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WashingtonHB 25482025-2026 Regular SessionHouseWALLET

Strengthening health care market standards.

Sponsored By: Jamila Taylor (Democratic)

Became Law

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Bill Overview

Analyzed Economic Effects

3 provisions identified: 0 benefits, 2 costs, 1 mixed.

More hospital and provider deals need notice

The law expands what counts as health care services, including mental health, pharmacy, ambulance, and more. Hospitals and provider groups that jointly negotiate rates are treated as a contracting affiliation. Deals with an out-of-state entity are covered when it makes $10 million or more from Washington patients. For those deals, the Washington party must file a notice with the attorney general.

New filing fees for health care deals

You pay one filing fee per transaction, based on Washington deal value: $2,500 up to $1,000,000; $7,500 for $1,000,001–$4,000,000; $15,000 for $4,000,001–$10,000,000; $20,000 for $10,000,001–$20,000,000; $25,000 over $20,000,000. If a contracting affiliation has no asset transfer, the fee is $2,500. Contracting affiliations between a state‑owned or state‑operated entity and a public hospital district do not pay the fee. The attorney general can adjust fees over time using the medical care Consumer Price Index. All filing fees go to the state antitrust revolving fund.

Clear review timelines and reporting duties

A notice is filed only when the written notice and the filing fee are submitted together. Notices must list every location where each party provides health care services. The attorney general must ask for any extra information within 30 days of receiving the notice. If more information is requested, the deal must wait 30 days after you certify substantial compliance; later requests do not extend that wait. After completion, parties must notify the attorney general within 30 days whether the deal was completed, blocked, or abandoned. The attorney general posts a quarterly list of pending and completed deals online and alerts the Secretary of State when a nonprofit is involved.

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Sponsors & Cosponsors

Sponsor

  • Jamila Taylor

    Democratic • House

Cosponsors

  • Gerry Pollet

    Democratic • House

  • Mary Fosse

    Democratic • House

  • Nicole Macri

    Democratic • House

  • Shaun Scott

    Democratic • House

  • Timm Ormsby

    Democratic • House

Roll Call Votes

All Roll Calls

Yes: 138 • No: 98

House vote • 3/11/2026

Final Passage as Amended by the Senate

Yes: 55 • No: 41 • Other: 2

Senate vote • 3/5/2026

3rd Reading & Final Passage as Amended by the Senate

Yes: 30 • No: 19

House vote • 2/16/2026

3rd Reading & Final Passage

Yes: 53 • No: 38 • Other: 7

Actions Timeline

  1. Effective date 6/11/2026.

    3/25/2026House

  2. Chapter 222, 2026 Laws.

    3/25/2026House

  3. Governor signed.

    3/25/2026legislature

  4. President signed.

    3/12/2026legislature

  5. Delivered to Governor.

    3/12/2026legislature

  6. Speaker signed.

    3/11/2026legislature

  7. Passed final passage; yeas, 55; nays, 41; absent, 0; excused, 2.

    3/11/2026House

  8. House concurred in Senate amendments.

    3/11/2026House

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

    3/5/2026House

  10. Rules suspended. Placed on Third Reading.

    3/5/2026House

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

    3/5/2026House

  12. Placed on second reading by Rules Committee.

    3/3/2026House

  13. On motion, referred to Rules Committee for second reading.

    2/25/2026House

  14. Minority; without recommendation.

    2/24/2026House

  15. Minority; do not pass.

    2/24/2026House

  16. And refer to Ways & Means.

    2/24/2026House

  17. LAW - Majority; do pass with amendment(s).

    2/24/2026House

  18. First reading, referred to Law & Justice.

    2/18/2026House

  19. Third reading, passed; yeas, 53; nays, 38; absent, 0; excused, 7.

    2/16/2026House

  20. Rules suspended. Placed on Third Reading.

    2/16/2026House

  21. Floor amendment(s) adopted.

    2/16/2026House

  22. 1st substitute bill substituted.

    2/16/2026House

  23. Rules Committee relieved of further consideration. Placed on second reading.

    2/14/2026House

  24. Referred to Rules 2 Review.

    2/9/2026House

  25. Minority; do not pass.

    2/9/2026House

Bill Text

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