WashingtonSB 51282025-2026 Regular SessionSenateWALLET

Concerning the provision of medical assistance to individuals in juvenile detention facilities.

Sponsored By: Claire Wilson (Democratic)

Became Law

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Bill Overview

Analyzed Economic Effects

4 provisions identified: 4 benefits, 0 costs, 0 mixed.

Fast Medicaid restart at release

Beginning July 27, 2025, HCA fully reinstates your Medicaid no later than the moment you are released. This applies if you were enrolled before confinement or you enrolled in suspense status while confined. A fast eligibility check may happen when required; HCA cannot restore early if that would use federal funds beyond what is allowed. Statewide steps speed this up: facilities and field offices accept pre-release applications and aim to finish reviews before release. They provide ID cards, work with Social Security to speed SSI/SSDI, tell your health plan your release details, and share exam results that show disability so HCA can decide sooner.

Health help before and after juvenile release

Eligible juveniles in detention get screening and diagnostic services within 30 days before release, or within a week after release if needed. They also get targeted case management for at least 30 days before release and for at least 30 days after release, or longer if medically needed. HCA works with managed care plans, the reentry work group, DCYF, and detention facilities, and uses existing Medicaid waivers and reentry funding to deliver these services. By December 1, 2025, HCA reports progress and barriers to the governor and legislature. These juvenile requirements end July 1, 2026.

Medicaid help 30 days pre-release

HCA applies for a federal waiver to let Washington provide Medicaid services up to 30 days before release from jail, a DCYF facility, or a state hospital. HCA consults the state reentry work group and keeps the governor and legislature informed. Pre-release services start only after final federal approval.

Medicaid paused during confinement

Beginning July 27, 2025, if you are confined, the state pauses (suspends) your Medicaid instead of ending it. If you had Medicaid when you were confined, your enrollment is protected for the first 29 days. If you were not enrolled, you can apply while confined and be put in suspense status, even without a known release date. After day 29, HCA may suspend enrollment or keep you in suspense status under the law's rules.

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Sponsors & Cosponsors

Sponsor

  • Claire Wilson

    Democratic • Senate

Cosponsors

  • Bob Hasegawa

    Democratic • Senate

  • Javier Valdez

    Democratic • Senate

  • Lisa Wellman

    Democratic • Senate

  • Rebecca Saldaña

    Democratic • Senate

  • T'wina Nobles

    Democratic • Senate

Roll Call Votes

All Roll Calls

Yes: 130 • No: 12

House vote 3/27/2025

3rd Reading & Final Passage

Yes: 90 • No: 3 • Other: 5

Senate vote 2/25/2025

3rd Reading & Final Passage

Yes: 40 • No: 9

Actions Timeline

  1. Effective date 7/27/2025.

    4/4/2025Senate
  2. Chapter 12, 2025 Laws.

    4/4/2025Senate
  3. Governor signed.

    4/4/2025legislature
  4. Delivered to Governor.

    4/1/2025legislature
  5. Speaker signed.

    3/31/2025legislature
  6. President signed.

    3/28/2025legislature
  7. Third reading, passed; yeas, 90; nays, 3; absent, 0; excused, 5.

    3/27/2025Senate
  8. Rules suspended. Placed on Third Reading.

    3/27/2025Senate
  9. Rules Committee relieved of further consideration. Placed on second reading.

    3/25/2025Senate
  10. Referred to Rules 2 Review.

    3/21/2025Senate
  11. HCW - Majority; do pass.

    3/19/2025Senate
  12. HCW - Executive action taken by committee.

    3/19/2025Senate
  13. First reading, referred to Health Care & Wellness.

    2/28/2025Senate
  14. Third reading, passed; yeas, 40; nays, 9; absent, 0; excused, 0.

    2/25/2025Senate
  15. Rules suspended. Placed on Third Reading.

    2/25/2025Senate
  16. Floor amendment(s) adopted.

    2/25/2025Senate
  17. 1st substitute bill substituted.

    2/25/2025Senate
  18. Placed on second reading by Rules Committee.

    2/5/2025Senate
  19. Passed to Rules Committee for second reading.

    1/30/2025Senate
  20. HS - Majority; 1st substitute bill be substituted, do pass.

    1/29/2025Senate
  21. Minority; without recommendation.

    1/29/2025Senate
  22. First reading, referred to Human Services.

    1/13/2025Senate
  23. Prefiled for introduction.

    1/2/2025Senate

Bill Text

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