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WashingtonHB 25312025-2026 Regular SessionHouse

Aligning the quality assurance fee for the ambulance transport fund with federal regulations.

Sponsored By: David Stuebe (Republican)

Signed by Governor

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Bill Overview

Analyzed Economic Effects

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

Annual Medicaid payment boosts for ambulance providers

Beginning June 11, 2026, Washington calculates an annual extra Medicaid payment for emergency ground ambulance trips. The extra payment is added to the base fee-for-service rate. It equals projected available fee money divided by projected Medicaid emergency trips, both for the previous state budget year. Provider fees, investment income, and federal funds pay for the increase and supplement existing funding. This changes payments to ambulance providers, rather than setting a payment for patients.

Updated ambulance fees fund Medicaid payments

Licensed ambulance providers pay quarterly fees based on emergency ground trips from the second prior quarter; government and tribal providers are excluded. From July 1, 2022, through June 30, 2026, the annual fee rate follows a formula: projected total Medicaid add-on payments times the state's Medicaid funding share, divided by 90% of projected annual emergency trips. Beginning July 1, 2026, the fee rate returns to the rate in effect on July 4, 2025. The Health Care Authority must adjust the Medicaid add-on when available fee funds differ from the total add-on payment amount by more than 1%, bringing the difference within 1%. These provider-paid fees help fund higher Medicaid payments for emergency ambulance trips.

Sponsors & Cosponsors

Sponsor

  • David Stuebe

    Republican • House

Cosponsors

  • Alex Ramel

    Democratic • House

  • Alex Ybarra

    Republican • House

  • Brianna Thomas

    Democratic • House

  • Cindy Ryu

    Democratic • House

  • Greg Nance

    Democratic • House

  • Lisa Parshley

    Democratic • House

  • Monica Jurado Stonier

    Democratic • House

  • Zach Hall

    Democratic • House

Roll Call Votes

All Roll Calls

Yes: 143 • No: 0

Senate vote • 2/28/2026

3rd Reading & Final Passage

Yes: 49 • No: 0

House vote • 2/12/2026

3rd Reading & Final Passage

Yes: 94 • No: 0 • Other: 4

Actions Timeline

  1. Effective date 6/11/2026.

    3/11/2026House

  2. Chapter 31, 2026 Laws.

    3/11/2026House

  3. Governor signed.

    3/11/2026legislature

  4. Delivered to Governor.

    3/5/2026legislature

  5. President signed.

    3/4/2026legislature

  6. Speaker signed.

    3/4/2026legislature

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

    2/28/2026House

  8. Rules suspended. Placed on Third Reading.

    2/28/2026House

  9. Placed on second reading consent calendar.

    2/27/2026House

  10. Passed to Rules Committee for second reading.

    2/20/2026House

  11. HLTC - Majority; do pass.

    2/19/2026House

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

    2/16/2026House

  13. Third reading, passed; yeas, 94; nays, 0; absent, 0; excused, 4.

    2/12/2026House

  14. Rules suspended. Placed on Third Reading.

    2/12/2026House

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

    2/6/2026House

  16. Referred to Rules 2 Review.

    1/30/2026House

  17. APP - Executive action taken by committee.

    1/28/2026House

  18. APP - Majority; do pass.

    1/28/2026House

  19. First reading, referred to Appropriations.

    1/16/2026House

  20. Introduced

    1/16/2026House

Bill Text

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