2019 New Law Implementation Guide

The 2019 Legislative Session may be over but implementation of the new laws has just begun. WSHA’s Government Affairs team is preparing resources to help hospitals understand, prepare and ultimately implement all the new laws which will soon go into effect.  

On this page, you will find a list of the high priority laws that WSHA is preparing resources and information on. The implementation schedule below identifies the new law, bill number, whether hospital action is required, the resource(s) WSHA is preparing, a timeline for the release of the resources, the effective date of the laws, and the policy director who can help address any follow up questions. This page will be updated regularly, as new resources are released.

Recent and Upcoming Events & Publications

Six bulletins have been released and are available at the links below. One addresses the requirement to retain unreported sexual assault kits, which is effective immediately. The other addresses the expanded whistleblower and peer review laws, effective July 28, 2019.

Members are encouraged to watch out for the following upcoming bulletins and webinars:

  1. Uninterrupted Breaks (nurse staffing): On June 3, 2019, WSHA released a bulletin on HB 1155. On June 18, 2019 at 1 pm, WSHA will host a webinar on the new law. You can register here. Additional resources are forthcoming.
  2. Balance Billing and Public Option: On June 4, 2019, WSHA released a bulletin on HB 1065 (balance billing) and previously released a bulletin on SB 5526 (public option). A webinar with further information on both new laws will follow on June 19, 2019 at 12 pm. You can register here.
  3. Family Initiated Treatment. On June 6, 2019, WSHA released a bulletin on HB 1874. A webinar with further information on the new law will follow on July 9, 2019 at 12 pm. You can register here.

New Law Implementation Schedule

Many laws become effective 90 days after session ended, on July 28, 2019. Some laws will become effective at a pre-determined later day, or may even be retroactive. Hospital administrators and executives are strongly encouraged to review the timetable below to ensure they are taking timely and appropriate steps in advance of a law’s effective date. The Government Affairs team will release resources in advance of a law’s effective date to assist members’ own education, planning and implementation plans.

Last updated June 21, 2019

TopicBill NumberHospital Action RequiredResourceRelease DateEffective DatePolicy Contact
Peer review/
HB 1049YesBulletinMay 15 /19July 28 /19Taya Briley

Sexual assault survivor services

  • Omnibus sexual assault survivor (unreported kits)
  • Hospital SANE services
HB 1166

HB 1016



Model Policy, 
Model Notice,

May 17 /19

June 2019


July 1 /20
Zosia Stanley

Public option

SB 5526Bulletin
Webinar Slides

May 22 /19

June 19 /19
July 28 /19
(plans offered in 2021)
Shirley Prasad
Wrongful deathSB 5163BulletinMay 28 /19

July 28 /19 (retroactive)

Jaclyn Greenberg
Uninterrupted BreaksHB 1155YesBulletin,
Webinar Slides,

June 3 /19
June 18 /19

Jan. 1 /20Lauren McDonald
Balance BillingHB 1065Yes

Webinar Slides,
Model Notice


June 4 /19
June 19 /19

Jan. 1 /20Andrew Busz
Debt collection
  • Medical debt
  • Consumer debt

HB 1531

HB 1602


June 5 /19
July 1/19
July 27 /19Zosia Stanley
Family initiated treatmentHB 1874Yes



June 6 /19
July 9 /19

July 28 /19Jaclyn Greenberg
Medical decision making
  • Surrogate decision makers
  • Uniform guardianship

HB 1175

SB 5604
Model Declaration
June 14 /19

July 28 /19

Jan. 1 /21
Zosia Stanley
Behavioral Health

  • Mental health Certificate of Need
  • SUD treatment system
  • Reciprocity
  • Competitive Capital Grants
  • 90/180 day payment rates
HB 1394

HB 1907

SB 5054


BulletinJune 2019July 28 /19


July 1 /19 

July 1 /19

July 1 /19

Shirley Prasad

Shirley Prasad

Lauren McDonald

Shirley Prasad

Shirley Prasad
Safety net assessmentSB 5734BulletinJune  2019July 1 /19Andrew Busz
Maternal MortalitySB 5425YesBulletinJune 2019July 28 /19Lauren McDonald
B&O TaxHB 2158Bulletin,
July 2019Jan. 1 /20Andrew Busz
Workplace safety
  • Workplace violence
  • Isolated workers harassment

HB 1931

SB 5258
Model Policy
July 2019Jan. 1 /20Lauren McDonald
Hospital policies SB 5602YesBulletinJuly 2019July 28 /19Zosia Stanley
  • Credentialing
  • Training standards

SB 5387

SB 5386
BulletinJuly 2019

July 28 /19

July 28 /19
Shirley Prasad
Long Term Care Trust ActHB 1087YesBulletinJuly 2019July 28 /19
(program starts Jan. 1, 2020)
Shirley Prasad
Patient notice re provider sexual misconductHB 1198YesBulletinJuly 2019Oct. 1 /19Zosia Stanley
AGO breachHB 1071YesBulletinAugust 2019March 1 /20Jaclyn Greenberg
Pre-transaction notice (M&A)HB 1607YesBulletinAugust 2019Jan. 1 /20Zosia Stanley
Noncompetition CovenantsHB 1460YesBulletinSept. 2019Jan. 1 /20Jaclyn Greenberg
Behavioral health
  • Opioid use disorder treatment
SB 5380YesBulletin,
Sept. 2019Jan. 1 /21Lauren McDonald


Contact Us

Washington State Hospital Association
999 Third Avenue
Suite 1400
Seattle, WA 98104

Map / Directions

206.281.7211 phone
206.283.6122 fax


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