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.
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.
SB 5291 strengthens the WA Cares long-term care program by implementing recommendations from the long-term services and supports trust commission. The bill allows individuals who have paid into the program for at least three years while working in Washington to continue their participation and eligibility for benefits even if they move out of state. It also establishes a clear process for how the program's benefit unit, currently up to $100, will be adjusted annually for inflation using a specific consumer price index. Additionally, the bill expands the definition of approved services to explicitly include long-term services and supports provided in nursing homes.
SB 5579 prohibits health carriers, facilities, and providers from making public statements about potential or planned contract terminations until 45 days before the termination date, unless legally required. This aims to provide consistent policies for communicating with health plan enrollees and affected communities during contract negotiations. The bill directs the Insurance Commissioner to develop standard templates for patient notices, which must include information on affected facilities, appointment guidance, and continuity of care rights. Violations by carriers can result in monetary penalties, while violations by providers or facilities can be referred to relevant licensing or disciplinary authorities.
HB 1468 repeals numerous existing state accounts across various sectors, such as the Juvenile Accountability Incentive Account and the Washington State Flag Account. Simultaneously, it establishes an annual eight-dollar surcharge on licenses for registered nurses and licensed practical nurses. These surcharge funds will be deposited into a new Nursing Resource Center Account. This account will provide grants to a central nursing resource center. The center's mission is to strengthen Washington's nursing workforce through activities like data collection, trend monitoring, and promoting nursing careers to ensure adequate healthcare staffing.
HB 1709 authorizes trained, parent-designated adults to provide care, including administering emergency medication, to students with adrenal insufficiency in Washington public schools. The bill requires school districts to develop individual health plans for these students and adopt policies for their care, such as medication storage and emergency procedures. Parent-designated adults must volunteer, be authorized by the student's parents, and complete specific training. This legislation also extends liability protection to school districts, employees, and these designated adults who act in good faith according to the student's health plan. This measure aims to ensure students with adrenal insufficiency receive necessary medical support when a school nurse is not available.
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.
HB 1162 requires all health care settings in Washington to develop and implement a comprehensive workplace violence prevention plan to protect their employees. These plans must address factors such as physical security, staffing patterns, employee training, and procedures for reporting violent acts. The bill mandates annual reviews and updates of these plans and requires health care settings to conduct timely investigations into every workplace violence incident. Findings from these investigations, along with incident data, must be regularly summarized and submitted to a relevant workplace committee to identify systemic causes and recommend plan modifications.
Senate Bill 5351 aims to ensure patient choice and access to dental care by regulating dental insurance practices. It prohibits dental-only plans from denying coverage solely because multiple procedures were performed on the same day, while still allowing denials for reasons like fraud or medical necessity. The bill also requires dental insurers to offer providers a fee-free alternative if they pay claims using credit cards. Additionally, it mandates annual public reporting of dental-only plan financial data and establishes a collaborative forum to study dental loss ratios and provider payment rates, with recommendations due by June 2026.
HB 1130 establishes a prioritization system for individuals with developmental disabilities seeking home and community-based services waivers in Washington State. It directs the Developmental Disabilities Administration to prioritize specific populations, such as those over age 45, individuals discharging from institutional settings, or those without a safe hospital discharge plan. The bill also mandates the administration to align its rules with this prioritization and to routinely collect and publicly report data on waiver enrollment, waitlists, and unfulfilled service requests. This aims to ensure that individuals identified as most in need receive timely access to critical support services.