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WashingtonHB 25482025-2026 Regular SessionHouse

Strengthening health care market standards.

Sponsored By: Jamila Taylor (Democratic)

Signed by Governor

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Bill Overview

Analyzed Economic Effects

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

Health care deals carry new filing fees

Beginning June 11, 2026, parties filing required health care deal notices pay one fee per transaction. Fees depend on the deal's expected Washington value: $2,500 up to $1 million; $7,500 over $1 million through $4 million; $15,000 over $4 million through $10 million; $20,000 over $10 million through $20 million; and $25,000 over $20 million. Joint rate-negotiation arrangements with no asset transfer carry a $2,500 fee. That fee does not apply to arrangements between a state-owned or state-operated entity and a public hospital district. The Attorney General may adjust fees by rule using the medical-care consumer price index. Fee money goes to the antitrust revolving fund to support enforcement and oversight. These are costs for deal participants, not direct household charges.

Health care groups face stricter deal reviews

Beginning June 11, 2026, Washington expands deal notice rules for hospitals, hospital systems, and provider organizations. Provider organizations include groups representing seven or more providers in health plan contracting. Covered deals include mergers, acquisitions, joint rate-negotiation arrangements, and changes in majority ownership or control. They also include transfers of most assets, including property sales with leasebacks, and nonprofit conversions to for-profit or unincorporated entities. The merger, acquisition, and joint-contracting category excludes parties that already share ownership or a contracting affiliation. For deals between Washington and out-of-state entities, the out-of-state entity must earn at least $10 million from Washington patients during the prior 12 months. Parties licensed or operating in Washington must notify the Attorney General at least 60 days before the deal takes effect. Filings must list parties, business addresses, service locations, majority owners, investors or controllers, the deal's purpose, and its expected date. A notice counts as filed only when the required fee is submitted. Parties must report completion, abandonment, or a court order blocking the deal within 30 days. The Attorney General must request additional information within 30 days after receiving notice. When information is requested, closing must wait until 30 days after parties certify substantial compliance with the request. Later requests do not extend that waiting period.

Sponsors & Cosponsors

Sponsor

  • Jamila Taylor

    Democratic • House

Cosponsors

  • Gerry Pollet

    Democratic • House

  • Mary Fosse

    Democratic • House

  • Nicole Macri

    Democratic • House

  • Shaun Scott

    Democratic • House

  • Timm Ormsby

    Democratic • House

Roll Call Votes

All Roll Calls

Yes: 138 • No: 98

House vote • 3/11/2026

Final Passage as Amended by the Senate

Yes: 55 • No: 41 • Other: 2

Senate vote • 3/5/2026

3rd Reading & Final Passage as Amended by the Senate

Yes: 30 • No: 19

House vote • 2/16/2026

3rd Reading & Final Passage

Yes: 53 • No: 38 • Other: 7

Actions Timeline

  1. Effective date 6/11/2026.

    3/25/2026House

  2. Chapter 222, 2026 Laws.

    3/25/2026House

  3. Governor signed.

    3/25/2026legislature

  4. President signed.

    3/12/2026legislature

  5. Delivered to Governor.

    3/12/2026legislature

  6. Speaker signed.

    3/11/2026legislature

  7. Passed final passage; yeas, 55; nays, 41; absent, 0; excused, 2.

    3/11/2026House

  8. House concurred in Senate amendments.

    3/11/2026House

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

    3/5/2026House

  10. Rules suspended. Placed on Third Reading.

    3/5/2026House

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

    3/5/2026House

  12. Placed on second reading by Rules Committee.

    3/3/2026House

  13. On motion, referred to Rules Committee for second reading.

    2/25/2026House

  14. Minority; without recommendation.

    2/24/2026House

  15. Minority; do not pass.

    2/24/2026House

  16. And refer to Ways & Means.

    2/24/2026House

  17. LAW - Majority; do pass with amendment(s).

    2/24/2026House

  18. First reading, referred to Law & Justice.

    2/18/2026House

  19. Third reading, passed; yeas, 53; nays, 38; absent, 0; excused, 7.

    2/16/2026House

  20. Rules suspended. Placed on Third Reading.

    2/16/2026House

  21. Floor amendment(s) adopted.

    2/16/2026House

  22. 1st substitute bill substituted.

    2/16/2026House

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

    2/14/2026House

  24. Referred to Rules 2 Review.

    2/9/2026House

  25. Minority; do not pass.

    2/9/2026House

Bill Text

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