2020 budget priorities #

The legis­la­ture passed its final 2019 – 21 operating budget on April 3. The final budget was largely good for health care. With session ending just at the start of the COVID-19 Pandemic, many of our prior­i­ties did not receive funding. 

WSNA priorityBudget amountDescription
SANE Training$59,000Implementation of Substitute Senate Bill 6158 (model sexual assault protocols), including for a sexual assault community coordinated task force.
Sexual Assault Investigations$3 MillionWASPC to administer the Sexual Assault Kit Initiative Project to assist local law enforcement agencies in reinvestigating sexual assault cases, and to provide support to survivors of sexual assault offenses. WASPC must provide a report on the progress of the testing of the sexual assault kits and the associated reinvestigations.
Health Care Employees$395,000Funding and staffing to implement and investigate additional complaints generated through SHB 1155.
LNI Health Care Employees$44,000Legal services for the Department of Labor and Industries for implementation of SHB 1155.
Foundational Public Health Services$28 MillionThe 2019-21 enacted budget appropriated $10.0 M from the state general fund and $12.0 M from the Foundational Public Health Services Account (FPHSA) Revenue to the FPHSA is below projections. Funding for foundational public health services is partly shifted from the FPHSA to the state general fund on an ongoing basis. In addition, $3.0 M/FY state general fund is provided for foundational public health services beginning in FY20.
Corona Virus Outbreak Response$200 MillionProvides $175 million from the state’s Budget Stabilization Account to health jurisdictions contending with outbreaks; creates a COVID-19 unemployment account; authorization for the DSHS to have discretion in determining nursing facility payments for facilities dealing with COVID-19; establishes an emergency waiver program to grant local education agencies and private schools flexibility from graduation requirements
Paid Family Medical Leave$52.5 Million$1.5 million for legal services to the Employment Security Department for the implementation of the Paid Family and Medical Leave program. $51 million to expand customer care services and expand the agency as it issues payments for PFML, includes 145 FTEs
Military Spouse Liaison$128,000Military Spouse Liaison to provide outreach and assistance to military spouses, including providing information and assistance to spouses seeking professional licenses and credentials or other employment in Washington and examining barriers, and providing recommendations, to assist spouses to access childcare and to develop childcare resources in coordination with military installations.

