HB1430: ARNP and PA Insurance Reimbursement
This was our top priority this legislative session. Rep. Tarra Simmons prime sponsored the bill and led a strong push that resulted in the bill moving further than it ever has during the 2025 legislative session. Ultimately, after passing through and out of the House, the bill stalled and died in the Senate Ways and Means Committee.
By removing the bills application to the State PEBB and SEBB insurance plans, we hoped to have a fiscally neutral bill that would not be held up by the severe revenue shortfalls facing budget leaders in 2025. Ultimately, as the process moved along, it was revealed that there would still be state cost associated with the slimmed down bill and the cost proved too high for legislators to accept this session.
HB1430 will start in the House Rules Committee at the beginning of the 2026 legislative session. The health of the budget next year will play an outsized role in determining the prospects for the bill in what will be a supplemental budget year.
We are humbled and touched by the amazing support in moving this bill as far as we did. All the ARNP regional groups, the Mount Baker NP Association, the Puget Sound NP Association, the Columbia River NP Association and the NP Group of Spokane shared our call to action with their members, some more than once. We had support from midwifery, NAPNAP and all of the Washington state graduate academic programs. AANP sent weekly updates to members, as did WSNA. We aligned closely with AAPPN through the process and heard from small business owners who shared their testimony on the impact of insurance greed on their ability to provide care. Hundreds of members and followers submitted signatures of support and nearly 200 letters went to members of the Ways and Means Committee. The Washington Association of Physician Associates worked side by side with us.
We, at ARNPs United, are grateful for the growing support you all provided. For the unification and spirit of our profession, this was an uncontested “win”. We are immeasurably grateful for the incredible work Devon put into this. We will regroup and rethink and resume for 2026. It’s not over!