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HB 1430

Concerning advanced practice registered nurse and physician assistant reimbursement.

2025-2026 Regular Session Introduced by Emily Alvarado and 29 co-sponsors

HB 1430 adjusts reimbursement rates for advanced practice nurses and physician assistants in Washington, affecting healthcare provider compensation and patient access to care.

By resolution, returned to House Rules Committee for third reading.
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Bill Summary · HB 1430

Legislative bill overview

HB 1430 addresses reimbursement rates for Advanced Practice Registered Nurses (APRNs) and Physician Assistants (PAs) in Washington state. The bill seeks to adjust how these healthcare providers are compensated, likely aiming to improve parity with physician reimbursement or expand coverage under state insurance programs.

Why is this important

APRNs and PAs provide significant primary care and specialty services, particularly in rural and underserved areas. Reimbursement policy directly affects provider supply, patient access to care, and healthcare costs. Changes to payment structures can influence whether these providers remain in Washington and how many patients they can serve.

Potential points of contention

  • Cost to state budget: Increased reimbursement rates raise expenses for state-funded insurance programs (Medicaid, public employee health plans), potentially requiring budget offsets or tax increases
  • Provider income disparity: Determining appropriate payment parity between APRNs/PAs and physicians involves competing economic interests and professional scope debates
  • Private insurance implications: The bill's scope regarding private insurers versus state programs affects market-wide impacts and may face industry opposition

Compiled from official sources — confirm details with the bill’s official record.

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