Other budget items of interest #

ItemBudget amountDescription
Student Mental Health & Safety$570,000For the student mental health and safety network established in Chapter 333, Laws of 2019 (2SHB 1216). Activities funded include statewide coordination and oversight of the regional network at the Educational Service Districts, implementation grants to school districts, and a contract with the University of Washington-Forefront Suicide Prevention program
Allergic Reactions$128,000$76,000 - One-time funding is provided for OSPI to collaborate with the Department of Health (DOH) to submit a report of findings related to statewide implementation of RCW 28A.210.383, concerning the supply of epinephrine autoinjectors in school buildings. $52,000 - DOH to collaborate with the Office of the Superintendent of Public Instruction in the preparation of its report of findings related to school supplies of epinephrine autoinjectors.
Health Education Standards$75,000One-time funding for OSPI to develop a list of curriculum and supplemental curriculum supports that align with the K-12 health education standards in order to support teaching emotional, mental, and behavioral health in schools
Opioid-ANEW Grant$1.4 MillionFederal spending authority is provided for the DOC to work with UW- School of Nursing Psychosocial and Community Health Department to create protocols and procedures for treating opioid use disorder using a federal Advanced Nursing Education Workforce (ANEW) grant.
Fentanyl Prevention Campaign$60,000Educational campaign targeting youth to alert them of the dangers of fentanyl use.
Behavioral Health Reciprocity$227,000Establishes a reciprocity program to increase the behavioral health workforce.
Substance Use Disorder Professions$908,000Funding pursuant to ESHB 1768, which addresses modernizing the substance use disorder professional practice.
Mental Health Training$200,000Ongoing funding is provided for mental health training for maternity support service and infant case managers across the state.
Behavioral Health Workforce Report$100,000One-time funding to work with stakeholders to develop strategies for enhancing behavioral health provider reimbursement.
Involuntary Treatment Act$2.7 MillionImplement Second Engrossed Second Substitute Senate Bill No. 5720 (involuntary treatment act). This includes additional funding for estimated increases in involuntary commitment bed days along with reductions in funding for involuntary court costs paid by Behavioral Health Administrative Services Organizations (BHASOs)
Children’s Mental Health Workgroup$246,000$139,000 - Funding to continue the workgroup. $107,000 - For OSPI to support the Children and Youth Behavioral Health Work Group created in Second Substitute House Bill 2737
Intensive Outpatient/ Partial Hospitalization$1.8 MillionTwo pilot programs that provide partial hospitalization and intensive outpatient services for youth. The services are assumed to be provided by acute psychiatric hospitals, one in the city with the largest population east of the Cascades and one in the city with the largest population west of the Cascades. The authority must submit a preliminary report by December 2021 and a final report by December 2022 including a description of the models, outcomes, and recommendations and costs for statewide implementation of these services.
Family Centered SUD Treatment$200,000One-time funding to contract with a family-centered substance use disorder treatment program which provides BH services to families engaged in the foster system in Spokane county. This amount must be used to provide wraparound BH services to individuals enrolled in the program.
Partnership Access Line (PAL) Program$586,000One-time funding is provided to extend PAL for Moms and PAL for Kids Referral Assistance Service programs.
Long Term Services and Supports$500,000Additional one-time contractual expenditures with the Office of the State Actuary to build initial capability to perform actuarial analysis for the Long-Term Services and Supports program. Tasks include building and purchasing actuarial models and contracting with actuarial consulting firms with expertise in long term care.
Nursing Home Rate Increase$38 MillionBetter align nursing facility Medicaid payment rates with facility operating costs. The direct and indirect care components of the rate are adjusted for inflation in FY 2021, and the dollar amount from this adjustment will carry forward into subsequent years.
Long Terms Care Ombudsman$310,000$300,000 - Long-Term Care Ombudsman program. $10,000 - Study relating to the funding of the long-term care ombuds program
Nursing Home Payments$1 MillionAn increase in federal appropriation authority is provided for supplemental payments to nursing homes operated by public hospital district.
