Rep. Nicole Macri

Maddy summaryHB 2564 requires Washington's health benefit exchange to add new state-specific criteria to its health plan certification process, directly affecting health insurance plans sold through the state's marketplace. The bill mandates the exchange to annually review market conditions and develop certification criteria focused on improving access and affordability - including factors like cost-sharing, provider networks, and premium differences - before certifying plans for the next year. These criteria must be developed with public input from insurers, tribes, and health care stakeholders, following a detailed timeline including public hearings. The change supplements existing federal certification standards but targets Washington residents' specific access and affordability challenges in the insurance marketplace.

Maddy summaryHB 1809 requires Washington state to develop and implement a standardized 9-hour training program for emergency medical technicians (EMTs) and paramedics on responding to behavioral health emergencies, such as overdoses and suicidal crises, by July 2026. It creates a voluntary "behavioral health endorsement" for EMTs who complete the training, allowing them to better connect individuals in crisis to community services instead of emergency departments. The bill mandates the Department of Health to adopt rules integrating this training into existing certification programs by January 2027. This aims to reduce reliance on emergency rooms for behavioral health crises while improving first responder preparedness and collaboration with co-response teams.

Maddy summaryHB 2227 would exempt sales of "qualified affordable housing" from Washington's real estate excise tax. This bill amends the state's tax code (RCW 82.45.010) to create this specific exemption for qualifying affordable housing properties. The exemption directly affects sellers of eligible affordable housing units, reducing their tax burden when selling such properties. The bill is currently pending in the House Finance Committee after being prefaced in December 2025.

Maddy summaryHB 2318 adjusts eligibility requirements for quality improvement awards within Washington's Early Achievers program, which rates child care and early learning programs. The bill specifies that award recipients must serve at least 5% of enrolled children receiving state subsidies, Early Childhood Education and Assistance Programs (EEAP), or Head Start funding. It maintains the program's five-tiered rating system, requires free initial ratings for participants, and mandates public reporting of ratings on a parent-friendly website. The bill also preserves provisions for professional development pathways and voluntary participation for non-subsidized providers, while keeping school-age care exempt. This change directly affects licensed child care centers, family home providers, and early learning programs receiving state funding.

Maddy summaryHB 2674 requires Washington's Department of Health to include dementia risk reduction and diagnosis information in public health campaigns and materials when research links the campaign topic to dementia prevention (e.g., exercise, nutrition). It mandates that updated materials be available in all languages currently used by the department and that the department consult dementia experts when developing this content. The bill directly affects the Department of Health’s public outreach and provider education efforts, aiming to support at-risk populations - including marginalized communities disproportionately impacted by dementia - through accessible, evidence-based information. This policy change integrates existing dementia prevention research into current health communications without creating new programs or funding.

Maddy summaryHB 2232 creates a statewide data repository to improve care for time-sensitive emergencies like heart attacks, strokes, and traumatic injuries. It requires hospitals with specialized trauma, cardiac, or stroke care, along with emergency medical services, to submit quarterly data starting in 2031 on the incidence, severity, and outcomes of these emergencies. The repository will analyze trends to evaluate care quality and patient outcomes, with annual reports beginning in 2033. The bill also mandates an electronic emergency medical services data system, including new data on suspected drug overdoses to support prevention efforts. This affects all hospitals providing trauma, cardiac, or stroke care across Washington State.

Maddy summaryHB 2673 proposes a tax exemption for property used as affordable housing owned or operated by social housing agencies in Washington State. This bill directly affects affordable housing providers by removing certain property taxes on qualifying properties. The key mechanism adds an exemption to existing tax codes, specifically excluding from taxation real property used for affordable housing under a social housing agency's ownership or operation. The exemption applies to properties meeting the bill's defined criteria for affordable housing use, without altering other tax obligations.

Maddy summaryHB 2676 establishes a reimbursement system for school districts purchasing student transportation vehicles, based on vehicle category, expected lifespan (minimum 15 years), and inflation. It requires districts to maintain vehicles properly or face reduced future reimbursements. The bill also mandates that all school districts provide a standardized online "high school and beyond plan" platform for students by the 2020-21 school year, featuring automatic grade updates, multilingual support, and privacy controls. The Superintendent of Public Instruction must select a vendor for this platform by June 2024 and develop a statewide implementation plan by October 2024. These changes directly affect public school districts, transportation providers, and students in Washington State.

Maddy summaryHB 2542 requires Washington-based animal testing facilities, contract testing facilities, and drug manufacturers to use non-animal test methods for drug development when scientifically valid alternatives are available. It prohibits the use of animal test methods in the drug development process (including discovery and preclinical research) if equivalent or better alternatives exist, defined as methods validated by federal bodies that don’t involve animals. The law does not apply if federal regulations mandate animal testing, and violations are treated as unfair trade practices under Washington’s consumer protection law. This directly affects entities conducting drug safety and efficacy testing within the state, aiming to align with federal policy supporting non-animal testing methods.

Maddy summaryHB 2313 authorizes Washington cities to establish publicly owned grocery stores in underserved areas with food access gaps. Cities can acquire property (including via eminent domain), apply for state capital grants covering building rehabilitation and 24-hour "food locker systems," and use tax increment financing to fund store development and infrastructure. The bill requires annual reporting on financial status, community access, jobs created, and for third-party operated stores, sales data and compliance with contractual benchmarks like local produce sourcing. This directly affects cities seeking to address food insecurity through municipal grocery initiatives.