BILL · 2025–26 SESSION · LATEST VERSION E2SHB 1432

HB 1432: Mental health services

Improving access to appropriate mental health and substance use disorder services.

Summary

  • Defines medically necessary for purposes of certain requirements related to a health plan's coverage of mental health services and substance use disorder (SUD) services.
  • Modifies the definition of mental health services and repeals and recodifies parts of the Mental Health Parity Act.
  • Requires utilization review and clinical review criteria to be consistent with generally accepted standards of mental health and substance use disorder care and establishes other requirements for utilization review.
  • Incorporates the requirements of the final rules issued September 23, 2024, related to the Mental Health Parity and Addiction Equity Act and related agency guidance into the act.
  • Requires health carriers to provide meaningful benefits for mental health conditions and SUD conditions it covers in every classification in which medical or surgical benefits are covered.

From the Engrossed Second Substitute House Bill Report (E2SHB 1432), written by the Legislature's nonpartisan staff. Read the full report ↗

Enacted Enacted · Chapter 227, Laws of 2025
  1. IntroducedJan 20, 2025
  2. Out of committeeFeb 28, 2025
  3. Passed HouseMar 11, 2025
  4. Passed SenateApr 14, 2025
  5. GovernorMay 12, 2025
  6. LawMay 12, 2025
Prime sponsor
Tarra Simmons (D-23)
Introduced
January 20, 2025 in the House
Last action
May 12, 2025
Session law
Chapter 227, Laws of 2025
Companion bill
SB 5477
Budget
Has a fiscal note
Versions
HB 1432, SHB 1432, 2SHB 1432, E2SHB 1432

AN ACT Relating to improving access to appropriate mental health and substance use disorder services by updating Washington's mental health parity law and ensuring coverage of medically necessary care;

Sponsors

Votes

House · 3rd Reading & Final Passage

Passed March 11, 2025
Version voted on: E2SHB 1432
72 Yea 23 Nay 0 Absent 3 Excused
PartyYeaNayAbsentExcused
Democrat57002
Republican152301
How each member voted

Yea (72)

Excused (3)

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

Passed April 14, 2025
Version voted on: E2SHB 1432
48 Yea 1 Nay 0 Absent 0 Excused
PartyYeaNayAbsentExcused
Democrat30000
Republican18100
How each member voted

House · Final Passage as Amended by the Senate

Passed April 22, 2025
Version voted on: E2SHB 1432
78 Yea 19 Nay 0 Absent 1 Excused
PartyYeaNayAbsentExcused
Democrat58001
Republican201900
How each member voted

Yea (78)

Excused (1)

History

  1. Effective date 7/27/2025*. (E2SHB 1432)
  2. Chapter 227, 2025 Laws. (E2SHB 1432)
  3. Governor signed. (E2SHB 1432)
  4. Delivered to Governor. (E2SHB 1432)
  5. President signed. (E2SHB 1432)
  6. Speaker signed. (E2SHB 1432)
  7. Passed final passage; yeas, 78; nays, 19; absent, 0; excused, 1. (E2SHB 1432)
  8. House concurred in Senate amendments. (E2SHB 1432)
  9. Third reading, passed; yeas, 48; nays, 1; absent, 0; excused, 0. (E2SHB 1432)
  10. Rules suspended. Placed on Third Reading. (E2SHB 1432)
  11. Committee amendment(s) adopted with no other amendments. (E2SHB 1432)
  12. Placed on second reading by Rules Committee. (E2SHB 1432)
  13. Minority; without recommendation. (E2SHB 1432)
  14. WM - Majority; do pass with amendment(s) by Health & Long-Term Care. (E2SHB 1432)
  15. Passed to Rules Committee for second reading. (E2SHB 1432)
  16. Referred to Ways & Means. (E2SHB 1432)
  17. And refer to Ways & Means. (E2SHB 1432)
  18. Minority; do not pass. (E2SHB 1432)
  19. HLTC - Majority; do pass with amendment(s). (E2SHB 1432)
  20. First reading, referred to Health & Long-Term Care. (E2SHB 1432)
  21. Third reading, passed; yeas, 72; nays, 23; absent, 0; excused, 3. (E2SHB 1432)
  22. Rules suspended. Placed on Third Reading. (E2SHB 1432)
  23. Floor amendment(s) adopted. (E2SHB 1432)
  24. 2nd substitute bill substituted. (E2SHB 1432)
  25. 2nd substitute bill substituted. (SHB 1432)
  26. 2nd substitute bill substituted.
  27. Rules Committee relieved of further consideration. Placed on second reading. (E2SHB 1432)
  28. Rules Committee relieved of further consideration. Placed on second reading. (SHB 1432)
  29. Rules Committee relieved of further consideration. Placed on second reading.
  30. Referred to Rules 2 Review. (E2SHB 1432)
  31. Referred to Rules 2 Review. (SHB 1432)
  32. Referred to Rules 2 Review.
  33. Minority; without recommendation. (E2SHB 1432)
  34. APP - Majority; 2nd substitute bill be substituted, do pass. (E2SHB 1432)
  35. Minority; do not pass. (E2SHB 1432)
  36. Minority; do not pass. (SHB 1432)
  37. APP - Majority; 2nd substitute bill be substituted, do pass. (SHB 1432)
  38. Minority; without recommendation. (SHB 1432)
  39. APP - Executive action taken by committee. (SHB 1432)
  40. Minority; without recommendation.
  41. APP - Majority; 2nd substitute bill be substituted, do pass.
  42. Minority; do not pass.
  43. APP - Executive action taken by committee.
  44. Referred to Appropriations. (SHB 1432)
  45. Referred to Appropriations.
  46. Minority; do not pass. (SHB 1432)
  47. HCW - Majority; 1st substitute bill be substituted, do pass. (SHB 1432)
  48. HCW - Majority; 1st substitute bill be substituted, do pass.
  49. Minority; do not pass.
  50. HCW - Executive action taken by committee.
  51. First reading, referred to Health Care & Wellness.

HB 1432 in other sessions

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

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