Healthcare

signed · Washington · House Mar 9, 2026

HB 2242: Preserving access to preventive services by clarifying state authority and definitions.

HB 2242 clarifies and preserves access to preventive health services covered by most Washington health insurance plans. It requires plans issued after April 1, 2026, to cover evidence-based services like vaccinations, cancer screenings, and other preventive care without cost-sharing, based on current U.S. Preventive Services Task Force (USPSTF) ratings and CDC recommendations. The bill updates coverage requirements to align with federal guidelines as of June 30, 2025, and allows the state Department of Health to issue immunization guidance without standard rulemaking. This directly affects Washington residents using health insurance and insurers offering new or updated plans, ensuring consistent access to preventive care without adding new requirements for patient consent or immunization mandates.

Topics ✓ HealthcareSupports HealthcareMandates no cost-sharing for preventive services (vaccinations, screenings) per USPSTF/CDC, preserving access to evidence-based care without restricting coverage.95% confidence | Rep's Stance ✗ Voted No ✗ Opposes Healthcare

signed · Washington · House Mar 9, 2026

HB 2155: Concerning the use of nursing titles.

This bill restricts the use of specific nursing titles in Washington State to only licensed professionals. It prohibits anyone without a valid license from using titles like "registered nurse" (R.N.), "nurse practitioner" (N.P.), or "licensed practical nurse" (L.P.N.), including nonhuman entities like businesses. Christian Science nurses listed in their official journal may still use "Christian Science nurse" if they don’t claim other nursing credentials. The law expires June 30, 2027, after taking effect on the same date.

Topics ✓ HealthcareSupports HealthcareRestricts nursing titles to licensed professionals, preventing unqualified practitioners and protecting patient safety by ensuring only qualified individuals use those titles.90% confidence | Rep's Stance ✗ Voted No ✗ Opposes Healthcare

passed both · Washington · Senate Mar 9, 2026

SJM 8002: Concerning Medicare.

Senate Joint Memorial 8002 is a resolution from the Washington State Legislature to the federal government concerning Medicare. It expresses opposition to Medicare privatization and urges federal action to create a more equitable system between Original Medicare and private Medicare Advantage plans. The memorial specifically requests the federal government to eliminate Original Medicare's 20 percent copays, add benefits like dental and vision, cap out-of-pocket medical expenses, and eliminate excessive administrative costs and profits within Medicare Advantage. It also seeks to recoup funds from documented overpayments and fraud in Medicare Advantage programs to support a stronger Original Medicare system for seniors and disabled beneficiaries.

Topics ✓ HealthcareSupports HealthcareBill opposes Medicare privatization, seeks to eliminate copays, add dental/vision benefits, and cap out-of-pocket costs - directly advancing equitable healthcare access and strengthening Medicare coverage.95% confidence | Rep's Stance ✗ Voted No ✗ Opposes Healthcare

Track

passed · Washington · House Jan 12, 2026

HB 1218: Concerning persons referred for competency evaluation and restoration services.

HB 1218 aims to improve services for individuals referred for competency evaluations and restoration within the criminal justice system, particularly those with behavioral health needs. The bill expands and clarifies the role of forensic navigators, who courts may appoint to assist these individuals. Forensic navigators help individuals access diversion programs, community outpatient competency restoration services, housing, and medication, while also providing updates to the court and legal parties. The goal is to reduce the demand on forensic mental health facilities by diverting individuals to community-based behavioral health care.

Topics ✓ Criminal JusticeSupports Criminal JusticeExpands forensic navigators to connect individuals with behavioral health needs to diversion, housing, and outpatient services, reducing reliance on incarceration and advancing rehabilitation-focused criminal justice reform.95% confidence ✓ HealthcareSupports HealthcareExpands access to community mental health services for individuals in criminal justice system through forensic navigators, improving healthcare access for behavioral health needs.85% confidence | Rep's Stance ✗ Voted No ✗ Opposes Healthcare

Track

passed · Washington · House Jan 12, 2026

HB 1291: Concerning cost sharing for maternity services.

HB 1291 aims to reduce upfront costs for individuals receiving maternity services through their health plans in Washington State. Starting January 1, 2026, most health plans will no longer require enrollees to meet their deductible before covering in-network delivery services, such as vaginal or C-section births. Any out-of-pocket costs paid for these services will still count towards the enrollee's total deductible. For health plans linked to Health Savings Accounts, deductibles for delivery services will be set at the minimum level required to maintain the HSA's tax-exempt status.

