Concerning medically tailored meals.
HB 2211 requires Washington state-administered health benefit programs (like Medicaid) to provide medically tailored meals through Washington-based nonprofit vendors when possible. It mandates that meal vendors follow nutrition care plans approved by qualified medical professionals and meet specific standards: meals must align with evidence-based guidelines for medical conditions, offer dietary/cultural accommodations, prioritize locally sourced whole foods, provide at least 500 calories or meet individual energy needs, and deliver one-third of daily recommended carbohydrates and protein. The bill defines "medically tailored meals" as fresh/frozen meals designed by medical professionals to treat specific health conditions. This legislation directly affects state health programs, vendors, and clients with medical conditions requiring specialized nutrition.
Bill status
signed
all 5 stages cleared
Introduction
Dec 2025
Committee Review
Feb 2026
House Passage
Mar 2026
Senate Passage
Mar 2026
Signed into Law
Mar 2026
Introduced Dec 30, 2025
Signed Mar 24, 2026
Maddy AI version diff · 2 comparisons
What changed between versions
Engrossed Bill
→
Passed Legislature
·
2 edits
MINOR
The bill was finalized and enrolled for the 2026 legislative session. The primary substantive change replaces the term 'locally produced' with 'locally sourced' throughout the text to broaden the definition of eligible food items to include those prepared or packaged within Washington state, not just those grown there.
Scope change
The bill's scope regarding eligible food sources was expanded to include items processed or packaged in Washington, in addition to those grown or raised there.
DEFINITION
Changed the definition of eligible food from 'locally produced' to 'locally sourced' to include items prepared, processed, assembled, cooked, or packaged within Washington state.
TECHNICAL
Added a formal certification of enrollment and filing details indicating the bill passed both the House and Senate in March 2026.
Floor votes · Senate Mar 6, 2026 · House Feb 14, 2026
How they voted
48–2
Passed · 1 other
Total votes 51
Mar 6, 2026
D
Democratic31
100% Yea
R
Republican20
85% Yea
Vote distribution
All Yea
All Nay
Mixed
No data
Full legislative history
Actions timeline
Total actions
28
Key actions
14
Committee
8
Mar 24, 2026
Signed into law
Governor signed.
executive
Mar 12, 2026
Upper · Passed
President signed.
upper
Mar 12, 2026
Lower · Passed
Speaker signed.
lower
Mar 11, 2026
Lower · Passed
Passed final passage; yeas, 95; nays, 0; absent, 0; excused, 3.
lower
Mar 11, 2026
Lower · Passed
House concurred in Senate amendments.
lower
Mar 6, 2026
Upper · Passed
Floor amendment(s) adopted.
upper
Feb 24, 2026
Upper · Passed
Minority; do not pass.
upper
Feb 24, 2026
Upper · Passed
HS - Majority; do pass.
upper
Feb 24, 2026
Upper · Passed
Executive action taken in the Senate Committee on Human Services at 1:30 PM.
upper
Feb 14, 2026
Lower · Passed
Floor amendment(s) adopted.
lower
Jan 27, 2026
Committee
Referred to Rules 2 Review.
lower
Jan 23, 2026
Lower · Passed
Minority; without recommendation.
lower
Jan 23, 2026
Lower · Passed
HCW - Majority; do pass.
lower
Jan 23, 2026
Lower · Passed
Executive action taken in the House Committee on Health Care & Wellness at 8:00 AM.
lower
Jan 14, 2026
Lower · Passed
Public hearing in the House Committee on Health Care & Wellness at 1:30 PM.
lower
1 primary · 10 co-sponsors
Sponsors
Role
Legislator
Party
State
District
P
Kristine Reeves
DDemocratic
Co
April Berg
DDemocratic
Co
Beth Doglio
DDemocratic
Co
Brandy Donaghy
DDemocratic
Co
Brianna Thomas
DDemocratic
Co
Julia Reed
DDemocratic
Co
Lisa Parshley
DDemocratic
Co
Mary Fosse
DDemocratic
Co
Mia Gregerson
DDemocratic
Co
Natasha Hill
DDemocratic
Co
Nicole Macri
DDemocratic
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