Standalone Nursing Facility Grant$193,000One-time grant to a standalone skilled nursing facility operated by a public hospital district in Grant county. This grant is provided as a one-time offset to address the impact of the recoupment requirements of supplemental payments to nursing homes operated by public hospital districts.
Office of Firearm Violence$421,000Creates the office and funds firearms prevention grants.
Gun Violence Prevention Grants$800,000Provided for the Office of Juvenile Justice to establish a grant program for evidence-based services to youth who are at high risk to perpetrate gun violence, and who reside in areas with high rates of gun violence. The grant program will give priority to one site serving south King County and one site in Yakima County
Firearm Background Checks$192,000Legal services for the Washington State Patrol pursuant to Engrossed Second Substitute House Bill 2467 (firearm background checks)
Other Firearms/Background$673,000Implementation of Substitute House Bill 2555 (Other firearms/background).
Primary Care Provider Rate$29 MillionIncrease primary care rates for the same set of evaluation and management and vaccine administration codes that were included in the temporary rate increase provided by the ACA
Maintain HEAL-WA Web Portal$964,000Cover the increased cost of the University of Washington Health Electronic Resource for Washington (HEAL-WA) web portal due to increased users.
Physician Assistants$68,000Changes requirements relating to the regulation of physician's assistants (SHB 2378).
PMP Best Practices$48,000Regarding opioid use disorder treatment, prevention, and other related services.
Home Health Rates$1.6 MillionIncrease home health rates in three annual, equal increments beginning January 1, 2021 to ramp up to seventy-five percent of Medicare costs consistent with the audited, most recently accepted or submitted Medicare cost reports.
Health Home Rate Increase$2.8 MillionAn actuarial analysis in support of a rate increase for Health Home Lead and Care Coordination Organizations serving dually eligible Medicare-Medicaid clients.
ER Crisis Planning$150,000HCA to develop a system to address individuals with intellectual and developmental disabilities who present in an emergency in crisis.
CHIP Coverage$2 MillionMaintain CHIP coverage as secondary payer for eligible child dependents of employees eligible for school employee or public employee benefit coverage.
Access to Women’s Health$159,000Effective January 1, 2020, to cover all women to have access to the full range of reproductive health services regardless of individual health plan coverage.
Reproductive Health Act$49,000Addresses discrimination in reproductive health services.
Title X Funding$8.4 MillionReplace the loss of federal grant funding to maintain family planning services across the state.
Postpartum Coverage$325,000Staff and information technology costs associated with system changes to prepare for extending health care coverage for an additional ten months for postpartum persons who are eligible under pregnancy eligibility rules at the end of the 60-day postpartum period, to provide a total of 12 months postpartum coverage
ABCD Dental$400,000Pursuant to Substitute House Bill 2905 -one-time funding is provided for the Office of Equity to collaborate with the statewide managing partner of the Access to Baby and Child Dentistry (ABCD) program for increased outreach and the support of local ABCD programs and providers.
Adverse Childhood Experiences$200,000Funding to implement SB 6191
Vapor Product Labeling$1.7 MillionEstablish a program and information system to collect and process labeling and ingredient tracking of vapor products sold to consumers in the State of Washington.
L&I Wage & Salary Information$45,000Legal services for the Department of Labor and Industries for implementation of Chapter 345, Laws of 2019 (ESHB 1696)
Custody Staff: Health Care Delivery$4.5 MillionAdditional staff in shortage areas as identified during the review of the Department of Corrections' prison staffing model.
Critical Safety: Nursing Relief$3 MillionAdditional staff for on-call and overtime activities as well as additional Medical Assistant positions
Total Cost of Insulin$35,000Implementation of Engrossed Second Substitute House Bill 2662 (total cost of insulin), including participation on the insulin purchasing work group.
Small Rural Hospital Payment$6.5 MillionOne-time funding is provided to increase payment for Toppenish Hospital to 150 percent of the Medicaid rate beginning July 1, 2020
Health Care Cost Board$23,000Pursuant to Second Substitute House Bill 2457 (health care cost board), funding is provided for the Office of the Insurance Commissioner (OIC) to participate on the Health Care Cost Transparency Board.

