Healthcare

signed · Washington · House Mar 9, 2026

HB 2155: Concerning the use of nursing titles.

This bill restricts the use of specific nursing titles in Washington State to only licensed professionals. It prohibits anyone without a valid license from using titles like "registered nurse" (R.N.), "nurse practitioner" (N.P.), or "licensed practical nurse" (L.P.N.), including nonhuman entities like businesses. Christian Science nurses listed in their official journal may still use "Christian Science nurse" if they don’t claim other nursing credentials. The law expires June 30, 2027, after taking effect on the same date.

Topics ✓ HealthcareSupports HealthcareRestricts nursing titles to licensed professionals, preventing unqualified practitioners and protecting patient safety by ensuring only qualified individuals use those titles.90% confidence | Rep's Stance ✓ Voted Yes ✓ Supports Healthcare

passed both · Washington · Senate Mar 9, 2026

SJM 8002: Concerning Medicare.

Senate Joint Memorial 8002 is a resolution from the Washington State Legislature to the federal government concerning Medicare. It expresses opposition to Medicare privatization and urges federal action to create a more equitable system between Original Medicare and private Medicare Advantage plans. The memorial specifically requests the federal government to eliminate Original Medicare's 20 percent copays, add benefits like dental and vision, cap out-of-pocket medical expenses, and eliminate excessive administrative costs and profits within Medicare Advantage. It also seeks to recoup funds from documented overpayments and fraud in Medicare Advantage programs to support a stronger Original Medicare system for seniors and disabled beneficiaries.

Topics ✓ HealthcareSupports HealthcareBill opposes Medicare privatization, seeks to eliminate copays, add dental/vision benefits, and cap out-of-pocket costs - directly advancing equitable healthcare access and strengthening Medicare coverage.95% confidence | Rep's Stance ✓ Voted Yes ✓ Supports Healthcare

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passed · Washington · House Feb 19, 2026

HB 1589: Concerning the relationships between health carriers and contracting providers.

House Bill 1589 updates regulations concerning health insurance companies and healthcare providers. It requires the state insurance commissioner to ensure health carriers' networks include a sufficient number of contracted providers, specifically for emergency, anesthesiology, and behavioral health services. The bill outlines conditions under which carriers can use alternative methods to meet network needs, ensuring patients do not incur greater costs. Additionally, it mandates that health carriers offer providers a meaningful, good-faith opportunity to negotiate contract terms, prohibiting specific actions like failing to provide a clear fee schedule or contract changes.

Topics ✓ HealthcareSupports HealthcareRequires sufficient provider networks for emergency, anesthesiology, and behavioral health services, ensuring patient access without increased costs, directly advancing healthcare access and patient rights.90% confidence | Rep's Stance ✓ Voted Yes ✓ Supports Healthcare

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passed · Washington · House Jan 12, 2026

HB 1291: Concerning cost sharing for maternity services.

HB 1291 aims to reduce upfront costs for individuals receiving maternity services through their health plans in Washington State. Starting January 1, 2026, most health plans will no longer require enrollees to meet their deductible before covering in-network delivery services, such as vaginal or C-section births. Any out-of-pocket costs paid for these services will still count towards the enrollee's total deductible. For health plans linked to Health Savings Accounts, deductibles for delivery services will be set at the minimum level required to maintain the HSA's tax-exempt status.

Topics ✓ HealthcareSupports HealthcareReduces deductibles for maternity services, improving access to in-network birth care without upfront costs, directly expanding health coverage access.95% confidence | Rep's Stance ✓ Voted Yes ✓ Supports Healthcare

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passed · Washington · House Jan 12, 2026

HB 2041: Concerning postpartum coverage.

HB 2041 concerns postpartum health care coverage for residents of Washington state. Until June 30, 2026, the bill requires the state to provide 12 months of continuous postpartum health care coverage to individuals with incomes up to 210% of the federal poverty level. After this date, the continuous postpartum coverage period will be six months, maintaining the 210% income threshold. The bill also directs the state to prioritize maximizing federal funding for eligible individuals and mandates annual reporting from managed care organizations on maternal health services.

