HB 1686 Washington House · 2025-2026 Regular Session

Creating a health care entity registry.

House Bill 1686 establishes a health care entity registry in Washington State. This bill requires parent companies or holding companies that own or control multiple health care entities, such as facilities, provider organizations, and insurers, to register with the Department of Health. Starting July 1, 2026, these "registering entities" must annually report information including their business structure, ownership details (like private equity involvement), and the locations where health care services are provided. The goal is to create transparency about the changing health care market, especially regarding consolidation and investment, to help the state understand its impact on health care access and affordability.
Bill status signed all 5 stages cleared
Introduction
Jan 2025
Committee Review
Apr 2025
House Passage
Apr 2025
Senate Passage
Apr 2025
Signed into Law
Apr 2025
Introduced Jan 29, 2025 Signed Apr 22, 2025
Maddy AI version diff · 4 comparisons

What changed between versions

Engrossed Second Substitute Bill Second Substitute Passed Legislature · 1 edit
MINOR
The document was updated to include a formal Certificate of Enrollment, confirming that HB 1686 has been passed by both the House and Senate and is ready for filing. This addition serves as an official record of the bill's legislative history and approval dates, ensuring the document is complete for the Secretary of State.
TECHNICAL

Added a Certification of Enrollment page containing signatures from the Speaker of the House and President of the Senate, along with the Chief Clerk's certification of the bill's passage.

Floor votes · Senate Apr 14, 2025 · House Mar 10, 2025

How they voted

510
Passed
Total votes 51
Apr 14, 2025
D Democratic31
31 Yea
100% Yea
R Republican20
20 Yea
100% Yea
Vote distribution
All Yea All Nay Mixed No data
Full legislative history

Actions timeline

Total actions
39
Key actions
20
Committee
19
Apr 22, 2025
Signed into law
Governor signed.
executive
Apr 16, 2025
Upper · Passed
President signed.
upper
Apr 15, 2025
Lower · Passed
Speaker signed.
lower
Apr 14, 2025
Senate · Passed
Senate Vote: pass (51-0)
senate
Apr 7, 2025
Upper · Passed
Minority; without recommendation.
upper
Apr 7, 2025
Upper · Passed
WM - Majority; do pass.
upper
Apr 7, 2025
Upper · Passed
Executive action taken in the Senate Committee on Ways & Means at 1:30 PM.
upper
Apr 3, 2025
Upper · Passed
Public hearing in the Senate Committee on Ways & Means at 1:30 PM.
upper
Mar 21, 2025
Committee
Referred to Ways & Means.
upper
Mar 20, 2025
Committee
And refer to Ways & Means.
upper
Mar 20, 2025
Upper · Passed
Minority; without recommendation.
upper
Mar 20, 2025
Upper · Passed
HLTC - Majority; do pass.
upper
Mar 20, 2025
Upper · Passed
Executive action taken in the Senate Committee on Health & Long-Term Care at 8:00 AM.
upper
Mar 18, 2025
Upper · Passed
Public hearing in the Senate Committee on Health & Long-Term Care at 10:30 AM.
upper
Mar 10, 2025
Lower · Passed
Floor amendment(s) adopted.
lower
Feb 28, 2025
Committee
Referred to Rules 2 Review.
lower
Feb 27, 2025
Lower · Passed
Minority; without recommendation.
lower
Feb 27, 2025
Lower · Passed
Minority; do not pass.
lower
Feb 27, 2025
Lower · Passed
Executive action taken in the House Committee on Appropriations at 9:00 AM.
lower
Feb 25, 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 21, 2025
Lower · Passed
Minority; without recommendation.
lower
Feb 21, 2025
Lower · Passed
Executive action taken in the House Committee on Health Care & Wellness at 8:00 AM.
lower
Feb 12, 2025
Lower · Passed
Public hearing in the House Committee on Health Care & Wellness at 1:30 PM.
lower
1 primary · 6 co-sponsors

Sponsors