All Roll Calls
Yes: 143 • No: 0
WashingtonHB 25772025-2026 Regular SessionHouseWALLET
Concerning hospital inspections.
Sponsored By: Nicole Macri (Democratic)
Became Law
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Bill Overview
Analyzed Economic Effects
5 provisions identified: 2 benefits, 1 costs, 2 mixed.
Inspection coordination and hospital safeguards
The health department coordinates hospital inspections with DSHS, the State Fire Marshal, and local agencies. It gives at least four weeks’ notice, invites them to attend, and shares reports after. Before a final report, a hospital gets at least two weeks to provide missing records and is offered a meeting with its chief. Hospitals with a hospital license do not need extra licenses or inspections meant for hotels, restaurants, or nursing homes. During declared emergencies, the department may pause unannounced inspections but must still investigate patient well‑being concerns. Beginning June 11, 2026, these rules apply.
Accreditor surveys can replace state inspections
The health department can accept CMS or approved accreditor surveys when standards match state rules. Hospitals that show proof of certification within 30 days are inspected at least every 36 months. During a state survey, hospitals must share written accreditor reports when asked. Beginning June 11, 2026, these rules apply.
State Patrol leads hospital fire safety
The State Patrol’s fire protection director adopts CMS‑recognized hospital fire standards, using existing‑building rules for existing hospitals. During licensing, the fire director inspects with the health department and issues written correction reports; hospitals must submit fixes and may be reinspected for serious issues. Approved accreditor surveys count as fire inspections every 36 months. The director names regional lead deputies and requires hospital‑specific training before inspections. In cities with equivalent codes, the local fire chief and the state jointly approve before a full license. The law defines “condition‑level violation” as serious but not immediate danger. Beginning June 11, 2026, these rules apply.
Unannounced hospital checks every 18 months
The Department of Health inspects every hospital at least once every 18 months. Inspections are unannounced. Inspectors can review all areas and operations to check compliance. Beginning June 11, 2026, these rules apply.
Follow state rules before hospital construction
Any hospital licensee or applicant must follow Department of Health regulations before starting alterations, additions, or new construction. Work may not begin until those steps are done. Beginning June 11, 2026, these rules apply.
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Sponsors & Cosponsors
Sponsor
Nicole Macri
Democratic • House
Cosponsors
Gerry Pollet
Democratic • House
Julia Reed
Democratic • House
Lisa Parshley
Democratic • House
Natasha Hill
Democratic • House
Timm Ormsby
Democratic • House
Roll Call Votes
Senate vote • 2/28/2026
3rd Reading & Final Passage
Yes: 49 • No: 0
House vote • 2/12/2026
3rd Reading & Final Passage
Yes: 94 • No: 0 • Other: 4
Actions Timeline
Effective date 6/11/2026.
3/11/2026HouseChapter 35, 2026 Laws.
3/11/2026HouseGovernor signed.
3/11/2026legislatureDelivered to Governor.
3/5/2026legislatureSpeaker signed.
3/4/2026legislaturePresident signed.
3/4/2026legislatureThird reading, passed; yeas, 49; nays, 0; absent, 0; excused, 0.
2/28/2026HouseRules suspended. Placed on Third Reading.
2/28/2026HousePlaced on second reading consent calendar.
2/27/2026HousePassed to Rules Committee for second reading.
2/25/2026HouseHLTC - Majority; do pass.
2/24/2026HouseFirst reading, referred to Health & Long-Term Care.
2/16/2026HouseThird reading, passed; yeas, 94; nays, 0; absent, 0; excused, 4.
2/12/2026HouseRules suspended. Placed on Third Reading.
2/12/2026House1st substitute bill substituted.
2/12/2026HouseRules Committee relieved of further consideration. Placed on second reading.
2/11/2026HouseReferred to Rules 2 Review.
2/3/2026HouseHCW - Majority; 1st substitute bill be substituted, do pass.
1/30/2026HouseHCW - Executive action taken by committee.
1/30/2026HouseFirst reading, referred to Health Care & Wellness.
1/19/2026HouseIntroduced
1/19/2026House
Bill Text
Session Law
3/12/2026
Bill as Passed Legislature
3/6/2026
Substitute Bill
2/3/2026
Original Bill
1/19/2026
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