Page 128

(ii) Regulatory approaches in use or under consideration by other 1 states to address any anticompetitive impacts of horizontal 2 consolidation and vertical integration in the health care marketplace 3 to supplement federal antitrust law. At a minimum, this regulatory 4 review shall include: 5 (A) Analysis of research, case law, or other findings related to 6 the outcomes of the state's activities to encourage competition, 7 including implementation experience; 8 (B) A preliminary analysis of regulatory authority and 9 administrative capacity necessary to implement each policy or program 10 reviewed in Washington state; and 11 (C) Analysis of recent health care consolidation and vertical 12 consolidation activity in Washington state, to the extent information 13 is available; 14 (iii) Recommended actions based on other state approaches and 15 Washington data, if any; and 16 (iv) Additional related areas of data or study needed, if any. 17 (b) The office of the insurance commissioner or office of the 18 attorney general may contract with third parties and consult with 19 other state entities to conduct all or any portion of the study. 20 (c) The office of the insurance commissioner and office of the 21 attorney general shall submit a preliminary report to the relevant 22 policy and fiscal committees of the legislature by December 1, 2023, 23 and a final report by August 1, 2024. 24 (14) $190,000 of the insurance commissioner's regulatory account— 25 state appropriation is provided solely for implementation of chapter 26 27, Laws of 2023 (SHB 1266). 27 (15) $66,000 of the insurance commissioner's regulatory account— 28 state appropriation is provided solely for implementation of 29 Engrossed Substitute House Bill No. 1222 (hearing instruments 30 coverage). If the bill is not enacted by June 30, 2023, the amount 31 provided in this subsection shall lapse. 32 (16) $25,000 of the insurance commissioner's regulatory account— 33 state appropriation is provided solely for implementation of chapter 34 21, Laws of 2023 (HB 1061). 35 (17) $14,000 of the insurance commissioner's regulatory account— 36 state appropriation is provided solely for implementation of 37 Substitute House Bill No. 1060 (mutual insurer reorg.). If the bill 38 p. 127 ESSB 5187.SL