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Bill > HB1430


WA HB1430

WA HB1430
Concerning advanced practice registered nurse and physician assistant reimbursement.


summary

Introduced
01/20/2025
In Committee
01/12/2026
Crossed Over
03/03/2025
Passed
Dead
03/12/2026

Introduced Session

2025-2026 Regular Session

Bill Summary

AN ACT Relating to requiring health carriers to reimburse 2 advanced practice registered nurses and physician assistants at the 3 same rate as physicians for the same services; adding a new section 4 to chapter 48.43 RCW; and creating a new section. 5

AI Summary

This bill addresses healthcare workforce shortages by requiring health carriers to reimburse advanced practice registered nurses (APRNs) and physician assistants (PAs) at the same rate as physicians for primary care and behavioral health services, starting January 1, 2026. The legislation aims to support healthcare access, particularly in underserved and rural communities, by ensuring equal compensation for equivalent services. Specifically, the bill prohibits health carriers from paying contracted physicians more through non-claims-based payments that are not also available to APRNs and PAs. The bill excludes health maintenance organization employees and requires the office of the insurance commissioner to collect and report data on reimbursement changes, including the number of healthcare providers affected and implementation costs. Key terms like "service area" are defined as the geographic region where a specific healthcare product is issued and rated. The bill's context is rooted in addressing healthcare workforce challenges emerging from the COVID-19 pandemic, with the goal of maintaining a sufficient number of healthcare providers across Washington state.

Committee Categories

Budget and Finance, Health and Social Services

Sponsors (31)

Last Action

Referred to Health Care & Wellness. (on 01/12/2026)

Bill Topics

Health
  • ‐ Health Insurance Reform
  • ‐ Health Manpower and Training
  • ‐ Regulation of Health-Related Occupations and Services

bill text


bill summary

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bill summary

Document Type Source Location Created
State Bill Page https://app.leg.wa.gov/billsummary?BillNumber=1430&Year=2025&Initiative=false 01/17/2025
Fiscal Note - 1430 ESHB (Final) https://fnspublic.ofm.wa.gov/FNSPublicSearch/GetPDF?packageID=74538 02/04/2026
Fiscal Note - 1430 SHB (Final) https://fnspublic.ofm.wa.gov/FNSPublicSearch/GetPDF?packageID=73309 02/04/2026
Fiscal Note - 1430 SHB (Partial) https://fnspublic.ofm.wa.gov/FNSPublicSearch/GetPDF?packageID=72857 02/04/2026
Engrossed Substitute Senate Bill Report https://lawfilesext.leg.wa.gov/biennium/2025-26/Pdf/Bill%20Reports/Senate/1430-S.E%20SBR%20WM%20TA%2025.pdf 04/07/2025
Engrossed Substitute Senate Bill Report https://lawfilesext.leg.wa.gov/biennium/2025-26/Pdf/Bill%20Reports/Senate/1430-S.E%20SBA%20WM%2025.pdf 03/31/2025
Engrossed Substitute Senate Bill Report https://lawfilesext.leg.wa.gov/biennium/2025-26/Pdf/Bill%20Reports/Senate/1430-S.E%20SBR%20HLTC%20OC%2025.pdf 03/27/2025
Engrossed Substitute Senate Bill Report https://lawfilesext.leg.wa.gov/biennium/2025-26/Pdf/Bill%20Reports/Senate/1430-S.E%20SBR%20HLTC%20TA%2025.pdf 03/26/2025
Engrossed Substitute Senate Bill Report (Orig.) https://lawfilesext.leg.wa.gov/biennium/2025-26/Pdf/Bill%20Reports/Senate/1430-S.E%20SBA%20HLTC%2025.pdf 03/23/2025
Engrossed Substitute House Bill Report https://lawfilesext.leg.wa.gov/biennium/2025-26/Pdf/Bill%20Reports/House/1430-S.E%20HBR%20APH%2025.pdf 03/04/2025
BillText https://lawfilesext.leg.wa.gov/biennium/2025-26/Pdf/Bills/House%20Bills/1430-S.E.pdf 03/03/2025
Simmons 1430-S AMH SIMM H1750.1 https://lawfilesext.leg.wa.gov/biennium/2025-26/Pdf/Amendments/House/1430-S%20AMH%20SIMM%20H1750.1.pdf 03/03/2025
Schmick 1430-S AMH SHMK WEIK 033 https://lawfilesext.leg.wa.gov/biennium/2025-26/Pdf/Amendments/House/1430-S%20AMH%20SHMK%20WEIK%20033.pdf 03/03/2025
Schmick 1430-S AMH SHMK WEIK 032 https://lawfilesext.leg.wa.gov/biennium/2025-26/Pdf/Amendments/House/1430-S%20AMH%20SHMK%20WEIK%20032.pdf 03/03/2025
BillText https://lawfilesext.leg.wa.gov/biennium/2025-26/Pdf/Bills/House%20Bills/1430-S.pdf 02/10/2025
House Bill Report https://lawfilesext.leg.wa.gov/biennium/2025-26/Pdf/Bill%20Reports/House/1430%20HBR%20HCW%2025.pdf 02/10/2025
House Bill Analysis 2025 https://lawfilesext.leg.wa.gov/biennium/2025-26/Pdf/Bill%20Reports/House/1430%20HBA%20HCW%2025.pdf 01/28/2025
BillText https://lawfilesext.leg.wa.gov/biennium/2025-26/Pdf/Bills/House%20Bills/1430.pdf 01/17/2025
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