Healthcare

signed · Washington · House Mar 25, 2026

HB 2548: Strengthening health care market standards.

HB 2548 amends Washington state law to require 60-day advance notice to the Attorney General for significant healthcare entity transactions. It directly affects hospitals, hospital systems, and provider organizations (like physician groups or accountable care organizations) when they plan mergers, acquisitions, or changes in ownership structure. The bill mandates this notice for transactions involving entities generating $10 million+ in Washington patient revenue, or for conversions from nonprofit to for-profit status. This procedural requirement aims to increase transparency before major market shifts, without altering healthcare coverage or costs. The bill is currently pending in committee after failing to pass in the House.

Topics ✓ HealthcareSupports HealthcareBill mandates transparency for healthcare mergers to prevent anti-competitive practices, directly strengthening market standards as stated in title and summary.90% confidence | Rep's Stance ✗ Voted No ✗ Opposes Healthcare

signed · Washington · Senate Mar 25, 2026

SB 6182: Establishing an abortion savings program.

SB 6182 establishes an abortion savings program funded by an annual assessment on health insurance companies. It requires health carriers to pay $0.82 per coverage month in 2027 (then $0.165 annually) to a state account, with funds used to provide operating grants to abortion providers and funds that support clinical care access for people without sufficient resources. The bill prohibits disclosing patient or provider identifying information and mandates that at least 85% of program funds go directly to eligible organizations. These grants specifically support abortion services where federal funding is restricted, and the program cannot pass assessment costs to consumers through premiums or rates.

Topics ✓ Budget & TaxesSupports Budget & TaxesBill imposes annual assessment on insurers to fund abortion care, creating new state revenue and directing spending toward healthcare services.95% confidence ✓ HealthcareSupports HealthcareFunds abortion providers via insurer assessments, improves access for low-resource patients, aligns with healthcare funding/support indicators95% confidence | Rep's Stance ✗ Voted No ✗ Opposes Healthcare

signed · Washington · House Mar 23, 2026

HB 2475: Concerning language accessible public programs, activities, and services conducted, operated, or administered by state agencies.

HB 2475 requires Washington state agencies to provide language-accessible public programs, activities, and services in individuals' primary languages (including sign language) across all communication methods. It directly affects non-English speakers, particularly those with limited English proficiency, by mandating consistent service delivery for state benefits, health care, emergency response, and other programs. The bill requires the state office of equity to develop uniform guidelines by December 2027, address interpreter shortages for less common languages, and update guidelines every three years. This law clarifies existing language access obligations under state law without creating new rights or expanding protected classes.

Topics ✓ HealthcareSupports HealthcareMandates language access for health care services, improving access for non-English speakers in state health programs per bill summary.95% confidence ✓ ImmigrationSupports ImmigrationMandates language-accessible state services for non-English speakers, including immigrants with limited English proficiency, enhancing access to benefits and healthcare.90% confidence | Rep's Stance ✗ Voted No ✗ Opposes Healthcare

signed · Washington · House Mar 23, 2026

HB 2385: Concerning the medicaid access program.

HB 2385 creates a Medicaid Access Program requiring Washington State to increase reimbursement rates for specific medical services (like anesthesia, surgery, behavioral health, and maternal care) that are currently paid at or below Medicare rates. These rates must be raised uniformly to match Medicare rates from the prior year, using funds collected in a dedicated account, and adjusted annually using the Medicare Economic Index after federal approval is secured. The bill mandates a study starting in 2032 to evaluate if these rate increases improve Medicaid access, tracking metrics like provider participation and patient access surveys. It also sets a 2032 deadline for federal approval, after which the program expires if approval isn't granted.

Topics ✓ Budget & TaxesSupports Budget & TaxesMandates increased state funding for Medicaid services by requiring uniform reimbursement rate hikes to Medicare levels using dedicated funds.95% confidence ✓ HealthcareSupports HealthcareIncreases Medicaid reimbursement rates to Medicare levels for key services (anesthesia, surgery, behavioral health, maternal care), improving provider access and patient care through enhanced funding.95% confidence | Rep's Stance ✗ Voted No ✗ Opposes Healthcare

signed · Washington · Senate Mar 18, 2026

SB 6103: Making payments for services provided by a rural emergency hospital subject to appropriation.

This bill changes how Washington state funds rural emergency hospitals. It requires that payments for services provided by rural emergency hospitals (designated by federal Medicare/Medicaid) must be approved each year through the state budget, rather than being automatically funded. This affects hospitals meeting federal rural emergency hospital criteria, including those that previously received automatic payments. The change applies to all medical assistance program services provided by these hospitals, regardless of patient enrollment in managed care. The bill does not alter existing payment rates but shifts the funding mechanism to annual appropriations.

