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WashingtonSB 55682025-2026 Regular SessionSenateWALLET

Updating and modernizing the Washington state health plan.

Sponsored By: Annette Cleveland (Democratic)

Became Law

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Bill Overview

Analyzed Economic Effects

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

More facilities counted in state planning

The law expands what counts as a health facility. It now includes behavioral health hospitals, drug and alcohol treatment centers, and facilities run by local governments. These facilities are covered by state health planning and certificate-of-need rules.

Statewide plan to guide health services

The Office of Financial Management creates a statewide health resources strategy. It sets goals, inventories services, and projects need by region. It includes a data plan, trend review, a rural plan, and uses health equity. OFM holds public hearings before the draft and the final plan. A preliminary report is due July 1, 2026. The final strategy is due December 31, 2027, with projections through 2032, and updates every four years starting January 1, 2033.

Plan guides, not controls, facility approvals

OFM sends the statewide strategy and regional plans to the Department of Health to guide certificate-of-need reviews. OFM cannot rate the merits of individual projects. The Department cannot adopt rules in response to the 2027 strategy. The Department keeps sole authority to decide certificate-of-need applications.

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Sponsors & Cosponsors

Sponsor

  • Annette Cleveland

    Democratic • Senate

Cosponsors

  • Adrian Cortes

    Democratic • Senate

  • Marcus Riccelli

    Democratic • Senate

  • T'wina Nobles

    Democratic • Senate

Roll Call Votes

All Roll Calls

Yes: 130 • No: 60

Senate vote • 4/23/2025

Final Passage as Amended by the House

Yes: 34 • No: 13 • Other: 1

House vote • 4/15/2025

Final Passage as Amended by the House

Yes: 59 • No: 38 • Other: 1

Senate vote • 2/26/2025

3rd Reading & Final Passage

Yes: 37 • No: 9 • Other: 3

Actions Timeline

  1. Effective date 7/27/2025.

    5/20/2025Senate

  2. Chapter 388, 2025 Laws.

    5/20/2025Senate

  3. Governor signed.

    5/20/2025legislature

  4. Delivered to Governor.

    4/25/2025legislature

  5. President signed.

    4/24/2025legislature

  6. Speaker signed.

    4/24/2025legislature

  7. Passed final passage; yeas, 34; nays, 13; absent, 0; excused, 1.

    4/23/2025Senate

  8. Senate concurred in House amendments.

    4/23/2025House

  9. Third reading, passed; yeas, 59; nays, 38; absent, 0; excused, 1.

    4/15/2025Senate

  10. Rules suspended. Placed on Third Reading.

    4/15/2025Senate

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

    4/15/2025Senate

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

    4/14/2025Senate

  13. Referred to Rules 2 Review.

    4/8/2025Senate

  14. Minority; without recommendation.

    4/4/2025Senate

  15. Minority; do not pass.

    4/4/2025Senate

  16. APP - Majority; do pass with amendment(s).

    4/4/2025Senate

  17. APP - Executive action taken by committee.

    4/4/2025Senate

  18. Referred to Appropriations.

    3/21/2025Senate

  19. HCW - Executive action taken by committee.

    3/19/2025Senate

  20. Minority; without recommendation.

    3/19/2025Senate

  21. HCW - Majority; do pass.

    3/19/2025Senate

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

    2/28/2025Senate

  23. Third reading, passed; yeas, 37; nays, 9; absent, 0; excused, 3.

    2/26/2025Senate

  24. Rules suspended. Placed on Third Reading.

    2/26/2025Senate

  25. 1st substitute bill substituted.

    2/26/2025Senate

Bill Text

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