Healthcare

passed · Washington · House Jan 12, 2026

HB 1430: Concerning advanced practice registered nurse and physician assistant reimbursement.

HB 1430 requires health carriers in Washington state to reimburse advanced practice registered nurses and physician assistants at the same rate as physicians for providing identical health care services. This mandate applies to health plans issued or renewed starting January 1, 2026, excluding those offered to public employees. Health carriers are prohibited from decreasing physician reimbursement rates to meet this requirement. The Office of the Insurance Commissioner will collect data on the implementation, including rate changes and costs, and report to the legislature by July 1, 2027. This section does not apply to advanced practice registered nurses or physician assistants who are employees of a health maintenance organization.

Topics ✓ HealthcareSupports HealthcareMandates equal reimbursement for APRNs/PAs vs physicians, improving access to care by removing financial barriers for providers and patients.95% confidence | Rep's Stance ✗ Voted No ✗ Opposes Healthcare

Track

signed · Washington · Senate May 20, 2025

SB 5807: Concerning wellness incentives for public and school employee health benefit plans.

Senate Bill 5807 modifies the wellness programs offered through public and school employee health benefit plans. The bill discontinues the "smart health program," including its wellness incentive and online portal, for these employees, effective January 1, 2028. While employees who meet eligibility requirements for an incentive by December 31, 2027, will still receive it in the 2028 plan year, no new wellness incentives can be earned after that date. The legislation shifts the focus to broader wellness initiatives that emphasize preventative health strategies.

Topics ✗ HealthcareOpposes HealthcareBill discontinues wellness incentives in public/school employee health plans, restricting access to wellness program benefits effective 2028.85% confidence ✗ Labor & EmploymentOpposes Labor & EmploymentBill discontinues wellness incentives for public/school employees, removing a benefit that employees could earn through health programs.95% confidence | Rep's Stance ✓ Voted Yes ✗ Opposes Healthcare

signed · Washington · Senate May 20, 2025

SB 5083: Ensuring access to primary care, behavioral health, and affordable hospital services.

SB 5083 aims to ensure access to primary care, behavioral health, and affordable hospital services for public employees and their dependents in Washington state. It sets caps on how much health carriers can reimburse in-network hospitals for inpatient and outpatient services, generally limiting them to 200% of Medicare rates in 2027 and 190% in 2029, with higher limits for children's specialty hospitals. The bill also mandates minimum reimbursement rates for in-network primary care and non-facility-based behavioral health services (150% of Medicare) and for rural critical access hospitals. Additionally, it requires certain hospitals to contract with health carriers serving public employees and mandates data sharing with the Health Care Authority for monitoring.

Topics ✓ HealthcareSupports HealthcareBill mandates minimum reimbursements for primary care and behavioral health, caps hospital rates to ensure affordability, and explicitly aims to 'ensure access' to covered services for public employees.92% confidence ✓ Labor & EmploymentSupports Labor & EmploymentBill ensures healthcare access/affordability for public employees, expanding employment benefits through mandated reimbursement standards and cost caps.95% confidence | Rep's Stance ✗ Voted No ✗ Opposes Healthcare

signed · Washington · House May 19, 2025

HB 1427: Concerning certified peer support specialists.

This bill, HB 1427, is titled "Concerning certified peer support specialists." The provided text details amendments to state contracting for behavioral health services, affecting Medicaid recipients and other eligible individuals. It mandates the state's health authority to adopt statewide network adequacy standards for behavioral health providers within managed care organizations, ensuring timely access to mental health and substance use disorder treatments. The bill also outlines criteria for selecting managed care organizations, emphasizing experience with low-income populations and integrated care.

Topics ✓ HealthcareSupports HealthcareMandates statewide network adequacy standards for behavioral health providers to ensure timely access to mental health/substance use treatments, advancing patient access under healthcare policy.90% confidence | Rep's Stance ✗ Voted No ✗ Opposes Healthcare

signed · Washington · House May 19, 2025

HB 1811: Enhancing crisis response services through co-response integration and support.

Substitute House Bill 1811 aims to enhance crisis response services in Washington state by integrating and supporting "co-response" teams. The bill formalizes co-response as a multidisciplinary partnership between first responders (like law enforcement and EMTs) and human services professionals (such as social workers and behavioral health clinicians). These teams respond to emergency situations, including 911 and 988 calls, involving behavioral health crises and complex medical needs. The goal is to de-escalate situations, divert individuals from the criminal justice system, and provide immediate medical and behavioral health care in the field, benefiting vulnerable populations.

