SB 5344 Washington Senate · 2025-2026 Regular Session

Establishing the essential worker health care program.

SB 5344 establishes a state-funded program to provide nursing home workers in Washington with affordable, high-quality health care benefits through participating nursing home employers. The bill allocates supplemental funding to nursing home operators who commit to offering health care via "qualified health funds" (multi-employer plans), distributing funds based on Medicaid bed days and requiring employers to maintain or increase health care spending. Employers must use all funds to improve employee health benefits, provide transparency on spending, and avoid replacing existing health coverage. The program directly affects nursing home workers - primarily older women, women of color, and immigrants - who provide direct care, with eligibility covering all permanent employees in participating facilities.
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 add a critical funding condition requiring that the program only operates if specific amounts are appropriated in the state budget. Additionally, the rules for how the Department of Social and Health Services distributes funds were clarified to be contingent on this funding availability.
Scope change
The bill's scope is now explicitly limited by the availability of state appropriations; the program cannot be implemented without specific budget approval.
FISCAL

Added a condition stating that the essential worker health care program is subject to the availability of appropriated funds for this specific purpose.

REQUIREMENT

Modified the department's duties to distribute payments and seek federal approvals to be contingent on the availability of appropriated funds and referencing the omnibus appropriations act.

TECHNICAL

Changed the bill header to reflect it is now a 'Substitute Senate Bill' and updated the reading date to 02/12/25.

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
Introduced
By resolution, reintroduced and retained in present status.
upper
Feb 28, 2025
Upper · Passed
Executive session scheduled, but no action was taken in the Senate Committee on Ways & Means at 1:30 PM.
upper
Feb 26, 2025
Upper · Passed
Public hearing in the Senate Committee on Ways & Means at 1:30 PM.
upper
Feb 12, 2025
Committee
Referred to Ways & Means.
upper
Feb 11, 2025
Committee
And refer to Ways & Means.
upper
Feb 11, 2025
Upper · Passed
Executive action taken in the Senate Committee on Health & Long-Term Care at 10:30 AM.
upper
Jan 28, 2025
Upper · Passed
Public hearing in the Senate Committee on Health & Long-Term Care at 10:30 AM.
upper
1 primary · 12 co-sponsors

Sponsors