HB 1382 Washington House · 2025-2026 Regular Session

Modernizing the all payers claim database.

HB 1382 modernizes Washington's statewide all-payer health care claims database, which collects medical and pharmacy claims data from various public and private health care payers. The bill updates reporting requirements and data disclosure standards for this database, aiming to improve transparency in health care costs and quality. It revises the process for selecting and overseeing the "lead organization" responsible for managing the database, allowing the Health Care Authority to either act as the lead or select one through a competitive process. Additionally, it specifies criteria for the lead organization and outlines entities, such as health plans or hospitals, that are ineligible for the role. The bill also details responsibilities for data vendors who collect and process the claims information to ensure data quality and security.
Bill status signed all 5 stages cleared
Introduction
Jan 2025
Committee Review
Mar 2025
House Passage
Apr 2025
Senate Passage
Apr 2025
Signed into Law
May 2025
Introduced Jan 17, 2025 Signed May 17, 2025
Maddy AI version diff · 2 comparisons

What changed between versions

Engrossed Bill Passed Legislature · 7 edits
MODERATE
This bill modernizes Washington's all-payer claims database by adding strict new security and privacy requirements for data vendors, expanding who can access data for quality improvement purposes, and establishing a competitive procurement process to select a private lead organization. The changes aim to improve data security, ensure financial sustainability through fees, and enhance transparency for patients and providers while preventing conflicts of interest.
Scope change
The bill's scope expanded to include new provisions for data security standards, specific eligibility criteria for data access by healthcare entities, and a sunset date for the database's current structure.
REQUIREMENT

Added detailed security mandates requiring state-of-the-art encryption, strict access controls, and compliance with federal HIPAA regulations for data vendors.

Mandated that the lead organization must be selected via a competitive procurement process with strict conflict-of-interest rules for state officials involved in the bidding.

Removed a previous restriction prohibiting federal, state, and local government agencies from using database data to purchase health benefits for their employees.

ELIGIBILITY

Expanded the list of entities allowed to access data to include specific providers, hospitals, and carriers for benchmarking and quality improvement, while removing a restriction on government agencies using data for employee benefits.

FISCAL

Authorized the lead organization to charge fees for data reports and files to ensure the database's financial sustainability, subject to authority approval.

TIMELINE

Set an expiration date of July 1, 2026, for the current database structure, requiring a review of state and federal pricing transparency programs by December 31, 2025.

DEFINITION

Explicitly defined the roles and responsibilities of the lead organization versus the data vendor, including internal governance and data collection duties.

Floor votes · Senate Apr 16, 2025 · House Mar 5, 2025

How they voted

3219
Passed
Total votes 51
Apr 16, 2025
D Democratic31
31 Yea
100% Yea
R Republican20
1 Yea 19 Nay
95% Nay
Vote distribution
All Yea All Nay Mixed No data
Full legislative history

Actions timeline

Total actions
29
Key actions
16
Committee
10
May 17, 2025
Signed into law
Governor signed.
executive
Apr 23, 2025
Upper · Passed
President signed.
upper
Apr 22, 2025
Lower · Passed
Speaker signed.
lower
Apr 19, 2025
Lower · Passed
Passed final passage; yeas, 58; nays, 37; absent, 0; excused, 3.
lower
Apr 19, 2025
Lower · Passed
House concurred in Senate amendments.
lower
Apr 16, 2025
Upper · Passed
Floor amendment(s) adopted.
upper
Mar 27, 2025
Upper · Passed
Minority; do not pass.
upper
Mar 27, 2025
Upper · Passed
HLTC - Majority; do pass.
upper
Mar 27, 2025
Upper · Passed
Executive action taken in the Senate Committee on Health & Long-Term Care at 8:00 AM.
upper
Mar 20, 2025
Upper · Passed
Public hearing in the Senate Committee on Health & Long-Term Care at 8:00 AM.
upper
Mar 5, 2025
Lower · Passed
Floor amendment(s) adopted.
lower
Feb 21, 2025
Committee
Referred to Rules 2 Review.
lower
Feb 18, 2025
Lower · Passed
Minority; do not pass.
lower
Feb 18, 2025
Lower · Passed
HCW - Majority; do pass.
lower
Feb 18, 2025
Lower · Passed
Executive action taken in the House Committee on Health Care & Wellness at 1:30 PM.
lower
Jan 31, 2025
Lower · Passed
Executive session scheduled, but no action was taken in the House Committee on Health Care & Wellness at 8:00 AM.
lower
Jan 28, 2025
Lower · Passed
Public hearing in the House Committee on Health Care & Wellness at 1:30 PM.
lower
1 primary · 10 co-sponsors

Sponsors