Healthcare

signed · Washington · House Mar 25, 2026

HB 2548: Strengthening health care market standards.

HB 2548 amends Washington state law to require 60-day advance notice to the Attorney General for significant healthcare entity transactions. It directly affects hospitals, hospital systems, and provider organizations (like physician groups or accountable care organizations) when they plan mergers, acquisitions, or changes in ownership structure. The bill mandates this notice for transactions involving entities generating $10 million+ in Washington patient revenue, or for conversions from nonprofit to for-profit status. This procedural requirement aims to increase transparency before major market shifts, without altering healthcare coverage or costs. The bill is currently pending in committee after failing to pass in the House.

Topics ✓ HealthcareSupports HealthcareBill mandates transparency for healthcare mergers to prevent anti-competitive practices, directly strengthening market standards as stated in title and summary.90% confidence | Rep's Stance ✗ Voted No ✗ Opposes Healthcare

signed · Washington · Senate Mar 25, 2026

SB 5981: Protecting patient access to discounted medications and health care services through Washington's health care safety net by preventing manufacturer limitations on the 340B drug pricing program.

SB 5981 prevents drug manufacturers from restricting how Washington's safety net providers (like community health centers, hospitals serving low-income patients, and HIV clinics) use contract pharmacies to dispense discounted 340B medications. It prohibits manufacturers from denying access to these drugs, blocking contract pharmacy arrangements, or demanding extra data as a condition for supply. The bill allows covered entities to sue for violations, with penalties up to $5,000 per drug package, and requires annual reporting of 340B program activity. This directly protects vulnerable patients' access to affordable medications while safeguarding funding that safety net providers rely on for community services like screenings and financial assistance.

Topics ✓ HealthcareSupports HealthcarePrevents drug manufacturers from restricting access to discounted 340B medications for safety net providers, directly improving patient access to affordable healthcare services.95% confidence | Rep's Stance ✗ Voted No ✗ Opposes Healthcare

signed · Washington · Senate Mar 24, 2026

SB 5847: Concerning access to medical care in workers' compensation.

This bill establishes a state-created network of healthcare providers for workers' compensation cases in Washington. It requires the Department of Labor to set minimum standards for providers (like malpractice insurance and no disciplinary actions) to join the network, and creates a higher-quality "second tier" for providers using occupational health best practices. Injured workers gain the right to choose their initial provider (except in emergencies), and employers cannot steer them toward specific clinics; if no network provider is within 15 miles, workers can access non-network care with guaranteed payment under the department’s fee schedule. The bill directly affects injured workers, employers (including self-insurers), and healthcare providers seeking to treat workers’ compensation cases.

Topics ✓ HealthcareSupports HealthcareCreates provider network with quality standards, enables worker choice of initial provider, prevents employer steering - improves access and patient rights in workers' compensation healthcare.95% confidence ✓ Labor & EmploymentSupports Labor & EmploymentProvides injured workers choice of initial provider, prevents employer steering, and sets quality standards for medical care in workers' comp - directly advancing worker access to care and rights.90% confidence | Rep's Stance ✗ Voted No ✗ Opposes Healthcare

passed · Washington · House Feb 19, 2026

HB 1589: Concerning the relationships between health carriers and contracting providers.

House Bill 1589 updates regulations concerning health insurance companies and healthcare providers. It requires the state insurance commissioner to ensure health carriers' networks include a sufficient number of contracted providers, specifically for emergency, anesthesiology, and behavioral health services. The bill outlines conditions under which carriers can use alternative methods to meet network needs, ensuring patients do not incur greater costs. Additionally, it mandates that health carriers offer providers a meaningful, good-faith opportunity to negotiate contract terms, prohibiting specific actions like failing to provide a clear fee schedule or contract changes.

Topics ✓ HealthcareSupports HealthcareRequires sufficient provider networks for emergency, anesthesiology, and behavioral health services, ensuring patient access without increased costs, directly advancing healthcare access and patient rights.90% 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

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 5083: Ensuring access to primary care, behavioral health, and affordable hospital services.

SB 5083 aims to ensure access to primary care, behavioral health, and affordable hospital services for public employees and their dependents in Washington state. It sets caps on how much health carriers can reimburse in-network hospitals for inpatient and outpatient services, generally limiting them to 200% of Medicare rates in 2027 and 190% in 2029, with higher limits for children's specialty hospitals. The bill also mandates minimum reimbursement rates for in-network primary care and non-facility-based behavioral health services (150% of Medicare) and for rural critical access hospitals. Additionally, it requires certain hospitals to contract with health carriers serving public employees and mandates data sharing with the Health Care Authority for monitoring.

Topics ✓ HealthcareSupports HealthcareBill mandates minimum reimbursements for primary care and behavioral health, caps hospital rates to ensure affordability, and explicitly aims to 'ensure access' to covered services for public employees.92% confidence ✓ Labor & EmploymentSupports Labor & EmploymentBill ensures healthcare access/affordability for public employees, expanding employment benefits through mandated reimbursement standards and cost caps.95% confidence | Rep's Stance ✗ Voted No ✗ Opposes Healthcare