Healthcare

passed · Washington · Senate Mar 12, 2026

SB 5904: Concerning the use of nursing titles.

SB 5904 restricts the use of specific nursing titles in Washington State. Only licensed registered nurses (R.N.), advanced practice nurse practitioners (A.P.R.N.), and licensed practical nurses (L.P.N.) may use those titles or their abbreviations. The bill prohibits all others - including unlicensed individuals and nonhuman entities - from using these titles or similar designations to imply licensed status. It includes an exception for Christian Science nurses listed in the Christian Science Journal, provided they do not claim to be licensed nurses. The law takes effect June 30, 2027.

Topics ✓ HealthcareSupports HealthcareRestricts nursing titles to licensed professionals, preventing misleading claims and protecting patient safety in healthcare services.85% confidence | Rep's Stance ✓ Voted Yes ✓ Supports Healthcare

Track

passed · Washington · Senate Mar 12, 2026

SB 5916: Concerning nonopioid drugs for the treatment of pain.

Washington State's SB 5916 requires health plans and managed care organizations to treat nonopioid pain medications equally with opioids in coverage. Starting January 1, 2027, plans cannot label nonopioid drugs as "nonpreferred" when opioids are preferred, or apply stricter rules like prior authorization to nonopioids compared to opioids. The bill also mandates that the state develop an educational pamphlet about nonopioid pain treatment options, including their benefits and limitations. This directly affects health plans covering employees and their dependents, ensuring nonopioid alternatives face no coverage barriers relative to opioids.

Topics ✓ HealthcareSupports HealthcareRequires equal insurance coverage for nonopioid pain meds vs opioids, expanding patient access to alternatives and mandating educational materials on options.95% confidence | Rep's Stance ✓ Voted Yes ✓ Supports Healthcare

Track

passed · Washington · Senate Mar 12, 2026

SB 5594: Concerning biosimilar medicines.

This bill aims to reduce prescription drug costs by improving patient access to biosimilar medicines and other prescribed drugs. It directly affects health plans, drug utilization management entities, patients, and healthcare providers. The bill establishes a clear process for patients and practitioners to request exceptions to prescription drug utilization management rules, such as prior authorization or step therapy. It outlines specific conditions under which these exception requests must be granted and sets strict deadlines for health plans to respond. If a response is not provided within the specified timeframes, the exception request is automatically granted, and health plans must cover an emergency supply fill if necessary during the process.

Topics ✓ HealthcareSupports HealthcareBill improves patient access to biosimilar medicines by establishing exception processes for prior authorization/step therapy, reducing costs and expanding drug access.90% confidence | Rep's Stance ✓ Voted Yes ✓ Supports Healthcare

Track

passed · Washington · Senate Mar 12, 2026

SB 5240: Concerning anaphylaxis medications in schools.

Senate Bill 5240 allows public and private schools in Washington to maintain a supply of epinephrine, including autoinjectors, for use in emergencies. Licensed health professionals can prescribe this medication in the school's name, accompanied by a standing order for administration by school nurses or trained personnel. The bill clarifies that epinephrine can be administered to students experiencing anaphylaxis, even if they do not have a personal prescription on file, and extends its use to field trips and school buses. It also provides liability protection for those involved in prescribing and administering the medication.

Topics ✓ EducationSupports EducationBill protects student health by enabling schools to administer epinephrine for anaphylaxis emergencies without personal prescriptions, ensuring safe learning environments.95% confidence ✓ HealthcareSupports HealthcareAllows schools to stock epinephrine for anaphylaxis emergencies without individual prescriptions, improving immediate access to life-saving treatment in schools.95% confidence | Rep's Stance ✓ Voted Yes ✓ Supports Healthcare

Track

signed · Washington · House Mar 11, 2026

HB 2363: Concerning temporary exemptions from licensure for certain applicants for a license to practice music therapy.

This bill creates a temporary exemption allowing individuals applying for a music therapy license to provide services under a licensed therapist's supervision for up to six months. It directly affects applicants who have met all licensing requirements except passing the required exam. The exemption applies only if they do not represent themselves as licensed music therapists and are working toward full licensure. This change modifies Washington's existing licensing law to streamline entry into the profession while maintaining public safety standards. The provision takes effect January 1, 2028.

