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BILL · 2025–26 SESSION · LATEST VERSION ESSB 5124

SB 5124: SNF & rehab network adequacy

Establishing network adequacy standards for skilled nursing facilities and rehabilitation hospitals.

Summary

  • Directs the Health Care Authority to adopt network adequacy standards for Medicaid managed care organizations for post-acute care services, including nursing homes and inpatient rehabilitation facilities.

From the Engrossed Substitute House Bill Report (ESSB 5124), written by the Legislature's nonpartisan staff. Read the full report ↗

Enacted Enacted · Chapter 206, Laws of 2026
  1. IntroducedJan 13, 2025
  2. Out of committeeFeb 21, 2025
  3. Passed SenateMar 3, 2025
  4. Passed HouseMar 6, 2026
  5. GovernorMar 24, 2026
  6. LawMar 24, 2026
Prime sponsor
Ron Muzzall (R-10)
Introduced
January 13, 2025 in the Senate
Last action
March 24, 2026
Session law
Chapter 206, Laws of 2026
Budget
Has a fiscal note
Versions
SB 5124, SSB 5124, ESSB 5124

AN ACT Relating to increasing patient access to timely and medically necessary postacute care by establishing network adequacy standards for nursing homes and inpatient rehabilitation facilities within managed care contracts for medical assistance programs;

Sponsors

Prime sponsor: Ron Muzzall (R-10)

2 co-sponsors (1 Democrat, 1 Republican)

Mike Chapman D-24Perry Dozier R-16

Votes

Senate · 3rd Reading & Final Passage

Passed March 3, 2025
Version voted on: ESSB 5124
49 Yea 0 Nay 0 Absent 0 Excused
PartyYeaNayAbsentExcused
Democrat30000
Republican19000
How each member voted

Yea (49)

Permalink to this vote

Senate · 3rd Reading & Final Passage

Passed January 21, 2026
Version voted on: ESSB 5124
49 Yea 0 Nay 0 Absent 0 Excused
PartyYeaNayAbsentExcused
Democrat30000
Republican19000
How each member voted

Yea (49)

Permalink to this vote

House · 3rd Reading & Final Passage

Passed March 6, 2026
Version voted on: ESSB 5124
96 Yea 0 Nay 0 Absent 2 Excused
PartyYeaNayAbsentExcused
Democrat58001
Republican38001
How each member voted

Yea (96)

Excused (2)

Permalink to this vote

History

  1. Effective date 6/11/2026. (ESSB 5124)
  2. Chapter 206, 2026 Laws. (ESSB 5124)
  3. Governor signed. (ESSB 5124)
  4. Delivered to Governor. (ESSB 5124)
  5. Speaker signed. (ESSB 5124)
  6. President signed. (ESSB 5124)
  7. Third reading, passed; yeas, 96; nays, 0; absent, 0; excused, 2. (ESSB 5124)
  8. Rules suspended. Placed on Third Reading. (ESSB 5124)
  9. Rules Committee relieved of further consideration. Placed on second reading. (ESSB 5124)
  10. Referred to Rules 2 Review. (ESSB 5124)
  11. APP - Majority; do pass. (ESSB 5124)
  12. APP - Executive action taken by committee. (ESSB 5124)
  13. Referred to Appropriations. (ESSB 5124)
  14. HCW - Executive action taken by committee. (ESSB 5124)
  15. HCW - Majority; do pass. (ESSB 5124)
  16. First reading, referred to Health Care & Wellness. (ESSB 5124)
  17. Third reading, passed; yeas, 49; nays, 0; absent, 0; excused, 0. (ESSB 5124)
  18. Rules suspended. Placed on Third Reading. (ESSB 5124)
  19. Floor amendment(s) adopted. (ESSB 5124)
  20. Returned to second reading for amendment. (ESSB 5124)
  21. Rules suspended. (ESSB 5124)
  22. Placed on third reading by Rules Committee. (ESSB 5124)
  23. By resolution, reintroduced and retained in present status. (ESSB 5124)
  24. By resolution, returned to Senate Rules Committee for third reading. (ESSB 5124)
  25. Rules Committee relieved of further consideration. Placed on second reading. (ESSB 5124)
  26. APP - Majority; do pass with amendment(s) by Health Care & Wellness. (ESSB 5124)
  27. APP - Executive action taken by committee. (ESSB 5124)
  28. Referred to Rules 2 Review. (ESSB 5124)
  29. Referred to Appropriations. (ESSB 5124)
  30. HCW - Executive action taken by committee. (ESSB 5124)
  31. HCW - Majority; do pass with amendment(s). (ESSB 5124)
  32. First reading, referred to Health Care & Wellness. (ESSB 5124)
  33. Third reading, passed; yeas, 49; nays, 0; absent, 0; excused, 0. (ESSB 5124)
  34. Rules suspended. Placed on Third Reading. (ESSB 5124)
  35. 1st substitute bill substituted. (ESSB 5124)
  36. 1st substitute bill substituted.
  37. Placed on second reading by Rules Committee. (ESSB 5124)
  38. Placed on second reading by Rules Committee.
  39. Passed to Rules Committee for second reading. (ESSB 5124)
  40. Passed to Rules Committee for second reading.
  41. WM - Majority; without recommendation. (ESSB 5124)
  42. WM - Majority; without recommendation.
  43. Referred to Ways & Means. (ESSB 5124)
  44. Referred to Ways & Means.
  45. HLTC - Majority; 1st substitute bill be substituted, do pass. (ESSB 5124)
  46. And refer to Ways & Means. (ESSB 5124)
  47. And refer to Ways & Means.
  48. HLTC - Majority; 1st substitute bill be substituted, do pass.
  49. First reading, referred to Health & Long-Term Care.
  50. Prefiled for introduction.

SB 5124 in other sessions

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

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