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HB1430 • 2026

APRN & PA reimbursement

Concerning advanced practice registered nurse and physician assistant reimbursement.

Education Healthcare Labor
Passed Legislature

This bill passed both chambers and reached final enrollment, even if later executive action is not shown here.

Sponsor
Representative Simmons, Representative Leavitt, Representative Macri, Representative Thai, Representative Tharinger, Representative Parshley, Representative Reeves, Representative Alvarado, Representative Pollet, Representative Rule, Representative Stonier, Representative Berg, Representative Street, Representative Goodman, Representative Ormsby, Representative Mena, Representative Farivar, Representative Entenman, Representative Fosse, Representative Callan, Representative Davis, Representative Ramel, Representative Taylor, Representative Lekanoff, Representative Berry, Representative Reed, Representative Shavers, Representative Cortes, Representative Fey, Representative Salahuddin, Representative Hill
Last action
2025-03-03
Official status
H subst for
Effective date
Not listed

Plain English Breakdown

Using official source text because the generated explanation was unavailable or could not be confirmed against the official bill text.

APRN & PA reimbursement

APRN & PA reimbursement

What This Bill Does

  • APRN & PA reimbursement

Limits and Unknowns

  • This entry is temporarily using official source text because the generated explanation could not be confirmed against the official bill text during the last sync.

Amendments

These notes stay tied to the official amendment files and metadata from the legislature.

1430-S AMH SHMK WEIK 033

62 • Schmick

WITHDRAWN

Plain English: 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 1430-S AMH SHMK WEIK 033 1 - Official Print EFFECT: Limits when advanced practice registered nurses (APRNs) and physician assistants (PAs) must be paid the same amount as a physician would have been paid to when an APRN or PA is: (1) providing primary care services; (2) providing mental health care services; or (3) providing health care services in a critical access hospital or health care clinic located in a medically underserved area.

  • 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 1430-S AMH SHMK WEIK 033 1 - Official Print EFFECT: Limits when advanced practice registered nurses (APRNs) and physician assistants (PAs) must be paid the same amount as a physician would have been paid to when an APRN or PA is: (1) providing primary care services; (2) providing mental health care services; or (3) providing health care services in a critical access hospital or health care clinic located in a medically underserved area.
  • 1430-S AMH SHMK WEIK 033 SHB 1430 - H AMD 62 By Representative Schmick WITHDRAWN 03/03/2025 On page 1, line 19, after "(1)" insert "(a)" On page 2, line 7, after "area" strike "." and insert "when an advanced practice registered nurse or physician assistant is: (i) Providing primary care services; (ii) Providing mental health care services; or (iii) Providing health care services in a critical access hospital or health care clinic located in a medically underserved area, as designated by the health resources and services administration.
  • (b)" --- END
1430-S AMH SHMK WEIK 032

63 • Schmick

NOT ADOPTED

Plain English: 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 1430-S AMH SHMK WEIK 032 1 - Official Print EFFECT: Applies the provisions of the bill to all plans offered through the Public Employees Benefits Board and the School Employees Benefits Board.

  • 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 1430-S AMH SHMK WEIK 032 1 - Official Print EFFECT: Applies the provisions of the bill to all plans offered through the Public Employees Benefits Board and the School Employees Benefits Board.
  • 1430-S AMH SHMK WEIK 032 SHB 1430 - H AMD 63 By Representative Schmick NOT ADOPTED 03/03/2025 On page 1, beginning on line 19, after "For health plans" strike all material through "RCW" on line 20 On page 3, after line 2, insert the following: "Sec.
  • 3.
  • RCW 41.05.017 and 2024 c 251 s 5 are each amended to read as follows: Each health plan that provides medical insurance offered under this chapter, including plans created by insuring entities, plans not subject to the provisions of Title 48 RCW, and plans created under RCW 41.05.140, are subject to the provisions of RCW 48.43.500, 70.02.045, 48.43.505 through 48.43.535, 48.43.537, 48.43.545, 48.43.550, 70.02.110, 70.02.900, 48.43.190, 48.43.083, 48.43.0128, 48.43.780, 48.43.435, 48.43.815, 48.200.020 through 48.200.280, 48.200.300 through 48.200.320, 48.43.440, section 2 of this act, and chapter 48.49 RCW." --- END
1430-S AMH SIMM H1750.1

66 • Simmons

ADOPTED

Plain English: 1430-S AMH SIMM H1750.1 SHB 1430 - H AMD 66 By Representative Simmons ADOPTED 03/03/2025 On page 1, line 19, after "(1)" insert "(a)" 1 On page 2, line 7, after "area" strike "." and insert "when an 2 advanced practice registered nurse or physician assistant is:3 (i) Providing primary care services; or 4 (ii) Providing behavioral health care services, including 5 medication management and therapy.