Topics ✗ Budget & TaxesOpposes Budget & TaxesRequires annual budget approval for rural hospital payments instead of automatic funding, making funding contingent on annual appropriations and reducing guaranteed support.90% confidence ✗ HealthcareOpposes HealthcareBill requires annual budget approval for rural hospital payments instead of automatic funding, creating potential for defunding and restricting consistent healthcare financing for designated facilities.85% confidence | Rep's Stance ✓ Voted Yes ✗ Opposes Healthcare

signed · Washington · Senate Mar 14, 2026

SB 5917: Improving access to abortion medications.

SB 5917 authorizes Washington's Department of Health to operate a program distributing abortion medications (like mifepristone and misoprostol) to healthcare providers and entities offering reproductive health care, including abortion services. The bill requires medications to be sold at cost - capped at list price plus a $5 fee per dose for secure storage and delivery - and prioritizes bulk distribution to clinics and hospitals. It exempts the state from needing a wholesaler's license for this program under existing law and mandates that medications only be used for reproductive health care. The policy directly affects healthcare providers and facilities that offer abortion or pregnancy-related care in Washington State.

Topics ✓ HealthcareSupports HealthcareAuthorizes state program to distribute abortion meds at cost, prioritizing clinics to improve access to reproductive healthcare services.95% confidence | Rep's Stance ✗ Voted No ✗ Opposes Healthcare

passed · Washington · House Mar 12, 2026

HB 1574: Protecting access to life-saving care and substance use services.

HB 1574 expands "Good Samaritan" protections for individuals seeking or experiencing medical assistance during a drug-related overdose. The bill prevents these individuals from being arrested, charged, or prosecuted for drug possession if the evidence was obtained due to the overdose. It also protects them from civil forfeiture of property (with exceptions) and penalties for certain violations, such as probation or restraining orders, if these were discovered as a result of the overdose. Furthermore, it clarifies that these overdose protections can override mandatory arrest requirements for other offenses when the evidence is linked to the overdose and the need for medical assistance.

Topics ✓ Criminal JusticeSupports Criminal JusticePrevents criminal prosecution for drug possession during overdose response, aligning with criminal justice reform by reducing barriers to seeking medical help and protecting civil rights.95% confidence ✓ HealthcareSupports HealthcareExpands access to life-saving care by removing legal barriers for overdose assistance, protecting patient rights during substance use treatment, aligning with healthcare access and protection indicators.95% confidence | Rep's Stance ✗ Voted No ✗ Opposes Healthcare

Track

signed · Washington · House Mar 9, 2026

HB 2242: Preserving access to preventive services by clarifying state authority and definitions.

HB 2242 clarifies and preserves access to preventive health services covered by most Washington health insurance plans. It requires plans issued after April 1, 2026, to cover evidence-based services like vaccinations, cancer screenings, and other preventive care without cost-sharing, based on current U.S. Preventive Services Task Force (USPSTF) ratings and CDC recommendations. The bill updates coverage requirements to align with federal guidelines as of June 30, 2025, and allows the state Department of Health to issue immunization guidance without standard rulemaking. This directly affects Washington residents using health insurance and insurers offering new or updated plans, ensuring consistent access to preventive care without adding new requirements for patient consent or immunization mandates.

Topics ✓ HealthcareSupports HealthcareMandates no cost-sharing for preventive services (vaccinations, screenings) per USPSTF/CDC, preserving access to evidence-based care without restricting coverage.95% confidence | Rep's Stance ✗ Voted No ✗ Opposes Healthcare

passed · Washington · House Jan 12, 2026

HB 1218: Concerning persons referred for competency evaluation and restoration services.

HB 1218 aims to improve services for individuals referred for competency evaluations and restoration within the criminal justice system, particularly those with behavioral health needs. The bill expands and clarifies the role of forensic navigators, who courts may appoint to assist these individuals. Forensic navigators help individuals access diversion programs, community outpatient competency restoration services, housing, and medication, while also providing updates to the court and legal parties. The goal is to reduce the demand on forensic mental health facilities by diverting individuals to community-based behavioral health care.

Topics ✓ Criminal JusticeSupports Criminal JusticeExpands forensic navigators to connect individuals with behavioral health needs to diversion, housing, and outpatient services, reducing reliance on incarceration and advancing rehabilitation-focused criminal justice reform.95% confidence ✓ HealthcareSupports HealthcareExpands access to community mental health services for individuals in criminal justice system through forensic navigators, improving healthcare access for behavioral health needs.85% confidence | Rep's Stance ✗ Voted No ✗ Opposes 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 No ✗ Opposes Healthcare

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