Rep. Debra Lekanoff

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 1090 requires health benefit plans in Washington State (effective January 1, 2026) to cover a 12-month supply of contraceptive drugs at one time, rather than requiring multiple refills. This directly affects health insurers and enrollees, mandating that plans provide this coverage unless an enrollee or provider requests a smaller supply. Key provisions include allowing on-site dispensing at providers' offices (when available) and requiring plans to follow clinical guidelines for appropriate prescribing. The bill defines "contraceptive drugs" to include all FDA-approved pregnancy prevention medications, such as oral, transdermal, and intravaginal hormonal drugs.

Maddy summaryHB 1692 exempts specific data about American Indians, Alaska Natives, and Indian tribes from public records requests. It adds a new provision to Washington’s public records law (RCW 42.56) that protects information prepared by certain state agencies (listed in RCW 43.71B.020(1)(b)(i)) and local health jurisdictions. This directly affects tribal communities and agencies handling tribal-related data, as it prevents the public from accessing this information through standard public records requests. The bill does not change existing tribal rights or create new programs - it only modifies public records accessibility for designated tribal data.

Maddy summaryHB 1235 requires Washington counties and cities to submit housing elements and development regulations to the state Department of Commerce for compliance review before they take effect. Jurisdictions must submit applications within 10 days of amendments or by six months after comprehensive plan updates, with the department issuing a final compliance decision within 90 days. The bill establishes a public compliance list showing each local government’s submission status and review outcome, and prohibits denying affordable housing projects without meeting specific conditions, such as having a state compliance determination. This directly affects all local governments required to plan under the Growth Management Act, ensuring their housing plans align with state laws on affordability, environmental standards, and zoning.

Maddy summaryHouse 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.

Maddy summaryHB 1296, "Promoting a safe and supportive public education system," enacts new requirements for public schools, charter schools, and state-tribal education compact schools in Washington. The bill prioritizes student safety, access to education free of discrimination, and privacy within the school system. It expands protected characteristics to include ethnicity, gender expression, gender identity, homelessness, immigration or citizenship status, and neurodivergence in anti-discrimination policies. Furthermore, the bill mandates that schools develop and share a "Statement of Student Rights" through educational and promotional materials, including civics education, to inform students of their entitlements.

Maddy summaryThis bill, HB 1427, is titled "Concerning certified peer support specialists." The provided text details amendments to state contracting for behavioral health services, affecting Medicaid recipients and other eligible individuals. It mandates the state's health authority to adopt statewide network adequacy standards for behavioral health providers within managed care organizations, ensuring timely access to mental health and substance use disorder treatments. The bill also outlines criteria for selecting managed care organizations, emphasizing experience with low-income populations and integrated care.

Maddy summaryHB 1670 increases public transparency regarding sewage spills in Washington state, directly affecting the Department of Ecology, wastewater operators, and the public who rely on clean water. By July 1, 2026, it mandates the Department of Ecology to create a public-facing website. This website will display notices of reported sewage spills, including details such as the estimated volume, treatment level, location, and the date and time of the incident. The Department must update the site with final spill information and design it to be accessible for people with limited English proficiency.

Maddy summaryHB 1264 updates the process for determining salaries and benefits for Washington state ferry system employees represented by collective bargaining units. The bill requires the Office of Financial Management to contract with a nationally recognized firm to conduct comprehensive salary and fringe benefit surveys for maritime employees. These surveys will compare ferry employee compensation with directly comparable positions in both public and private sectors to ensure competitive pay. Information identifying specific private employers in these surveys will not be subject to public disclosure.

Maddy summaryHB 1382 modernizes Washington's statewide all-payer health care claims database, which collects medical and pharmacy claims data from various public and private health care payers. The bill updates reporting requirements and data disclosure standards for this database, aiming to improve transparency in health care costs and quality. It revises the process for selecting and overseeing the "lead organization" responsible for managing the database, allowing the Health Care Authority to either act as the lead or select one through a competitive process. Additionally, it specifies criteria for the lead organization and outlines entities, such as health plans or hospitals, that are ineligible for the role. The bill also details responsibilities for data vendors who collect and process the claims information to ensure data quality and security.