2020 policy priorities #

Nurse Licen­sure Compact – DEAD
HB 2376/ SB 6209 estab­lishes the inter­state Nurse Licen­sure Compact (NLC). Between the 2019 and 2020 legisla­tive session, WSNA spent dozens of hours meeting with propo­nents of the NLC, other states, and legis­la­tors to really under­stand the compo­nents of the NLC and how it is working in partic­i­pating states. Our research and conver­sa­tions found that key elements of the NLC need to be changed at the national level – and that the current risks are too great for our members and our state. Legis­la­tion joining the NLC must be identical to the legis­la­tion passed by all of the other states in the Compact. Because the WA Legis­la­ture could not make the changes neces­sary to make the bill work for our members, WSNA worked to prevent the bill from passing so that the Legis­la­ture and other stake­holders could put pressure on the National Council on State Board of Nursing to change the bill. SB 6209 made it to Senate Rules but never made it to the floor. HB 2376 died in the House Health Care Committee. 

Sexual Assault Task Force – PASSED
SB 6158 estab­lishes the Sexual Assault Coordi­nated Commu­nity Response Task Force within the Office of the Attorney General. WSNA testi­fied in support of this bill in the Senate and House Health Care commit­tees. Many states have standard­ized proto­cols, including Oregon and California. When working in a smaller commu­nity or in a critical access hospital, standard­ized proto­cols give autonomy to staff caring for those who have been affected by sexual violence. The bill passed out of both chambers unani­mously. The Governor signed the bill into law on March 27th and it goes into effect on June 11th.

Sexual Assault Training — DEAD
SB 6162 requires the Office of Crime Victims Advocacy to consult with speci­fied interest groups to develop best practices and strate­gies for forensic nurse examiner access and training by January 1, 2021. This bill made it to Ways & Means but didn’t make it past the first fiscal cut off. 

Health System Trans­parency – DEAD
HB 2036 requires that hospi­tals provide additional detail regarding expenses and revenues in finan­cial reports to the Depart­ment of Health. The bill elimi­nates the exemp­tion from reporting infor­ma­tion about facility fees for off-campus clinics or providers that are located within 250 yards from the main hospital building. The bill also requires that commu­nity needs assess­ments made public by hospi­tals include an addendum containing certain infor­ma­tion about activ­i­ties identi­fied as commu­nity health improve­ment services. The bill requires hospi­tals to post infor­ma­tion on their websites if they have an owner­ship interest in a debt collec­tion agency or have certain exchanges of revenue with debt collec­tion agencies. The bill passed out of the House on party lines but did not make it out of the Senate. 

ARNP Reimburse­ment Parity – DEAD
HB 1433 Prohibits a health carrier from reimbursing an advanced regis­tered nurse practi­tioner in an amount less than he or she would reimburse for the same service if provided by a physi­cian in the same area served. This bill did not gain traction this session and never made it out of its committee of origin. 

Military Liaison – PASSED
ESSB 6626 creates the position of the Military Spouse Liaison within the Depart­ment of Veterans Affairs. The bill requires the Depart­ment of Health to waive all fees related to licensing for military spouses and regis­tered domestic partners. The bill also requires Nursing Care Quality Assur­ance Commis­sion to develop a plan and timeline to address certain concerns related to the nurse licen­sure compact. This bill passed both chambers unani­mously. The Governor signed the bill into law on April 2nd and the law went into effect on June 11, 2020. 

In response to the devel­oping outbreak of COVID-19, both the House and the Senate passed legis­la­tion with funding to help support Public Health combat the virus. HB 2965, sponsored by Rep. Cody and Schmick, appro­pri­ates $100 million from the Budget Stabi­liza­tion Account to the Disaster Response Account and appro­pri­ates $100 million from the Disaster Response Account and $25 million from the General fund to the Office of Finan­cial Manage­ment to provide to state agencies to support COVID-19 response. The bill also autho­rizes DSHS to deter­mine nursing facility payments to adequately respond to the COVID-19 outbreak. Addition­ally, the bill states that an individual under quaran­tine during the COVID-19 outbreak does not need to meet the require­ment of being avail­able to work to receive unemploy­ment insur­ance benefits. 

Employee Infor­ma­tion Disclo­sure — PASSED
HB 1888 requires notice to public agency employees when a request has been made for personal infor­ma­tion of the employee. Exempts payroll deduc­tions of public agency employees from public disclo­sure. This bill was a priority for the entire labor commu­nity. The Bill passed out of the House on a 91- 5 vote and out of the Senate with a 36 – 10 vote. The Governor signed the bill on March 25th and it goes into effect on 6/11/2020.

2020 other bills WSNA supported / opposed #


Health Carrier Creden­tialing – PASSED
HB 1552 prohibits a health carrier from requiring a health care provider to submit creden­tialing infor­ma­tion in a format other than through the database selected under RCW 48.165.035. Decreases the amount of time in which a health carrier must make a deter­mi­na­tion approving or denying a creden­tialing appli­ca­tion from a health care provider. The bill requires a health carrier that creden­tials a health care provider in its network to reimburse the health care provider for covered health care services provided to the carri­er’s enrollees during the creden­tialing process. The bill passed unani­mously out of both chambers and was signed into law by the Governor on March 17th. The bill is effec­tive March 17th, 2020.


