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. Rev. Code § 18.64.430. Cost disclosure to health care providers: Pharmacists – Washington
Introduced: Status: Enacted
The registered or licensed pharmacist under this chapter shall establish and maintain a procedure for disclosing to physicians and other health care providers with prescriptive authority information detailed by prescriber, of the cost and dispensation […]
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Wash. Rev. Code § 18.79.260. Registered nurse—Activities allowed—Delegation of tasks: Nursing Care – Washington
Introduced: Status: Enacted
A registered nurse under his or her license may perform for compensation nursing care, as that term is usually understood, to individuals with illnesses, injuries, or disabilities.
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Wash. Rev. Code § 35.21.766. Ambulance services–Establishment authorized: Cities and Towns — Miscellaneous Provisions – Washington
Introduced: Status: Enacted
Whenever a regional fire protection service authority determines that the fire protection jurisdictions that are members of the authority are not adequately served by existing private ambulance service, the governing board of the authority may […]
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Wash. Rev. Code § 41.05.006. Purpose: State Health Care Authority – Washington
Introduced: Status: Enacted
The legislature recognizes that (a) the state is a major purchaser of health care services, (b) the increasing costs of such health care services are posing and will continue to pose a great financial burden […]
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Wash. Rev. Code § 41.05.013. State purchased health care programs—Uniform policies—Report to the legislature: State Health Care Authority – Washington
Introduced: Status: Enacted
The authority shall coordinate state agency efforts to develop and implement uniform policies across state purchased health care programs that will ensure prudent, cost-effective health services purchasing, maximize efficiencies in administration of state purchased health […]
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