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waiver as described in subsections (2), (3), and (4) of this section 1 concludes ((December 31, 2022)) June 30, 2023. 2 (2)(a) No more than (($78,409,000)) $93,107,000 of the general 3 fund—federal appropriation and no more than (($66,264,000)) 4 $88,826,000 of the general fund—local appropriation may be expended 5 for transformation through accountable communities of health 6 described in initiative 1 of the medicaid transformation 7 demonstration wavier under healthier Washington, including preventing 8 youth drug use, opioid prevention and treatment, and physical and 9 behavioral health integration. Under this initiative, the authority 10 shall take into account local input regarding community needs. In 11 order to ensure transparency to the appropriate fiscal committees of 12 the legislature, the authority shall provide fiscal staff of the 13 legislature query ability into any database of the fiscal 14 intermediary that authority staff would be authorized to access. The 15 authority shall not increase general fund—state expenditures under 16 this initiative. The director shall also report to the fiscal 17 committees of the legislature all of the expenditures under this 18 subsection and shall provide such fiscal data in the time, manner, 19 and form requested by the legislative fiscal committees. 20 (b) No more than (($198,909,000)) $315,678,000 of the general 21 fund—federal appropriation and no more than (($81,245,000)) 22 $128,939,000 of the general fund—private/local appropriation may be 23 expended for the medicaid quality improvement program. Under federal 24 regulations, the medicaid quality improvement program is authorized 25 and allows states to design quality improvement programs for the 26 medicaid population in ways that support the state's quality goals. 27 Medicaid quality improvement program payments will not count against 28 the medicaid transformation demonstration waiver spending limits and 29 are excluded from the waiver's budget neutrality calculation. Apple 30 health managed care organizations and their partnering providers will 31 receive medicaid quality improvement program payments as they meet 32 designated milestones. Partnering providers and apple health managed 33 care organizations will work together to achieve medicaid quality 34 improvement program goals according to the performance period 35 timelines and reporting deadlines as set forth by the authority. The 36 authority shall only utilize the medicaid quality improvement program 37 to support the transformation waiver and shall not pursue its use for 38 other purposes. Any programs created or funded by the medicaid 39 p. 955 ESSB 5187.SL