EHB 1574 — Protecting access to life-saving care and substance use services.

What this bill does

Expands protections for a person seeking medical assistance for someone experiencing a drug-related overdose or who experiences a drug-related overdose and needs medical assistance. Adds health care facilities to the list of entities that are not prohibited from distributing or using public health supplies, including syringe equipment, smoking equipment, or drug testing equipment. Exempts public health and syringe service program clients from arrest and prosecution for taking samples of substances and using drug testing equipment to analyze or detect substances. Modifies the state preemption of drug paraphernalia regulation by eliminating the existing carveout for city or county laws or ordinances related to the establishment or regulation of harm reduction services concerning drug paraphernalia.

From the Washington State Legislature's nonpartisan staff bill analysis. Read the full analysis ↗

Floor votes

• House — 3rd Reading & Final Passage · March 12, 2025
  56 yea · 41 nay · 1 not voting
• House — 3rd Reading & Final Passage · February 11, 2026
  55 yea · 42 nay · 1 not voting

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Other bills sponsored by Macri

• SHB 1123 — Ensuring access to primary care, behavioral health, and affordable hospital services.
• SHB 1142 — Standardizing basic training and certification requirements for long-term care workers who provide in-home care for their family members, including spouses or domestic partners.
• SHB 1392 — Creating the medicaid access program.
• ESHB 1468 — Concerning accounts.
• SHB 1621 — Authorizing superior courts to appoint housing court commissioners.