Overview

STATE BUDGET
Washington enacts budgets on a two-year cycle. The biennial budget takes effect on July 1 of each odd-numbered year and is valid through June 30 of the next odd-numbered year.
STATE LEGISLATURE
The Washington state legislative session begins session annually on the second Monday in January. In odd-numbered years the Legislature meets for 105 days, and in even-numbered years for 60 days. The state has 49 Senators, and 98 members of the House of Representatives. Senators serve four year staggered terms, Representatives for two year terms, and there are no term limits. Washington carries over bills from odd to even years.
KEY RESOURCES
- Washington State Legislature
- Washington Office of the Attorney General
- Washington Office of the Insurance Commissioner
- Washington Health Alliance
- Washington All Payer Health Care Claims Database (WA-APCD)
- Washington HealthCareCompare
- Washington Governor
2025 LEGISLATIVE SUMMARY
Washington passed legislation making healthcare claim reporting more efficient to help patients, providers, and policymakers make more informed decisions about healthcare – HB1382, which updates the state payer claims database management, reporting timelines and data collection. Washington also enacted HB1686 which created a comprehensive healthcare registry including healthcare facilities, providers, systems, carriers, and benefit managers for the purpose of monitoring and measuring health care market changes. Finally, the state also passed SB5122 creating the Uniform Antitrust Premerger Notification Act, requiring businesses that have to file pre-merger notifications under the federal Hart-Scott-Rodino Act to also file copies with the state AG if their principal place of business is in the state, or if they meet minimum in state sales requirements.
Washington Laws
Wash. Admin. Code § 246-25-045. “Most favored nations clauses” — Policy statement: Antitrust Immunity and Competitive Oversight – Washington
Introduced: Status: Enacted
Regulation that provides the use of ‘most favored nations clauses‘ in contracts between a health care provider or facility and a “certified health plan” is prohibited.
Download
Wash. Rev. Code § 18.51.310. Comprehensive plan for utilization review—Licensing standards—Regulations: Nursing Homes – Washington
Introduced: Status: Enacted
The department shall establish, in compliance with federal and state law, a comprehensive plan for utilization review as necessary to safeguard against unnecessary utilization of care and services and to assure quality care and services […]
Download
Wash. Rev. Code § 18.51.540. Cost disclosure to attending physicians: Nursing Homes – Washington
Introduced: Status: Enacted
The legislature finds that the spiraling costs of nursing home care continue to surmount efforts to contain them, increasing at approximately twice the inflationary rate.
Download
Wash. Rev. Code § 18.59.170. Scope of practice–Wound care management: Occupational Therapy – Washington
Introduced: Status: Enacted
An occupational therapist licensed under this chapter may provide wound care management only under the following circumstances.
Download
Wash. Rev. Code § 18.64.011. Definitions: Pharmacists – Washington
Introduced: Status: Enacted
Provides definitions for Chapter 18.64 Pharmacists (sections 18.64.001 through 18.64.920).
Download