Regulating Vapor Products – DEAD
SB 6254 bans the sale of vapor products containing vitamin E acetate and bans the sale of dispos­able flavored vapor products. The bill bans all online sales of vapor products and imposes a 5 percent excise tax on flavored vapor products and directs the money to the Founda­tional Public Health Services Account and the Tobacco Preven­tion and Control Account. Retailers are to verify the age of customers when entering stores restricted to persons 21 years old or older. The bill faced challenges when it was amended in committee to exclude menthol as a flavor. After passing out of Senate by a 35 to 13 vote, the bill died in the House. 

Domestic Violence/​Workplace – DEAD (vetoed)
SB 1056 creates a joint legisla­tive task force on domestic violence and workplace resources to identify the role of the workplace in helping to curb domestic violence. Requires the task force to review: (1) The role of the workplace in the lives of individ­uals experi­encing domestic violence; (2) The appro­priate role of employers and employees in helping reduce the incidence of domestic violence; and (3) Whether legis­la­tion is needed to address the issues. The bill passed both chambers but was vetoed by the Governor on April 3rd.


Reducing Work-related Muscu­loskeletal Disor­ders in Health Care – DEAD
HB 2646 requires Labor & Indus­tries (L&I) to develop best practices to reduce risk factors for work-related muscuskeletal disor­ders. L&I must involve employees at all levels of manage­ment at health care facil­i­ties in devel­oping programs to reduce these injuries with ongoing evalu­a­tion of these programs. Employers in the health care sector that imple­ment a program with best practices are eligible for a premium discount deter­mined by L&I and health care employees. L&I can provide up to 2% of premiums paid in the prior year from the risk classes for health care providers. WSNA testi­fied in support of the bill in the House Labor Committee. The bill made it to House Rules, but didn’t make it past House of Origin cutoff. 

Requiring the Review of Health Insur­ance Surplus – PASSED
SB 6097 permits the Insur­ance Commis­sioner to review the surplus, capital and profits of individual and small group market health insurers in deter­mining the reason­able­ness of rates. The bill passed out of the Senate unani­mously. After adopting several amend­ments, the bill passed the House 83 to 14. The Senate concurred with the changes with a 37 to 12 vote. The bill was signed into law by the Governor on March 31st and goes into effect on June 11th.

Mitigating Inequity in the Health Insur­ance Market – PASSED
HB 2554 requires health carriers and the Health Benefit Exchange to provide certain notices to consumers when manda­tory benefits are excluded from health plans. The bill allows the insur­ance commis­sioner to assess a fee on a health carrier that excludes certain manda­tory benefits. The bill passed out of both chambers on a party line vote. The Governor signed the bill into law on April 2nd and it went into effect on June 11th.

Telehealth Payment Parity – PASSED
SB 5385 requires health plans to pay the same rate for a health care service provided through telemed­i­cine as an in-person service. The bill permits hospi­tals, hospital systems, telemed­i­cine compa­nies, and (carves out new niche of) provider groups of 11 or more to negotiate and agree to a telemed­i­cine reimburse­ment rate that differs from in-person rates. The bill requires reimburse­ment for facility fees to be subject to a negoti­ated agree­ment and removes the require­ment that services provided through store and forward technology have an associ­ated office visit. The bill also directs the Collab­o­ra­tive for the Advance­ment of Telemed­i­cine to study store and forward technology. The bill passed both chambers with nearly all Legis­la­tors voting in favor the bill. The Governor signed the bill into law on March 19th and it went into effect immediately. 

