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Washington Legislature· ESSB 6194C 124 L 26

Allowing payments to be made based on allowable costs for services provided by any rural hospital that is located on a federally recognized Indian reservation. (REVISED FOR ENGROSSED: Allowing payment, the official text

Shown verbatim: the complete text as captured from the official page posted by the Washington Legislature, fetched 2026-08-29. This is the chaptered version. The official bill page.
CERTIFICATION OF ENROLLMENT
ENGROSSED SUBSTITUTE SENATE BILL 6194
Chapter 124, Laws of 2026
69TH LEGISLATURE
2026 REGULAR SESSION
RURAL HOSPITALS ON FEDERALLY RECOGNIZED INDIAN RESERVATIONS—MEDICAL ASSISTANCE PROGRAM PAYMENTS
EFFECTIVE DATE: June 11, 2026
Passed by the Senate March 10, 2026
Yeas 49  Nays 0
DENNY HECK

President of the Senate
Passed by the House March 6, 2026
Yeas 95  Nays 0
LAURIE JINKINS

Speaker of the House of Representatives
CERTIFICATE
I, Sarah Bannister, Secretary of the Senate of the State of Washington, do hereby certify that the attached is ENGROSSED SUBSTITUTE SENATE BILL 6194 as passed by the Senate and the House of Representatives on the dates hereon set forth.
SARAH BANNISTER

Secretary
Secretary
Approved March 20, 2026 1:52 PM
FILED
March 23, 2026

BOB FERGUSON

Governor of the State of Washington
Secretary of State
State of Washington

ENGROSSED SUBSTITUTE SENATE BILL 6194

AS AMENDED BY THE HOUSE
Passed Legislature - 2026 Regular Session
State of Washington
69th Legislature
2026 Regular Session

By Senate Ways & Means (originally sponsored by Senators King, Hasegawa, and Torres)
READ FIRST TIME 02/09/26.
AN ACT Relating to allowing payments to be made for services provided by any rural hospital that is located on a federally recognized Indian reservation; adding a new section to chapter 74.09 RCW; and providing an expiration date.
BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF WASHINGTON:
NEW SECTION.    Sec. 1. A new section is added to chapter 74.09 RCW to read as follows:
Beginning January 1, 2027, any rural hospital that is located on a federally recognized Indian reservation shall be eligible for payments for recipients eligible for medical assistance programs under this chapter for services provided by that rural hospital, regardless of the managed care enrollment status of the beneficiary, that are made at 150 percent of the fee-for-service rate for inpatient and outpatient hospital services, when those services are provided by that rural hospital, not including any beds in the psychiatric unit.
NEW SECTION.    Sec. 2. Section 1 of the act expires January 1, 2029.
Passed by the Senate March 10, 2026.
Passed by the House March 6, 2026.
Approved by the Governor March 20, 2026.
Filed in Office of Secretary of State March 23, 2026.
Every fact on this page links to its source, starting with the official bill record.