HB 2385 Washington House · 2025-2026 Regular Session

Concerning the medicaid access program.

HB 2385 creates a Medicaid Access Program requiring Washington State to increase reimbursement rates for specific medical services (like anesthesia, surgery, behavioral health, and maternal care) that are currently paid at or below Medicare rates. These rates must be raised uniformly to match Medicare rates from the prior year, using funds collected in a dedicated account, and adjusted annually using the Medicare Economic Index after federal approval is secured. The bill mandates a study starting in 2032 to evaluate if these rate increases improve Medicaid access, tracking metrics like provider participation and patient access surveys. It also sets a 2032 deadline for federal approval, after which the program expires if approval isn't granted.
Bill status signed all 5 stages cleared
Introduction
Jan 2026
Committee Review
Mar 2026
House Passage
Mar 2026
Senate Passage
Mar 2026
Signed into Law
Mar 2026
Introduced Jan 9, 2026 Signed Mar 23, 2026
Maddy AI version diff · 1 comparison

What changed between versions

Bill Passed Legislature · 2 edits
MINOR
The document was converted from a draft bill version to an official certification of enrollment, confirming that House Bill 2385 has been passed by both the House and Senate. This change adds formal signatures, vote counts, and filing details to validate the bill's passage for the 2026 Regular Session. No substantive policy changes, funding amounts, or eligibility criteria were altered in this text.
TECHNICAL

Added certification header, vote tallies, and signatures from legislative officers to confirm the bill's official passage.

Removed draft version identifiers and preliminary formatting.

Floor votes · Senate Mar 6, 2026 · House Feb 11, 2026

How they voted

3218
Passed · 1 other
Total votes 51
Mar 6, 2026
D Democratic31
31 Yea
100% Yea
R Republican20
1 Yea 18 Nay 1
90% Nay
Vote distribution
All Yea All Nay Mixed No data
Full legislative history

Actions timeline

Total actions
28
Key actions
14
Committee
10
Mar 23, 2026
Signed into law
Governor signed.
executive
Mar 12, 2026
Upper · Passed
President signed.
upper
Mar 11, 2026
Lower · Passed
Speaker signed.
lower
Mar 6, 2026
Senate · Passed
Senate Vote: pass (32-18-1)
senate
Mar 2, 2026
Upper · Passed
Minority; do not pass.
upper
Mar 2, 2026
Upper · Passed
WM - Majority; do pass.
upper
Mar 2, 2026
Upper · Passed
Executive action taken in the Senate Committee on Ways & Means at 10:30 AM.
upper
Feb 19, 2026
Upper · Passed
Public hearing in the Senate Committee on Ways & Means at 4:00 PM.
upper
Feb 11, 2026
House · Passed
House Vote: pass (58-39-3)
house
Feb 3, 2026
Committee
Referred to Rules 2 Review.
lower
Jan 28, 2026
Lower · Passed
Minority; without recommendation.
lower
Jan 28, 2026
Lower · Passed
Minority; do not pass.
lower
Jan 28, 2026
Lower · Passed
APP - Majority; do pass.
lower
Jan 28, 2026
Lower · Passed
Executive action taken in the House Committee on Appropriations at 4:00 PM.
lower
Jan 19, 2026
Lower · Passed
Public hearing in the House Committee on Appropriations at 4:00 PM.
lower
1 primary · 6 co-sponsors

Sponsors