BILL · 2025–26 SESSION · LATEST VERSION SHB 1123

HB 1123: Health carrier reimbursement

Ensuring access to primary care, behavioral health, and affordable hospital services.

Summary

  • Requires licensed hospitals that participate in the Medical Care Services programs administered by the Washington State Health Care Authority to contract with the Public Employees Benefits Board (PEBB) and School Employees Benefits Board (SEBB) system carriers upon receipt of a good faith offer.
  • Limits reimbursement for in-network, inpatient, and outpatient services at facilities located in Washington from the PEBB and SEBB systems to licensed hospitals, beginning on January 1, 2027.
  • Provides different reimbursement limits for children's hospitals, and minimum reimbursement limits for primary care and nonfacility-based behavioral health services.
  • Excludes Rural Hospitals, Critical Access Hospitals, Sole Community Hospitals, and certain hospitals located on islands from the limits on hospital reimbursements.

From the House Bill Report (HB 1123), written by the Legislature's nonpartisan staff. Read the full report ↗

Did not pass Did not pass · stalled on the House floor
  1. IntroducedJan 13, 2025
  2. Out of committeeFeb 10, 2025
  3. Passed Housestopped here
  4. Passed Senate
  5. Governor
  6. Law
Prime sponsor
Nicole Macri (D-43)
Introduced
January 13, 2025 in the House
Last action
January 12, 2026
Requested by
Other
Companion bill
SB 5083
Budget
Has a fiscal note
Versions
HB 1123, SHB 1123

AN ACT Relating to ensuring access to primary care, behavioral health, and affordable hospital services;

Sponsors

Votes

No recorded floor votes.

History

  1. By resolution, reintroduced and retained in present status. (SHB 1123)
  2. House Rules "X" file. (SHB 1123)
  3. House Rules "X" file.
  4. By resolution, reintroduced and retained in present status.
  5. Referred to Rules 2 Review. (SHB 1123)
  6. Referred to Rules 2 Review.
  7. APP - Majority; 1st substitute bill be substituted, do pass. (SHB 1123)
  8. Minority; do not pass. (SHB 1123)
  9. APP - Executive action taken by committee.
  10. Minority; do not pass.
  11. APP - Majority; 1st substitute bill be substituted, do pass.
  12. First reading, referred to Appropriations.
  13. Prefiled for introduction.

HB 1123 in other sessions

Bill numbers restart every two years, so the same number is a different bill in each session.

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