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Bill

HB 1813

Concerning the reprocurement of medical assistance services, including the realignment of behavioral health crisis services for medicaid enrollees.

2025-2026 Regular Session Introduced by Lauren Davis and 6 co-sponsors

Washington restructures medical assistance procurement and reorganizes behavioral health crisis services for Medicaid enrollees, effective July 27, 2025.

Effective date 7/27/2025.
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WeVote Research Nonpartisan
Bill Summary · HB 1813

Legislative bill overview

HB 1813 restructures how Washington State procures and delivers medical assistance services, with a specific focus on reorganizing behavioral health crisis services for Medicaid enrollees. The bill changes the administrative framework for how these services are contracted and managed, effective July 27, 2025.

Why is this important

Behavioral health crisis services are critical safety-net programs for vulnerable populations. How these services are procured and organized directly affects response times, service quality, and access for Medicaid beneficiaries experiencing mental health or substance use crises. This realignment could improve coordination or create disruptions depending on implementation.

Potential points of contention

  • Implementation complexity: Realigning crisis services involves coordinating between multiple agencies and providers; transition periods often create service gaps or administrative confusion
  • Medicaid enrollee access: Changes to service delivery models may affect which providers deliver care and how quickly enrollees can access crisis intervention
  • Cost and sustainability: Reprocurement processes can alter reimbursement rates and contract terms, affecting provider participation and potentially service availability in rural/underserved areas

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

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