Topics ✓ Criminal JusticeSupports Criminal JusticeBill replaces police-only crisis response with co-response teams (social workers + EMTs), reducing criminalization of mental health crises and aligning with reform goals to divert from traditional law enforcement handling.90% confidence ✓ HealthcareSupports HealthcareIntegrates behavioral health clinicians into co-response teams for mental health crises, enhancing crisis services and aligning with mental health support indicators.95% confidence | Rep's Stance ✗ Voted No ✗ Opposes Healthcare

signed · Washington · House May 12, 2025

HB 1813: Concerning the reprocurement of medical assistance services, including the realignment of behavioral health crisis services for medicaid enrollees.

HB 1813 realigns the administration of behavioral health crisis services for Medicaid enrollees in Washington state. Beginning January 1, 2027, behavioral health administrative services organizations (BHASOs) will contract to administer these crisis services, taking over from managed care organizations. The bill requires a comprehensive funding analysis by January 1, 2026, to ensure BHASOs can adequately support all individuals needing behavioral health services, regardless of insurance status. It also mandates a transition plan for this shift and directs the development of a strategic plan for the future reprocurement of all medical assistance services, including stakeholder input.

Topics ✓ HealthcareSupports HealthcareRealignment of behavioral health crisis services to BHASOs with mandatory funding analysis ensures continued access and support for Medicaid enrollees, strengthening mental health services under healthcare policy.95% confidence | Rep's Stance ✗ Voted No ✗ Opposes Healthcare

signed · Washington · House Apr 25, 2025

HB 1971: Increasing access to prescription hormone therapy.

HB 1971 requires health plans to provide reimbursement for a 12-month refill of covered prescription hormone therapy, obtained at one time, for their enrollees. This aims to increase access to these medications for patients of all ages. Starting January 1, 2026, health plans must comply, unless the enrollee requests a smaller supply, the provider instructs a smaller supply, or the therapy is a controlled substance. The 12-month supply applies to medications that can be safely stored at room temperature, while controlled substances must be covered for the maximum refill allowed by law. Prescription hormone therapy is defined as FDA-approved drugs that medically adjust hormone levels, excluding certain glucagon-like peptide-1 medications.

Topics ✓ HealthcareSupports HealthcareMandates 12-month coverage for hormone therapy, improving patient access to medications under insurance plans.90% confidence | Rep's Stance ✗ Voted No ✗ Opposes Healthcare

signed · Washington · Senate Apr 22, 2025

SB 5480: Protecting consumers by removing barriers created by medical debt.

Senate Bill 5480 aims to protect consumers by establishing new rules for medical debt. It updates the definition of "medical debt" and outlines specific provisions for how it can be handled. A central aspect of the bill makes medical debt void and unenforceable if a health care provider, facility, or collection agency unlawfully reports information about that debt to a consumer credit reporting agency. This legislation directly affects individuals with medical debt and the agencies involved in its collection and reporting.

Topics ✓ HealthcareSupports HealthcarePrevents unlawful credit reporting of medical debt, protecting patients from financial harm that restricts healthcare access. Directly aligns with patient rights and access indicators.90% confidence | Rep's Stance ✗ Voted No ✗ Opposes Healthcare

signed · Washington · House Apr 21, 2025

HB 1531: Preserving the ability of public officials to address communicable diseases.

House Bill 1531 establishes a state policy that public health responses to communicable diseases must be guided by the best available science and evidence-based measures, including immunizations and vaccines. It requires state and local health officials to implement and promote these measures within available resources. The bill also prohibits the state or any local government from enacting laws or policies that forbid the implementation and promotion of such measures, declaring any existing prohibitive policies null and void. This legislation clarifies the ability of public health officials to use scientifically proven methods to control disease spread, without creating new requirements for individuals to receive vaccines.

Topics ✓ HealthcareSupports HealthcareBill mandates science-based public health measures including immunizations/vaccines, requires implementation within resources, and prohibits restrictions on such programs, directly advancing public health initiatives.95% confidence | Rep's Stance ✗ Voted No ✗ Opposes Healthcare

signed · Washington · House Apr 21, 2025

HB 1669: Concerning coverage requirements for prosthetic limbs and custom orthotic braces.

Substitute House Bill 1669 mandates that health plans offered in Washington's large and small group markets must provide coverage for medically necessary prosthetic limbs and custom orthotic braces. This directly affects individuals enrolled in these plans by ensuring access to devices needed for daily living, job-related tasks, and various physical activities. The bill requires coverage for materials, instruction, and reasonable repair or replacement, including replacements due to changes in a patient's condition or significant device damage. It also prohibits denying coverage to enrollees with disabilities if similar services would be covered for non-disabled individuals, while allowing for standard utilization management. These requirements apply to plans issued or renewed on or after January 1, 2026.

Topics ✓ HealthcareSupports HealthcareMandates coverage for prosthetics/orthotics, expanding access to essential medical devices under health plans per bill's explicit requirements.95% confidence | Rep's Stance ✗ Voted No ✗ Opposes Healthcare