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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
03/29/2025
Crossed Over
03/03/2025
Passed
Dead

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

By resolution, returned to House Rules Committee for third reading. (on 04/27/2025)

bill text


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bill summary

Document Type Source Location
State Bill Page https://app.leg.wa.gov/billsummary?BillNumber=1430&Year=2025&Initiative=false
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
Engrossed Substitute Senate Bill Report https://lawfilesext.leg.wa.gov/biennium/2025-26/Pdf/Bill%20Reports/Senate/1430-S.E%20SBA%20WM%2025.pdf
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
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
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
Engrossed Substitute House Bill Report https://lawfilesext.leg.wa.gov/biennium/2025-26/Pdf/Bill%20Reports/House/1430-S.E%20HBR%20APH%2025.pdf
BillText https://lawfilesext.leg.wa.gov/biennium/2025-26/Pdf/Bills/House%20Bills/1430-S.E.pdf
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
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
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
BillText https://lawfilesext.leg.wa.gov/biennium/2025-26/Pdf/Bills/House%20Bills/1430-S.pdf
House Bill Report https://lawfilesext.leg.wa.gov/biennium/2025-26/Pdf/Bill%20Reports/House/1430%20HBR%20HCW%2025.pdf
House Bill Analysis 2025 https://lawfilesext.leg.wa.gov/biennium/2025-26/Pdf/Bill%20Reports/House/1430%20HBA%20HCW%2025.pdf
BillText https://lawfilesext.leg.wa.gov/biennium/2025-26/Pdf/Bills/House%20Bills/1430.pdf
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