Estab­lishing the Health Care Cost Trans­parency Board – PASSED
HB 2457 Estab­lishes the Health Care Cost Trans­parency Board to annually calcu­late the total health care expen­di­tures in Washington and estab­lish a health care cost growth bench­mark. The bill passed the Senate with 32 – 17 vote and passed the House with a 67 – 29 vote. The Governor signed the bill on April 3rd. The law goes into effect on June 11th.

Extending Medicaid for Postpartum Period – DEAD (vetoed)
SB 6128 requires the Health Care Authority to expand health care coverage to pregnant and postpartum persons from 60 days post pregnancy to 12 months post pregnancy, based on income eligi­bility that is phased into 193 percent of the federal poverty level (FPL). The bill passed out of both houses with a nearly unani­mous vote (only Rep. Kraft voted against the bill). The Governor vetoed the bill on April 3rd.

Informed Consent for Pelvic Exams – PASSED
SB 5282 prohibits a licensed health care provider from knowingly performing or autho­rizing a student practicing under their authority to perform a pelvic exami­na­tion on a patient who is anesthetized or uncon­scious. WSNA testi­fied in support of this bill. It passed unani­mously in both the Senate and the House. The Governor signed the bill into law on March 27th and it goes into effect on June 11th.


Reducing Green House Gas Emissions Associ­ated with Trans­porta­tion Fuel – DEAD
ESBHB 1110 directs the Depart­ment of Ecology to adopt a rule estab­lishing a Clean Fuels Program to limit green­house gas emissions per unit of trans­porta­tion fuel energy to 10 percent below 2017 levels by 2028 and 20 percent below 2017 levels by 2035. The bill Excludes exported fuel, electricity, fuel used by vessels, railroad locomo­tives, and aircraft, and certain other categories of trans­porta­tion fuel from the Program’s require­ments. The bill requires the Program to include processes for tracking compli­ance oblig­a­tions and bankable, trade­able credits and annual reporting by Ecology on the Program, as well as an analysis of the Program’s first five years by the Joint Legisla­tive Audit and Review Committee. The bill retains the current revenue distri­b­u­tion under the 2015 Trans­porta­tion revenue package, elimi­nating changes that would have been triggered as a result of the estab­lish­ment of a Program. This bill was origi­nally intro­duced in the 2019 session and then reintro­duced and retained its status in the 2020 session. The bill passed out of the house in 2020 with a 52 to 44 vote. The bill never made it out of the Senate.

Chemical Conta­m­i­nants in Drinking Water – DEAD
HB 1860 requires certain public drinking water systems to test for perflu­o­roalkyl and polyflu­o­roalkyl (PFAS) chemi­cals begin­ning in 2021. The bill requires the Depart­ment of Health (DOH) to estab­lish statewide maximum conta­m­i­nant levels (MCLs) for PFAS chemi­cals applic­able to group A water systems. It also requires the DOH to submit a report to the Legis­la­ture by 2022 regarding PFAS conta­m­i­na­tion in public water systems. The bill passed out of the House unani­mously but did not make it out of Senate Rules. 

Restricting Firearms in Certain Locations – PASSED
SB 5434 prohibits posses­sion of firearms on the premises of any licensed child­care center, child care center provided-trans­porta­tion, or other child care center facility. The bill requires a family day care provider to secure firearms on the premises in a locked gun safe or unloaded in a locked room with a trigger lock or other disabling device. The bill passed on nearly party lines in both chambers. The Governor signed the bill into law on March 27th. The bill went into effect on June 11th.

Estab­lishing the Sharps Waste Steward­ship Program – DEAD
HB 2360 estab­lishes a uniform, effec­tive, statewide system for safe disposal of sharps waste from consumers that is funded and operated by manufac­turers of sharps and injectable drugs in order to protect public health and safety and to reduce the improper disposal of sharps in solid waste and recycling systems. The bill did not make it past the house of origin fiscal cutoff. 

