HB 2218 Washington House · 2025-2026 Regular Session

Concerning access to medical care in workers' compensation.

HB 2218 establishes a state-approved network of healthcare providers for workers' compensation cases in Washington. It requires injured workers to choose a provider within 15 miles of home for initial care (with non-network visits limited to emergencies), prohibits employers from directing workers to specific clinics, and sets quality standards for network inclusion (e.g., malpractice insurance, licensing status). The bill creates a second tier of providers recognized for using advanced occupational health practices, with financial incentives for meeting these standards. This directly affects injured workers, healthcare providers seeking to treat workers' compensation cases, and employers managing claims.
Bill status in committee 1 of 4 stages cleared
Introduction
Dec 2025
Committee Review
Floor Vote
Governor
Introduced Dec 30, 2025 Last action Feb 4, 2026
Maddy AI version diff · 1 comparison

What changed between versions

Bill Substitute Bill · 5 edits
MODERATE
The bill was reorganized from a single section into multiple sections to address workers' compensation access to care and claims management. Key changes include expanding the provider network to allow non-network care within 30 miles for rural areas, clarifying employer obligations to inform workers about their right to choose providers, and adding authority for the department to hire additional claims managers to reduce case loads.
Scope change
The bill's scope expanded to include a new section establishing a new chapter (51.44 RCW) focused on hiring additional claims managers to improve timely management of claims, in addition to the existing changes regarding medical provider networks and treatment duration.
REQUIREMENT

Expanded the distance a worker can travel to find a network provider from 15 miles to 30 miles for workers in counties with fewer than 500,000 people, and extended the time to find a provider from 7 days to 10 days.

Clarified that employers must inform workers they have the right to seek initial or emergency treatment from a provider of their choice, and explicitly prohibited employers from inducing workers to use specific providers.

Modified the rules for when continued medical treatment is authorized for permanent partial disability, shifting the trigger from the award date to the date of the first lump sum or initial payment.

FISCAL

Added authority for the department to hire additional claims managers to reach a recommended average case load of 141 claims per manager, with expenditures subject to budget allotment rules but not requiring a specific appropriation.

TIMELINE

Updated effective dates and expiration dates for various sections of the act, including setting an expiration for the provider network provisions in January 2028.

Floor votes

How they voted

No floor votes recorded yet.
Full legislative history

Actions timeline

Total actions
9
Key actions
5
Committee
6
Feb 4, 2026
Committee
Referred to Appropriations.
lower
Feb 3, 2026
Lower · Passed
Minority; without recommendation.
lower
Feb 3, 2026
Lower · Passed
Executive action taken in the House Committee on Labor & Workplace Standards at 10:30 AM.
lower
Jan 28, 2026
Lower · Passed
Executive session scheduled, but no action was taken in the House Committee on Labor & Workplace Standards at 8:00 AM.
lower
Jan 23, 2026
Lower · Passed
Executive session scheduled, but no action was taken in the House Committee on Labor & Workplace Standards at 10:30 AM.
lower
Jan 16, 2026
Lower · Passed
Public hearing in the House Committee on Labor & Workplace Standards at 10:30 AM.
lower
1 primary · 18 co-sponsors

Sponsors