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

Sixteen bulletins have been released and are available at the links below. They address peer review/whistleblower, sexual assault survivor services, wrongful death, the public option, balance billing, uninterrupted breaks, debt collection, adolescent behavioral health services (including family initiated treatment), maternal mortality, medical decision making, telemedicine training and credentialing, patient notice re: provider sexual misconduct, and behavioral health. There are also two bulletins available to members upon request on the new B&O tax (HB 2158) and hospital policies (SB 5602).

Presentation materials from several WSHA webinars on the new laws have also been released, including slides from the presentations on uninterrupted breaks, the public option and balance billing, debt collection and adolescent behavioral health services (including family initiated treatment).

Coming this Fall, we will be releasing bulletins on the following topics:

  1. Behavioral Health:  HB 1394, HB 1109, HB 1768, HB 1907 and SB 5054
  2. Opiods: SB 5380
  3. Safety net assessment: SB 5734
  4. Workplace Safety: HB 1931
  5. Long Term Care Trust Act: HB 1087
  6. AGO breach: HB 1071

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 September 26, 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


Bulletin 1
Bulletin 2
Guidance for Hospitals

Model Policy, 
Model Notice,

May 17 /19
July 23 /19

July 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,
Pamphlet for staff 

June 3 /19
June 18 /19
Dec 19 /19

Jan. 1 /20Lauren McDonald
Balance BillingHB 1065Yes

Webinar Slides,
Model Notice


June 4 /19
June 19 /19
Jan 7/20

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

Webinar Slides

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
Maternal MortalitySB 5425YesBulletinJuly 26 /19July 28 /19Lauren McDonald
B&O TaxHB 2158Bulletin, (upon request)Aug 5 /19Jan. 1 /20Andrew Busz
  • Credentialing
  • Training standards

SB 5387

SB 5386
BulletinAug 6 /19

July 28 /19

July 28 /19
Shirley Prasad
Hospital policies SB 5602YesBulletin (upon request)Aug 15 /19July 28 /19Zosia Stanley
Patient notice re provider sexual misconductHB 1198YesBulletinSept 12 /19Oct. 1 /19Zosia 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


BulletinSept 26 /19July 28 /19


July 1 /19 

July 1 /19

July 1 /19
Shirley Prasad
Pre-transaction notice (M&A)HB 1607YesBulletinNov 11 / 19Jan. 1 /20Zosia Stanley
Safety net assessmentSB 5734BulletinNovember 2019July 1 /19Andrew Busz
Workplace safety
  • Workplace violence
  • Isolated workers harassment

HB 1931

SB 5258
Model Policy
Jan 8/20Jan 1 /20Lauren McDonald
Long Term Care Trust ActHB 1087YesBulletinJanuary 2020July 28 /19
(program starts Jan. 1, 2020)
Shirley Prasad
AGO breachHB 1071YesBulletinNovember 2019March 1 /20Jaclyn Greenberg
Noncompetition CovenantsHB 1460YesBulletinNovember 2019Jan. 1 /20Jaclyn Greenberg
Behavioral health
  • Opioid use disorder treatment
SB 5380YesBulletin,
December 2019Jan. 1 /21Lauren McDonald


Contact Us

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

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206.281.7211 phone
206.283.6122 fax


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