Topics ✓ HealthcareSupports HealthcareExtends postpartum health coverage from 6 to 12 months (until 2026) for low-income individuals, expanding access to health services and insurance coverage.95% confidence | Rep's Stance ✓ Voted Yes ✓ Supports Healthcare

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passed · Washington · House Jan 12, 2026

HB 1230: Requiring that experience-rated group disability income insurers include all applicable rating factors and credibility formulas in rate manual filings with the insurance commissioner.

House Bill 1230 requires experience-rated group disability income insurers in Washington state to include all applicable rating factors and credibility formulas when they file their rate manuals with the Insurance Commissioner. These filings must be detailed enough to allow the Commissioner to confirm if a group is credible and to replicate the premium rates for that group based on its experience and demographics. This bill aims to provide greater transparency and oversight for how these specific disability insurance rates are calculated.

Topics ✓ HealthcareSupports HealthcareBill mandates transparency in disability insurance pricing, improving consumer access to clear rate information and oversight of coverage terms, aligning with patient access indicators.85% confidence | Rep's Stance ✓ Voted Yes ✓ Supports Healthcare

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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 Yes ✓ Supports Healthcare

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passed · Washington · House Jan 12, 2026

HB 1394: Concerning the retention of hospital medical records.

House Bill 1394 modifies the requirements for how long hospitals in Washington State must retain medical records. It mandates that hospitals preserve all medical records for a minimum of 26 years from the date the record was created, replacing the prior 10-year retention period. This new rule applies to both existing records currently held by hospitals and all future medical records, allowing for retention in paper, electronic, or other formats. It also clarifies that all information from each unique patient visit is considered a medical record under this section.

Topics ✓ HealthcareSupports HealthcareExtends medical record retention to 26 years, enhancing patient record accessibility and continuity of care per healthcare protection indicators.90% confidence | Rep's Stance ✓ Voted Yes ✓ Supports Healthcare

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signed · Washington · Senate May 20, 2025

SB 5388: Concerning department of corrections behavioral health certification.

Senate Bill 5388 revises how behavioral health services, including substance use disorder treatment, are regulated for individuals in Washington state correctional facilities. Rather than requiring these services to be licensed by the Department of Health (DOH), the bill shifts to a monitoring process. The Department of Corrections (DOC) and DOH will jointly establish standards for these services, which the DOH will then monitor through annual inspections for compliance. The DOC must implement these standards by July 1, 2027, with DOH beginning annual inspections and providing technical assistance from that date forward.

Topics ✓ Criminal JusticeSupports Criminal JusticeBill revises behavioral health oversight in prisons to improve treatment access, aligning with rehabilitation-focused criminal justice reform by shifting to joint standards with annual monitoring.85% confidence ✓ HealthcareSupports HealthcareBill establishes joint DOC-DOH standards for behavioral health services in prisons, ensuring continued access to mental health/substance use treatment through monitoring, not licensing, strengthening care delivery.90% confidence | Rep's Stance ✓ Voted Yes ✓ Supports Healthcare

signed · Washington · Senate May 20, 2025

SB 5568: Updating and modernizing the Washington state health plan.

This bill updates and modernizes the Washington state health plan by revising the duties of the Office of Financial Management (OFM) regarding health planning. It designates OFM as the coordinating body for strategic health planning and expands its access to various health care data sources, such as the all-payer claims database, to inform its efforts. OFM is now required to develop a statewide health resources strategy, in coordination with stakeholders, to establish policies and goals for health care facility and service availability, quality, and cost by geographic region. The bill also updates definitions for various health facilities, including changing "psychiatric hospitals" to "behavioral health hospitals."

Topics ✓ HealthcareSupports HealthcareBill modernizes health planning by designating OFM as coordinator, expands data access for strategic planning, and mandates statewide health resources strategy development to strengthen system coordination and resource allocation.95% confidence | Rep's Stance ✓ Voted Yes ✓ Supports Healthcare