HB 2326 establishes rules for property tax levies to fund emergency medical services (EMS) in Washington State. It allows counties, cities, emergency medical districts, and fire authorities to impose up to $0.50 per $1,000 in property value for up to 10 years or permanently, requiring voter approval (a 3/5 majority of registered voters) for initial or permanent levies. Funds must be used exclusively for EMS services, including personnel, equipment, and training, with separate accounting and public reporting required. The bill prohibits overlapping levies within the same geographic area and sets specific rules for countywide implementation, including requiring approval from 75% of cities over 50,000 population.
HB 1809 requires Washington state to develop and implement a standardized 9-hour training program for emergency medical technicians (EMTs) and paramedics on responding to behavioral health emergencies, such as overdoses and suicidal crises, by July 2026. It creates a voluntary "behavioral health endorsement" for EMTs who complete the training, allowing them to better connect individuals in crisis to community services instead of emergency departments. The bill mandates the Department of Health to adopt rules integrating this training into existing certification programs by January 2027. This aims to reduce reliance on emergency rooms for behavioral health crises while improving first responder preparedness and collaboration with co-response teams.
HB 1816 allows cities and counties with over 200,000 residents to create civilian crisis response teams that handle specific 911 calls instead of police. These teams can serve as the primary response for calls involving mental health crises, safety checks, or resource requests (like shelter or food), but only when no active violence or weapons are reported. The bill requires teams to undergo training in de-escalation and scene safety, and mandates consultation with health authorities to set qualifications and operating protocols. It designates these teams as a "third 911 responder" alongside police and fire, operating outside traditional law enforcement and fire response systems.
HB 1864 requires health plans issued or renewed on or after January 1, 2026, to cover ground ambulance transport to non-emergency facilities like urgent care clinics, mental health centers, or substance use disorder programs. It amends existing laws to mandate this coverage for behavioral health emergencies (effective January 1, 2025) and establishes reimbursement rules for medical assistance programs. The bill directly affects health insurers, ambulance services, and patients seeking non-emergency care. It creates a policy change ensuring coverage for transport to these facilities without requiring prior authorization for emergency situations.
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.
