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Bill

Bill

HB 1686

Creating a health care entity registry.

2025-2026 Regular Session Introduced by Dan Bronoske and 6 co-sponsors

Washington establishes mandatory health care entity registry requiring providers to register with centralized state database for enhanced regulatory oversight and accountability.

Effective date 7/27/2025.
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Bill Summary · HB 1686

Legislative bill overview

HB 1686 establishes a health care entity registry in Washington State, requiring certain health care organizations and providers to register with a centralized database. The bill, signed by the Governor on April 22, 2025, becomes effective July 27, 2025, and creates a systematic way to track and monitor health care entities operating in the state.

Why is this important

A health care entity registry enhances state oversight and regulatory capacity by providing comprehensive data on which organizations are delivering care, their ownership structures, and operational details. This transparency can support public health planning, fraud prevention, licensing enforcement, and consumer protection efforts while establishing clearer accountability mechanisms for health care delivery.

Potential points of contention

  • Compliance burden: Smaller practices and independent providers may face administrative costs and complexity in meeting registration requirements, potentially disadvantaging smaller operations compared to large health systems
  • Data privacy and security: Centralized registries containing health care entity information create potential targets for cyber threats and raise questions about what data is collected, who can access it, and how it's protected
  • Scope ambiguity: Unclear definitions of which entities must register could create disputes about enforcement, competitive disadvantages for some providers, or loopholes for others attempting to avoid oversight

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

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