WA People
BILL · 2025–26 SESSION · LATEST VERSION ESHB 1187

HB 1187: Delayed ambulance bills

Protecting patients involved in motor vehicle accidents from delayed ambulance bills.

Summary

  • Prohibits ambulance services from selling or assigning debt to collection agencies until 120 days after an initial billing statement is sent to a patient or other responsible party for ambulance services following a motor vehicle accident.

From the Engrossed Substitute House Bill Report (ESHB 1187), written by the Legislature's nonpartisan staff. Read the full report ↗

Enacted Enacted · Chapter 126, Laws of 2026
  1. IntroducedJan 13, 2025
  2. Out of committeeFeb 21, 2025
  3. Passed HouseJan 22, 2026
  4. Passed SenateFeb 28, 2026
  5. GovernorMar 23, 2026
  6. LawMar 23, 2026
Prime sponsor
Cindy Ryu (D-32)
Introduced
January 13, 2025 in the House
Last action
March 23, 2026
Session law
Chapter 126, Laws of 2026
Budget
Has a fiscal note
Versions
HB 1187, SHB 1187, ESHB 1187

AN ACT Relating to protecting patients involved in motor vehicle accidents from delayed ambulance bills;

Sponsors

Prime sponsor: Cindy Ryu (D-32)

8 co-sponsors (8 Democrats, 0 Republicans)

My-Linh Thai D-41Edwin Obras D-33Nicole Macri D-43Dave Paul D-10Lisa Callan D-5Gerry Pollet D-46Jake Fey D-27Shelley Kloba D-1

Votes

House · 3rd Reading & Final Passage

Passed January 22, 2026
Version voted on: ESHB 1187
89 Yea 2 Nay 0 Absent 7 Excused
PartyYeaNayAbsentExcused
Democrat54005
Republican35202
How each member voted

Yea (89)

Nay (2)

Permalink to this vote

Senate · 3rd Reading & Final Passage as Amended by the Senate

Passed February 28, 2026
Version voted on: ESHB 1187
49 Yea 0 Nay 0 Absent 0 Excused
PartyYeaNayAbsentExcused
Democrat30000
Republican19000
How each member voted

Yea (49)

Permalink to this vote

House · Final Passage as Amended by the Senate

Passed March 9, 2026
Version voted on: ESHB 1187
93 Yea 2 Nay 0 Absent 3 Excused
PartyYeaNayAbsentExcused
Democrat57002
Republican36201
How each member voted

Yea (93)

Nay (2)

Excused (3)

Permalink to this vote

History

  1. Effective date 6/11/2026. (ESHB 1187)
  2. Chapter 126, 2026 Laws. (ESHB 1187)
  3. Governor signed. (ESHB 1187)
  4. Delivered to Governor. (ESHB 1187)
  5. President signed. (ESHB 1187)
  6. Speaker signed. (ESHB 1187)
  7. Passed final passage; yeas, 93; nays, 2; absent, 0; excused, 3. (ESHB 1187)
  8. House concurred in Senate amendments. (ESHB 1187)
  9. Third reading, passed; yeas, 49; nays, 0; absent, 0; excused, 0. (ESHB 1187)
  10. Rules suspended. Placed on Third Reading. (ESHB 1187)
  11. Committee amendment(s) adopted with no other amendments. (ESHB 1187)
  12. Placed on second reading consent calendar. (ESHB 1187)
  13. Passed to Rules Committee for second reading. (ESHB 1187)
  14. HLTC - Majority; do pass with amendment(s). (ESHB 1187)
  15. First reading, referred to Health & Long-Term Care. (ESHB 1187)
  16. Third reading, passed; yeas, 89; nays, 2; absent, 0; excused, 7. (ESHB 1187)
  17. Rules suspended. Placed on Third Reading. (ESHB 1187)
  18. Floor amendment(s) adopted. (ESHB 1187)
  19. 1st substitute bill substituted. (ESHB 1187)
  20. 1st substitute bill substituted.
  21. Rules Committee relieved of further consideration. Placed on second reading. (ESHB 1187)
  22. Rules Committee relieved of further consideration. Placed on second reading.
  23. By resolution, reintroduced and retained in present status. (ESHB 1187)
  24. By resolution, reintroduced and retained in present status.
  25. Returned to Rules Committee for second reading. (ESHB 1187)
  26. Returned to Rules Committee for second reading.
  27. Rules Committee relieved of further consideration. Placed on second reading. (ESHB 1187)
  28. Rules Committee relieved of further consideration. Placed on second reading.
  29. Referred to Rules 2 Review. (ESHB 1187)
  30. Referred to Rules 2 Review.
  31. HCW - Majority; 1st substitute bill be substituted, do pass. (ESHB 1187)
  32. HCW - Executive action taken by committee.
  33. HCW - Majority; 1st substitute bill be substituted, do pass.
  34. First reading, referred to Health Care & Wellness.
  35. Prefiled for introduction.

HB 1187 in other sessions

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

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