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(10) $272,000 of the insurance commissioner's regulatory account— 1 state appropriation is provided solely for implementation of 2 Substitute Senate Bill No. 5581 (maternal support services). If the 3 bill is not enacted by June 30, 2023, the amount provided in this 4 subsection shall lapse. 5 (11) $237,000 of the insurance commissioner's regulatory account— 6 state appropriation is provided solely for implementation of chapter 7 42, Laws of 2023 (SB 5319). 8 (12) $25,000 of the insurance commissioner's regulatory account— 9 state appropriation is provided solely for implementation of 10 Substitute Senate Bill No. 5720 (risk mitigation). If the bill is not 11 enacted by June 30, 2023, the amount provided in this subsection 12 shall lapse. 13 (13)(a) $500,000 of the insurance commissioner's regulatory 14 account—state appropriation is provided solely for the commissioner, 15 in collaboration with the office of the attorney general, to study 16 approaches to improve health care affordability including, but not 17 limited to: 18 (i) Health provider price or rate regulation policies or 19 programs, other than traditional health plan rate review, in use or 20 under consideration in other states to increase affordability for 21 health insurance purchasers and enrollees. At a minimum, this shall 22 include: 23 (A) Analysis of payment rate or payment rate increase caps and 24 reference pricing strategies; 25 (B) Analysis of research or other findings related to the 26 outcomes of the policy or program, including experience in other 27 states; 28 (C) A preliminary analysis of the regulatory authority and 29 administrative capacity necessary to implement each policy or program 30 reviewed in Washington state; 31 (D) Analysis of such approaches used in Washington state, 32 including but not limited to the operation of the hospital 33 commission, formerly established under chapter 70.39 RCW; and 34 (E) A feasibility analysis of implementing a global hospital 35 budget strategy in one or more counties or regions in Washington 36 state, including potential impacts on spending and access to health 37 care services if such a strategy were adopted; 38 p. 126 ESSB 5187.SL