HB 1805 proposes a local 0.01% sales and use tax in Washington counties to fund additional services for children and families. The tax would generate revenue specifically for mental health support, early intervention programs, child care, school-based health services, shelter, rental assistance, and transportation. Counties could implement this tax via resolution or ordinance, with funds restricted to the listed services that address gaps in current Medicaid and behavioral health programs. The bill aims to support children and families early to improve well-being and reduce long-term needs like youth violence and substance use.
Senate Bill 5696 amends the law concerning a local one-tenth of one percent sales and use tax designated for chemical dependency and mental health treatment programs. The bill clarifies that funds collected from this tax may be used for the new construction of facilities and modifications to existing facilities that support these treatment and therapeutic court programs. It also affirms that these programs and their associated facility needs are considered part of local government public safety initiatives. This provides counties and cities with clear guidance on using these tax revenues for infrastructure related to these services.
SB 5481 requires Washington state managed care organizations to reimburse schools for behavioral health services provided by licensed clinicians directly within school settings to Medicaid-enrolled students. This applies even if the service provider is not part of the managed care organization's network, unless equivalent in-network services are already available at the school. The bill aims to address barriers like transportation and stigma by making these services more accessible, particularly for children in rural or underserved communities. It updates state law (chapter 71.24 RCW) to mandate this reimbursement structure for school-based care.
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.
HB 1581 increases a tax on communication services to fund Washington's 988 behavioral health crisis line. It raises the tax rate to 70 cents per month for radio access lines, VoIP services, and switched access lines starting in 2026, up from current rates of 40 cents (2023-2025). The tax applies to subscribers and providers of these services within Washington, with proceeds deposited into a dedicated crisis response account. The funding supports suicide prevention and crisis care services, aiming to reduce reliance on emergency rooms and law enforcement for mental health emergencies. The bill does not change existing services but adjusts tax rates to sustain and expand the 988 system.
HB 1634 establishes regional school safety centers in Washington state to help public school districts coordinate behavioral health support for students. The centers will provide training for school staff on suicide prevention, facilitate partnerships between schools and community health providers, offer Medicaid billing assistance, and support school-based threat assessment programs. This bill directly affects all public school districts, their staff (including counselors and psychologists), and students needing behavioral health services by improving access to existing resources through coordinated planning. It amends state law to require these centers to work with tribes and community partners to ensure culturally responsive support. The bill focuses on strengthening existing systems rather than creating new programs.
HB 1816 allows cities and counties with over 200,000 residents to create civilian crisis response teams that handle specific 911 calls instead of police. These teams can serve as the primary response for calls involving mental health crises, safety checks, or resource requests (like shelter or food), but only when no active violence or weapons are reported. The bill requires teams to undergo training in de-escalation and scene safety, and mandates consultation with health authorities to set qualifications and operating protocols. It designates these teams as a "third 911 responder" alongside police and fire, operating outside traditional law enforcement and fire response systems.
SB 5355 establishes new protections and resources for student survivors of sex-based violence and harassment at Washington state's larger institutions of higher education. The bill grants survivors specific rights, including access to trauma-informed employees, a timely institutional investigation process, and mental health or counseling services. It also requires institutions to offer supportive measures, such as academic adjustments or schedule modifications, and honor court-issued no-contact orders. Additionally, the bill mandates training for Title IX employees and requires certain campuses to establish committees to evaluate and improve survivor support services.
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.
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.
