ESSB 6194 — 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.)

What this bill does

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

Floor votes

• House — Final Passage as Amended by the House · March 6, 2026
  95 yea · 0 nay · 3 not voting
• Senate — 3rd Reading & Final Passage · February 13, 2026
  48 yea · 0 nay · 1 not voting
• Senate — Final Passage as Amended by the House · March 10, 2026
  49 yea · 0 nay

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