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Washington · 2025-2026 Biennium (69th Legislature)

Protecting patients involved in motor vehicle accidents from delayed ambulance bills.

AN ACT Relating to protecting patients involved in motor vehicle accidents from delayed ambulance bills;

ESHB 1187·House·Bill
Rep. Cindy RyuState House · LD-32·8 cosponsors
Fiscal noteState YesLocal Yes
Effective dateJune 11, 2026
Primary sponsor
Cindy RyuCindy RyuState House · LD-32
Cosponsors
My-Linh ThaiMy-Linh ThaiState House · LD-41Edwin ObrasEdwin ObrasState House · LD-33Nicole MacriNicole MacriState House · LD-43Dave PaulDave PaulState House · LD-10Lisa CallanLisa CallanState House · LD-05Gerry PolletGerry PolletState House · LD-46Jake FeyJake FeyState House · LD-27Shelley KlobaShelley KlobaState House · LD-01
Floor votes
House · 3rd Reading & Final Passage · ESHB 1187Jan 22, 202689–2
Senate · 3rd Reading & Final Passage as Amended by the Senate · ESHB 1187Feb 28, 202649–0
House · Final Passage as Amended by the Senate · ESHB 1187Mar 9, 202693–2
Legislative history
Jan 7, 2025
Prefiled for introduction.
Jan 13, 2025
First reading, referred to Health Care & Wellness.
Feb 19, 2025
HCW - Executive action taken by committee.
Feb 19, 2025
HCW - Majority; 1st substitute bill be substituted, do pass.
Feb 21, 2025
Referred to Rules 2 Review.
Mar 10, 2025
Rules Committee relieved of further consideration. Placed on second reading.
Mar 19, 2025
Returned to Rules Committee for second reading.
Jan 12, 2026
By resolution, reintroduced and retained in present status.
Jan 19, 2026
Rules Committee relieved of further consideration. Placed on second reading.
Jan 22, 2026
1st substitute bill substituted.
Jan 22, 2026
Floor amendment(s) adopted.
Jan 22, 2026
Rules suspended. Placed on Third Reading.
Jan 22, 2026
Third reading, passed; yeas, 89; nays, 2; absent, 0; excused, 7.
Jan 26, 2026
First reading, referred to Health & Long-Term Care.
Feb 24, 2026
HLTC - Majority; do pass with amendment(s).
Feb 25, 2026
Passed to Rules Committee for second reading.
Feb 27, 2026
Placed on second reading consent calendar.
Feb 28, 2026
Committee amendment(s) adopted with no other amendments.
Feb 28, 2026
Rules suspended. Placed on Third Reading.
Feb 28, 2026
Third reading, passed; yeas, 49; nays, 0; absent, 0; excused, 0.
Mar 9, 2026
House concurred in Senate amendments.
Mar 9, 2026
Passed final passage; yeas, 93; nays, 2; absent, 0; excused, 3.
Mar 11, 2026
Speaker signed.
Mar 12, 2026
President signed.
Mar 12, 2026
Delivered to Governor.
Mar 23, 2026
Governor signed.
Mar 23, 2026
Chapter 126, 2026 Laws.
Mar 23, 2026
Effective date 6/11/2026.
Bill text
Original BillSubstitute BillEngrossed SubstituteBill as Passed Legislature
Amendments
Floor amendment by Ryu (Adopted)Committee amendment by Health & Long-Term Care (Adopted)
Bill reports
House Bill Analysis 2025 — Initial House Analysis 01-28-25House Bill Report — Reported by HCW 02-19-25Engrossed Substitute House Bill Report — Passed House 01-22-26Engrossed Substitute Senate Bill Report (Orig.) — Initial Bill Report 02-20-26Engrossed Substitute Senate Bill Report — Testimony Added 02-20-26Engrossed Substitute Senate Bill Report — Reported by HLTC 02-24-26Engrossed Substitute House Bill Report — Amended by Senate 02-28-26Engrossed Substitute Senate Bill Report — Passed Senate 02-28-26Final Bill Report — Final Bill Report 2026Engrossed Substitute House Bill Report — Passed Legislature
Session law
Chapter 126, Laws of 2026
Where it stands
In committee — the House
On the floor — the House
In committee — the Senate
On the floor — the Senate
Resolving differences
With the Governor
Became lawChapter 126, Laws of 2026
Path for a House bill