E2SHB 1813 — Concerning the reprocurement of medical assistance services, including the realignment of behavioral health crisis services for medicaid enrollees.

What this bill does

Shifts responsibilities for facility-based behavioral health crisis services from Medicaid managed care organizations (MCOs) to behavioral health administrative services organizations (BHASOs). Directs the Health Care Authority (Authority) to conduct a reprocurement of Medicaid managed care contracts. Eliminates the requirement that MCOs contract with BHASOs for behavioral health crisis services and directs the Authority to establish new contracts with BHASOs for behavioral health crisis services beginning January 1, 2027.

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

Floor votes

• House — 3rd Reading & Final Passage · March 11, 2025
  79 yea · 16 nay · 3 not voting
• House — Final Passage as Amended by the Senate · April 21, 2025
  62 yea · 35 nay · 1 not voting
• Senate — 3rd Reading & Final Passage as Amended by the Senate · April 16, 2025
  30 yea · 19 nay

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