HB2211 • 2026

Medically tailored meals

Concerning medically tailored meals.

Healthcare

Passed Legislature

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

Sponsor: Representative Reeves, Representative Doglio, Representative Parshley, Representative Reed, Representative Thomas, Representative Gregerson, Representative Berg, Representative Macri, Representative Fosse, Representative Hill, Representative Donaghy
Last action: 2026-03-24
Official status: C 200 L 26
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.

Medically tailored meals

What This Bill Does

Medically tailored meals

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.

2211 AMH ENGE BLAC 300

1570 • Engell

WITHDRAWN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 2211 AMH ENGE BLAC 300 1 - Official Print By Representative Engell EFFECT: Requires that medically tailored meals, to the extent possible, be produced by small businesses, except those registering as Washington State-based entities under a foreign registration, in addition to Washington State-based nonprofit organizations.

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 2211 AMH ENGE BLAC 300 1 - Official Print By Representative Engell EFFECT: Requires that medically tailored meals, to the extent possible, be produced by small businesses, except those registering as Washington State-based entities under a foreign registration, in addition to Washington State-based nonprofit organizations.
2211 AMH ENGE BLAC 300 HB 2211 - H AMD 1570 WITHDRAWN 02/14/2026 On page 1, beginning on line 9, after "possible," strike all material through "organizations" on line 10 and insert "produced by Washington state-based nonprofit organizations or small businesses, except those registering as Washington state-based entities under a foreign qualification registration" On page 2, beginning on line 26, after "possible," strike all material through "organizations" on line 27 and insert "produced by Washington state-based nonprofit organizations or small businesses, except those registering as Washington state-based entities under a foreign qualification registration" --- END

2211 AMH DUFA BLAC 304

1632 • Dufault

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 2211 AMH DUFA BLAC 304 1 - Official Print By Representative Dufault EFFECT: Removes the requirement that, when administering benefits related to medically tailored meals, the Department of Social and Health Services and the Health Care Authority must contract for the provision of medically tailored meals, to the extent possible, provided by Washington state-based, nonprofit organizations.

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 2211 AMH DUFA BLAC 304 1 - Official Print By Representative Dufault EFFECT: Removes the requirement that, when administering benefits related to medically tailored meals, the Department of Social and Health Services and the Health Care Authority must contract for the provision of medically tailored meals, to the extent possible, provided by Washington state-based, nonprofit organizations.
2211 AMH DUFA BLAC 304 HB 2211 - H AMD 1632 WITHDRAWN 02/14/2026 On page 1, beginning on line 6, after "(1)(a)" strike all material through "(b)" on line 11 Renumber the remaining subsections consecutively and correct any internal references accordingly.
On page 2, beginning on line 23, after "(1)(a)" strike all material through "(b)" on line 28 Renumber the remaining subsections consecutively and correct any internal references accordingly.
END

2211 AMH ENGE BLAC 305

1739 • Engell

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 2211 AMH ENGE BLAC 305 1 - Official Print By Representative Engell 2211 AMH ENGE BLAC 305 HB 2211 - H AMD 1739 ADOPTED 02/14/2026 On page 1, after line 3, insert the following: "NEW SECTION.

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 2211 AMH ENGE BLAC 305 1 - Official Print By Representative Engell 2211 AMH ENGE BLAC 305 HB 2211 - H AMD 1739 ADOPTED 02/14/2026 On page 1, after line 3, insert the following: "NEW SECTION.
Sec.
1.
(1) The legislature finds that: (a) Washington state recently received authority from the federal centers for medicare and medicaid services to administer a health benefit under the apple health program to provide medically tailored meals to certain medical assistance clients with health- related conditions that require nutrition supports to improve their health outcomes; (b) The provision of fresh, locally produced meals provides clients with proper nutrition to manage their health conditions and an example of healthier food options that can promote healthier future meal decisions; (c) The production and delivery of medically tailored meals at the local level can reduce pollution and other impacts on the environment; and (d) Local delivery drivers of medically tailored meals from a client’s community are able to connect directly with clients and monitor their health and emotional status and alert community service providers when services may be necessary.

2211.E AMS WARN S5896.1

848 • Warnick

WITHDRAWN

Plain English: 2211.E AMS WARN S5896.1 EHB 2211 - S AMD 848 By Senator Warnick WITHDRAWN 03/06/2026 On page 1, line 12, after "locally" strike "produced" and insert 1 "sourced" 2 On page 2, line 6, after "locally" strike "produced" and insert 3 "sourced" 4 On page 2, line 14, after "or" strike "small" 5 On page 2, line 15, after "locally" strike "produced" and insert 6 "sourced" 7 On page 3, line 1, after "(a)" insert ""Locally sourced" means:8 (i) Agricultural commodities that were grown, raised, harvested, 9 caught, or otherwise derived fully or in part within the state of 10 Washington; or 11 (ii) Fully or in part prepared, processed, assembled, cooked, or 12 packaged within the state of Washington.

