Rep. My-Linh Thai

Maddy summaryHB 1603 requires insurers to offer Medicare supplemental (Medigap) coverage without health-based denial to Washington residents who voluntarily leave a Medicare Advantage plan (Part C) and switch to Original Medicare (Parts A and B). The bill mandates that eligible individuals - specifically those who disenroll from Medicare Advantage and enroll in Parts A/B - must be guaranteed access to a Medigap plan within 63 days of disenrollment, provided they submit proof of termination. This applies to all insurers offering Medigap plans to new enrollees, prohibiting discrimination based on health status or preexisting conditions during this transition window. The policy directly affects seniors switching from Medicare Advantage to Original Medicare, ensuring they can maintain supplemental coverage without barriers. The bill amends Washington’s RCW 48.66.055 to codify this "guaranteed issue" requirement under subsection (3)(b)(E).

Maddy summaryHB 1523 establishes the Essential Worker Health Care Program to provide nursing home workers in Washington with access to high-quality, affordable health coverage through their employers. Participating nursing home operators receive supplemental funding to support multiemployer health plans, while committing to maintain or increase their spending on employee health benefits (adjusted for inflation) and use funds to supplement, not replace, existing coverage. Employers must document prior health care spending, allocate funds through certified health plans, and report annually on benefit improvements. The program targets workforce instability in nursing homes - where many workers are women of color and immigrants - by aiming to reduce turnover and improve care quality through better health care access.

Maddy summaryThis 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.

Maddy summaryHB 1262 would rename Washington's Governor's Interagency Council on Health Disparities to the "Council for Health Justice and Equity" and update its membership requirements to include representatives from state commissions (such as the Commission on African American Affairs and the Governor's Office of Indian Affairs) and key departments (including Health, Social and Health Services, and Commerce). The bill specifies that the council must include six public members reflecting diversity in race, ethnicity, and gender, while maintaining its role in coordinating state efforts to address health disparities. This is a procedural update to existing law, not a new policy or funding measure, and it was referred to committee but did not advance in 2025.

Maddy summaryHB 1616 expands the definition of "unlawful transit conduct" to explicitly include Washington State Ferries. This means that behaviors previously prohibited on other public transit, such as smoking, littering, playing loud music without headphones, or consuming open alcoholic beverages, will now also apply to state ferries. The bill amends existing law by adding "ferry boat" to the definition of a transit vehicle and "the Washington state ferries" to the definition of a transit authority. Individuals found in violation of these rules on state ferries could be guilty of a misdemeanor.

Maddy summaryHB 1677 requires all public universities in Washington with student health centers to offer medication abortion services by the 2026-27 academic year, either directly or via telehealth referrals. For universities without student health centers, the bill mandates providing confidential referrals to abortion providers, telehealth support, and campus spaces for virtual appointments. It also requires all institutions to maintain a website with clear reproductive health resources, including academic accommodation options for pregnancy-related needs. The bill directly affects approximately 196,000 college students facing significant travel and wait-time barriers to abortion care, aiming to make services as accessible as possible within campus health systems.

Maddy summaryHB 1770 clarifies the definition of "vision benefit manager" within Washington state's health care administration rules. It specifies that vision benefit managers - entities managing vision care benefits for health plans - are now explicitly included under the broader definition of "health care benefit manager" in existing law. This affects how vision benefits are administered for employees covered by public employees' and school employees' health benefit programs. The bill adds specific language to define vision benefit managers' roles, such as processing claims and determining coverage for vision services, while excluding certain entities like public benefit boards from this classification.

Maddy summaryHB 1948 requires Washington state port districts managing major airport operations (defined as those with significant capital projects over $8 million) to create environmental justice plans by 2026. These plans must include community engagement strategies, measurable goals to reduce health disparities, and methods to involve overburdened communities in decision-making. For major projects, ports must obtain University of Washington assessments of environmental impacts on vulnerable populations and publicly share mitigation plans. The law mandates accessible community input through language support, childcare, and outreach to ensure equitable participation. It applies specifically to ports with airport-related activities under RCW 53.54.010.

Maddy summaryHB 1664 requires Washington's long-term care ombuds program to submit annual funding recommendations by September 1 each year. The recommendations must ensure funding achieves a 1:2,000 ombudsman-to-resident ratio (per Institute of Medicine guidelines), account for projected facility bed growth, inflation, and administrative needs. This directly affects residents in licensed long-term care facilities by mandating sufficient resources to investigate complaints and protect their rights. The bill shifts the program from current underfunding to a structured, annually updated funding process.

Maddy summaryHB 1093 amends Washington state law to require medical assistance plans (Medicaid) to cover massage therapy as a "related service" under existing coverage for physical and occupational therapy. This change directly affects Medicaid beneficiaries who need massage therapy for medical conditions, such as chronic pain or injury rehabilitation. The bill updates RCW 74.09.520 to explicitly include massage therapy within covered services, aligning it with other therapeutic treatments. Coverage remains subject to available funding, as specified in other sections of the bill.