Facilitating the rapid sharing of overdose mapping information for overdose prevention.
HB 2168 creates a real-time overdose mapping system to help prevent opioid overdoses in Washington. It requires emergency medical services (like ambulances and aid services) to submit anonymized data - such as location, time, whether reversal medication was used, and fatality status - within 24 hours of treating an overdose to a centralized program. This data helps health and public safety agencies quickly identify overdose hotspots and deploy targeted prevention efforts, like public education or treatment resources, without using the information for law enforcement. The bill explicitly prohibits using the data for criminal investigations or identifying individuals, ensuring privacy protections for those seeking care.
Bill status
passed both
4 of 5 stages cleared
Introduction
Dec 2025
Committee Review
Mar 2026
House Passage
Feb 2026
Senate Passage
Mar 2026
Governor
Introduced Dec 18, 2025
Last action Mar 6, 2026
Maddy AI version diff · 2 comparisons
What changed between versions
Substitute Bill
→
Engrossed Substitute Bill
·
3 edits
·
Mar 6, 2026
MINOR
The bill updates the timeline for reporting opioid overdose data to a mapping program from January 1, 2027, to July 1, 2027. It also broadens the list of prohibited uses for this data by adding immigration and customs enforcement to the existing restrictions on law enforcement and criminal investigations. Additionally, the requirement for specific latitude and longitude precision was removed, giving the department more flexibility in how it reports location data.
Scope change
The scope of prohibited data usage was expanded to include immigration and customs enforcement, and the technical requirements for geolocation reporting were relaxed.
TIMELINE
The deadline for the department to submit overdose data to the mapping application was changed from January 1, 2027, to July 1, 2027.
ENFORCEMENT
Immigration and customs enforcement was added to the list of entities prohibited from using the submitted overdose data.
TECHNICAL
The specific requirement for latitude and longitude precision (four decimal places in urban areas, two in rural areas) was removed, allowing the department to determine data specificity at its discretion.
Floor votes · Senate Mar 6, 2026 · House Feb 17, 2026
How they voted
43–7
Passed · 1 other
Total votes 51
Mar 6, 2026
D
Democratic31
77% Yea
R
Republican20
95% Yea
Vote distribution
All Yea
All Nay
Mixed
No data
Full legislative history
Actions timeline
Total actions
26
Key actions
11
Committee
12
Mar 6, 2026
Upper · Passed
Committee amendment(s) adopted as amended.
upper
Mar 6, 2026
Senate · Passed
Senate Vote: pass (43-7-1)
senate
Mar 2, 2026
Upper · Passed
WM - Majority; do pass with amendment(s).
upper
Mar 2, 2026
Upper · Passed
Executive action taken in the Senate Committee on Ways & Means at 10:30 AM.
upper
Feb 26, 2026
Upper · Passed
Public hearing in the Senate Committee on Ways & Means at 1:30 PM.
upper
Feb 23, 2026
Committee
Referred to Ways & Means.
upper
Feb 20, 2026
Committee
And refer to Ways & Means.
upper
Feb 20, 2026
Upper · Passed
HLTC - Majority; do pass.
upper
Feb 20, 2026
Upper · Passed
Executive action taken in the Senate Committee on Health & Long-Term Care at 8:00 AM.
upper
Feb 17, 2026
Lower · Passed
Floor amendment(s) adopted.
lower
Feb 4, 2026
Committee
Referred to Rules 2 Review.
lower
Feb 3, 2026
Lower · Passed
Minority; without recommendation.
lower
Feb 3, 2026
Lower · Passed
Executive action taken in the House Committee on Health Care & Wellness at 1:30 PM.
lower
Jan 13, 2026
Lower · Passed
Public hearing in the House Committee on Health Care & Wellness at 1:30 PM.
lower
1 primary · 7 co-sponsors
Sponsors
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