2020 successful bills the Association of Advanced Practice Psychiatric Nurses supported / opposed #

Protecting Patient Safety – PASSED
SB 2426 estab­lishes additional oversight require­ments for certain psychi­atric hospi­tals. Estab­lishes penal­ties for psychi­atric hospi­tals that fail or refuse to comply with state licensing standards. Requires psychi­atric hospi­tals to report certain deaths and patient elope­ments occur­ring on their grounds. The bill passed the House 84 to 14 and passed the Senate unani­mously after adopting a striker amend­ment. The House concurred unani­mously, and the Governor signed the bill into law on March 25th. The bill went into effect immediately. 

Invol­un­tary Treat­ment Act – PASSED
SB 5720 increases the initial deten­tion period under the Invol­un­tary Treat­ment Act (ITA) from 72 hours to 120 hours begin­ning January 1, 2021. The bill modifies defin­i­tions of likeli­hood of serious harm, gravely disabled, and violent act under the ITA. The bill expands single-bed certi­fi­ca­tions on July 1, 2026, to include patients detained due to a substance use disorder and applies certain ITA provi­sions relating to adults to minors. The bill makes additional revisions to ITA provi­sions. The bill was origi­nally intro­duced in 2019 and was reintro­duced in its current status during the 2020 session. The bill passed the Senate 44 to 3 and the House 95 to 2. The governor signed the bill into law on April 2nd.

Opioid Use/​Medications – PASSED
SB 6086 allows the license of location for a pharmacy to be extended to a regis­tered remote dispensing site that uses technology to dispense medica­tions approved for the treat­ment of opioid use disorder and estab­lishes minimum standards for regis­tered remote dispensing sites. The bill passed unani­mously out of both chambers and was signed into law on March 31st. The bill goes into effect on June 11th.

Substance Use Disorder Coverage – PASSED
HB 2642 estab­lishes minimum coverage times before utiliza­tion review may be conducted for withdrawal manage­ment or inpatient or residen­tial substance use disorder treat­ment services. The bill stablishes timelines for behav­ioral health agencies to submit admis­sions materials to payers and for payers to make medical neces­sity deter­mi­na­tions. The Health Care Authority is directed to develop an action plan to support improved transi­tions between different levels of care, including addressing barriers to facil­i­tating trans­fers to appro­priate levels of care. The bill passed the House 94 to 4 and passed the Senate unani­mously. The Govenor signed the bill into law on April 3rd. The bill goes into effect June 11th.

Telehealth Funding Model – PASSED
SB 2728 Directs the Health Care Authority to imple­ment the Tele-Behav­ioral Health Call Center/​Psychiatry Consul­ta­tion Line (PCL). The bill estab­lishes a funding model for the Partner­ship Access Line (PAL) and PCL programs. Changes data and reporting require­ments for the PAL, PCL, and PAL for Moms and Kids programs. The bill also creates the Tele-behav­ioral Health Access Account and directs the Joint Legisla­tive Audit and Review Committee to conduct a review of the PAL for Moms and Kids pilot program. The bill passed the House 56 to 40 and the Senate unani­mously with one amend­ment. The House concurred with the changes with a 90 to 7 vote. The Governor signed the bill into law on April 2nd and it goes into effect on June 11th.

Children’s Mental Health Work Group – PASSED
HB 2737 renames the Children’s Mental Health Work Group to Children and Youth Behav­ioral Health Work Group and outlines the duties of the newly named group. The group is required to provide recom­men­da­tions to the Governor and Legis­la­ture on November 1, 2020. The group now expires on December 30, 2026. The bill passed both chambers unani­mously and was signed into law by the Governor on March 25th.

Tax Prefer­ence for BHOs – DEAD (vetoed)
HB 2943 provides a business and occupa­tion tax deduc­tion for behav­ioral health admin­is­tra­tive services organi­za­tions and health or social welfare organi­za­tions on certain amounts received for govern­ment-funded behav­ioral health care. The bill passed out of the House and Senate unani­mously. The bill was vetoed by the Governor on April 3rd.

