WA People
BILL · 2025–26 SESSION · LATEST VERSION ESHB 2242

HB 2242: Preventive health services

Preserving access to preventive services by clarifying state authority and definitions.

Summary

  • Authorizes the Department of Health (Department) to issue immunization recommendations and guidance.
  • Replaces the requirement that health plans provide coverage for immunizations recommended by the Advisory Committee on Immunization Practices (ACIP) with a requirement to cover immunizations that have a recommendation from the Department.
  • Changes the recommending entity for determining which immunizations must be considered "vaccines" for the purposes of the Washington Vaccine Association from the ACIP to the Department.

From the Engrossed Substitute House Bill Report (ESHB 2242), written by the Legislature's nonpartisan staff. Read the full report ↗

Enacted Enacted · Chapter 13, Laws of 2026
  1. IntroducedJan 12, 2026
  2. Out of committeeJan 30, 2026
  3. Passed HouseFeb 11, 2026
  4. Passed SenateFeb 26, 2026
  5. GovernorMar 9, 2026
  6. LawMar 9, 2026
Prime sponsor
Dan Bronoske (D-28)
Introduced
January 12, 2026 in the House
Last action
March 9, 2026
Session law
Chapter 13, Laws of 2026
Requested by
Governor
Companion bill
SB 5967
Budget
Has a fiscal note
Versions
HB 2242, SHB 2242, ESHB 2242

AN ACT Relating to preserving access to preventive services by clarifying state authority and definitions;

Sponsors

Prime sponsor: Dan Bronoske (D-28)

15 co-sponsors (15 Democrats, 0 Republicans)

Beth Doglio D-22Lisa Parshley D-22Tarra Simmons D-23Liz Berry D-36Alex Ramel D-40Brianna Thomas D-34Timm Ormsby D-3My-Linh Thai D-41Nicole Macri D-43Mary Fosse D-38Natasha Hill D-3Gerry Pollet D-46Edwin Obras D-33Sharon Wylie D-49Janice Zahn D-41

Votes

House · 3rd Reading & Final Passage

Passed February 11, 2026
Version voted on: ESHB 2242
57 Yea 39 Nay 0 Absent 2 Excused
PartyYeaNayAbsentExcused
Democrat57002
Republican03900
How each member voted

Yea (57)

Excused (2)

Permalink to this vote

Senate · 3rd Reading & Final Passage

Passed February 26, 2026
Version voted on: ESHB 2242
36 Yea 12 Nay 0 Absent 1 Excused
PartyYeaNayAbsentExcused
Democrat29001
Republican71200
How each member voted

Excused (1)

Permalink to this vote

History

  1. Effective date 3/9/2026. (ESHB 2242)
  2. Chapter 13, 2026 Laws. (ESHB 2242)
  3. Governor signed. (ESHB 2242)
  4. Delivered to Governor. (ESHB 2242)
  5. President signed. (ESHB 2242)
  6. Speaker signed. (ESHB 2242)
  7. Third reading, passed; yeas, 36; nays, 12; absent, 0; excused, 1. (ESHB 2242)
  8. Rules suspended. Placed on Third Reading. (ESHB 2242)
  9. Placed on second reading by Rules Committee. (ESHB 2242)
  10. Passed to Rules Committee for second reading. (ESHB 2242)
  11. Minority; do not pass. (ESHB 2242)
  12. HLTC - Majority; do pass. (ESHB 2242)
  13. First reading, referred to Health & Long-Term Care. (ESHB 2242)
  14. Third reading, passed; yeas, 57; nays, 39; absent, 0; excused, 2. (ESHB 2242)
  15. Rules suspended. Placed on Third Reading. (ESHB 2242)
  16. Floor amendment(s) adopted. (ESHB 2242)
  17. 1st substitute bill substituted. (ESHB 2242)
  18. 1st substitute bill substituted.
  19. Rules Committee relieved of further consideration. Placed on second reading. (ESHB 2242)
  20. Rules Committee relieved of further consideration. Placed on second reading.
  21. Referred to Rules 2 Review. (ESHB 2242)
  22. Referred to Rules 2 Review.
  23. HCW - Majority; 1st substitute bill be substituted, do pass. (ESHB 2242)
  24. Minority; do not pass. (ESHB 2242)
  25. Minority; without recommendation. (ESHB 2242)
  26. HCW - Executive action taken by committee.
  27. Minority; without recommendation.
  28. Minority; do not pass.
  29. HCW - Majority; 1st substitute bill be substituted, do pass.
  30. First reading, referred to Health Care & Wellness.
  31. Prefiled for introduction.

HB 2242 in other sessions

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

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