Washington 2023-2024 Regular Session Status: Enacted 6 D cosponsors

HB 1168 — Providing prevention services, diagnoses, treatment, and support for prenatal substance exposure.

Last action — Effective date 7/23/2023.

  1. ✓
    Introduced
  2. ✓
    In Committee
  3. ✓
    Passed House
  4. ✓
    Passed Senate
  5. ✓
    To Executive
  6. 6
    Enacted

This bill has been enacted into law. Introduced January 06, 2023. Enacted.

Odds of enactment

High chance

Based on the sponsor, cosponsors, and committee posture, this bill has a high chance of becoming law.

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A statistical estimate from our own model of past outcomes — an insight, not a guarantee. Policymaking is volatile.

Prognosis

Likely to advance 82% · moderate confidence

  • Enacted

    Current position in the legislative process.

  • 6 sponsors

    1 primary, 5 co-sponsors signed on.

  • Single-party support

    Sponsorship is currently within one party (6 D).

  • Cleared a recorded vote

    Passed 3 recorded votes so far.

Based on stage, sponsorship breadth, committee status, recorded votes, and cross-state momentum — a description of the observable signals, not a prediction.

Bill Text

What changed in the latest version

119 added · 121 removed

Plain-language change summary

The latest version of HB 1168 now includes services for children of all ages, while the previous version only covered children over the age of three. Additionally, the revised bill emphasizes that the comprehensive treatment and family supports must be trauma-informed and adds specific therapies as mandatory rather than optional, which enhances the quality of care provided. These changes are significant as they aim to better support families involved in the child welfare system by ensuring access to necessary services for a broader age group and improving the treatment standards.

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H-0716.1 SUBSTITUTE HOUSE BILL 1168 State of Washington 68th Legislature 2023 Regular Session By House Health Care & Wellness (originally sponsored by Representatives Simmons, Ramel, Callan, Wylie, Davis, and Ormsby) READ FIRST TIME 01/24/23.
H-0365.1 HOUSE BILL 1168 State of Washington 68th Legislature 2023 Regular Session By Representatives Simmons, Ramel, Callan, Wylie, Davis, and Ormsby Prefiled 01/06/23.
Read first time 01/09/23.
Referred to Committee on Health Care & Wellness.
1 SHB 1168 (5) Washington has limited diagnostic capacity and currently lacks the capacity to diagnose and treat every child who needs support and treatment due to prenatal substance exposure;
1 HB 1168 (5) Washington has limited diagnostic capacity and currently lacks the capacity to diagnose and treat every child who needs support and treatment due to prenatal substance exposure;
(1) By January 1, 2024, the department shall contract with a provider with expertise in comprehensive prenatal substance exposure treatment and family supports to offer services to children over the age of three and families who are or have been involved in the child welfare system or who are at risk of becoming involved in the child welfare system.
(1) By January 1, 2024, the department shall contract with a provider with expertise in comprehensive prenatal substance exposure treatment and family supports to offer services to children and families who are or have been involved in the child welfare system or who are at risk of becoming involved in the child welfare system.
(2) By January 1, 2025, the department shall contract with a minimum of three providers across the state, in addition to the contracted provider in subsection (1) of this section, to offer comprehensive treatment services for prenatal substance exposure and p.
(2) By January 1, 2025, the department shall contract with a minimum of three providers across the state, in addition to the contracted provider in subsection (1) of this section, to offer comprehensive treatment services for prenatal substance exposure and family supports for children who were prenatally exposed to p.
2 SHB 1168 family supports for children who were prenatally exposed to substances and who are, or have been, involved in the child welfare system.
2 HB 1168 substances and who are, or have been, involved in the child welfare system.
(3) Comprehensive treatment and family supports must be trauma- informed and may include:
(3) Comprehensive treatment and family supports must be trauma- informed and include:
(1) By June 1, 2024, the authority shall submit to the legislature recommendations on ways to increase access to diagnoses, treatment, services, and supports for children who were exposed to alcohol or other substances during pregnancy and their families and p.
(1) By June 1, 2024, the authority shall submit to the legislature recommendations on ways to increase access to diagnoses, treatment, services, and supports for children who were exposed to alcohol or other substances during pregnancy and their families and caregivers.
3 SHB 1168 caregivers.
In creating the recommendations, the authority shall hold p.
In creating the recommendations, the authority shall hold at least six stakeholder meetings and shall collaborate with service providers, medical professionals with expertise in diagnosing and treating prenatal substance exposure, families of children who were exposed to alcohol or other substances during pregnancy, communities affected by prenatal substance exposure, and advocates.
3 HB 1168 at least six stakeholder meetings and shall collaborate with service providers, medical professionals with expertise in diagnosing and treating prenatal substance exposure, families of children who were exposed to alcohol or other substances during pregnancy, communities affected by prenatal substance exposure, and advocates.
(1) The authority, the department of social and health services, the department ((of health)), the department of corrections, the department of children, youth, and families, and the office of the superintendent of public instruction shall execute an interagency agreement to ensure the coordination of identification, prevention, p.
(1) The authority, the department of social and health services, the department ((of health)), the department of corrections, the department of children, youth, and families, and the office of the superintendent of public instruction shall execute an interagency agreement to ensure the coordination of identification, prevention, and intervention programs for children who have fetal alcohol p.
4 SHB 1168 and intervention programs for children who have fetal alcohol exposure and other prenatal substance exposures, and for women who are at high risk of having children with fetal alcohol exposure or other prenatal substance exposures.
4 HB 1168 exposure and other prenatal substance exposures, and for women who are at high risk of having children with fetal alcohol exposure or other prenatal substance exposures.
5 SHB 1168
5 HB 1168
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Action History

