WA People
BILL · 2025–26 SESSION · LATEST VERSION ESHB 1430

HB 1430: APRN & PA reimbursement

Concerning advanced practice registered nurse and physician assistant reimbursement.

Summary

  • Requires health carriers offering private health plans to reimburse advanced practice registered nurses (APRNs) and physician assistants (PAs) at the same rate as physicians when an APRN or PA is providing primary care and behavioral health services.

From the Engrossed Substitute Senate Bill Report (ESHB 1430), written by the Legislature's nonpartisan staff. Read the full report ↗

Did not pass Did not pass · passed House, stalled in Senate
  1. IntroducedJan 20, 2025
  2. Out of committeeFeb 11, 2025
  3. Passed HouseMar 3, 2025
  4. Passed Senatestopped here
  5. Governor
  6. Law
Prime sponsor
Tarra Simmons (D-23)
Introduced
January 20, 2025 in the House
Last action
January 12, 2026
Budget
Has a fiscal note
Versions
HB 1430, SHB 1430, ESHB 1430

AN ACT Relating to requiring health carriers to reimburse advanced practice registered nurses and physician assistants at the same rate as physicians for the same services;

Sponsors

Prime sponsor: Tarra Simmons (D-23)

30 co-sponsors (30 Democrats, 0 Republicans)

Mari Leavitt D-28Nicole Macri D-43My-Linh Thai D-41Steve Tharinger D-24Lisa Parshley D-22Kristine Reeves D-30Emily Alvarado D-34Gerry Pollet D-46Alicia Rule D-42Monica Jurado Stonier D-49April Berg D-44Chipalo Street D-37Roger Goodman D-45Timm Ormsby D-3Sharlett Mena D-29Darya Farivar D-46Debra Entenman D-47Mary Fosse D-38Lisa Callan D-5Lauren Davis D-32Alex Ramel D-40Jamila Taylor D-30Debra Lekanoff D-40Liz Berry D-36Julia Reed D-36Clyde Shavers D-10Julio Cortes D-38Jake Fey D-27Osman Salahuddin D-48Natasha Hill D-3

Votes

House · 3rd Reading & Final Passage

Passed March 3, 2025
Version voted on: ESHB 1430
60 Yea 36 Nay 0 Absent 2 Excused
PartyYeaNayAbsentExcused
Democrat57002
Republican33600
How each member voted

Yea (60)

Excused (2)

Permalink to this vote

History

  1. Referred to Health Care & Wellness. (ESHB 1430)
  2. Rules Committee relieved of further consideration. (ESHB 1430)
  3. By resolution, reintroduced and retained in present status. (ESHB 1430)
  4. By resolution, returned to House Rules Committee for third reading. (ESHB 1430)
  5. Referred to Ways & Means. (ESHB 1430)
  6. And refer to Ways & Means. (ESHB 1430)
  7. Minority; without recommendation. (ESHB 1430)
  8. Minority; do not pass. (ESHB 1430)
  9. HLTC - Majority; do pass. (ESHB 1430)
  10. First reading, referred to Health & Long-Term Care. (ESHB 1430)
  11. Third reading, passed; yeas, 60; nays, 36; absent, 0; excused, 2. (ESHB 1430)
  12. Rules suspended. Placed on Third Reading. (ESHB 1430)
  13. Floor amendment(s) adopted. (ESHB 1430)
  14. 1st substitute bill substituted. (ESHB 1430)
  15. 1st substitute bill substituted.
  16. Placed on second reading by Rules Committee. (ESHB 1430)
  17. Placed on second reading by Rules Committee.
  18. Referred to Rules 2 Review. (ESHB 1430)
  19. Referred to Rules 2 Review.
  20. HCW - Majority; 1st substitute bill be substituted, do pass. (ESHB 1430)
  21. Minority; do not pass. (ESHB 1430)
  22. HCW - Executive action taken by committee.
  23. Minority; do not pass.
  24. HCW - Majority; 1st substitute bill be substituted, do pass.
  25. First reading, referred to Health Care & Wellness.

HB 1430 in other sessions

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

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