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WashingtonSB 61942025-2026 Regular SessionSenate

Allowing payments to be made based on allowable costs for services provided by any rural hospital that is located on a federally recognized Indian reservation.

Sponsored By: Curtis King (Republican)

Signed by Governor

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Bill Overview

Analyzed Economic Effects

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

Higher Medicaid payments for rural reservation hospitals

Beginning January 1, 2027, rural hospitals on federally recognized Indian reservations qualify for higher Medicaid payments. For inpatient and outpatient care, payments equal 150% of Medicaid’s fee-for-service rate—the rate paid for each service. Patients must be eligible for Medicaid, and the rate applies whether or not they have managed care coverage. Services provided through psychiatric unit beds are excluded. The extra money goes to hospitals, not directly to patients. The payment rule expires January 1, 2029.

Sponsors & Cosponsors

Sponsor

  • Curtis King

    Republican • Senate

Cosponsors

  • Bob Hasegawa

    Democratic • Senate

  • Nikki Torres

    Republican • Senate

Roll Call Votes

All Roll Calls

Yes: 192 • No: 0

Senate vote • 3/10/2026

Final Passage as Amended by the House

Yes: 49 • No: 0

House vote • 3/6/2026

Final Passage as Amended by the House

Yes: 95 • No: 0 • Other: 3

Senate vote • 2/13/2026

3rd Reading & Final Passage

Yes: 48 • No: 0 • Other: 1

Actions Timeline

  1. Effective date 6/11/2026.

    3/20/2026Senate

  2. Chapter 124, 2026 Laws.

    3/20/2026Senate

  3. Governor signed.

    3/20/2026legislature

  4. Delivered to Governor.

    3/12/2026legislature

  5. Speaker signed.

    3/11/2026legislature

  6. President signed.

    3/11/2026legislature

  7. Passed final passage; yeas, 49; nays, 0; absent, 0; excused, 0.

    3/10/2026Senate

  8. Senate concurred in House amendments.

    3/10/2026House

  9. Third reading, passed; yeas, 95; nays, 0; absent, 0; excused, 3.

    3/6/2026Senate

  10. Rules suspended. Placed on Third Reading.

    3/6/2026Senate

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

    3/6/2026Senate

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

    3/3/2026Senate

  13. Referred to Rules 2 Review.

    3/2/2026Senate

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

    2/27/2026Senate

  15. APP - Executive action taken by committee.

    2/27/2026Senate

  16. Referred to Appropriations.

    2/17/2026Senate

  17. Committee relieved of further consideration.

    2/17/2026Senate

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

    2/17/2026Senate

  19. Third reading, passed; yeas, 48; nays, 0; absent, 0; excused, 1.

    2/13/2026Senate

  20. Rules suspended. Placed on Third Reading.

    2/13/2026Senate

  21. Floor amendment(s) adopted.

    2/13/2026Senate

  22. 1st substitute bill substituted.

    2/13/2026Senate

  23. Placed on second reading by Rules Committee.

    2/10/2026Senate

  24. Passed to Rules Committee for second reading.

    2/9/2026Senate

  25. WM - Majority; 1st substitute bill be substituted, do pass.

    2/9/2026Senate

Bill Text

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