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WashingtonSB 55572025-2026 Regular SessionSenateWALLET

Codifying emergency rules to protect the right of a pregnant person to access treatment for emergency medical conditions in hospital emergency departments.

Sponsored By: Deborah Krishnadasan (Democratic)

Became Law

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Bill Overview

Analyzed Economic Effects

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

Emergency abortion and treatment rights in hospitals

Hospitals must treat pregnant patients in emergencies using the medical standard of care. If ending a pregnancy is the standard treatment, the hospital must provide it quickly or transfer you with your informed consent to a hospital that will. Hospitals cannot deny emergency care because you cannot pay. In emergencies or active labor, transfers happen only if you ask or the hospital lacks resources, and only after the other hospital agrees. The law clarifies that your health comes first unless you consent, and it names serious pregnancy crises (like ectopic pregnancy) as emergencies.

Lower hospital bills with charity care discounts

Large-system hospitals must give full charity care at incomes up to 300% of the federal poverty level (FPL), 75% off at 301–350% FPL, and 50% off at 351–400% FPL. Other hospitals must give full charity care up to 200% FPL, 75% off at 201–250% FPL, and 50% off at 251–300% FPL. Hospitals must check for insurance or other coverage and your income before starting collections, and they can base eligibility on income at service or an application within two years if set conditions are met. If a hospital counts assets to trim a discount, it must follow a public policy and ignore some assets, like your first $5,000 ($8,000 for a family), home equity, most retirement accounts, one car (and a second if needed), prepaid burial plans, and life insurance up to $10,000.

Hospitals must notify you about financial help

Hospitals must post charity care notices in any language spoken by more than 10% of their service area, at registration, the ER, and billing areas. They must put the policy, a plain summary, and the application online, with translations in those languages. Every bill must have a first‑page notice, in English and the area’s second most‑used language, with contact details for financial help. Staff get regular training on charity care and interpreter use. The state health department writes rules, checks compliance, reports possible violations, and tracks charity care by hospital each year. Old preprinted bill forms from before Oct. 1, 2018 are exempt.

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Sponsors & Cosponsors

Sponsor

  • Deborah Krishnadasan

    Democratic • Senate

Cosponsors

  • Adrian Cortes

    Democratic • Senate

  • Bob Hasegawa

    Democratic • Senate

  • Claire Wilson

    Democratic • Senate

  • Claudia Kauffman

    Democratic • Senate

  • Derek Stanford

    Democratic • Senate

  • Jamie Pedersen

    Democratic • Senate

  • Javier Valdez

    Democratic • Senate

  • Liz Lovelett

    Democratic • Senate

  • Manka Dhingra

    Democratic • Senate

  • Marko Liias

    Democratic • Senate

  • Noel Frame

    Democratic • Senate

  • Rebecca Saldaña

    Democratic • Senate

  • T'wina Nobles

    Democratic • Senate

  • Member 14205

    House

  • Member 27504

    House

  • Yasmin Trudeau

    Democratic • Senate

Roll Call Votes

All Roll Calls

Yes: 114 • No: 31

House vote • 4/11/2025

3rd Reading & Final Passage

Yes: 84 • No: 12 • Other: 2

Senate vote • 3/5/2025

3rd Reading & Final Passage

Yes: 30 • No: 19

Actions Timeline

  1. Effective date 4/29/2025.

    4/29/2025Senate

  2. Chapter 182, 2025 Laws.

    4/29/2025Senate

  3. Governor signed.

    4/29/2025legislature

  4. Delivered to Governor.

    4/22/2025legislature

  5. Speaker signed.

    4/18/2025legislature

  6. President signed.

    4/18/2025legislature

  7. Third reading, passed; yeas, 84; nays, 12; absent, 0; excused, 2.

    4/11/2025Senate

  8. Rules suspended. Placed on Third Reading.

    4/11/2025Senate

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

    4/8/2025Senate

  10. Referred to Rules 2 Review.

    3/28/2025Senate

  11. HCW - Executive action taken by committee.

    3/26/2025Senate

  12. Minority; without recommendation.

    3/26/2025Senate

  13. Minority; do not pass.

    3/26/2025Senate

  14. HCW - Majority; do pass.

    3/26/2025Senate

  15. First reading, referred to Health Care & Wellness.

    3/7/2025Senate

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

    3/5/2025Senate

  17. Rules suspended. Placed on Third Reading.

    3/5/2025Senate

  18. Floor amendment(s) adopted.

    3/5/2025Senate

  19. 1st substitute bill substituted.

    3/5/2025Senate

  20. Placed on second reading by Rules Committee.

    3/3/2025Senate

  21. Passed to Rules Committee for second reading.

    2/21/2025Senate

  22. Minority; without recommendation.

    2/21/2025Senate

  23. Minority; do not pass.

    2/21/2025Senate

  24. HLTC - Majority; 1st substitute bill be substituted, do pass.

    2/21/2025Senate

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

    1/28/2025Senate

Bill Text

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