Concerning access to medical care in workers' compensation.
This bill establishes a state-created network of healthcare providers for workers' compensation cases in Washington. It requires the Department of Labor to set minimum standards for providers (like malpractice insurance and no disciplinary actions) to join the network, and creates a higher-quality "second tier" for providers using occupational health best practices. Injured workers gain the right to choose their initial provider (except in emergencies), and employers cannot steer them toward specific clinics; if no network provider is within 15 miles, workers can access non-network care with guaranteed payment under the department’s fee schedule. The bill directly affects injured workers, employers (including self-insurers), and healthcare providers seeking to treat workers’ compensation cases.
Bill status
signed
all 5 stages cleared
Introduction
Dec 2025
Committee Review
Mar 2026
Senate Passage
Mar 2026
House Passage
Mar 2026
Signed into Law
Mar 2026
Introduced Dec 8, 2025
Signed Mar 24, 2026
Maddy AI version diff · 4 comparisons
What changed between versions
Engrossed Second Substitute Bill
→
Second Substitute Passed Legislature
·
3 edits
MINOR
The bill was amended to expand the list of state laws it modifies to include provisions on state funding (RCW 43.88.180) and mental health care (RCW 51.08.200). It also added a new section requiring the workers' compensation department to hire additional claims managers to reduce case backlogs and improve claim processing speed. Finally, the effective dates for various sections of the bill were shifted to take effect in 2028 instead of 2027.
Scope change
The bill's scope was expanded to include amendments to the state funding code (RCW 43.88.180) and the mental health care code (RCW 51.08.200), in addition to the original workers' compensation sections.
SCOPE
Added RCW 43.88.180 and RCW 51.08.200 to the list of laws being amended, expanding the bill's reach to state funding rules and mental health definitions.
REQUIREMENT
Added a new section mandating the hiring of additional claims managers to achieve a national average caseload of 141 claims per manager, aiming to improve timeliness and efficiency.
TIMELINE
Adjusted effective dates for several sections, moving implementation from 2027 to 2028 to allow for additional preparation time.
Floor votes · Senate Feb 13, 2026 · House Mar 6, 2026
How they voted
32–18
Passed · 1 other
Total votes 51
Feb 13, 2026
D
Democratic31
100% Yea
R
Republican20
90% Nay
Vote distribution
All Yea
All Nay
Mixed
No data
Full legislative history
Actions timeline
Total actions
45
Key actions
24
Committee
21
Amendments
1
Mar 24, 2026
Signed into law
Governor signed.
executive
Mar 11, 2026
Lower · Passed
Speaker signed.
lower
Mar 11, 2026
Upper · Passed
President signed.
upper
Mar 10, 2026
Upper · Passed
Passed final passage; yeas, 30; nays, 19; absent, 0; excused, 0.
upper
Mar 10, 2026
Upper · Passed
Senate concurred in House amendments.
upper
Mar 6, 2026
Lower · Passed
Committee amendment(s) adopted as amended.
lower
Mar 6, 2026
Amended
Committee amendment not adopted.
lower
Mar 6, 2026
House · Passed
House Vote: pass (68-29-3)
house
Mar 2, 2026
Committee
Referred to Rules 2 Review.
lower
Mar 2, 2026
Lower · Passed
Minority; without recommendation.
lower
Mar 2, 2026
Lower · Passed
Minority; do not pass.
lower
Mar 2, 2026
Lower · Passed
APP - Majority; do pass with amendment(s) but without amendment(s) by Labor & Workplace Standards.
lower
Mar 2, 2026
Lower · Passed
Executive action taken in the House Committee on Appropriations at 10:30 AM.
lower
Feb 27, 2026
Lower · Passed
Public hearing in the House Committee on Appropriations at 10:30 AM.
lower
Feb 25, 2026
Committee
Referred to Appropriations.
lower
Feb 24, 2026
Lower · Passed
Minority; without recommendation.
lower
Feb 24, 2026
Lower · Passed
LAWS - Majority; do pass with amendment(s).
lower
Feb 24, 2026
Lower · Passed
Executive action taken in the House Committee on Labor & Workplace Standards at 10:30 AM.
lower
Feb 18, 2026
Lower · Passed
Public hearing in the House Committee on Labor & Workplace Standards at 8:00 AM.
lower
Feb 13, 2026
Upper · Passed
Floor amendment(s) adopted.
upper
Feb 9, 2026
Upper · Passed
Minority; do not pass.
upper
Feb 9, 2026
Upper · Passed
Executive action taken in the Senate Committee on Ways & Means at 10:30 AM.
upper
Feb 5, 2026
Upper · Passed
Public hearing in the Senate Committee on Ways & Means at 1:30 PM.
upper
Feb 2, 2026
Committee
Referred to Ways & Means.
upper
Jan 30, 2026
Upper · Passed
Minority; without recommendation.
upper
Jan 30, 2026
Upper · Passed
Minority; do not pass.
upper
Jan 30, 2026
Committee
And refer to Ways & Means.
upper
Jan 30, 2026
Upper · Passed
Executive action taken in the Senate Committee on Labor & Commerce at 8:00 AM.
upper
Jan 23, 2026
Upper · Passed
Public hearing in the Senate Committee on Labor & Commerce at 8:00 AM.
upper
1 primary · 14 co-sponsors
Sponsors
Role
Legislator
Party
State
District
P
RS
Rebecca Saldaña
DDemocratic
Co
Bob Hasegawa
DDemocratic
Co
Claire Wilson
DDemocratic
Co
Derek Stanford
DDemocratic
Co
Emily Alvarado
DDemocratic
Co
Javier Valdez
DDemocratic
Co
Jess Bateman
DDemocratic
Co
Liz Lovelett
DDemocratic
Co
Marcus Riccelli
DDemocratic
Co
Paul Harris
RRepublican
Co
Sharon Shewmake
DDemocratic
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