2211.E AMS WARN S5896.1 EHB 2211 - S AMD 848 By Senator Warnick WITHDRAWN 03/06/2026 On page 1, line 12, after "locally" strike "produced" and insert 1 "sourced" 2 On page 2, line 6, after "locally" strike "produced" and insert 3 "sourced" 4 On page 2, line 14, after "or" strike "small" 5 On page 2, line 15, after "locally" strike "produced" and insert 6 "sourced" 7 On page 3, line 1, after "(a)" insert ""Locally sourced" means:8 (i) Agricultural commodities that were grown, raised, harvested, 9 caught, or otherwise derived fully or in part within the state of 10 Washington; or 11 (ii) Fully or in part prepared, processed, assembled, cooked, or 12 packaged within the state of Washington.
13 (b)" 14 Reletter the remaining subsections consecutively and correct any 15 internal references accordingly.
16 On page 3, line 17, after "or" strike "small" 17 On page 3, line 18, after "locally" strike "produced" and insert 18 "sourced" 19 On page 4, line 2, after "(a)" insert ""Locally sourced" means:20 (i) Agricultural commodities that were grown, raised, harvested, 21 caught, or otherwise derived fully or in part within the state of 22 Washington; or 23 (ii) Fully or in part prepared, processed, assembled, cooked, or 24 packaged within the state of Washington.
25 (b)" 26 Code Rev/MW:ajr 1 S-5896.1/26 Reletter the remaining subsections consecutively and correct any 1 internal references accordingly.

2211.E AMS WARN S5950.1

861 • Warnick

WITHDRAWN

Plain English: 2211.E AMS WARN S5950.1 EHB 2211 - S AMD 861 By Senator Warnick WITHDRAWN 03/06/2026 On page 1, line 12, after "locally" strike "produced" and insert 1 "sourced" 2 On page 2, line 6, after "locally" strike "produced" and insert 3 "sourced" 4 On page 2, line 15, after "locally" strike "produced" and insert 5 "sourced" 6 On page 3, line 1, after " (a)" insert ""Locally sourced" means 7 agricultural commodities that were grown, raised, harvested, caught, 8 or otherwise derived fully or in part within the state of Washington.9 (b)" 10 Reletter the remaining subsections consecutively and correct any 11 internal references accordingly.

2211.E AMS WARN S5950.1 EHB 2211 - S AMD 861 By Senator Warnick WITHDRAWN 03/06/2026 On page 1, line 12, after "locally" strike "produced" and insert 1 "sourced" 2 On page 2, line 6, after "locally" strike "produced" and insert 3 "sourced" 4 On page 2, line 15, after "locally" strike "produced" and insert 5 "sourced" 6 On page 3, line 1, after " (a)" insert ""Locally sourced" means 7 agricultural commodities that were grown, raised, harvested, caught, 8 or otherwise derived fully or in part within the state of Washington.9 (b)" 10 Reletter the remaining subsections consecutively and correct any 11 internal references accordingly.
12 On page 3, line 18, after "locally" strike "produced" and insert 13 "sourced" 14 On page 4, line 2, after " (a)" insert ""Locally sourced" means 15 agricultural commodities that were grown, raised, harvested, caught, 16 or otherwise derived fully or in part within the state of Washington.17 (b)" 18 Reletter the remaining subsections consecutively and correct any 19 internal references accordingly.
20 EFFECT: Requires that medically tailored meal vendors be nonprofits or small businesses that are able to provide locally sourced, fresh, whole foods or scratch prepared meals.
Defines "locally sourced." --- END --- Code Rev/MW:jcm 1 S-5950.1/26

2211.E AMS NOBL S5983.1

897 • Nobles

ADOPTED

Plain English: 2211.E AMS NOBL S5983.1 EHB 2211 - S AMD 897 By Senator Nobles ADOPTED 03/06/2026 On page 1, line 12, after "locally" strike "produced" and insert 1 "sourced" 2 On page 2, line 6, after "locally" strike "produced" and insert 3 "sourced" 4 On page 2, line 15, after "locally" strike "produced" and insert 5 "sourced" 6 On page 3, line 1, after "(a)" insert ""Locally sourced" means:7 (i) Agricultural commodities that were grown, raised, harvested, 8 caught, or otherwise derived fully or in part within the state of 9 Washington; or 10 (ii) Fully or in part prepared, processed, assembled, cooked, or 11 packaged within the state of Washington.

2211.E AMS NOBL S5983.1 EHB 2211 - S AMD 897 By Senator Nobles ADOPTED 03/06/2026 On page 1, line 12, after "locally" strike "produced" and insert 1 "sourced" 2 On page 2, line 6, after "locally" strike "produced" and insert 3 "sourced" 4 On page 2, line 15, after "locally" strike "produced" and insert 5 "sourced" 6 On page 3, line 1, after "(a)" insert ""Locally sourced" means:7 (i) Agricultural commodities that were grown, raised, harvested, 8 caught, or otherwise derived fully or in part within the state of 9 Washington; or 10 (ii) Fully or in part prepared, processed, assembled, cooked, or 11 packaged within the state of Washington.
12 (b)" 13 Reletter the remaining subsections consecutively and correct any 14 internal references accordingly.
15 On page 3, line 18, after "locally" strike "produced" and insert 16 "sourced" 17 On page 4, line 2, after "(a)" insert ""Locally sourced" means:18 (i) Agricultural commodities that were grown, raised, harvested, 19 caught, or otherwise derived fully or in part within the state of 20 Washington; or 21 (ii) Fully or in part prepared, processed, assembled, cooked, or 22 packaged within the state of Washington.
23 (b)" 24 Reletter the remaining subsections consecutively and correct any 25 internal references accordingly.

