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WashingtonHB 13822025-2026 Regular SessionHouse

Modernizing the all payers claim database.

Sponsored By: Steve Tharinger (Democratic)

Signed by Governor

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Bill Overview

Analyzed Economic Effects

5 provisions identified: 4 benefits, 0 costs, 1 mixed.

Data recipients must protect patient identities

Beginning July 1, 2026, recipients of claims or other database data must keep it confidential. They must agree not to identify patients from data that has had identifying details removed. Their data-use or confidentiality agreements must also forbid attempts to identify a person or family. Recipients cannot try to locate information linked to a specific individual.

Government gains data for employee coverage

Beginning July 1, 2026, federal, state, tribal, and local agencies can use claims data when buying employee health benefits. The law removes the ban on this use. Agencies must obtain the data under a signed agreement with the Health Care Authority and database lead. Agencies are not required to use it, and the law guarantees no lower premiums or coverage changes.

Health care groups gain data access

Beginning July 1, 2026, the database must help providers, hospitals, insurers, their statewide associations, and purchasers compare health care value. These groups can use that information to guide purchasing and reward improvements. Specified providers, hospitals, insurers, managed care groups, and statewide associations can also receive claims data without direct patient identifiers. The data may include indirect patient identifiers or unique identifiers. Recipients must sign an agreement with the Health Care Authority and database lead. Uses are limited to informed choices about access, quality, or affordability; value and efficiency comparisons; checking outside analyses; or quality improvement.

State can lead health claims database

Beginning July 27, 2025, Washington’s Health Care Authority can lead the statewide health care claims database itself. It can also choose an outside lead organization through competitive bidding under state procurement law. The version taking effect July 1, 2026, keeps these options. This changes database leadership, not household payments or benefits.

More financial data access, less confidentiality

Beginning July 1, 2026, the law removes insurers’ confidential financial information from specified confidentiality, release, reporting, and penalty restrictions. It also removes that information from restrictions governing the release of patient identifiers. Requested claims or other data can include this financial information when they contain no direct or indirect patient identifiers. The law permits release; it does not require the database lead or data vendor to release it.

Sponsors & Cosponsors

Sponsor

  • Steve Tharinger

    Democratic • House

Cosponsors

  • Debra Lekanoff

    Democratic • House

  • Edwin Obras

    Democratic • House

  • Lauren Davis

    Democratic • House

  • Lisa Parshley

    Democratic • House

  • Monica Jurado Stonier

    Democratic • House

  • My-Linh Thai

    Democratic • House

  • Natasha Hill

    Democratic • House

  • Nicole Macri

    Democratic • House

  • Tarra Simmons

    Democratic • House

  • Timm Ormsby

    Democratic • House

Roll Call Votes

All Roll Calls

Yes: 146 • No: 95

House vote • 4/19/2025

Final Passage as Amended by the Senate

Yes: 58 • No: 37 • Other: 3

Senate vote • 4/16/2025

3rd Reading & Final Passage as Amended by the Senate

Yes: 30 • No: 19

House vote • 3/5/2025

3rd Reading & Final Passage

Yes: 58 • No: 39 • Other: 1

Actions Timeline

  1. Effective date 7/27/2025*.

    5/17/2025House

  2. Chapter 305, 2025 Laws.

    5/17/2025House

  3. Governor signed.

    5/17/2025legislature

  4. President signed.

    4/23/2025legislature

  5. Delivered to Governor.

    4/23/2025legislature

  6. Speaker signed.

    4/22/2025legislature

  7. Passed final passage; yeas, 58; nays, 37; absent, 0; excused, 3.

    4/19/2025House

  8. House concurred in Senate amendments.

    4/19/2025House

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

    4/16/2025House

  10. Rules suspended. Placed on Third Reading.

    4/16/2025House

  11. Floor amendment(s) adopted.

    4/16/2025House

  12. Placed on second reading by Rules Committee.

    4/15/2025House

  13. Passed to Rules Committee for second reading.

    3/29/2025House

  14. Minority; do not pass.

    3/27/2025House

  15. HLTC - Majority; do pass.

    3/27/2025House

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

    3/7/2025House

  17. Rules suspended. Placed on Third Reading.

    3/5/2025House

  18. Floor amendment(s) adopted.

    3/5/2025House

  19. Third reading, passed; yeas, 58; nays, 39; absent, 0; excused, 1.

    3/5/2025House

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

    2/28/2025House

  21. Referred to Rules 2 Review.

    2/21/2025House

  22. HCW - Executive action taken by committee.

    2/18/2025House

  23. Minority; do not pass.

    2/18/2025House

  24. HCW - Majority; do pass.

    2/18/2025House

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

    1/17/2025House

Bill Text

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