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Bill > SB6194


WA SB6194

WA SB6194
Revised for engrossed: Allowing payments to be made for services provided by any rural hospital that is located on a federally recognized Indian reservation.


summary

Introduced
01/16/2026
In Committee
03/02/2026
Crossed Over
02/13/2026
Passed
03/20/2026
Dead
Signed/Enacted/Adopted
03/20/2026

Introduced Session

Potential new amendment
2025-2026 Regular Session

Bill Summary

AN ACT Relating to allowing payments to be made for services 2 provided by any rural hospital that is located on a federally 3 recognized Indian reservation; adding a new section to chapter 74.09 4 RCW; and providing an expiration date. 5

AI Summary

This bill, effective January 1, 2027, allows rural hospitals located on federally recognized Indian reservations to receive payments for services provided to individuals eligible for medical assistance programs, regardless of whether those individuals are enrolled in managed care. These payments will be set at 150 percent of the standard fee-for-service rate for inpatient and outpatient hospital services, excluding services provided in psychiatric units. This provision, which aims to improve healthcare access for these communities, will expire on January 1, 2029.

Committee Categories

Budget and Finance, Health and Social Services

Sponsors (3)

Last Action

Effective date 6/11/2026. (on 03/20/2026)

Bill Topics

Health
  • ‐ Health Insurance Reform
Public Lands and Water Management
  • ‐ Native American Affairs and Indian Lands

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=6194&Year=2025&Initiative=false 01/15/2026
BillText https://lawfilesext.leg.wa.gov/biennium/2025-26/Pdf/Bills/Session%20Laws/Senate/6194-S.SL.pdf 03/24/2026
Engrossed substitute House bill report https://lawfilesext.leg.wa.gov/biennium/2025-26/Pdf/Bill%20Reports/House/6194-S.E%20HBR%20APH%2026.pdf 03/11/2026
BillText https://lawfilesext.leg.wa.gov/biennium/2025-26/Pdf/Bills/Senate%20Passed%20Legislature/6194-S.PL.pdf 03/10/2026
Final bill report https://lawfilesext.leg.wa.gov/biennium/2025-26/Pdf/Bill%20Reports/Senate/6194-S.E%20SBR%20FBR%2026.pdf 03/10/2026
Fiscal Note - 6194 ESSB (Final) https://fnspublic.ofm.wa.gov/FNSPublicSearch/GetPDF?packageID=77523 03/10/2026
Engrossed substitute Senate bill report https://lawfilesext.leg.wa.gov/biennium/2025-26/Pdf/Bill%20Reports/Senate/6194-S.E%20SBR%20HA%2026.pdf 03/06/2026
Fiscal Note - 6194 ESSB (Partial) https://fnspublic.ofm.wa.gov/FNSPublicSearch/GetPDF?packageID=77420 03/04/2026
Appropriations 6194-S.E AMH APP H3733.1 https://lawfilesext.leg.wa.gov/biennium/2025-26/Pdf/Amendments/House/6194-S.E%20AMH%20APP%20H3733.1.pdf 03/02/2026
Engrossed substitute House bill report https://lawfilesext.leg.wa.gov/biennium/2025-26/Pdf/Bill%20Reports/House/6194-S.E%20HBR%20APP%2026.pdf 03/02/2026
Fiscal Note - 6194 SSB (Final) https://fnspublic.ofm.wa.gov/FNSPublicSearch/GetPDF?packageID=77247 02/26/2026
Engrossed substitute House bill analysis 2026 https://lawfilesext.leg.wa.gov/biennium/2025-26/Pdf/Bill%20Reports/House/6194-S.E%20HBA%20APP%2026.pdf 02/25/2026
Fiscal Note - 6194 SSB (Partial) https://fnspublic.ofm.wa.gov/FNSPublicSearch/GetPDF?packageID=77143 02/22/2026
Engrossed substitute Senate bill report https://lawfilesext.leg.wa.gov/biennium/2025-26/Pdf/Bill%20Reports/Senate/6194-S.E%20SBR%20APS%2026.pdf 02/16/2026
BillText https://lawfilesext.leg.wa.gov/biennium/2025-26/Pdf/Bills/Senate%20Bills/6194-S.E.pdf 02/13/2026
King 6194-S AMS KING S5011.1 https://lawfilesext.leg.wa.gov/biennium/2025-26/Pdf/Amendments/Senate/6194-S%20AMS%20KING%20S5011.1.pdf 02/12/2026
Robinson 6194-S AMS ROBI S4940.1 https://lawfilesext.leg.wa.gov/biennium/2025-26/Pdf/Amendments/Senate/6194-S%20AMS%20ROBI%20S4940.1.pdf 02/10/2026
BillText https://lawfilesext.leg.wa.gov/biennium/2025-26/Pdf/Bills/Senate%20Bills/6194-S.pdf 02/10/2026
Senate bill report https://lawfilesext.leg.wa.gov/biennium/2025-26/Pdf/Bill%20Reports/Senate/6194%20SBR%20WM%20OC%2026.pdf 02/10/2026
Senate bill report https://lawfilesext.leg.wa.gov/biennium/2025-26/Pdf/Bill%20Reports/Senate/6194%20SBR%20WM%20TA%2026.pdf 02/04/2026
Fiscal Note - 6194 SB (Final) https://fnspublic.ofm.wa.gov/FNSPublicSearch/GetPDF?packageID=75994 02/04/2026
Senate bill report (orig.) https://lawfilesext.leg.wa.gov/biennium/2025-26/Pdf/Bill%20Reports/Senate/6194%20SBA%20WM%2026.pdf 02/02/2026
BillText https://lawfilesext.leg.wa.gov/biennium/2025-26/Pdf/Bills/Senate%20Bills/6194.pdf 01/15/2026
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