BILL · 2025–26 SESSION · LATEST VERSION E2SHB 1813

HB 1813: Medical assist reprocurement

Concerning the reprocurement of medical assistance services, including the realignment of behavioral health crisis services for medicaid enrollees.

Summary

  • Requires the Health Care Authority (Authority) to adjust Medicaid rates to reflect increases and decreases in service facilities and capacity.
  • Requires the Authority's preparations for the reprocurement of Medicaid managed care contracts to consider methodologies for measuring network access and adequacy and contract amendments to reduce administrative burdens for health care providers.
  • Requires the Authority to direct managed care organizations to establish, continue, or expand delegation arrangements with behavioral health administrative services organizations (BHASOs) for crisis services.
  • Requires the Authority to develop a plan for a statewide BHASO that serves American Indians and Alaska Natives.

From the Engrossed Second Substitute House Bill Report (E2SHB 1813), written by the Legislature's nonpartisan staff. Read the full report ↗

Enacted Enacted · Chapter 216, Laws of 2025
  1. IntroducedFeb 4, 2025
  2. Out of committeeFeb 28, 2025
  3. Passed HouseMar 11, 2025
  4. Passed SenateApr 16, 2025
  5. GovernorMay 12, 2025
  6. LawMay 12, 2025
Prime sponsor
Nicole Macri (D-43)
Introduced
February 4, 2025 in the House
Last action
May 12, 2025
Session law
Chapter 216, Laws of 2025
Budget
Has a fiscal note
Versions
HB 1813, SHB 1813, 2SHB 1813, E2SHB 1813

AN ACT Relating to the reprocurement of medical assistance services, including the realignment of behavioral health crisis services for medicaid enrollees;

Sponsors

Votes

House · 3rd Reading & Final Passage

Passed March 11, 2025
Version voted on: E2SHB 1813
79 Yea 16 Nay 0 Absent 3 Excused
PartyYeaNayAbsentExcused
Democrat57002
Republican221601
How each member voted

Yea (79)

Excused (3)

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

Passed April 16, 2025
Version voted on: E2SHB 1813
30 Yea 19 Nay 0 Absent 0 Excused
PartyYeaNayAbsentExcused
Democrat30000
Republican01900
How each member voted

House · Final Passage as Amended by the Senate

Passed April 21, 2025
Version voted on: E2SHB 1813
62 Yea 35 Nay 0 Absent 1 Excused
PartyYeaNayAbsentExcused
Democrat58001
Republican43500
How each member voted

Yea (62)

Excused (1)

History

  1. Effective date 7/27/2025. (E2SHB 1813)
  2. Chapter 216, 2025 Laws. (E2SHB 1813)
  3. Governor signed. (E2SHB 1813)
  4. Delivered to Governor. (E2SHB 1813)
  5. President signed. (E2SHB 1813)
  6. Speaker signed. (E2SHB 1813)
  7. Passed final passage; yeas, 62; nays, 35; absent, 0; excused, 1. (E2SHB 1813)
  8. House concurred in Senate amendments. (E2SHB 1813)
  9. Third reading, passed; yeas, 30; nays, 19; absent, 0; excused, 0. (E2SHB 1813)
  10. Rules suspended. Placed on Third Reading. (E2SHB 1813)
  11. Committee amendment(s) adopted with no other amendments. (E2SHB 1813)
  12. Placed on second reading by Rules Committee. (E2SHB 1813)
  13. Minority; without recommendation. (E2SHB 1813)
  14. Minority; do not pass. (E2SHB 1813)
  15. WM - Majority; do pass with amendment(s). (E2SHB 1813)
  16. Passed to Rules Committee for second reading. (E2SHB 1813)
  17. Referred to Ways & Means. (E2SHB 1813)
  18. And refer to Ways & Means. (E2SHB 1813)
  19. Minority; do not pass. (E2SHB 1813)
  20. HLTC - Majority; do pass with amendment(s). (E2SHB 1813)
  21. First reading, referred to Health & Long-Term Care. (E2SHB 1813)
  22. Third reading, passed; yeas, 79; nays, 16; absent, 0; excused, 3. (E2SHB 1813)
  23. Rules suspended. Placed on Third Reading. (E2SHB 1813)
  24. Floor amendment(s) adopted. (E2SHB 1813)
  25. 2nd substitute bill substituted. (E2SHB 1813)
  26. 2nd substitute bill substituted. (SHB 1813)
  27. 2nd substitute bill substituted.
  28. Rules Committee relieved of further consideration. Placed on second reading. (E2SHB 1813)
  29. Rules Committee relieved of further consideration. Placed on second reading. (SHB 1813)
  30. Rules Committee relieved of further consideration. Placed on second reading.
  31. Referred to Rules 2 Review. (E2SHB 1813)
  32. Minority; without recommendation. (E2SHB 1813)
  33. Minority; do not pass. (E2SHB 1813)
  34. APP - Majority; 2nd substitute bill be substituted, do pass. (E2SHB 1813)
  35. APP - Majority; 2nd substitute bill be substituted, do pass. (SHB 1813)
  36. Minority; do not pass. (SHB 1813)
  37. Minority; without recommendation. (SHB 1813)
  38. APP - Executive action taken by committee. (SHB 1813)
  39. Referred to Rules 2 Review. (SHB 1813)
  40. Referred to Rules 2 Review.
  41. APP - Executive action taken by committee.
  42. Minority; without recommendation.
  43. Minority; do not pass.
  44. APP - Majority; 2nd substitute bill be substituted, do pass.
  45. Referred to Appropriations. (SHB 1813)
  46. Referred to Appropriations.
  47. HCW - Majority; 1st substitute bill be substituted, do pass. (SHB 1813)
  48. Minority; do not pass. (SHB 1813)
  49. HCW - Executive action taken by committee.
  50. Minority; do not pass.
  51. HCW - Majority; 1st substitute bill be substituted, do pass.
  52. First reading, referred to Health Care & Wellness.

HB 1813 in other sessions

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

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