HB 2110 Washington House · 2025-2026 Regular Session

Concerning personnel for ambulance service interfacility specialty care transports.

HB 2110 establishes minimum personnel requirements for ambulance services during interfacility specialty care transports, which are transfers of critically ill or injured patients between medical facilities. The bill requires ambulances providing specialty care transport - defined as care needing physician, registered nurse, or specially trained paramedic-level personnel - to have sufficient staff, including at least one emergency medical technician (EMT) under secretary-promulgated standards. It amends existing Washington state law (RCW 18.73.030 and 18.73.150) to clarify definitions and standards for these specialized transports, ensuring consistent protocols for patient safety during critical transfers. This directly affects ambulance services, EMTs, and hospitals coordinating patient transfers.

Issues: ✓ Healthcare

Bill status signed all 5 stages cleared

Introduction

Dec 2025

Committee Review

Mar 2026

House Passage

Mar 2026

Senate Passage

Mar 2026

Signed into Law

Mar 2026

Introduced Dec 8, 2025 Signed Mar 24, 2026

Maddy AI version diff · 3 comparisons

What changed between versions

Engrossed Substitute Bill → Substitute Passed Legislature · 1 edit

MINOR

The bill was formally enrolled and passed by both the House and Senate in the 2026 Regular Session. A key substantive change requires sending hospitals to coordinate with ambulance services to ensure nurses are familiar with ambulance equipment before participating in specialty care transports, changing the language from a non-binding suggestion to a mandatory requirement.

Scope change

The bill's scope remains focused on interfacility specialty care transport regulations, but the enforcement of nurse preparation protocols has been strengthened.

REQUIREMENT

Changed the requirement for hospitals to coordinate with ambulance services regarding nurse familiarity with equipment from a non-binding 'should' to a mandatory 'shall'.

Floor votes · Senate Mar 3, 2026 · House Feb 10, 2026

How they voted

51–0

Passed

Total votes 51

Mar 3, 2026

D Democratic31

31 Yea

100% Yea

R Republican20

20 Yea

100% Yea

Vote distribution

All Yea All Nay Mixed No data

Full legislative history

Actions timeline

Total actions

Key actions

Committee

Mar 24, 2026

Signed into law

Governor signed.

executive

Mar 11, 2026

Upper · Passed

President signed.

upper

Mar 11, 2026

Lower · Passed

Speaker signed.

lower

Mar 9, 2026

Lower · Passed

Passed final passage; yeas, 95; nays, 0; absent, 0; excused, 3.

lower

Mar 9, 2026

Lower · Passed

House concurred in Senate amendments.

lower

Mar 3, 2026

Upper · Passed

Committee amendment(s) adopted with no other amendments.

upper

Mar 3, 2026

Senate · Passed

Senate Vote: pass (51-0)

senate

Feb 24, 2026

Upper · Passed

HLTC - Majority; do pass with amendment(s).

upper

Feb 24, 2026

Upper · Passed

Executive action taken in the Senate Committee on Health & Long-Term Care at 10:30 AM.

upper

Feb 19, 2026

Upper · Passed

Public hearing in the Senate Committee on Health & Long-Term Care at 8:00 AM.

upper

Feb 10, 2026

Lower · Passed

Floor amendment(s) adopted.

lower

Jan 27, 2026

Committee

Referred to Rules 2 Review.

lower

Jan 21, 2026

Lower · Passed

Executive action taken in the House Committee on Health Care & Wellness at 1:30 PM.

lower

Jan 13, 2026

Lower · Passed

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

lower

1 primary · 12 co-sponsors