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BILL · 2025–26 SESSION · LATEST VERSION SHB 2051

HB 2051: Medicaid patients/discharge

Concerning payment to acute care hospitals for difficult to discharge medicaid patients.

Summary

Removes the requirement for the Health Care Authority to adopt rules to identify which health care services must be included in the daily reimbursement rate and which services may be billed separately for patients who are in a hospital and do not meet inpatient criteria.
Removes the requirement that medically necessary services performed during a stay shall be billed by and paid to the hospital separately. Such services may include, but are not limited to, hemodialysis, laboratory charges, and X-rays.

From the Substitute House Bill Report (SHB 2051), written by the Legislature's nonpartisan staff. Read the full report ↗

Enacted Enacted · Chapter 367, Laws of 2025

IntroducedMar 24, 2025
Out of committeeApr 8, 2025
Passed HouseApr 17, 2025
Passed SenateApr 26, 2025
GovernorMay 19, 2025
LawMay 19, 2025

Prime sponsor: Mia Gregerson (D-33)
Introduced: March 24, 2025 in the House
Last action: May 19, 2025
Session law: Chapter 367, Laws of 2025
Budget: Has a fiscal note
Versions: HB 2051, SHB 2051

AN ACT Relating to payment to acute care hospitals for difficult to discharge medicaid patients;

Sponsors

Prime sponsor: Mia Gregerson (D-33)

3 co-sponsors (3 Democrats, 0 Republicans)

Nicole Macri D-43 Lisa Parshley D-22 Timm Ormsby D-3

Votes

House · 3rd Reading & Final Passage

Passed April 17, 2025

Version voted on: SHB 2051

57 Yea 38 Nay 0 Absent 3 Excused

Party	Yea	Nay	Absent	Excused
Democrat	57	1	0	1
Republican	0	37	0	2

How each member voted

Yea (57)

Nay (38)

Excused (3)

Permalink to this vote

Senate · 3rd Reading & Final Passage

Passed April 26, 2025

Version voted on: SHB 2051

27 Yea 20 Nay 0 Absent 1 Excused

Party	Yea	Nay	Absent	Excused
Democrat	27	2	0	0
Republican	0	18	0	1

How each member voted

Yea (27)

Nay (20)

Excused (1)

Chris Gildon R-25

Permalink to this vote

History

May 19, 2025Effective date 7/27/2025. (SHB 2051)
May 19, 2025Chapter 367, 2025 Laws. (SHB 2051)
May 19, 2025Governor signed. (SHB 2051)
Apr 27, 2025President signed. (SHB 2051)
Apr 27, 2025Delivered to Governor. (SHB 2051)
Apr 27, 2025Speaker signed. (SHB 2051)
Apr 26, 2025Third reading, passed; yeas, 27; nays, 20; absent, 0; excused, 1. (SHB 2051)
Apr 26, 2025Rules suspended. Placed on Third Reading. (SHB 2051)
Apr 25, 2025Passed to Rules Committee for second reading. (SHB 2051)
Apr 25, 2025Placed on second reading by Rules Committee. (SHB 2051)
Apr 25, 2025Minority; do not pass. (SHB 2051)
Apr 25, 2025WM - Majority; do pass. (SHB 2051)
Apr 18, 2025First reading, referred to Ways & Means. (SHB 2051)
Apr 17, 2025Third reading, passed; yeas, 57; nays, 38; absent, 0; excused, 3. (SHB 2051)
Apr 17, 2025Rules suspended. Placed on Third Reading. (SHB 2051)
Apr 17, 20251st substitute bill substituted. (SHB 2051)
Apr 17, 20251st substitute bill substituted.
Apr 16, 2025Rules Committee relieved of further consideration. Placed on second reading. (SHB 2051)
Apr 16, 2025Rules Committee relieved of further consideration. Placed on second reading.
Apr 8, 2025Referred to Rules 2 Review. (SHB 2051)
Apr 8, 2025Referred to Rules 2 Review.
Apr 5, 2025APP - Majority; 1st substitute bill be substituted, do pass. (SHB 2051)
Apr 5, 2025Minority; do not pass. (SHB 2051)
Apr 5, 2025Minority; do not pass.
Apr 5, 2025APP - Majority; 1st substitute bill be substituted, do pass.
Apr 5, 2025APP - Executive action taken by committee.
Mar 24, 2025First reading, referred to Appropriations.

HB 2051 in other sessions

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

HB 2051 (2023–24) Small off-road engines · Did not pass · died in committee
HB 2051 (2021–22) Agricultural disaster assist · Enacted · Chapter 280, Laws of 2022
HB 2051 (2019–20) Pension & disability boards · Enacted · Chapter 107, Laws of 2020
HB 2051 (2017–18) Affordable housing · Did not pass · died in committee
HB 2051 (2015–16) Tenant relocation · Did not pass · stalled on the House floor
HB 2051 (2013–14) Basic education expenditures · Enacted · Chapter 9, Laws of 2013, 2nd Special Session
HB 2051 (2011–12) State agency recovery audits · Did not pass · died in committee
HB 2051 (2009–10) Heritage & arts prog funding · Did not pass · died in committee

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