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WashingtonHB 18132025-2026 Regular SessionHouseWALLET

Concerning the reprocurement of medical assistance services, including the realignment of behavioral health crisis services for medicaid enrollees.

Sponsored By: Nicole Macri (Democratic)

Became Law

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Bill Overview

Analyzed Economic Effects

7 provisions identified: 6 benefits, 1 costs, 0 mixed.

24/7 behavioral health crisis care

Every region runs a crisis hotline all day, every day, linked with 988. Crisis teams and services are available 24/7, including support for involuntary commitment evaluations and treatment. The regional crisis agency must have enough licensed providers and an adequate evaluation and treatment network. It must also coordinate services required under state law to make sure people get investigation, transport, court-related, and treatment services.

Faster enrollment and better care coordination

Enrollment into Medicaid is sped up for eligible people leaving jails or mental health institutions. Courts’ less‑restrictive‑alternative orders are tracked, and your health plan is notified, even if you move regions. By January 1, 2026, crisis agencies and health plans use the same electronic care‑coordination data standards across regions. Crisis agencies must keep required patient‑tracking data and work with plans and tribes to coordinate care for people who often use crisis services.

Planning and rates align with services

The state meets quarterly to plan new or expanded regional services using reports from health plans, crisis agencies, providers, and Indian health entities. Medicaid managed care rates are increased prospectively when facilities open or expand and are adjusted after closures in the next rate cycle. Stakeholders get a chance to comment during reprocurement, within existing funds. The state sets methods to measure network access by provider type and may streamline managed care contract rules to cut paperwork.

Law only applies if funded

This law is null and void if the omnibus budget did not include specific funding for it by June 30, 2025.

Extra noncrisis help and smoother discharges

Regional crisis agencies may offer added noncrisis behavioral health services if funding is available and you meet contract rules. They must provide resource management, residential, and community supports as required by their state contract. If you are not on Medicaid and leave a state hospital or inpatient setting, they must help with care coordination and discharge planning to reduce rehospitalization.

Stronger crisis-system standards and safeguards

Crisis agencies must run quality‑assurance programs and make sure contractors follow limits on administrative costs. They work with the state on a funding model to keep adequate financial reserves. They must hire a coordinator for assisted outpatient treatment and carry out all duties required by law. Services must meet the needs of minorities, older adults, people with disabilities, children, and low‑income people. Agencies also work with local and tribal governments to avoid pushing people with mental illness into jails.

Stronger tribal partnership in crisis care

Crisis agencies and their contractors must follow the statewide tribal crisis coordination plan. The state develops an operational plan for a crisis agency focused on American Indian and Alaska Native people, working with tribal governments and Indian health partners. Regional crisis agencies must also coordinate across systems and with tribal governments and build service capacity.

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Sponsors & Cosponsors

Sponsor

  • Nicole Macri

    Democratic • House

Cosponsors

  • Beth Doglio

    Democratic • House

  • Gerry Pollet

    Democratic • House

  • Lauren Davis

    Democratic • House

  • Lisa Parshley

    Democratic • House

  • Shaun Scott

    Democratic • House

  • Timm Ormsby

    Democratic • House

Roll Call Votes

All Roll Calls

Yes: 171 • No: 70

House vote • 4/21/2025

Final Passage as Amended by the Senate

Yes: 62 • No: 35 • Other: 1

Senate vote • 4/16/2025

3rd Reading & Final Passage as Amended by the Senate

Yes: 30 • No: 19

House vote • 3/11/2025

3rd Reading & Final Passage

Yes: 79 • No: 16 • Other: 3

Actions Timeline

  1. Effective date 7/27/2025.

    5/12/2025House

  2. Chapter 216, 2025 Laws.

    5/12/2025House

  3. Governor signed.

    5/12/2025legislature

  4. Delivered to Governor.

    4/24/2025legislature

  5. President signed.

    4/23/2025legislature

  6. Speaker signed.

    4/22/2025legislature

  7. Passed final passage; yeas, 62; nays, 35; absent, 0; excused, 1.

    4/21/2025House

  8. House concurred in Senate amendments.

    4/21/2025House

  9. Third reading, passed; yeas, 30; nays, 19; absent, 0; excused, 0.

    4/16/2025House

  10. Rules suspended. Placed on Third Reading.

    4/16/2025House

  11. Committee amendment(s) adopted with no other amendments.

    4/16/2025House

  12. Placed on second reading by Rules Committee.

    4/15/2025House

  13. Minority; without recommendation.

    4/8/2025House

  14. Minority; do not pass.

    4/8/2025House

  15. WM - Majority; do pass with amendment(s).

    4/8/2025House

  16. Passed to Rules Committee for second reading.

    4/8/2025House

  17. Referred to Ways & Means.

    3/29/2025House

  18. And refer to Ways & Means.

    3/27/2025House

  19. Minority; do not pass.

    3/27/2025House

  20. HLTC - Majority; do pass with amendment(s).

    3/27/2025House

  21. First reading, referred to Health & Long-Term Care.

    3/14/2025House

  22. Third reading, passed; yeas, 79; nays, 16; absent, 0; excused, 3.

    3/11/2025House

  23. Rules suspended. Placed on Third Reading.

    3/11/2025House

  24. Floor amendment(s) adopted.

    3/11/2025House

  25. 2nd substitute bill substituted.

    3/11/2025House

Bill Text

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