HB 1430 Washington House · 2025-2026 Regular Session

Concerning advanced practice registered nurse and physician assistant reimbursement.

HB 1430 requires health carriers in Washington state to reimburse advanced practice registered nurses and physician assistants at the same rate as physicians for providing identical health care services. This mandate applies to health plans issued or renewed starting January 1, 2026, excluding those offered to public employees. Health carriers are prohibited from decreasing physician reimbursement rates to meet this requirement. The Office of the Insurance Commissioner will collect data on the implementation, including rate changes and costs, and report to the legislature by July 1, 2027. This section does not apply to advanced practice registered nurses or physician assistants who are employees of a health maintenance organization.

Issues: ✓ Healthcare

Bill status passed 3 of 5 stages cleared

Introduction

Jan 2026

Committee Review

Jan 2026

House Passage

Mar 2025

Senate Passage

Governor

Introduced Jan 12, 2026 Last action Jan 12, 2026

Maddy AI version diff · 2 comparisons

What changed between versions

Substitute Bill → Engrossed Substitute Bill · 1 edit · Mar 3, 2025

MINOR

The bill was updated to clarify that the requirement for health carriers to pay equal rates to advanced practice nurses and physician assistants as they do to physicians now applies specifically to primary care and behavioral health services. This change narrows the scope of the mandate to these specific service areas rather than applying to all medical services.

Scope change

The bill's applicability was narrowed from all health care services to only primary care and behavioral health care services.

SCOPE

The mandate requiring equal reimbursement rates now explicitly applies only when an advanced practice registered nurse or physician assistant is providing primary care services or behavioral health care services, including medication management and therapy.

Floor votes · House Mar 3, 2025

How they voted

61–37

Passed · 2 other

Total votes 100

Mar 3, 2025

D Democratic61

58 Yea 1 Nay 2

95% Yea

R Republican39

3 Yea 36 Nay

92% Nay

Vote distribution

All Yea All Nay Mixed No data

Full legislative history

Actions timeline

Total actions

Key actions

Committee

Jan 12, 2026

Committee

Referred to Health Care & Wellness.

lower

Jan 12, 2026

Lower · Passed

Rules Committee relieved of further consideration.

lower

Jan 12, 2026

Introduced

By resolution, reintroduced and retained in present status.

lower

Apr 8, 2025

Upper · Passed

Executive session scheduled, but no action was taken in the Senate Committee on Ways & Means at 1:30 PM.

upper

Apr 4, 2025

Upper · Passed

Public hearing in the Senate Committee on Ways & Means at 1:30 PM.

upper

Mar 29, 2025

Committee

Referred to Ways & Means.

upper

Mar 27, 2025

Committee

And refer to Ways & Means.

upper

Mar 27, 2025

Upper · Passed

Minority; without recommendation.

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 25, 2025

Upper · Passed

Public hearing in the Senate Committee on Health & Long-Term Care at 10:30 AM.

upper

Mar 3, 2025

Lower · Passed

Floor amendment(s) adopted.

lower

Feb 11, 2025

Committee

Referred to Rules 2 Review.

lower

Feb 7, 2025

Lower · Passed

Minority; do not pass.

lower

Feb 7, 2025

Lower · Passed

Executive action taken in the House Committee on Health Care & Wellness at 8:00 AM.

lower

Jan 29, 2025

Lower · Passed

Public hearing in the House Committee on Health Care & Wellness at 1:30 PM.

lower

1 primary · 30 co-sponsors