Bill History

2026-03-24 House
Effective date 6/11/2026.

Official Summary Text

Medically tailored meals

Current Bill Text

Read the full stored bill text

AN ACT Relating to medically tailored meals; adding a new section 1
to chapter 74.39A RCW; and adding a new section to chapter 74.09 RCW.2
BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF WASHINGTON:3
NEW SECTION. Sec. 1. A new section is added to chapter 74.39A 4
RCW to read as follows: 5
(1)(a) Any benefit administered by the department through 6
contracted entities to provide medically tailored meals to clients 7
under this chapter shall require that medically tailored meals be, to 8
the extent possible, provided by Washington state-based, nonprofit 9
organizations. 10
(b) Medically tailored meal vendors shall comply with the 11
client's medically tailored meal nutrition care plan. The medically 12
tailored meal vendor shall have a qualified medical professional 13
review and approve the menus provided in response to a nutrition care 14
plan for medically tailored meals. 15
(c) All medically tailored meals provided to clients under this 16
chapter shall: 17
(i) Align with evidence-based nutritional practice guidelines for 18
treating the specified condition; 19
(ii) Offer accommodations in dietary needs, allergy restrictions, 20
and cultural preferences; 21
H-2672.1
HOUSE BILL 2211
State of Washington 69th Legislature 2026 Regular Session
By Representatives Reeves, Doglio, Parshley, Reed, Thomas, Gregerson,
Berg, Macri, Fosse, Hill, and Donaghy
Prefiled 12/30/25. Read first time 01/12/26. Referred to Committee
on Health Care & Wellness.
p. 1 HB 2211
(iii) Prioritize local, whole foods or from scratch prepared 1
meals unless otherwise required to appropriately meet the needs of a 2
client; 3
(iv) Provide at least 500 calories, or otherwise meet a client's 4
medically appropriate energy needs; and 5
(v) Provide one-third of the recommended dietary reference 6
intakes for carbohydrates and protein as established by the food and 7
nutrition board of the national academy of medicine, unless otherwise 8
permitted. 9
(2) For the purposes of this section: 10
(a) "Medically tailored meal" means a fresh or frozen meal that 11
is designed by a qualified medical professional for the treatment of 12
one or more medical conditions of a client. 13
(b) "Medically tailored meal vendor" means a vendor that provides 14
medically tailored meals according to specifications from a qualified 15
medical professional. 16
(c) "Qualified medical professional" means a person who holds a 17
credential issued by a disciplining authority under RCW 18.130.040 18
and whose credential includes the authority to establish and tailor 19
nutrition care plans to meet the medical needs of a referred client.20
NEW SECTION. Sec. 2. A new section is added to chapter 74.09 21
RCW to read as follows: 22
(1)(a) Any benefit administered by the authority through 23
contracted entities to provide medically tailored meals to enrollees 24
under this chapter shall require that medically tailored meals be, to 25
the extent possible, provided by Washington state-based, nonprofit 26
organizations. 27
(b) Medically tailored meal vendors shall comply with the 28
enrollee's medically tailored meal nutrition care plan. The medically 29
tailored meal vendor shall have a qualified medical professional 30
review and approve the menus provided in response to a nutrition care 31
plan for medically tailored meals. 32
(c) All medically tailored meals provided to enrollees under this 33
chapter shall: 34
(i) Align with evidence-based nutritional practice guidelines for 35
treating the specified condition; 36
(ii) Offer accommodations in dietary needs, allergy restrictions, 37
and cultural preferences; 38
p. 2 HB 2211
(iii) Prioritize local, whole foods or from scratch prepared 1
meals unless otherwise required to appropriately meet the needs of an 2
enrollee; 3
(iv) Provide at least 500 calories, or otherwise meet an 4
enrollee's medically appropriate energy needs; and 5
(v) Provide one-third of the recommended dietary reference 6
intakes for carbohydrates and protein as established by the food and 7
nutrition board of the national academy of medicine, unless otherwise 8
permitted. 9
(2) For the purposes of this section: 10
(a) "Medically tailored meal" means a fresh or frozen meal that 11
is designed by a qualified medical professional for the treatment of 12
one or more medical conditions of an enrollee. 13
(b) "Medically tailored meal vendor" means a vendor that provides 14
medically tailored meals according to specifications from a qualified 15
medical professional. 16
(c) "Qualified medical professional" means a person who holds a 17
credential issued by a disciplining authority under RCW 18.130.040 18
and whose credential includes the authority to establish and tailor 19
nutrition care plans to meet the medical needs of a referred client.20
--- END ---
p. 3 HB 2211