Healthcare

signed · Washington · House May 17, 2025

HB 1382: Modernizing the all payers claim database.

HB 1382 modernizes Washington's statewide all-payer health care claims database, which collects medical and pharmacy claims data from various public and private health care payers. The bill updates reporting requirements and data disclosure standards for this database, aiming to improve transparency in health care costs and quality. It revises the process for selecting and overseeing the "lead organization" responsible for managing the database, allowing the Health Care Authority to either act as the lead or select one through a competitive process. Additionally, it specifies criteria for the lead organization and outlines entities, such as health plans or hospitals, that are ineligible for the role. The bill also details responsibilities for data vendors who collect and process the claims information to ensure data quality and security.

Topics ✓ HealthcareSupports HealthcareModernizes claims database to improve healthcare cost/quality transparency, directly advancing healthcare data accessibility and quality oversight per bill summary.95% confidence | Rep's Stance ✓ Voted Yes ✓ Supports Healthcare

signed · Washington · House May 17, 2025

HB 1213: Expanding protections for workers in the state paid family and medical leave program.

HB 1213 expands protections for workers in Washington's state paid family and medical leave program. The bill requires the department to enhance outreach to employees, explaining their eligibility, application process, and reinstatement and nondiscrimination rights. It also mandates increased outreach to employers about their responsibilities and authorizes the department to audit employer records for compliance. Additionally, the bill clarifies premium collection and calculation methods, and ensures the confidentiality of employee information within the program.

Topics ✓ Budget & TaxesSupports Budget & TaxesClarifies premium collection methods for state paid leave program, ensuring proper fiscal management and program funding continuity.90% confidence ✓ HealthcareSupports HealthcareExpands protections for workers in medical leave program, enhancing access to healthcare services through improved eligibility outreach and employer compliance enforcement.95% confidence ✓ Labor & EmploymentSupports Labor & EmploymentBill explicitly expands worker protections in paid leave program via enhanced outreach, employer compliance audits, and clarified premium rules, directly strengthening employment standards.95% confidence | Rep's Stance ✓ Voted Yes ✓ Supports Healthcare

signed · Washington · Senate May 12, 2025

SB 5632: Protecting the confidentiality of records and information that may be relevant to another state's enforcement of its laws.

Senate Bill 5632 aims to protect the confidentiality of records and information related to protected health care services that are lawful in Washington state, specifically defining these as gender-affirming treatment and reproductive health care services. The bill prevents Washington state courts, law enforcement, and agencies from cooperating with other states' investigations or legal actions that seek to impose civil or criminal penalties for these services. It also prohibits Washington-based electronic communication service providers from knowingly sharing information or complying with out-of-state legal processes concerning these services, unless an attestation confirms the request is not for enforcing another state's law against lawful care. This legislation directly affects individuals seeking or providing such care, as well as state government entities and certain businesses operating in Washington.

Topics ✓ HealthcareSupports HealthcareProtects confidentiality of gender-affirming and reproductive healthcare services, preventing out-of-state penalties and ensuring access to protected care.95% confidence | Rep's Stance ✓ Voted Yes ✓ Supports Healthcare

signed · Washington · Senate May 12, 2025

SB 5351: Ensuring patient choice and access to care by prohibiting unfair and deceptive dental insurance practices.

Senate Bill 5351 aims to ensure patient choice and access to dental care by regulating dental insurance practices. It prohibits dental-only plans from denying coverage solely because multiple procedures were performed on the same day, while still allowing denials for reasons like fraud or medical necessity. The bill also requires dental insurers to offer providers a fee-free alternative if they pay claims using credit cards. Additionally, it mandates annual public reporting of dental-only plan financial data and establishes a collaborative forum to study dental loss ratios and provider payment rates, with recommendations due by June 2026.

Topics ✓ HealthcareSupports HealthcareProhibits unfair dental insurance denials, ensures access to care, and mandates transparency - directly advancing patient access and rights in dental coverage.95% confidence | Rep's Stance ✓ Voted Yes ✓ Supports Healthcare

signed · Washington · House May 12, 2025

HB 1432: Improving access to appropriate mental health and substance use disorder services.

HB 1432 aims to improve access to mental health and substance use disorder services for individuals in Washington state. The bill updates mental health parity laws, requiring health insurance carriers to base medical necessity determinations on generally accepted standards of care and recommendations from nonprofit health care provider associations. It defines "medically necessary" to align with these standards, ensuring services address patient needs and are clinically appropriate. The legislation also expands the definition of covered mental health services over time, including prescription drugs and updated diagnostic categories for health plans issued or renewed on or after January 1, 2027.

