Sen. Paul Harris

Maddy summarySB 5504 would allow Washington Medicaid to pay family caregivers (parents, guardians, or close relatives) for providing complex medical care to children under 18 with high medical needs, as part of existing private duty nursing coverage. To qualify, caregivers must complete 75+ hours of training from an accredited home health agency, receive RN supervision, and work through a licensed home health agency. The bill requires the state health authority to seek federal approval for this payment change by December 2025 and report on feasibility by January 2026. It expires December 31, 2026, and directly affects families caring for medically fragile children covered by Medicaid.

Maddy summarySB 5526 raises the minimum age for purchasing tobacco, e-cigarettes, and related products to 21 in Washington State, directly affecting retailers and underage buyers. It requires retailers to verify age using valid ID (like driver’s licenses or tribal cards) and clarifies definitions for "vapor products" and "alternative nicotine products." The bill increases penalties for violations, including fines up to $15,000 and license suspension/revocation for repeated offenses. These changes amend existing laws to strengthen enforcement of age restrictions and product safety regulations.

Maddy summarySB 5344 establishes a state-funded program to provide nursing home workers in Washington with affordable, high-quality health care benefits through participating nursing home employers. The bill allocates supplemental funding to nursing home operators who commit to offering health care via "qualified health funds" (multi-employer plans), distributing funds based on Medicaid bed days and requiring employers to maintain or increase health care spending. Employers must use all funds to improve employee health benefits, provide transparency on spending, and avoid replacing existing health coverage. The program directly affects nursing home workers - primarily older women, women of color, and immigrants - who provide direct care, with eligibility covering all permanent employees in participating facilities.

Maddy summarySB 5668 requires Washington's state board of health to update newborn screening panels by July 2026 to align with the federal recommended screening panel, adding conditions like metabolic disorders within 12 months of federal updates. It mandates a feasibility review for new additions, assessing costs, available funding, treatment access, and screening technology before implementation. The bill directly affects newborns (through expanded screening), hospitals (which collect blood samples), and the Department of Health (which administers the program and fees). It also allows public petitions for new screenings if scientific evidence supports them, ensuring additions are evidence-based and timely. The law modifies existing statutes to streamline this process while maintaining parental opt-out rights for religious reasons.

Maddy summarySB 5335 establishes a state-funded rural nursing education program to address nurse shortages in Washington's underserved rural communities. The program provides distance learning and support services - including childcare, transportation assistance, and internet access - to nursing students who commit to working in rural areas after graduation. It requires collaboration between rural hospitals, academic institutions, and community partners to create tailored training models and address workforce barriers like high urban salaries and pandemic-related burnout. The bill targets Washington’s 39 critical access hospitals and aims to build a sustainable pipeline of local nurses for rural health facilities.

Maddy summarySB 5007 creates a statewide program to support students missing 10% or more of school days (chronically absent) and at risk of not graduating high school. It requires educational service districts to train staff on early warning systems to identify at-risk students and connect them with supports like family engagement, health services, academic help, and transportation. The bill establishes a "Building Bridges" grant program for local school-family-community partnerships to implement dropout prevention systems, including data-driven interventions, mentorship, and alternative education options. These partnerships must collect and report data on student demographics, attendance, graduation rates, and outcomes to track effectiveness. The law aims to improve reengagement and graduation rates through coordinated, evidence-based support for vulnerable students.

Maddy summarySB 5242 establishes a confidential, anonymous screening program for licensed health care providers in Washington State to address mental health and burnout. The program, funded by an annual surcharge on health professional licensing fees, provides an evidence-based screening questionnaire reviewed by counselors, with options for email consultation, referrals, or assistance with paid medical leave requests for mental health needs. It directly affects all health professionals licensed under chapter 18.130 RCW, including doctors, nurses, and therapists, by offering immediate access to behavioral health resources. The program’s costs are covered through a uniform surcharge added to licensing fees, with funds dedicated exclusively to the initiative via a new state account. The bill does not create new clinical standards but aims to improve provider access to support services through a structured, confidential pathway.

Maddy summarySB 5232 updates the Essential Needs and Housing Support (ENHS) program in Washington State, impacting individuals eligible for these services and the entities that provide them. The bill allows designated support entities to use funds more flexibly to provide essential needs items and housing support to recipients. A significant change is the allowance of direct cash assistance, including through debit cash cards, when identified in a client's housing stability plan, removing a prior restriction. It also expands eligibility to include certain low or extremely low-income elderly or disabled adults transitioning off other benefits. Additionally, the bill aligns the administration rate for ENHS entities with other programs funded by the home security fund.

Maddy summarySB 5083 aims to ensure access to primary care, behavioral health, and affordable hospital services for public employees and their dependents in Washington state. It sets caps on how much health carriers can reimburse in-network hospitals for inpatient and outpatient services, generally limiting them to 200% of Medicare rates in 2027 and 190% in 2029, with higher limits for children's specialty hospitals. The bill also mandates minimum reimbursement rates for in-network primary care and non-facility-based behavioral health services (150% of Medicare) and for rural critical access hospitals. Additionally, it requires certain hospitals to contract with health carriers serving public employees and mandates data sharing with the Health Care Authority for monitoring.

Maddy summarySB 5314 modifies Washington's capital gains tax by updating several provisions. It replaces an expiring business and occupation tax credit with a new, nonrefundable capital gains tax credit, designed to prevent double taxation on the same sale or exchange. The bill also clarifies definitions related to capital gains and losses, ensures consistent treatment for spouses and domestic partners, and establishes a late payment penalty waiver. Additionally, it introduces new reporting requirements for brokers and barter exchanges. These modifications are not estimated to change overall state or local tax collections.