  1. Effective date 7/23/2023.

  2. Chapter 288, 2023 Laws.

  3. Governor signed.

  4. Delivered to Governor.

  5. President signed.

  6. Speaker signed.

  7. Passed final passage; yeas, 97; nays, 0; absent, 0; excused, 1.

  8. House concurred in Senate amendments.

  9. Third reading, passed; yeas, 47; nays, 0; absent, 0; excused, 2.

  10. Rules suspended. Placed on Third Reading.

  11. Committee amendment(s) adopted as amended.

  12. Placed on second reading by Rules Committee.

  13. Passed to Rules Committee for second reading.

  14. WM - Majority; do pass with amendment(s).

  15. Executive action taken in the Senate Committee on Ways & Means at 10:00 AM.

  16. Public hearing in the Senate Committee on Ways & Means at 12:30 PM.

  17. Referred to Ways & Means.

  18. And refer to Ways & Means.

  19. HLTC - Majority; do pass.

  20. Executive action taken in the Senate Committee on Health & Long Term Care at 8:00 AM.

  21. Public hearing in the Senate Committee on Health & Long Term Care at 10:30 AM.

  22. First reading, referred to Health & Long Term Care.

  23. Third reading, passed; yeas, 95; nays, 0; absent, 0; excused, 3.

  24. Rules suspended. Placed on Third Reading.

  25. 2nd substitute bill substituted (APP 23).

  26. Rules Committee relieved of further consideration. Placed on second reading.

  27. Referred to Rules 2 Review.

  28. APP - Majority; 2nd substitute bill be substituted, do pass.

  29. Executive action taken in the House Committee on Appropriations at 4:00 PM.

  30. Public hearing in the House Committee on Appropriations at 4:00 PM.

  31. Referred to Appropriations.

  32. Minority; without recommendation.

  33. HCW - Majority; 1st substitute bill be substituted, do pass.

  34. Executive action taken in the House Committee on Health Care & Wellness at 8:00 AM.

  35. Public hearing in the House Committee on Health Care & Wellness at 1:30 PM.

  36. First reading, referred to Health Care & Wellness.

  37. Prefiled for introduction.

Sponsors

Sponsorship breakdown

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1 sponsors · 5 co-sponsors · 145 not signed on

Sponsors (1)

Co-sponsors (5)

Not signed on (145)

145 members have not signed on to this bill.

Show all 145 →

"Not signed on" means a member has not sponsored or co-sponsored this bill — it does not imply opposition. Members flagged Voted No have a recorded No vote on this bill.

Whip count is in markup. Polling the chamber and every recorded vote this session. Only the first open is slow. It’s instant for you after this. Calling the roll · Tallying · Engrossing

Votes

Final Passage as Amended by the Senate (#10)

