HB 2385 — Concerning the medicaid access program.

What this bill does

Extends the date by which the Health Care Authority must submit any state plan amendments or waiver requests to the Center for Medicare and Medicaid Services that are necessary to implement the Medicaid Access Program (Program) from September 1, 2025, to September 1, 2030. Changes the purpose of the Program so that professional services rates are increased for services that are not reimbursed at or above Medicare rates as of December 31of the prior year by a percentage of corresponding Medicare rates as of December 31 of the prior year. Extends the expiration date of the act from January 1, 2027, to January 1, 2032.

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

Floor votes

• House — 3rd Reading & Final Passage · February 11, 2026
  57 yea · 38 nay · 3 not voting
• Senate — 3rd Reading & Final Passage · March 6, 2026
  30 yea · 18 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.
• EHB 1574 — Protecting access to life-saving care and substance use services.