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WashingtonHB 11872025-2026 Regular SessionHouse

Protecting patients involved in motor vehicle accidents from delayed ambulance bills.

Sponsored By: Cindy Ryu (Democratic)

Signed by Governor

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Bill Overview

Analyzed Economic Effects

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

Crash patients get ambulance debt transfer protection

Washington ambulance services must wait at least 120 days before selling or assigning crash-related medical debt to licensed debt collectors. The clock starts when the first bill is sent, by mail or electronically, to the patient and anyone else legally or contractually responsible. This protection also covers pedestrians and bicyclists struck or otherwise injured by a motor vehicle. The insurance commissioner may refer a suspected pattern of unresolved violations to the Department of Health and offer the service time to fix or explain the problem. For such a pattern, the department may impose fines or recover costs up to the legal limit per violation, and take other legally allowed action. After reviewing a possible violation, including one raised by a health plan member, the department must report its findings and enforcement actions to the commissioner.

Sponsors & Cosponsors

Sponsor

  • Cindy Ryu

    Democratic • House

Cosponsors

  • Dave Paul

    Democratic • House

  • Edwin Obras

    Democratic • House

  • Gerry Pollet

    Democratic • House

  • Jake Fey

    Democratic • House

  • Lisa Callan

    Democratic • House

  • My-Linh Thai

    Democratic • House

  • Nicole Macri

    Democratic • House

  • Shelley Kloba

    Democratic • House

Roll Call Votes

All Roll Calls

Yes: 231 • No: 4

House vote • 3/9/2026

Final Passage as Amended by the Senate

Yes: 93 • No: 2 • Other: 3

Senate vote • 2/28/2026

3rd Reading & Final Passage as Amended by the Senate

Yes: 49 • No: 0

House vote • 1/22/2026

3rd Reading & Final Passage

Yes: 89 • No: 2 • Other: 7

Actions Timeline

  1. Effective date 6/11/2026.

    3/23/2026House

  2. Chapter 126, 2026 Laws.

    3/23/2026House

  3. Governor signed.

    3/23/2026legislature

  4. Delivered to Governor.

    3/12/2026legislature

  5. President signed.

    3/12/2026legislature

  6. Speaker signed.

    3/11/2026legislature

  7. Passed final passage; yeas, 93; nays, 2; absent, 0; excused, 3.

    3/9/2026House

  8. House concurred in Senate amendments.

    3/9/2026House

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

    2/28/2026House

  10. Rules suspended. Placed on Third Reading.

    2/28/2026House

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

    2/28/2026House

  12. Placed on second reading consent calendar.

    2/27/2026House

  13. Passed to Rules Committee for second reading.

    2/25/2026House

  14. HLTC - Majority; do pass with amendment(s).

    2/24/2026House

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

    1/26/2026House

  16. Third reading, passed; yeas, 89; nays, 2; absent, 0; excused, 7.

    1/22/2026House

  17. Rules suspended. Placed on Third Reading.

    1/22/2026House

  18. Floor amendment(s) adopted.

    1/22/2026House

  19. 1st substitute bill substituted.

    1/22/2026House

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

    1/19/2026House

  21. By resolution, reintroduced and retained in present status.

    1/12/2026House

  22. Returned to Rules Committee for second reading.

    3/19/2025House

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

    3/10/2025House

  24. Referred to Rules 2 Review.

    2/21/2025House

  25. HCW - Executive action taken by committee.

    2/19/2025House

Bill Text

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