WA People
BILL · 2025–26 SESSION · LATEST VERSION ESSB 6194

SB 6194: Allowable costs/hospital

Allowing payments to be made based on allowable costs for services provided by any rural hospital that is located on a federally recognized Indian reservation. (REVISED FOR ENGROSSED: Allowing payments to be made for services provided by any rural hospital that is located on a federally recognized Indian reservation.)

Summary

  • Allows for any rural hospital located on a federally recognized Indian reservation to be paid at 150 percent of the fee-for-service rate for inpatient and outpatient Medicaid services beginning January 1, 2027.

From the Engrossed Substitute House Bill Report (ESSB 6194), written by the Legislature's nonpartisan staff. Read the full report ↗

Enacted Enacted · Chapter 124, Laws of 2026
  1. IntroducedJan 16, 2026
  2. Out of committeeFeb 9, 2026
  3. Passed SenateFeb 13, 2026
  4. Passed HouseMar 6, 2026
  5. GovernorMar 20, 2026
  6. LawMar 20, 2026
Prime sponsor
Curtis King (R-14)
Introduced
January 16, 2026 in the Senate
Last action
March 20, 2026
Session law
Chapter 124, Laws of 2026
Budget
Has a fiscal note
Versions
SB 6194, SSB 6194, ESSB 6194

AN ACT Relating to allowing payments to be made for services provided by any rural hospital that is located on a federally recognized Indian reservation;

Sponsors

Prime sponsor: Curtis King (R-14)

2 co-sponsors (1 Democrat, 1 Republican)

Bob Hasegawa D-11Nikki Torres R-15

Votes

Senate · 3rd Reading & Final Passage

Passed February 13, 2026
Version voted on: ESSB 6194
48 Yea 0 Nay 0 Absent 1 Excused
PartyYeaNayAbsentExcused
Democrat30000
Republican18001
How each member voted

Yea (48)

Excused (1)

Permalink to this vote

House · Final Passage as Amended by the House

Passed March 6, 2026
Version voted on: ESSB 6194
95 Yea 0 Nay 0 Absent 3 Excused
PartyYeaNayAbsentExcused
Democrat58001
Republican37002
How each member voted

Yea (95)

Excused (3)

Permalink to this vote

Senate · Final Passage as Amended by the House

Passed March 10, 2026
Version voted on: ESSB 6194
49 Yea 0 Nay 0 Absent 0 Excused
PartyYeaNayAbsentExcused
Democrat30000
Republican19000
How each member voted

Yea (49)

Permalink to this vote

History

  1. Effective date 6/11/2026. (ESSB 6194)
  2. Chapter 124, 2026 Laws. (ESSB 6194)
  3. Governor signed. (ESSB 6194)
  4. Delivered to Governor. (ESSB 6194)
  5. Speaker signed. (ESSB 6194)
  6. President signed. (ESSB 6194)
  7. Passed final passage; yeas, 49; nays, 0; absent, 0; excused, 0. (ESSB 6194)
  8. Senate concurred in House amendments. (ESSB 6194)
  9. Third reading, passed; yeas, 95; nays, 0; absent, 0; excused, 3. (ESSB 6194)
  10. Rules suspended. Placed on Third Reading. (ESSB 6194)
  11. Committee amendment(s) adopted with no other amendments. (ESSB 6194)
  12. Rules Committee relieved of further consideration. Placed on second reading. (ESSB 6194)
  13. Referred to Rules 2 Review. (ESSB 6194)
  14. APP - Majority; do pass with amendment(s). (ESSB 6194)
  15. APP - Executive action taken by committee. (ESSB 6194)
  16. First reading, referred to Health Care & Wellness. (ESSB 6194)
  17. Committee relieved of further consideration. (ESSB 6194)
  18. Referred to Appropriations. (ESSB 6194)
  19. Third reading, passed; yeas, 48; nays, 0; absent, 0; excused, 1. (ESSB 6194)
  20. Rules suspended. Placed on Third Reading. (ESSB 6194)
  21. Floor amendment(s) adopted. (ESSB 6194)
  22. 1st substitute bill substituted. (ESSB 6194)
  23. 1st substitute bill substituted.
  24. Placed on second reading by Rules Committee. (ESSB 6194)
  25. Placed on second reading by Rules Committee.
  26. WM - Majority; 1st substitute bill be substituted, do pass. (ESSB 6194)
  27. Passed to Rules Committee for second reading. (ESSB 6194)
  28. WM - Majority; 1st substitute bill be substituted, do pass.
  29. Passed to Rules Committee for second reading.
  30. Referred to Ways & Means.
  31. And refer to Ways & Means.
  32. HLTC - Majority; without recommendation.
  33. First reading, referred to Health & Long-Term Care.

SB 6194 in other sessions

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

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