverty 2 level; and (b) meets other eligibility criteria as established in 3 ((section 1(4)(a) of Engrossed Second Substitute Senate Bill No. 5377 4 (standardized health plans))) RCW 43.71.110. 5 (12)(a) Within amounts appropriated in this section, the 6 exchange, in close consultation with the authority and the office of 7 the insurance commissioner, shall explore opportunities to facilitate 8 enrollment of Washington residents who do not qualify for non- 9 emergency medicaid or federal affordability programs in a state- 10 funded program no later than plan year 2024. 11 (b) If an opportunity to apply to the secretary of health and 12 human services under 42 U.S.C. Sec. 18052 for a waiver is identified 13 or other federal flexibilities are available, the exchange, in 14 collaboration with the office of the insurance commissioner and the 15 authority may develop an application to be submitted by the 16 authority. If an application is submitted, the authority must notify 17 the chairs and ranking minority members of the appropriate policy and 18 fiscal committees of the legislature. 19 (c) Any application submitted under this subsection must meet all 20 federal public notice and comment requirements under 42 U.S.C. Sec. 21 18052(a)(4)(B), including public hearings to ensure a meaningful 22 level of public input. 23 (d) $50,000 of the general fund—state appropriation for fiscal 24 year 2022 and (($2,891,000)) $1,891,000 of the general fund—state 25 appropriation for fiscal year 2023 are provided solely for system 26 updates and community-led engagement activities necessary to 27 implement the waiver. 28 (13) $733,000 of the general fund—state appropriation for fiscal 29 year 2023 is provided solely for system upgrades necessary for the 30 anticipated expansion of medicaid equivalent health care coverage to 31 uninsured adults with income up to 138 percent of the federal poverty 32 level regardless of immigration status in collaboration with the 33 health care authority. 34 (14) (($1,000,000)) $700,000 of the general fund—state 35 appropriation for fiscal year 2023 is provided solely for one-time 36 activities to promote continuous coverage for individuals losing 37 coverage through Washington apple health at the end of the COVID-19 38 public health emergency. 39 p. 999 ESSB 5187.SL