  • 1430-S AMH SIMM H1750.1 SHB 1430 - H AMD 66 By Representative Simmons ADOPTED 03/03/2025 On page 1, line 19, after "(1)" insert "(a)" 1 On page 2, line 7, after "area" strike "." and insert "when an 2 advanced practice registered nurse or physician assistant is:3 (i) Providing primary care services; or 4 (ii) Providing behavioral health care services, including 5 medication management and therapy.
  • 6 (b)" 7 EFFECT: Limits when advanced practice registered nurses (APRNs) and physician assistants (PAs) must be paid the same amount as a physician would have been paid to when an APRN or PA is: (1) providing primary care services; or (2) providing behavioral health care services, including medication management and therapy.
  • END --- Code Rev/MW:roy 1 H-1750.1/25

Bill History

  1. 2025-03-03 House

    1st substitute bill substituted.

Official Summary Text

APRN & PA reimbursement

Current Bill Text

Read the full stored bill text 
AN ACT Relating to requiring health carriers to reimburse 1
advanced practice registered nurses and physician assistants at the 2
same rate as physicians for the same services; adding a new section 3
to chapter 48.43 RCW; and creating a new section. 4
BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF WASHINGTON:5
NEW SECTION. Sec. 1. Health care workforce shortages are one of 6
the most significant, and potentially long-lasting, impacts of the 7
COVID-19 pandemic. Given the gravity of these shortages and the 8
threat they present to health care access, the legislature recognizes 9
the importance of supporting health care practitioners throughout the 10
state. This act intends to help health systems, clinics, and private 11
practices maintain a sufficient number of health care providers, 12
especially in underserved and rural communities, by requiring health 13
carriers to reimburse advanced practice registered nurses, physician 14
assistants, and physicians the same rate for providing the same 15
health care services.16
NEW SECTION. Sec. 2. A new section is added to chapter 48.43 17
RCW to read as follows: 18
(1) For health plans other than health plans offered to public 19
employees and dependents under chapter 41.05 RCW issued or renewed on 20
H-0322.2
HOUSE BILL 1430
State of Washington 69th Legislature 2025 Regular Session
By Representatives Simmons, Leavitt, Macri, Thai, Tharinger,
Parshley, Reeves, Alvarado, Pollet, Rule, Stonier, Berg, Street,
Goodman, Ormsby, Mena, Farivar, Entenman, Fosse, Callan, Davis,
Ramel, Taylor, Lekanoff, Berry, Reed, Shavers, Cortes, Fey,
Salahuddin, and Hill
Read first time 01/20/25. Referred to Committee on Health Care &
Wellness.
p. 1 HB 1430
or after January 1, 2026, a health carrier may not reimburse a 1
contracted health care practitioner who is an advanced practice 2
registered nurse licensed under chapter 18.79 RCW or physician 3
assistant licensed under chapter 18.71A RCW in an amount less than 4
the allowed amount that the health carrier would reimburse for the 5
same service if provided by a contracted provider who is a physician 6
licensed under chapter 18.57 or 18.71 RCW in the same service area as 7
defined in WAC 284-43-0160. 8
(2) A health carrier may not reduce the reimbursement amount paid 9
to physicians licensed under chapter 18.57 or 18.71 RCW to comply 10
with this section. 11
(3) The office of the insurance commissioner shall collect data 12
from health carriers on the implementation of this section beginning 13
January 1, 2026, and report back to the legislature, in the manner 14
provided in RCW 43.01.036, no later than July 1, 2027:15
(a) The number of health carriers who changed reimbursement rates 16
in response to this section; 17
(b) The number of advanced practice registered nurses and 18
physician assistants whose reimbursement rates were increased as a 19
result of this section; 20
(c) The number of physicians whose reimbursement rates were 21
decreased as a result of this section; and 22
(d) The costs incurred by each health carrier to implement this 23
section. 24
(4) This section does not apply to advanced practice registered 25
nurses or physician assistants who are employees of a health 26
maintenance organization regulated under chapter 48.46 RCW.27
--- END ---
p. 2 HB 1430