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WashingtonSB 59152025-2026 Regular SessionSenateWALLET

Concerning the health technology assessment program.

Sponsored By: Paul Harris (Republican)

Became Law

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Bill Overview

Analyzed Economic Effects

4 provisions identified: 2 benefits, 0 costs, 2 mixed.

Coverage rules follow Medicare and evidence

For each health technology, the committee sets when it is a covered benefit in participating state programs. It also sets the medical‑necessity rules that agencies must use. Decisions generally follow Medicare and expert treatment guidelines unless strong evidence shows otherwise. This can expand or limit access depending on the technology.

Faster public posting and decisions

The health care authority posts receipt of review submissions online within 30 days. The committee makes and communicates its decision within 180 days of submission. If the decision is adverse, it provides a written explanation within that same 180 days.

Stronger evidence reviews and rare-disease rules

When a technology is selected, the administrator hires an evidence‑based center to study it. The study starts at least 30 days after public notice and weighs safety, health outcomes, costs, and effects across sex, age, race, and disability. For rare or life‑threatening diseases, the committee reviews all relevant trials and accepts expert input when randomized trials are not possible. Reviews happen in public with a chance to comment. The committee can use temporary advisory groups; members follow conflict rules and are protected from lawsuits for good‑faith acts.

What gets reviewed and when

The program prioritizes reviews for technologies that Medicare or expert guidelines recommend, or that raise safety, use, or cost concerns, and those with high spending—when enough evidence exists. The committee rereviews each decision at least every 18 months, and sooner when new evidence could change it. Anyone can petition the committee to add a technology to the review queue.

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Sponsors & Cosponsors

Sponsor

  • Paul Harris

    Republican • Senate

Cosponsors

  • Marcus Riccelli

    Democratic • Senate

  • Mike Chapman

    Democratic • Senate

  • Ron Muzzall

    Republican • Senate

Roll Call Votes

All Roll Calls

Yes: 142 • No: 0

House vote • 3/3/2026

3rd Reading & Final Passage

Yes: 93 • No: 0 • Other: 5

Senate vote • 2/4/2026

3rd Reading & Final Passage

Yes: 49 • No: 0

Actions Timeline

  1. Effective date 6/11/2026.

    3/16/2026Senate

  2. Chapter 70, 2026 Laws.

    3/16/2026Senate

  3. Governor signed.

    3/16/2026legislature

  4. Delivered to Governor.

    3/9/2026legislature

  5. Speaker signed.

    3/5/2026legislature

  6. President signed.

    3/4/2026legislature

  7. Third reading, passed; yeas, 93; nays, 0; absent, 0; excused, 5.

    3/3/2026Senate

  8. Rules suspended. Placed on Third Reading.

    3/3/2026Senate

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

    3/2/2026Senate

  10. Referred to Rules 2 Review.

    2/25/2026Senate

  11. HCW - Executive action taken by committee.

    2/24/2026Senate

  12. HCW - Majority; do pass.

    2/24/2026Senate

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

    2/6/2026Senate

  14. Third reading, passed; yeas, 49; nays, 0; absent, 0; excused, 0.

    2/4/2026Senate

  15. Rules suspended. Placed on Third Reading.

    2/4/2026Senate

  16. Placed on second reading consent calendar.

    1/28/2026Senate

  17. Passed to Rules Committee for second reading.

    1/22/2026Senate

  18. HLTC - Majority; do pass.

    1/20/2026Senate

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

    1/12/2026Senate

  20. Prefiled for introduction.

    12/17/2025Senate

Bill Text

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