Passed 97 Yea · 0 Nay · 1 Other
Party YeaNayPresentNot Voting
Republican 30000
Democrat 56001
Unaffiliated 11000
Total 97001
% of votes cast 99%0%0%1%
How each member voted (98)
Member Party Vote
Chambers — Yea
Chandler — Yea
Cheney — Yea
Chopp — Yea
Hutchins — Yea
Kretz — Yea
Maycumber — Yea
Mosbrucker — Yea
Robertson — Yea
Sandlin — Yea
Wilcox — Yea
Alex Ramel Democrat Yea
Alicia Rule Democrat Yea
Amy Walen Democrat Yea
April Berg Democrat Yea
Beth Doglio Democrat Yea
Bill Ramos Democrat Yea
Brandy Donaghy Democrat Yea
Chipalo Street Democrat Yea
Chris Stearns Democrat Yea
Cindy Ryu Democrat Yea
Clyde Shavers Democrat Yea
Dan Bronoske Democrat Yea
Darya Farivar Democrat Yea
Dave Paul Democrat Yea
David Hackney Democrat Yea
Davina Duerr Democrat Yea
Debra Entenman Democrat Yea
Debra Lekanoff Democrat Yea
Drew Hansen Democrat Yea
Emily Alvarado Democrat Yea
Gerry Pollet Democrat Yea
Jake Fey Democrat Yea
Jamila Taylor Democrat Yea
Jessica Bateman Democrat Yea
Joe Fitzgibbon Democrat Yea
Joe Timmons Democrat Yea
Julia Reed Democrat Yea
Julio Cortes Democrat Yea
Kristine Reeves Democrat Yea
Larry Springer Democrat Yea
Lauren Davis Democrat Yea
Laurie Jinkins Democrat Yea
Lillian Ortiz-Self Democrat Not Voting
Lisa Callan Democrat Yea
Liz Berry Democrat Yea
Marcus Riccelli Democrat Yea
Mari Leavitt Democrat Yea
Mary Fosse Democrat Yea
Melanie Morgan Democrat Yea
Mia Gregerson Democrat Yea
Mike Chapman Democrat Yea
Monica Jurado Stonier Democrat Yea
My-Linh Thai Democrat Yea
Nicole Macri Democrat Yea
Roger Goodman Democrat Yea
Sharlett Mena Democrat Yea
Sharon Tomiko Santos Democrat Yea
Sharon Wylie Democrat Yea
Shelley Kloba Democrat Yea
Steve Bergquist Democrat Yea
Steve Tharinger Democrat Yea
Strom Peterson Democrat Yea
Tana Senn Democrat Yea
Tarra Simmons Democrat Yea
Timm Ormsby Democrat Yea
Tina Orwall Democrat Yea
Vandana Slatter Democrat Yea
Alex Ybarra Republican Yea
Andrew Barkis Republican Yea
April Connors Republican Yea
Carolyn Eslick Republican Yea
Chris Corry Republican Yea
Cyndy Jacobsen Republican Yea
Dan Griffey Republican Yea
Drew Stokesbary Republican Yea
Ed Orcutt Republican Yea
Jenny Graham Republican Yea
Jim Walsh Republican Yea
Joe Schmick Republican Yea
Joel McEntire Republican Yea
Keith Goehner Republican Yea
Kevin Waters Republican Yea
Leonard Christian Republican Yea
Mark Klicker Republican Yea
Mary Dye Republican Yea
Michelle Valdez Republican Yea
Mike Steele Republican Yea
Mike Volz Republican Yea
Paul Harris Republican Yea
Peter Abbarno Republican Yea
Sam Low Republican Yea
Skyler Rude Republican Yea
Stephanie Barnard Republican Yea
Stephanie McClintock Republican Yea
Suzanne Schmidt Republican Yea
Tom Dent Republican Yea
Travis Couture Republican Yea

Official roll call →

3rd Reading & Final Passage as Amended by the Senate (#22)

Passed 47 Yea · 0 Nay · 2 Other
Party YeaNayPresentNot Voting
Unaffiliated 9002
Republican 16000
Democrat 22000
Total 47002
% of votes cast 96%0%0%4%
How each member voted (49)
Member Party Vote
Billig — Yea
Hawkins — Yea
Keiser — Yea
Kuderer — Yea
Mullet — Yea
Padden — Yea
Randall — Yea
Rivers — Not Voting
Rolfes — Yea
Van De Wege — Not Voting
Wilson, L. — Yea
Annette Cleveland Democrat Yea
Bob Hasegawa Democrat Yea
Claire Wilson Democrat Yea
Claudia Kauffman Democrat Yea
Derek Stanford Democrat Yea
Jamie Pedersen Democrat Yea
Javier Valdez Democrat Yea
Jesse Salomon Democrat Yea
Joe Nguyen Democrat Yea
John Lovick Democrat Yea
June Robinson Democrat Yea
Lisa Wellman Democrat Yea
Liz Lovelett Democrat Yea
Manka Dhingra Democrat Yea
Marko Liias Democrat Yea
Noel Frame Democrat Yea
Rebecca Saldaña Democrat Yea
Sharon Shewmake Democrat Yea
Steve Conway Democrat Yea
T'wina Nobles Democrat Yea
Victoria Hunt Democrat Yea
Yasmin Trudeau Democrat Yea
Chris Gildon Republican Yea
Curtis King Republican Yea
Drew MacEwen Republican Yea
Jeff Holy Republican Yea
Jeff Wilson Republican Yea
Jim McCune Republican Yea
John Braun Republican Yea
Judy Warnick Republican Yea
Keith Wagoner Republican Yea
Mark Schoesler Republican Yea
Matt Boehnke Republican Yea
Nikki Torres Republican Yea
Perry Dozier Republican Yea
Phil Fortunato Republican Yea
Ron Muzzall Republican Yea
Shelly Short Republican Yea

