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

Sub-Topics Medicaid Mental Health

in committee · Washington · House Jan 12, 2026

HB 1743: Enhancing opportunities for community-based providers to provide health care services in carceral settings.

HB 1743 creates a state reimbursement program to help community-based health care providers offer medical services in local jails. It directly affects small health centers that struggle to get malpractice insurance in carceral settings, as they cannot self-insure and face limited coverage options. The bill provides state reimbursement for medical malpractice claims exceeding $50,000, covering defense costs and judgment amounts above that threshold, but only for claims related to health care services. To qualify, providers must be federally qualified health centers or approved clinics, and local jails must submit detailed claims through the state’s risk management process.

Topics ✓ Budget & TaxesSupports Budget & TaxesBill creates state reimbursement program for malpractice claims, increasing state spending on health care services in jails, thus funding a public service.90% confidence ✓ Criminal JusticeSupports Criminal JusticeBill provides state reimbursement for malpractice claims enabling healthcare access in jails, improving inmate medical care and aligning with criminal justice reform goals.90% confidence ✓ HealthcareSupports HealthcareProvides state reimbursement for malpractice claims, enabling community health providers to offer services in jails, improving healthcare access in carceral settings.95% confidence

Sub-Topics Corrections

Track

in committee · Washington · House Jan 12, 2026

HB 1070: Concerning industrial insurance coverage for posttraumatic stress disorders affecting correctional facility workers.

HB 1070 creates a legal presumption that posttraumatic stress disorder (PTSD) is an occupational disease for correctional facility workers in Washington state, directly affecting staff employed at prisons, jails, or community corrections facilities. The bill establishes that after 90 consecutive days of full-time, compensated employment, PTSD claims for these workers are presumed work-related unless the employer provides evidence to the contrary. It also requires employers to cover reasonable appeal costs (including attorney fees) if workers win their claims in court or before the Industrial Insurance Appeals Board. This applies to claims filed within three months per year of employment, up to a maximum of 60 months after leaving the job. The law takes effect January 1, 2026.

Topics ✓ HealthcareSupports HealthcareMandates insurance coverage for PTSD claims as occupational disease, expanding mental health coverage for correctional workers under state workers' compensation.95% confidence ✓ Labor & EmploymentSupports Labor & EmploymentPresumes PTSD work-related for correctional workers after 90 days, easing access to benefits and strengthening workplace safety protections for a high-risk occupation.95% confidence

Sub-Topics Insurance

Track

in committee · Washington · Senate Feb 2, 2026

SB 5652: Reducing environmental and health disparities and improving the health of Washington state residents in large port districts.

SB 5652 requires Washington state port districts with major projects (like airport expansions over $8 million) to create environmental justice plans by 2026. These plans must address health disparities in overburdened communities near ports by setting goals, tracking progress, and ensuring equitable community input. The bill mandates that ports conduct health impact assessments using University of Washington data for new projects and publicly share mitigation strategies. It directly affects port districts managing large infrastructure projects, aiming to reduce pollution-related health risks for vulnerable populations.

Topics ✓ EnvironmentSupports EnvironmentMandates environmental justice plans, health impact assessments, and public mitigation strategies for port projects to address pollution-related health disparities in overburdened communities.95% confidence ✓ HealthcareSupports HealthcareMandates health impact assessments and equity plans to address environmental health disparities in port communities, directly advancing public health outcomes per bill's focus on health disparities and mitigation strategies.95% confidence

Sub-Topics Environmental Justice

Track

in committee · Washington · Senate Jan 12, 2026

SB 5299: Concerning general supervision of diagnostic radiologic technologists, therapeutic radiologic technologists, and magnetic resonance imaging technologists by licensed physicians.

SB 5299 permits licensed physicians to provide "virtual direct supervision" for intravenous contrast procedures performed by diagnostic radiologic technologists, therapeutic radiologic technologists, and magnetic resonance imaging (MRI) technologists. This means physicians no longer need to be physically present during these procedures but must be immediately available via real-time audio/video communication and within 30 miles of the facility. The bill amends Washington’s medical practice law (RCW 18.84.020) to specifically allow this telehealth-based supervision model for IV contrast procedures, while requiring physical supervision for all other radiologic procedures. It directly affects these technologists and their supervising physicians by updating supervision requirements to align with modern telehealth capabilities.

Topics ✓ HealthcareSupports HealthcareAllows virtual physician supervision for radiologic procedures, improving access to care by reducing physical presence requirements without compromising safety.95% confidence

Sub-Topics Telehealth

Track

in committee · Washington · Senate Jan 12, 2026

SB 5089: Concerning funding rural county coroners and medical examiners.

SB 5089 provides six years of state funding (2025-2030) to cover new or increased coroner and medical examiner costs for Washington counties with populations under 40,000. This directly supports rural counties facing budget challenges in meeting legal requirements for these services. The bill amends state law to require the legislature to appropriate funds during this period, allowing counties to prepare for fully covering these costs themselves starting in 2031. It does not change existing county election requirements for coroners or medical examiners but ensures state financial assistance during the transition.

Topics ✓ Budget & TaxesSupports Budget & TaxesProvides six years of state funding for rural county coroner services, ensuring fiscal support for essential government functions without increasing local tax burdens.90% confidence ✓ Criminal JusticeSupports Criminal JusticeFunds rural coroner/medical examiner services, ensuring legal compliance for death investigations critical to criminal justice system.95% confidence ✓ HealthcareSupports HealthcareFunds rural coroner/medical examiner services, directly supporting healthcare infrastructure for medical professionals and public health compliance.95% confidence

Track

in committee · Washington · Senate Jan 12, 2026

SB 5295: Updating Washington's sexual assault survivor bill of rights.

SB 5295 updates Washington's sexual assault survivor bill of rights to align with federal grant requirements. It directly affects survivors of sexual assault (including minors through guardians) and requires medical facilities, law enforcement, prosecutors, and courts to provide specific protections. Key provisions include: free medical forensic exams, written notices about victim compensation and evidence handling, referrals to sexual assault programs, access to advocates throughout legal proceedings, preservation of sexual assault kits upon request, and free copies of police reports. The bill ensures survivors retain all rights regardless of participation in criminal proceedings, with legal remedies limited to court orders for denied rights.

Topics ✓ Criminal JusticeSupports Criminal JusticeBill mandates specific victim protections (free exams, referrals, notices) for sexual assault survivors interacting with law enforcement, courts, and medical facilities, strengthening victim rights within criminal justice system.95% confidence ✓ HealthcareSupports HealthcareBill mandates free medical forensic exams and referrals to sexual assault programs, directly improving access to healthcare services for survivors.95% confidence

Sub-Topics Courts Law Enforcement Victims' Rights

Track

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

Sub-Topics Audits & Accountability Insurance Paid Leave

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

Track

signed · Washington · House May 19, 2025

HB 1392: Creating the medicaid access program.

House Bill 1392 establishes the Medicaid Access Program in Washington state, directly affecting health carriers and Medicaid managed care organizations. The bill implements an annual "covered lives assessment" on these entities, with specific per-member-per-month rates, to fund the program. Implementation of these assessments and the program is conditional upon federal approval from the Centers for Medicare and Medicaid Services, along with state appropriation certifications and contract amendments.

Topics ✓ Budget & TaxesSupports Budget & TaxesImplements annual assessment on health carriers to fund Medicaid program, increasing state revenue for essential healthcare services.95% confidence ✓ HealthcareSupports HealthcareBill creates Medicaid Access Program funded via assessments on health carriers to expand coverage, directly advancing healthcare access and funding as per summary.90% confidence

Sub-Topics Medicaid Medicare