Rep. Nicole Macri

Maddy summaryHB 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.

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 1301 requires Washington state facilities to provide free communication services (including voice calls, video, and messaging) to people confined in state custody, eliminating fees for these services. It mandates that facilities maintain existing access to communication devices (like wall phones) and provide free tablets to incarcerated individuals. The bill prohibits facilities from charging fees or generating revenue from these services and explicitly states communication services cannot replace in-person visitation. It also requires transparency by making provider contracts and fee structures publicly available on facility websites and tablets. This law applies to both the Department of Corrections and Department of Children, Youth, and Families facilities.

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 1470 requires Washington's developmental disabilities administration to hire two permanent full-time staff members to manage its "no-paid services" caseload. This caseload includes individuals eligible for services but not currently receiving paid support. The staff will update the caseload to track current eligible individuals, identify those interested in services within the next year, and report this data annually to the governor and legislature. The bill also mandates that individuals on this caseload receive case resource management services, including outreach about available support options. These changes aim to improve caseload accuracy and client outreach without altering eligibility criteria or funding.

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.

Maddy summaryHB 1866 creates a pilot program allowing Washington state agencies to provide one-time advance funds to eligible nonprofits that have received state grants. Nonprofits must have a recent grant (within six months), a strong performance history, a budget under $5 million, and work in areas like public health, safety, or welfare. Advances are capped at 25% of the grant amount or $100,000 (whichever is lower) and must be repaid from future grant funds. The program expires June 30, 2028, requiring a 2027 report evaluating its effectiveness and recommending future action.

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 1448 establishes statewide rules for local governments adopting ranked choice voting (RCV) in elections. It allows counties, cities, school districts, fire districts, and port districts to use RCV for local offices, requiring ballots to let voters rank candidates in order of preference (with at least five rankings per office) and setting clear counting rules for single-winner (instant runoff) and multi-winner (single transferable vote) contests. The bill mandates that single-winner RCV elections must first hold a traditional primary to narrow candidates to five, while multi-winner contests skip primaries. It also requires local governments to implement RCV within two years of adoption and directs the Secretary of State to create rules for ballot design and vote tabulation by May 2026.