Official roll call →

3rd Reading & Final Passage (#16)

Passed 95 Yea · 0 Nay · 3 Other
Party YeaNayPresentNot Voting
Republican 28002
Democrat 56001
Unaffiliated 11000
Total 95003
% of votes cast 97%0%0%3%
How each member voted (98)
Member Party Vote
Chambers — Yea
Chandler — Yea
Cheney — Yea
Chopp — Yea
Hutchins — Yea
Kretz — Yea
Maycumber — Yea
Mosbrucker — Yea
Robertson — Yea
Sandlin — Yea
Wilcox — Yea
Alex Ramel Democrat Yea
Alicia Rule Democrat Yea
Amy Walen Democrat Yea
April Berg Democrat Yea
Beth Doglio Democrat Yea
Bill Ramos Democrat Yea
Brandy Donaghy Democrat Yea
Chipalo Street Democrat Yea
Chris Stearns Democrat Yea
Cindy Ryu Democrat Yea
Clyde Shavers Democrat Yea
Dan Bronoske Democrat Yea
Darya Farivar Democrat Yea
Dave Paul Democrat Yea
David Hackney Democrat Yea
Davina Duerr Democrat Yea
Debra Entenman Democrat Yea
Debra Lekanoff Democrat Yea
Drew Hansen Democrat Not Voting
Emily Alvarado Democrat Yea
Gerry Pollet Democrat Yea
Jake Fey Democrat Yea
Jamila Taylor Democrat Yea
Jessica Bateman Democrat Yea
Joe Fitzgibbon Democrat Yea
Joe Timmons Democrat Yea
Julia Reed Democrat Yea
Julio Cortes Democrat Yea
Kristine Reeves Democrat Yea
Larry Springer Democrat Yea
Lauren Davis Democrat Yea
Laurie Jinkins Democrat Yea
Lillian Ortiz-Self Democrat Yea
Lisa Callan Democrat Yea
Liz Berry Democrat Yea
Marcus Riccelli Democrat Yea
Mari Leavitt Democrat Yea
Mary Fosse Democrat Yea
Melanie Morgan Democrat Yea
Mia Gregerson Democrat Yea
Mike Chapman Democrat Yea
Monica Jurado Stonier Democrat Yea
My-Linh Thai Democrat Yea
Nicole Macri Democrat Yea
Roger Goodman Democrat Yea
Sharlett Mena Democrat Yea
Sharon Tomiko Santos Democrat Yea
Sharon Wylie Democrat Yea
Shelley Kloba Democrat Yea
Steve Bergquist Democrat Yea
Steve Tharinger Democrat Yea
Strom Peterson Democrat Yea
Tana Senn Democrat Yea
Tarra Simmons Democrat Yea
Timm Ormsby Democrat Yea
Tina Orwall Democrat Yea
Vandana Slatter Democrat Yea
Alex Ybarra Republican Yea
Andrew Barkis Republican Yea
April Connors Republican Yea
Carolyn Eslick Republican Yea
Chris Corry Republican Yea
Cyndy Jacobsen Republican Yea
Dan Griffey Republican Yea
Drew Stokesbary Republican Yea
Ed Orcutt Republican Yea
Jenny Graham Republican Yea
Jim Walsh Republican Yea
Joe Schmick Republican Yea
Joel McEntire Republican Yea
Keith Goehner Republican Yea
Kevin Waters Republican Yea
Leonard Christian Republican Yea
Mark Klicker Republican Yea
Mary Dye Republican Yea
Michelle Valdez Republican Yea
Mike Steele Republican Yea
Mike Volz Republican Not Voting
Paul Harris Republican Yea
Peter Abbarno Republican Yea
Sam Low Republican Yea
Skyler Rude Republican Yea
Stephanie Barnard Republican Yea
Stephanie McClintock Republican Not Voting
Suzanne Schmidt Republican Yea
Tom Dent Republican Yea
Travis Couture Republican Yea

Official roll call →

Subjects

healthcare health-insurance
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Frequently asked questions

Who sponsors HB 1168?
HB 1168 is sponsored by Timm Ormsby (Democrat), Lauren Davis (Democrat), Sharon Wylie (Democrat), Lisa Callan (Democrat), Alex Ramel (Democrat), and Tarra Simmons (Democrat).
What is the current status of HB 1168?
This bill has been enacted into law. Introduced January 06, 2023. Enacted.
Where can I track HB 1168?
Track HB 1168 free on One Click Politics — get push/email alerts when it moves.

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