Topics ✓ HealthcareSupports HealthcareReduces deductibles for maternity services, improving access to in-network birth care without upfront costs, directly expanding health coverage access.95% confidence | Rep's Stance ✗ Voted No ✗ Opposes Healthcare

Track

passed · Washington · House Jan 12, 2026

HB 2041: Concerning postpartum coverage.

HB 2041 concerns postpartum health care coverage for residents of Washington state. Until June 30, 2026, the bill requires the state to provide 12 months of continuous postpartum health care coverage to individuals with incomes up to 210% of the federal poverty level. After this date, the continuous postpartum coverage period will be six months, maintaining the 210% income threshold. The bill also directs the state to prioritize maximizing federal funding for eligible individuals and mandates annual reporting from managed care organizations on maternal health services.

Topics ✓ HealthcareSupports HealthcareExtends postpartum health coverage from 6 to 12 months (until 2026) for low-income individuals, expanding access to health services and insurance coverage.95% confidence | Rep's Stance ✗ Voted No ✗ Opposes Healthcare

Track

passed · Washington · House Jan 12, 2026

HB 1430: 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.

Topics ✓ HealthcareSupports HealthcareMandates equal reimbursement for APRNs/PAs vs physicians, improving access to care by removing financial barriers for providers and patients.95% confidence | Rep's Stance ✗ Voted No ✗ Opposes Healthcare

Track

signed · Washington · Senate May 20, 2025

SB 5807: Concerning wellness incentives for public and school employee health benefit plans.

Senate Bill 5807 modifies the wellness programs offered through public and school employee health benefit plans. The bill discontinues the "smart health program," including its wellness incentive and online portal, for these employees, effective January 1, 2028. While employees who meet eligibility requirements for an incentive by December 31, 2027, will still receive it in the 2028 plan year, no new wellness incentives can be earned after that date. The legislation shifts the focus to broader wellness initiatives that emphasize preventative health strategies.

Topics ✗ HealthcareOpposes HealthcareBill discontinues wellness incentives in public/school employee health plans, restricting access to wellness program benefits effective 2028.85% confidence ✗ Labor & EmploymentOpposes Labor & EmploymentBill discontinues wellness incentives for public/school employees, removing a benefit that employees could earn through health programs.95% confidence | Rep's Stance ✓ Voted Yes ✗ Opposes Healthcare

signed · Washington · Senate May 20, 2025

SB 5388: Concerning department of corrections behavioral health certification.

Senate Bill 5388 revises how behavioral health services, including substance use disorder treatment, are regulated for individuals in Washington state correctional facilities. Rather than requiring these services to be licensed by the Department of Health (DOH), the bill shifts to a monitoring process. The Department of Corrections (DOC) and DOH will jointly establish standards for these services, which the DOH will then monitor through annual inspections for compliance. The DOC must implement these standards by July 1, 2027, with DOH beginning annual inspections and providing technical assistance from that date forward.

Topics ✓ Criminal JusticeSupports Criminal JusticeBill revises behavioral health oversight in prisons to improve treatment access, aligning with rehabilitation-focused criminal justice reform by shifting to joint standards with annual monitoring.85% confidence ✓ HealthcareSupports HealthcareBill establishes joint DOC-DOH standards for behavioral health services in prisons, ensuring continued access to mental health/substance use treatment through monitoring, not licensing, strengthening care delivery.90% confidence | Rep's Stance ✗ Voted No ✗ Opposes Healthcare

signed · Washington · Senate May 20, 2025

SB 5568: Updating and modernizing the Washington state health plan.

This bill updates and modernizes the Washington state health plan by revising the duties of the Office of Financial Management (OFM) regarding health planning. It designates OFM as the coordinating body for strategic health planning and expands its access to various health care data sources, such as the all-payer claims database, to inform its efforts. OFM is now required to develop a statewide health resources strategy, in coordination with stakeholders, to establish policies and goals for health care facility and service availability, quality, and cost by geographic region. The bill also updates definitions for various health facilities, including changing "psychiatric hospitals" to "behavioral health hospitals."

Topics ✓ HealthcareSupports HealthcareBill modernizes health planning by designating OFM as coordinator, expands data access for strategic planning, and mandates statewide health resources strategy development to strengthen system coordination and resource allocation.95% confidence | Rep's Stance ✗ Voted No ✗ Opposes Healthcare