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WashingtonHB 22112025-2026 Regular SessionHouseWALLET

Concerning medically tailored meals.

Sponsored By: Kristine Reeves (Democratic)

Signed by Governor

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Bill Overview

Analyzed Economic Effects

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

Nutrition protections for Medicaid meal recipients

Beginning June 11, 2026, vendors providing medically tailored meals through Washington medical assistance must follow each recipient’s nutrition care plan. A credentialed medical professional authorized to create and tailor nutrition plans must review and approve menus for these fresh or frozen meals. Meals must follow proven nutrition guidance for the recipient’s condition and meet dietary needs, including allergies and cultural preferences. Each meal must provide at least 500 calories or meet medically appropriate energy needs, plus one-third of recommended carbohydrate and protein amounts unless an exception is allowed. Vendors must favor local whole foods or meals made from scratch unless the recipient’s needs require otherwise.

Small meal businesses get buying priority

Beginning June 11, 2026, contracted providers of Washington medical assistance meal benefits must favor qualifying nonprofits and small businesses when possible. These vendors must offer locally sourced, fresh, whole foods or meals made from scratch. Locally sourced includes food grown, raised, harvested, caught, or otherwise derived fully or partly in Washington. Food prepared, processed, assembled, cooked, or packaged fully or partly in Washington also qualifies. This buying priority does not guarantee a contract or change recipients’ benefit amounts.

Sponsors & Cosponsors

Sponsor

  • Kristine Reeves

    Democratic • House

Cosponsors

  • April Berg

    Democratic • House

  • Beth Doglio

    Democratic • House

  • Brandy Donaghy

    Democratic • House

  • Brianna Thomas

    Democratic • House

  • Julia Reed

    Democratic • House

  • Lisa Parshley

    Democratic • House

  • Mary Fosse

    Democratic • House

  • Mia Gregerson

    Democratic • House

  • Natasha Hill

    Democratic • House

  • Nicole Macri

    Democratic • House

Roll Call Votes

All Roll Calls

Yes: 234 • No: 2

House vote • 3/11/2026

Final Passage as Amended by the Senate

Yes: 95 • No: 0 • Other: 3

Senate vote • 3/6/2026

3rd Reading & Final Passage as Amended by the Senate

Yes: 46 • No: 2 • Other: 1

House vote • 2/14/2026

3rd Reading & Final Passage

Yes: 93 • No: 0 • Other: 5

Actions Timeline

  1. Effective date 6/11/2026.

    3/24/2026House

  2. Chapter 200, 2026 Laws.

    3/24/2026House

  3. Governor signed.

    3/24/2026legislature

  4. Speaker signed.

    3/12/2026legislature

  5. President signed.

    3/12/2026legislature

  6. Delivered to Governor.

    3/12/2026legislature

  7. Passed final passage; yeas, 95; nays, 0; absent, 0; excused, 3.

    3/11/2026House

  8. House concurred in Senate amendments.

    3/11/2026House

  9. Third reading, passed; yeas, 46; nays, 2; absent, 0; excused, 1.

    3/6/2026House

  10. Rules suspended. Placed on Third Reading.

    3/6/2026House

  11. Floor amendment(s) adopted.

    3/6/2026House

  12. Placed on second reading by Rules Committee.

    3/3/2026House

  13. Passed to Rules Committee for second reading.

    2/25/2026House

  14. Minority; do not pass.

    2/24/2026House

  15. HS - Majority; do pass.

    2/24/2026House

  16. First reading, referred to Human Services.

    2/17/2026House

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

    2/14/2026House

  18. Rules suspended. Placed on Third Reading.

    2/14/2026House

  19. Floor amendment(s) adopted.

    2/14/2026House

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

    2/6/2026House

  21. Referred to Rules 2 Review.

    1/27/2026House

  22. HCW - Executive action taken by committee.

    1/23/2026House

  23. Minority; without recommendation.

    1/23/2026House

  24. HCW - Majority; do pass.

    1/23/2026House

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

    1/12/2026House

Bill Text

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