2020 successful bills the School Nurse Organization of Washington supported / opposed #

Background Checks in Educa­tion – PASSED
HB 2259 requires a criminal history record check before certain educa­tion entities may hire an employee who receives criminal history record infor­ma­tion or person­ally identi­fi­able infor­ma­tion in another employ­ee’s record check. The bill passed unani­mously out of both chambers. The Governor signed the bill into law on March 18th and it went into effect on June 11th.

School Meals at No Cost – PASSED
HB 2660 requires each school with students in grade 8 or below with 62.5% or more of its students eligible for free meals to make meals avail­able to all students at the school for no charge. This bill modifies eligi­bility require­ments for teacher bonuses by allowing for free and reduced-price lunch eligi­bility to be factored into their bonuses. OSPI is required to convene a monthly meeting on the impact to schools from this change. This bill passed both chambers with only a handful of no votes. The Governor signed the bill into law on April 2nd and it goes into effect on June 11th.

Student Concus­sion Reports – PASSED
HB 2731 directs the Washington Inter­scholastic Activ­i­ties Associ­a­tion (WIAA) to require that member schools report infor­ma­tion about each head injury sustained by a student in grades nine through twelve during activ­i­ties overseen by the WIAA, and requires the WIAA to summa­rize and analyze the reported infor­ma­tion annually. The Governor signed the bill into law on April 3rd. The law goes into effect on June 11th.

Adverse Child­hood Experi­ence – PASSED
SB 6191 requires that questions regarding Adverse Child­hood Experi­ences (ACEs) be added to the Healthy Youth Survey. School Districts are encour­aged to use the infor­ma­tion about ACEs in their decision making and to help improve services for students. The bill passed out of the Senate with a 43 to 3 vote and out of the house 96 to 1. The Governor signed the bill into law on March 31st. The law goes into effect on June 11th.

Optional Benefits Offered by School Districts — PASSED
HB 2458 speci­fies that school district optional benefits may not compete with any basic or optional benefits offered through the School Employ­ee’s Benefits Board. School districts are granted express authority to offer employee-paid, volun­tary benefits to school employees that are paid by employees through a payroll deduc­tion and provides examples of those benefits. The bill passed unani­mously out of the House and by 47 to 1 vote out of the Senate. The Governor signed the bill into law on March 31st and it goes into effect on June 11th.

Suicide Preven­tion — PASSED
HB 2589 requires elemen­tary, secondary, and postsec­ondary schools (public and private) that issues student or staff identi­fi­ca­tion cards to have printed on newly issued or replace­ment cards the following info: the contact infor­ma­tion for a national suicide preven­tion organi­za­tion; and the contact infor­ma­tion for one or more campus, local, state, or national organi­za­tions special­izing in suicide preven­tion, crisis inter­ven­tion, or counseling. The bill was passed unani­mously out of the House and by a 42 to 7 vote out of the Senate. The Governor signed the bill into law on March 18th. The bill goes into effect on June 11th.

School Modern­iza­tion Grants — PASSED
SB 5572 creates a small school district modern­iza­tion grant program for school districts and state-tribal educa­tion compact schools with 1,000 or fewer student enroll­ments. OSPI is directed to form an advisory committee, appointed by the Super­in­ten­dent of Public Instruc­tion (SPI), to estab­lish prior­i­ti­za­tion criteria and an evalu­a­tion process for the committee to review and rank grant appli­ca­tions. The bill requires the SPI to propose a list of projects to the Governor by September 1 of even-numbered years, as prior­i­tized by the advisory committee. The bill was intro­duced in 2019 but did not make it out of the Legis­la­ture. In 2020 the bill was reintro­duced in its status and passed out of the Senate 45 to 1. The bill passed out of the House unani­mously. The Governor signed the bill into law on April 2nd and it goes into effect on June 11th.