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 25, 2026

SB 6182: Establishing an abortion savings program.

SB 6182 establishes an abortion savings program funded by an annual assessment on health insurance companies. It requires health carriers to pay $0.82 per coverage month in 2027 (then $0.165 annually) to a state account, with funds used to provide operating grants to abortion providers and funds that support clinical care access for people without sufficient resources. The bill prohibits disclosing patient or provider identifying information and mandates that at least 85% of program funds go directly to eligible organizations. These grants specifically support abortion services where federal funding is restricted, and the program cannot pass assessment costs to consumers through premiums or rates.

Topics ✓ Budget & TaxesSupports Budget & TaxesBill imposes annual assessment on insurers to fund abortion care, creating new state revenue and directing spending toward healthcare services.95% confidence ✓ HealthcareSupports HealthcareFunds abortion providers via insurer assessments, improves access for low-resource patients, aligns with healthcare funding/support indicators95% 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

signed · Washington · House Mar 23, 2026

HB 2475: Concerning language accessible public programs, activities, and services conducted, operated, or administered by state agencies.

HB 2475 requires Washington state agencies to provide language-accessible public programs, activities, and services in individuals' primary languages (including sign language) across all communication methods. It directly affects non-English speakers, particularly those with limited English proficiency, by mandating consistent service delivery for state benefits, health care, emergency response, and other programs. The bill requires the state office of equity to develop uniform guidelines by December 2027, address interpreter shortages for less common languages, and update guidelines every three years. This law clarifies existing language access obligations under state law without creating new rights or expanding protected classes.

Topics ✓ HealthcareSupports HealthcareMandates language access for health care services, improving access for non-English speakers in state health programs per bill summary.95% confidence ✓ ImmigrationSupports ImmigrationMandates language-accessible state services for non-English speakers, including immigrants with limited English proficiency, enhancing access to benefits and healthcare.90% confidence | Rep's Stance ✗ Voted No ✗ Opposes Healthcare

signed · Washington · House Mar 23, 2026

HB 2385: 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.

Topics ✓ Budget & TaxesSupports Budget & TaxesMandates increased state funding for Medicaid services by requiring uniform reimbursement rate hikes to Medicare levels using dedicated funds.95% confidence ✓ HealthcareSupports HealthcareIncreases Medicaid reimbursement rates to Medicare levels for key services (anesthesia, surgery, behavioral health, maternal care), improving provider access and patient care through enhanced funding.95% confidence | Rep's Stance ✗ Voted No ✗ Opposes Healthcare

signed · Washington · Senate Mar 23, 2026

SB 5185: Establishing preceptorship and hardship pathways to medical practice for international medical graduates.

SB 5185 proposes a new pathway for international medical graduates (IMGs) to obtain full medical licensure in Washington without completing standard U.S. postgraduate training. It establishes a "preceptorship pathway" requiring 48 months of supervised clinical practice under a licensed physician, followed by evaluations and board certification (ABMS or AAGP), to qualify for unrestricted licensure. The bill also creates hardship waivers for IMGs facing refugee status, persecution, or other documented barriers preventing standard documentation, excluding inability to pass ECFMG exams. This directly affects IMGs seeking to practice in Washington and the Washington Medical Commission, which would implement the new rules. The bill is currently pending in the Senate Health & Long-Term Care Committee.

Topics ✓ HealthcareSupports HealthcareCreates licensure pathway for IMGs, expanding medical workforce access and addressing provider shortages in healthcare services.95% confidence ✓ ImmigrationSupports ImmigrationCreates hardship waivers for refugee/persecuted IMGs and establishes licensure pathway, directly advancing immigrant access to medical services and integration.95% confidence | Rep's Stance ✗ Voted No ✗ Opposes Healthcare

signed · Washington · Senate Mar 18, 2026

SB 6103: Making payments for services provided by a rural emergency hospital subject to appropriation.

This bill changes how Washington state funds rural emergency hospitals. It requires that payments for services provided by rural emergency hospitals (designated by federal Medicare/Medicaid) must be approved each year through the state budget, rather than being automatically funded. This affects hospitals meeting federal rural emergency hospital criteria, including those that previously received automatic payments. The change applies to all medical assistance program services provided by these hospitals, regardless of patient enrollment in managed care. The bill does not alter existing payment rates but shifts the funding mechanism to annual appropriations.

Topics ✗ Budget & TaxesOpposes Budget & TaxesRequires annual budget approval for rural hospital payments instead of automatic funding, making funding contingent on annual appropriations and reducing guaranteed support.90% confidence ✗ HealthcareOpposes HealthcareBill requires annual budget approval for rural hospital payments instead of automatic funding, creating potential for defunding and restricting consistent healthcare financing for designated facilities.85% confidence | Rep's Stance ✓ Voted Yes ✗ Opposes Healthcare

signed · Washington · Senate Mar 18, 2026

SB 5944: Concerning language access providers' collective bargaining.

SB 5944 establishes a collective bargaining framework for language access providers who work with specific state agencies, including those providing interpreter services for Department of Social and Health Services, Department of Children, Youth, and Families, and Department of Labor and Industries appointments. The bill designates the governor as the public employer solely for bargaining purposes, creating three statewide bargaining units based on service type (e.g., Medicaid appointments, injured workers, or general state agency support). It limits bargaining to economic issues like pay rates, training, grievance procedures, and health benefits - excluding retirement benefits - and requires the governor to submit budget requests for approved agreements, subject to legislative approval. Providers remain non-employees for all purposes outside bargaining, and the law explicitly preserves federal compliance obligations and legislative authority over service delivery.

Topics ✓ HealthcareSupports HealthcareBill establishes collective bargaining for language access providers serving healthcare agencies (e.g., Medicaid appointments), improving patient access to health services through interpreter support.85% confidence ✓ Labor & EmploymentSupports Labor & EmploymentEstablishes collective bargaining framework for language access providers, directly supporting workers' right to organize under Labor & Employment policies.95% confidence | Rep's Stance ✗ Voted No ✗ Opposes Healthcare

signed · Washington · Senate Mar 18, 2026

SB 5292: Concerning paid family and medical leave rates.

This bill revises how the annual premium rates for Washington's Paid Family and Medical Leave program are determined, affecting both employers and employees who contribute to and benefit from the program. It changes the process for setting the total premium rate, moving from a specific formula to being based on an annual report from the office of actuarial services. This report must now recommend premium rates designed to maintain the program's solvency for the next four years while limiting rate fluctuations. Additionally, it requires the report to ensure the program closes each rate collection year with a specific three-month reserve by 2030, with the maximum premium rate remaining at 1.20 percent.

Topics ✓ HealthcareSupports HealthcareBill ensures solvency of medical leave program, maintaining access to healthcare-related benefits and preventing rate increases that could limit coverage.90% confidence ✓ Labor & EmploymentSupports Labor & EmploymentBill ensures program solvency for paid family medical leave, maintaining worker benefits and protecting employment standards through stable funding mechanisms.90% confidence | Rep's Stance ✗ Voted No ✗ Opposes Healthcare