Rep. Natasha Hill

Maddy summaryHB 1449 legalizes home cultivation of cannabis for Washington residents aged 21 and older. The bill allows individuals to grow up to six cannabis plants per household (with a maximum of 15 plants total per residence) and possess cannabis products within state-set limits, including up to 1/2 ounce of useable cannabis. It prohibits visible cultivation from public view or neighboring properties and restricts non-commercial sharing to no more than 1/2 ounce per 24 hours among adults 21+. The law does not apply to minors, commercial activity, or public consumption.

Maddy summaryHB 1881 requires health care entities to notify Washington’s attorney general and health care authority about major mergers, acquisitions, or contracting affiliations that could impact competition or access to care. It mandates review of these transactions to ensure they maintain or improve access to emergency, primary, reproductive, end-of-life, and gender-affirming care - specifically addressing concerns that past deals reduced access to these services. The bill supplements federal antitrust laws by covering transactions below federal reporting thresholds and giving state agencies tools to investigate potential anticompetitive harm. It directly affects health care providers, insurers, and hospital systems entering significant ownership changes. The law aims to prevent price hikes and limited provider choices, particularly in rural areas, while protecting access to medically necessary care for vulnerable communities.

Maddy summaryHB 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.

Maddy summaryHB 1843 repeals a state law that previously disqualified students attending school or higher education from receiving unemployment insurance benefits. This change directly affects students who are enrolled in educational programs and seeking unemployment benefits due to job loss. The bill removes the barrier that prevented these students from qualifying for benefits solely based on their enrollment status. As a result, students meeting other eligibility criteria (like recent work history) would no longer be automatically disqualified for attending school. The bill passed the House committee with majority support in February 2025.

Maddy summaryHB 1567 requires health care administrators at Washington hospitals to obtain a state license starting January 1, 2027. It defines these roles as nonclinical managers or directors who oversee hiring, compliance, operations, or patient care policies for clinical staff, but excludes federal employees like those in the U.S. Armed Forces. The bill mandates passing a state-administered exam on health care laws and ethics, paying fees, and completing annual continuing education to maintain licensure. The Washington Department of Health will manage licensing, set fees, and enforce rules, including disciplinary actions for unprofessional conduct like unsafe fiscal decisions. This applies only to hospital employees in Washington, not to all health care workers.

Maddy summaryHB 1817 requires Washington public schools to implement trauma-informed training for all staff on responding to sexual assault disclosures, including mandatory bystander intervention. It mandates that school staff receive this training during hiring and every three years, starting August 2027. The bill also directs the state superintendent to create a culturally responsive, translated student and family guide to school policies on sexual harassment and assault by November 2026. These provisions directly affect school employees, students, and families in public elementary and secondary schools across Washington.

Maddy summaryHB 1855 amends Washington state law to prohibit public school discrimination based on additional protected categories, directly affecting students and schools statewide. It adds specific definitions for terms like gender identity, gender expression, neurodivergence, immigration status, and homelessness, then updates the existing anti-discrimination statute (RCW 28A.642.010) to explicitly include these categories. The law expands protections beyond current federal standards, ensuring schools cannot discriminate on these grounds in educational settings. It focuses on creating inclusive environments by addressing barriers to learning for marginalized students, including LGBTQ+ youth and neurodivergent students. The policy change is a direct update to school anti-discrimination rules, not a new program or funding measure.

Maddy summaryHB 1495 establishes a two-year pilot program in eastern Washington to provide financial support for college and career training. It directly affects high school graduates in 10 counties east of the Cascade Mountains who meet income limits (150% of state median family income), enroll in local postsecondary programs within a year of graduation, and apply for federal/state aid. The program offers up to $5,000 annually for tuition and fees (after other aid is applied) to 100 students yearly, plus a separate high school component providing full community college tuition for two years at three selected schools. Funding comes from state matching funds (up to $500,000 for 2026 and $1 million for 2027) paired with private contributions, with reporting required on student outcomes by December 2028. The program expires August 1, 2029.

Maddy summaryHB 1430 requires health carriers in Washington state to reimburse advanced practice registered nurses and physician assistants at the same rate as physicians for providing identical health care services. This mandate applies to health plans issued or renewed starting January 1, 2026, excluding those offered to public employees. Health carriers are prohibited from decreasing physician reimbursement rates to meet this requirement. The Office of the Insurance Commissioner will collect data on the implementation, including rate changes and costs, and report to the legislature by July 1, 2027. This section does not apply to advanced practice registered nurses or physician assistants who are employees of a health maintenance organization.

Maddy summaryHB 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.