Topics ✓ HealthcareSupports HealthcareEnables temporary practice under supervision for music therapy applicants, improving access to mental health services by streamlining licensure pathways for healthcare professionals.85% confidence | Rep's Stance ✓ Voted Yes ✓ Supports Healthcare

signed · Washington · House Mar 11, 2026

HB 2531: Aligning the quality assurance fee for the ambulance transport fund with federal regulations.

HB 2531 adjusts how ambulance transport providers in Washington pay a quality assurance fee to align with federal Medicaid reimbursement rules. It replaces the previous 5.5% fee calculation with a new method based on federal reimbursement rates and actual emergency transport data, requiring annual adjustments. The fee funds emergency ambulance services through Medicaid reimbursements without reducing existing state funding, and providers must pay quarterly based on their prior-quarter transports. This directly affects all ambulance transport providers in Washington who serve Medicaid patients.

Topics ✓ HealthcareSupports HealthcareBill aligns ambulance fee with federal Medicaid rules to fund emergency services without reducing state funding, ensuring stable healthcare infrastructure for ambulance transport.90% confidence | Rep's Stance ✓ Voted Yes ✓ Supports Healthcare

signed · Washington · House Mar 11, 2026

HB 2088: Concerning the dietitian licensure compact.

HB 2088 creates a multi-state licensure compact for dietitians, allowing licensed professionals to practice across participating states without obtaining separate licenses in each location. The bill establishes a "compact privilege" that recognizes a dietitian's home-state license as valid in other member states, eliminating the need for duplicate licensing. It directly affects licensed dietitians (especially those relocating, including military members and spouses), patients seeking care across state lines, and participating states' regulatory systems. Key mechanisms include standardized requirements for practice, shared data systems for disciplinary information, and provisions to protect public health while reducing administrative burdens on both professionals and states.

Topics ✓ HealthcareSupports HealthcareRemoves licensing barriers for dietitians across states, improving patient access to specialized care and supporting healthcare provider mobility.95% confidence | Rep's Stance ✓ Voted Yes ✓ Supports Healthcare

signed · Washington · House Mar 11, 2026

HB 2152: Permitting the medical use of cannabis by qualifying patients in specified health care facilities.

HB 2152, titled "Ryan's law," allows terminally ill patients with a qualifying medical condition to use cannabis in hospitals, nursing homes (excluding some residential facilities), and hospice care centers starting January 1, 2027. Facilities must establish written policies prohibiting smoking/vaping, requiring secure storage, documenting use in medical records, and having patients or their designated providers manage cannabis. Patients must provide valid authorization, and staff cannot administer or retrieve cannabis. The law excludes emergency departments and does not require facilities to comply if federal agencies block it, though it clarifies federal scheduling alone cannot override the policy.

Topics ✓ HealthcareSupports HealthcareExpands patient access to medical cannabis within healthcare facilities, aligning with treatment options and patient rights in healthcare settings.95% confidence | Rep's Stance ✓ Voted Yes ✓ Supports Healthcare

signed · Washington · House Mar 9, 2026

HB 2492: Requiring state registered apprenticeships in the building and construction trades to provide behavioral health and wellness training.

HB 2492 requires state-registered plumbing apprenticeships in Washington to include four hours of approved behavioral health and wellness training as part of their continuing education requirements. This applies directly to apprentices in the plumbing construction trade who need to maintain their certification. The training must cover topics like destigmatizing mental health, recognizing distress, suicide prevention, substance use awareness, and connecting to resources. It modifies existing certification rules (RCW 18.106.070) to allow these hours to count toward the required 24 hours of annual continuing education. The bill does not create new licensing standards but integrates mental health support into existing apprenticeship training.

Topics ✓ HealthcareSupports HealthcareMandates 4 hours of behavioral health training covering mental health destigmatization, suicide prevention, and resource access for apprentices, directly advancing mental health services.95% confidence | Rep's Stance ✓ Voted Yes ✓ Supports Healthcare

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 Yes ✓ Supports Healthcare