Topics ✓ HealthcareSupports HealthcareUpdates mental health parity laws to require insurance coverage based on clinical standards, improving access to mental health services per bill summary.95% confidence | Rep's Stance ✓ Voted Yes ✓ Supports Healthcare

signed · Washington · Senate May 12, 2025

SB 5745: Concerning appointed counsel for individuals detained under the involuntary treatment act.

Senate Bill 5745 concerns legal representation for individuals detained under the involuntary treatment act. The bill amends various state laws to address the provisions for appointed legal counsel in these cases. It aims to clarify or modify how legal representation is provided for those facing involuntary commitment, directly affecting individuals subject to the act and the legal systems involved.

Topics ✓ HealthcareSupports HealthcareEnsures legal representation for individuals in involuntary mental health treatment, protecting patient rights within healthcare services.90% confidence | Rep's Stance ✓ Voted Yes ✓ Supports Healthcare

signed · Washington · House May 12, 2025

HB 1130: Concerning utilization of developmental disabilities waivers.

HB 1130 establishes a prioritization system for individuals with developmental disabilities seeking home and community-based services waivers in Washington State. It directs the Developmental Disabilities Administration to prioritize specific populations, such as those over age 45, individuals discharging from institutional settings, or those without a safe hospital discharge plan. The bill also mandates the administration to align its rules with this prioritization and to routinely collect and publicly report data on waiver enrollment, waitlists, and unfulfilled service requests. This aims to ensure that individuals identified as most in need receive timely access to critical support services.

Topics ✓ HealthcareSupports HealthcareBill establishes prioritization for home/community-based services waivers for developmental disabilities, improving patient access to essential healthcare services. Aligns with healthcare support indicators by expanding coverage for vulnerable pop...95% confidence | Rep's Stance ✓ Voted Yes ✓ Supports Healthcare

signed · Washington · House May 12, 2025

HB 1813: Concerning the reprocurement of medical assistance services, including the realignment of behavioral health crisis services for medicaid enrollees.

HB 1813 realigns the administration of behavioral health crisis services for Medicaid enrollees in Washington state. Beginning January 1, 2027, behavioral health administrative services organizations (BHASOs) will contract to administer these crisis services, taking over from managed care organizations. The bill requires a comprehensive funding analysis by January 1, 2026, to ensure BHASOs can adequately support all individuals needing behavioral health services, regardless of insurance status. It also mandates a transition plan for this shift and directs the development of a strategic plan for the future reprocurement of all medical assistance services, including stakeholder input.

Topics ✓ HealthcareSupports HealthcareRealignment of behavioral health crisis services to BHASOs with mandatory funding analysis ensures continued access and support for Medicaid enrollees, strengthening mental health services under healthcare policy.95% confidence | Rep's Stance ✓ Voted Yes ✓ Supports Healthcare

signed · Washington · House May 12, 2025

HB 1422: Modifying the drug take-back program.

HB 1422 modifies Washington State's drug take-back program, affecting drug manufacturers, wholesalers, retail pharmacies, and program operators. The bill expands reporting requirements for program operators, mandating detailed annual reports including expenditures, budgets, and explanations if collection goals are not met. It strengthens the Department of Health's enforcement capabilities by detailing penalties for non-participating manufacturers and non-compliant program operators, including civil fines up to $2,000 per day. Additionally, the bill revises how the Department of Health sets fees, allowing them to fully cover administrative, oversight, and enforcement costs for the program.

Topics ✓ HealthcareSupports HealthcareExpands reporting and enforcement for drug take-back program, enhancing public health safety and preventing medication misuse, aligning with healthcare protection goals.85% confidence | Rep's Stance ✓ Voted Yes ✓ Supports Healthcare

signed · Washington · House May 12, 2025

HB 1186: Expanding the situations in which medications can be dispensed or delivered from hospitals and health care entities.

House Bill 1186 expands the situations in which hospitals and health care entities can dispense medications directly to patients. It allows practitioners in hospital emergency departments to prescribe and distribute limited amounts of prepackaged emergency medications to patients being discharged. This is permitted when community or outpatient pharmacy services are unavailable or inaccessible, or for specific treatments like human immunodeficiency virus postexposure prophylaxis. Hospitals must establish clear policies, including a list of approved medications, staff training, patient counseling, and generally limit supplies to a 48-hour maximum, with some exceptions. The bill also adjusts similar medication dispensing limits for other health care entities.

Topics ✓ HealthcareSupports HealthcareExpands emergency medication access in hospitals when pharmacies are unavailable, improving patient access to critical treatments like HIV PEP.95% confidence | Rep's Stance ✓ Voted Yes ✓ Supports Healthcare