Concerning medicaid coverage for traditional health care practices.
HB 1583 requires Washington's Health Care Authority to apply for a federal waiver by September 1, 2025, to expand Medicaid coverage for "traditional health care practices" delivered through specific facilities. These practices include indigenous health knowledge and services provided by Indian Health Service facilities, tribally operated facilities under federal law, or urban Indian organizations. Coverage would be available to Medicaid beneficiaries receiving care at these facilities, but only if the federal Centers for Medicare & Medicaid Services approves the waiver. The bill does not change current Medicaid rules but seeks to add this coverage option through a federal waiver process.
Bill status
in committee
1 of 4 stages cleared
Introduction
Jan 2026
Committee Review
Floor Vote
Governor
Introduced Jan 12, 2026
Last action Jan 12, 2026
Maddy AI version diff · 2 comparisons
What changed between versions
Bill
→
Substitute Bill
·
4 edits
MODERATE
The bill was renumbered and its administrative handling was updated to reflect that it is now a substitute bill referred directly to the House Health Care & Wellness committee. The most significant policy change expands the Medicaid waiver application to include coverage for traditional health care practices provided by urban Indian organizations, in addition to existing facilities operated by tribes and Indian Health Service facilities.
Scope change
The bill's scope of coverage was expanded to include services provided by urban Indian organizations under Title V of the Indian Health Care Improvement Act.
TECHNICAL
The bill number was changed from H-0761.1 to H-1544.1, and the title was updated from 'House Bill' to 'Substitute House Bill'.
REQUIREMENT
The referral process was updated to indicate the bill is sponsored by the House Health Care & Wellness committee rather than individual representatives.
TIMELINE
The date the bill was read for the first time was updated from January 24, 2025, to February 21, 2025.
SCOPE
The Medicaid waiver application now explicitly includes coverage for traditional health care practices received through facilities operated by urban Indian organizations.
Floor votes
How they voted
No floor votes recorded yet.
Full legislative history
Actions timeline
Total actions
11
Key actions
4
Committee
6
Jan 12, 2026
Introduced
By resolution, reintroduced and retained in present status.
lower
Feb 28, 2025
Committee
Referred to Rules 2 Review.
lower
Feb 28, 2025
Lower · Passed
Executive action taken in the House Committee on Appropriations at 9:00 AM.
lower
Feb 26, 2025
Lower · Passed
Public hearing in the House Committee on Appropriations at 1:30 PM.
lower
Feb 21, 2025
Committee
Referred to Appropriations.
lower
Feb 18, 2025
Lower · Passed
Executive action taken in the House Committee on Health Care & Wellness at 1:30 PM.
lower
Feb 4, 2025
Lower · Passed
Public hearing in the House Committee on Health Care & Wellness at 1:30 PM.
lower
1 primary · 9 co-sponsors
Sponsors
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