Healthcare (Hospitals)

passed · Washington · House Jan 12, 2026

HB 1394: Concerning the retention of hospital medical records.

House Bill 1394 modifies the requirements for how long hospitals in Washington State must retain medical records. It mandates that hospitals preserve all medical records for a minimum of 26 years from the date the record was created, replacing the prior 10-year retention period. This new rule applies to both existing records currently held by hospitals and all future medical records, allowing for retention in paper, electronic, or other formats. It also clarifies that all information from each unique patient visit is considered a medical record under this section.

Topics ✓ HealthcareSupports HealthcareExtends medical record retention to 26 years, enhancing patient record accessibility and continuity of care per healthcare protection indicators.90% confidence

Sub-Topics Hospitals

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in committee · Washington · House Jan 12, 2026

HB 1444: Concerning rapid whole genome sequencing.

HB 1444 requires Washington health insurers to cover rapid whole genome sequencing for infants under one year old in intensive care units who meet specific medical criteria, such as unexplained epilepsy, multiple congenital abnormalities, or suspected genetic disorders. It mandates coverage starting January 1, 2026, for cases where timely diagnosis is critical to treatment, including pre- and post-test counseling. The bill ensures separate payment for this service (not bundled into existing hospital payments) and defines "rapid" sequencing as delivering results in under 14 days. It directly affects low-income families enrolled in medical assistance programs by removing financial barriers to faster diagnosis of rare genetic conditions.

Topics ✓ HealthcareSupports HealthcareMandates insurer coverage for critical infant genetic testing, expanding diagnostic access and aligning with healthcare coverage protections.95% confidence

Sub-Topics Hospitals

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in committee · Washington · House Jan 12, 2026

HB 1864: Transporting patients by ambulance to facilities other than emergency departments.

HB 1864 requires health plans issued or renewed on or after January 1, 2026, to cover ground ambulance transport to non-emergency facilities like urgent care clinics, mental health centers, or substance use disorder programs. It amends existing laws to mandate this coverage for behavioral health emergencies (effective January 1, 2025) and establishes reimbursement rules for medical assistance programs. The bill directly affects health insurers, ambulance services, and patients seeking non-emergency care. It creates a policy change ensuring coverage for transport to these facilities without requiring prior authorization for emergency situations.

Topics ✓ HealthcareSupports HealthcareMandates health plans to cover ambulance transport to mental health/substance use facilities, expanding insurance coverage and improving access to non-emergency care for behavioral health services.95% confidence

Sub-Topics Hospitals Mental Health Substance Abuse Tags Public Safety

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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

Sub-Topics Hospitals Medicare Telehealth

in committee · Washington · House Jan 12, 2026

HB 1766: Prohibiting certain contracting practices by a health carrier acting as a third-party administrator for self-insured coverage offered to public employees.

This bill prohibits health insurers (acting as third-party administrators) from requiring state-owned hospital systems to join their commercial health plans as a condition for negotiating self-funded health coverage for public employees. It directly affects Washington state hospitals and public employee health plans by banning this specific bundling tactic. The key provision states health carriers cannot link participation in their commercial products to negotiations for self-funded plans offered to public employees. The law applies to health carriers defined under Washington law and creates a clear rule against coercive contracting practices.

Topics ✓ HealthcareSupports HealthcareBans insurers from forcing hospitals into commercial plans to negotiate self-funded public employee coverage, protecting negotiation flexibility and preventing restricted options for public health plans.95% confidence ✓ Labor & EmploymentSupports Labor & EmploymentPrevents health insurers from bundling commercial plans with self-funded health coverage negotiations for public employees, protecting their benefits and negotiation rights without coercion.90% confidence

Sub-Topics Hospitals Public Employees

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in committee · Washington · House Jan 12, 2026

HB 1545: Improving cardiac and stroke outcomes.

HB 1545 creates a statewide cardiac and stroke care system in Washington, requiring hospitals and emergency medical services (EMS) providers to submit data on patient care starting in 2027. The Department of Health will establish a registry to collect this data, analyze performance, and develop quality improvement plans focused on reducing death and disability from heart attacks and strokes. The bill mandates annual reports on system progress, with a 2028 report specifically evaluating whether on-site hospital inspections are needed. It also allocates funds to support rural hospitals in meeting data requirements and includes public education on stroke/heart attack symptoms and 911 use.

Topics ✓ HealthcareSupports HealthcareCreates statewide cardiac/stroke care system requiring data collection and quality improvement plans to reduce death/disability, directly advancing healthcare quality outcomes.95% confidence

Sub-Topics Hospitals

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signed · Washington · Senate Apr 22, 2025

SB 5493: Concerning hospital price transparency.

SB 5493, titled "Concerning hospital price transparency," mandates that hospitals in Washington State increase their transparency regarding service costs. By July 1, 2027, hospitals must publish all required data and comply with federal price transparency rules (45 C.F.R. Part 180, subparts A and B, as of January 1, 2025). Starting July 1, 2027, hospitals will also be required to annually submit machine-readable files of all standard charges and consumer-friendly lists of shoppable services to the state department. This bill directly affects hospitals by requiring them to disclose pricing information, aiming to make healthcare costs more accessible to the public.

Topics ✓ HealthcareSupports HealthcareMandates hospital price transparency to improve patient access to cost information, aligning with healthcare policy goals of enhancing consumer choice and reducing hidden costs.92% confidence

Sub-Topics Hospitals

in committee · Washington · House Jan 12, 2026

HB 1560: Funding health care access by imposing an excise tax on the annual compensation paid to certain highly compensated hospital employees.

HB 1560 imposes a 7.5% tax on the portion of annual compensation exceeding 10 times the state's average wage for the five highest-paid hospital employees without direct patient care, plus the hospital's lead administrator if not included. It directly affects nonprofit hospitals in Washington that pay certain executives excessive compensation, as defined by the bill. The tax revenue will fund programs to improve healthcare access, particularly for vulnerable populations and reproductive care. The tax applies to compensation reported under state health reporting rules, beginning in 2027 for the 2026 tax year.

Topics ✓ Budget & TaxesSupports Budget & TaxesImposes 7.5% tax on high hospital execs to fund healthcare access programs, directly increasing public funding for essential services.95% confidence ✓ HealthcareSupports HealthcareTax revenue funds healthcare access programs for vulnerable populations and reproductive care, directly advancing healthcare access through new funding.90% confidence

Sub-Topics Revenue Sales Tax Hospitals

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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

Sub-Topics Hospitals

in committee · Washington · Senate Jan 12, 2026

SB 5229: Facilitating civil commitment for treatment for a person requiring revival by opioid overdose reversal medication.

This bill amends Washington state law to expand the criteria for involuntary treatment (civil commitment) for people with substance use disorders. Specifically, it adds to the definition of "gravely disabled" that a person required opioid overdose reversal medication within two weeks and is not receiving appropriate treatment. This change would allow courts to order inpatient care for individuals who've recently survived opioid overdoses but aren't accessing treatment services. The bill focuses on facilitating access to care for this specific group, not on new penalties or programs. (Note: The bill is currently in committee and not yet law.)

Topics ✓ HealthcareSupports HealthcareExpands access to treatment for opioid overdose survivors via court-ordered inpatient care, improving healthcare access for substance use disorders.90% confidence

Sub-Topics Hospitals Substance Abuse

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