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HB1469 • 2026

ASAM 4 treatment criteria

Delaying the use of the ASAM 4 criteria, treatment criteria for addictive, substance related, and co-occurring conditions.

Passed Legislature

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

Sponsor
Representative Macri, Representative Ormsby
Last action
2026-01-12
Official status
H HC/Wellness
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.

ASAM 4 treatment criteria

ASAM 4 treatment criteria

What This Bill Does

  • ASAM 4 treatment criteria

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.

Bill History

  1. 2026-01-12 House

    By resolution, reintroduced and retained in present status.

Official Summary Text

ASAM 4 treatment criteria

Current Bill Text

Read the full stored bill text 
AN ACT Relating to delaying the use of the ASAM 4 criteria, 1
treatment criteria for addictive, substance related, and co-occurring 2
conditions; and amending RCW 71.24.619 and 48.43.764.3
BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF WASHINGTON:4
Sec. 1. RCW 71.24.619 and 2024 c 366 s 12 are each amended to 5
read as follows: 6
When updated versions of the ASAM Criteria, treatment criteria 7
for addictive, substance related, and co-occurring conditions, 8
inclusive of adolescent and transition age youth versions, are 9
published by the American society of addiction medicine, the health 10
care authority and the office of the insurance commissioner shall 11
jointly determine whether to use the updated version, and, if so, the 12
date upon which the updated version must begin to be used by medicaid 13
managed care organizations, carriers, and other relevant entities. 14
Both agencies shall post notice of their decision on their websites. 15
For purposes of the ASAM Criteria, 4th edition, medicaid managed care 16
organizations and carriers shall begin to use the updated criteria no 17
later than January 1, ((2026)) 2028, unless the health care authority 18
and the office of the insurance commissioner jointly determine that 19
it should not be used. 20
Z-0224.1
HOUSE BILL 1469
State of Washington 69th Legislature 2025 Regular Session
By Representatives Macri and Ormsby; by request of Office of
Financial Management
Read first time 01/21/25. Referred to Committee on Health Care &
Wellness.
p. 1 HB 1469
Sec. 2. RCW 48.43.764 and 2024 c 366 s 11 are each amended to 1
read as follows: 2
When updated versions of the ASAM Criteria, treatment criteria 3
for addictive, substance related, and co-occurring conditions, 4
inclusive of adolescent and transition age youth versions, are 5
published by the American society of addiction medicine, the health 6
care authority and the office of the insurance commissioner shall 7
jointly determine whether to use the updated version, and, if so, the 8
date upon which the updated version must begin to be used by medicaid 9
managed care organizations, carriers, and other relevant entities. 10
Both agencies shall post notice of their decision on their websites. 11
For purposes of the ASAM Criteria, 4th edition, medicaid managed care 12
organizations and carriers shall begin to use the updated criteria no 13
later than January 1, ((2026)) 2028, unless the health care authority 14
and the office of the insurance commissioner jointly determine that 15
it should not be used. 16
--- END ---
p. 2 HB 1469