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HB 1476 Washington House · 2025-2026 Regular Session

Delaying the rebasing of the nursing home payment rates to 2028.

HB 1476 delays the scheduled rebasing of Medicaid nursing home payment rates from fiscal year 2027 to 2028. This freezes current reimbursement rates at 2025 levels for fiscal years 2026 and 2027. The bill directly affects nursing home providers (who receive Medicaid payments) and Medicaid beneficiaries (who rely on these facilities for care). The key mechanism is postponing the required rate adjustment to maintain financial stability for providers and prevent disruptions in care quality during the freeze period.
Issues: ✗ Budget & TaxesOpposes Budget & TaxesDelays Medicaid payment rate increases, freezing current spending levels for nursing homes and reducing state budget outlays for this program during 2026-2027.95% confidence ✗ HealthcareOpposes HealthcareDelays Medicaid nursing home payment rate increases, effectively freezing reimbursement at 2025 levels. This defers necessary funding adjustments, risking provider financial strain and potential service reductions for beneficiaries.85% confidence
Bill status in committee 1 of 4 stages cleared
Introduction
Jan 2026
Committee Review
Floor Vote
Governor
Introduced Jan 12, 2026 Last action Jan 12, 2026
Maddy AI version diff · 1 comparison

What changed between versions

Bill → Substitute Bill · 3 edits
MINOR
The bill was amended to change its title and sponsorship details to reflect its status as a substitute bill, and the act title was updated to include a new section that explicitly finds the necessity of freezing nursing home rates through 2027. The substantive policy content regarding the nursing home payment system remains largely unchanged, though the new findings section clarifies the legislative intent behind the rate freeze.
Scope change
The bill's scope was expanded to include an explicit legislative finding regarding the temporary rate freeze and the need for budget predictability, while the operational scope of the nursing home payment system remains the same.
TIMELINE

Added a new section (Sec. 1) containing legislative findings that justify delaying the rebasing of nursing home payment rates to fiscal year 2028.

SCOPE

Updated the bill header to reflect it is now a 'Substitute House Bill' and changed the reading date from January to April 2025.

DEFINITION

Modified the act title to include the creation of a new section and the declaration of an emergency.

Floor votes

How they voted

No floor votes recorded yet.
Full legislative history

Actions timeline

Total actions
9
Key actions
4
Committee
6
Jan 12, 2026
Committee
Referred to Appropriations.
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
Committee
Referred to Rules 2 Review.
lower
Apr 3, 2025
Lower · Passed
Minority; do not pass.
lower
Apr 3, 2025
Lower · Passed
Executive action taken in the House Committee on Appropriations at 1:30 PM.
lower
Feb 22, 2025
Lower · Passed
Public hearing in the House Committee on Appropriations at 9:00 AM.
lower
1 primary · 0 co-sponsors

Sponsors

Role
Legislator
Party
State
District
P
Photo of Timm Ormsby
Timm Ormsby
DDemocratic
WA
3