Washington 2023-2024 Regular Session Status: Enacted 24 D cosponsors

HB 1340 — Concerning actions by health professions disciplining authorities against license applicants and license holders.

Last action — Effective date 4/27/2023.

  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 16, 2023. Enacted.

Odds of enactment

High chance

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

Upgrade to see the exact probability and what's driving it.

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.

  • 25 sponsors

    1 primary, 24 co-sponsors signed on.

  • Single-party support

    Sponsorship is currently within one party (24 D).

  • Cleared a recorded vote

    Passed 4 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

54 added · 64 removed

Plain-language change summary

The amendments made to House Bill 1340 clarify that healthcare providers can be judged based solely on Washington state laws when it comes to licensing and disciplinary actions. Specifically, it ensures that actions taken in other states, related to reproductive health care services or gender-affirming treatments, will not be held against them if those actions would be lawful in Washington. This change helps protect healthcare providers from losing their licenses due to legal issues in other states, fostering a more supportive environment for providing care in Washington.

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ENGROSSED SUBSTITUTE HOUSE BILL 1340 State of Washington 68th Legislature 2023 Regular Session By House Health Care & Wellness (originally sponsored by Representatives Riccelli, Thai, Berry, Ormsby, Chopp, Macri, Bergquist, Bateman, Simmons, Stonier, Berg, Duerr, Wylie, Senn, Taylor, Fitzgibbon, Cortes, Goodman, Reed, Lekanoff, Alvarado, Ramel, Kloba, Tharinger, and Pollet) READ FIRST TIME 01/31/23.
H-0379.2 HOUSE BILL 1340 State of Washington 68th Legislature 2023 Regular Session By Representatives Riccelli, Thai, Berry, Ormsby, Chopp, Macri, Bergquist, Bateman, Simmons, Stonier, Berg, Duerr, Wylie, Senn, Taylor, Fitzgibbon, Cortes, Goodman, Reed, Lekanoff, Alvarado, Ramel, Kloba, Tharinger, and Pollet Read first time 01/16/23.
Referred to Committee on Health Care & Wellness.
1 ESHB 1340 includes all instances in which a plea of guilty or nolo contendere is the basis for the conviction and all proceedings in which the prosecution or sentence has been deferred or suspended.
1 HB 1340 includes all instances in which a plea of guilty or nolo contendere is the basis for the conviction and all proceedings in which the prosecution or sentence has been deferred or suspended.
2 ESHB 1340 action, include a copy of the adverse notice, and be served on and received by the department within twenty-eight days of the decision.
2 HB 1340 action, include a copy of the adverse notice, and be served on and received by the department within twenty-eight days of the decision.
3 ESHB 1340 the order, stipulation, or agreement being conclusive evidence of the revocation, suspension, or restriction;
3 HB 1340 the order, stipulation, or agreement being conclusive evidence of the revocation, suspension, or restriction;
4 ESHB 1340 (16) Promotion for personal gain of any unnecessary or inefficacious drug, device, treatment, procedure, or service;
4 HB 1340 (16) Promotion for personal gain of any unnecessary or inefficacious drug, device, treatment, procedure, or service;
5 ESHB 1340 defined by rules of the disciplining authority, in consultation with the department, based on recognized professional ethical standards;
5 HB 1340 defined by rules of the disciplining authority, in consultation with the department, based on recognized professional ethical standards;
(a) The provision of, authorization of, recommendation of, aiding in, assistance in, referral for, or other participation in any reproductive health care services or gender affirming treatment, by a license holder, if the participation would have been lawful and consistent with standards of care if it occurred entirely in Washington;
(a) The provision of, authorization of, recommendation of, aiding in, assistance in, referral for, or other participation in any reproductive health care services or gender affirming treatment, by a license holder acting in accordance with the laws of this state, including those relating to accepted standards of care, regardless of whether the patient is a resident of this state or another state;
(b) A conviction or disciplinary action based on the license holder's violation of another state's laws prohibiting the provision of, authorization of, recommendation of, aiding in, assistance in, referral for, or other participation in any reproductive health care services or gender affirming treatment, if the participation would have been lawful and consistent with standards of care if it occurred entirely in Washington.
(b) A conviction or disciplinary action based solely on the license holder's violation of another state's laws prohibiting the provision of, authorization of, recommendation of, aiding in, assistance in, referral for, or other participation in any reproductive health care services or gender affirming treatment.
(a) The provision of, authorization of, recommendation of, aiding in, assistance in, referral for, or other participation in any reproductive health care services or gender affirming treatment, by a license holder, if the participation would have been lawful and consistent with standards of care if it occurred entirely in Washington;
(a) The provision of, authorization of, recommendation of, aiding in, assistance in, referral for, or other participation in any reproductive health care services or gender affirming treatment, by a license holder acting in accordance with the laws of this state, including those relating to accepted standards of care, regardless of whether the patient is a resident of this state or another state;
(b) A conviction or disciplinary action based on the license holder's violation of another state's laws prohibiting the provision of, authorization of, recommendation of, aiding in, assistance in, referral for, or other participation in any reproductive health care services or gender affirming treatment, if the participation would p.
(b) A conviction or disciplinary action based solely on the license holder's violation of another state's laws prohibiting the provision of, authorization of, recommendation of, aiding in, assistance in, referral for, or other participation in any reproductive health care services or gender affirming treatment.
6 ESHB 1340 have been lawful and consistent with standards of care if it occurred entirely in Washington.
(3) Nothing in this section shall be construed to expand the scope of practice of any license holder licensed under this title, p.
(3) Nothing in this section prohibits the disciplining authority from taking action on separate charges that are unrelated to the provision of, authorization of, recommendation of, aiding in, assistance in, referral for, or other participation in any reproductive health care services or gender affirming treatment that would have been lawful and consistent with standards of care if it occurred entirely in Washington.
6 HB 1340 nor does this section give any such license holder the authority to act outside their scope of practice as defined under this title.
(4) Nothing in this section shall be construed to expand the scope of practice of any license holder licensed under this title, nor does this section give any such license holder the authority to act outside their scope of practice as defined under this title.
(4) For the purposes of this section the following definitions apply:
(5) For the purposes of this section the following definitions apply:
7 ESHB 1340
7 HB 1340
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Action History

  1. Effective date 4/27/2023.

  2. Chapter 192, 2023 Laws.

  3. Delivered to Governor.

  4. President signed.

  5. Speaker signed.

  6. Passed final passage; yeas, 57; nays, 39; absent, 0; excused, 2.

  7. Vote on final passage will be reconsidered.

  8. Passed final passage; yeas, 60; nays, 36; absent, 0; excused, 2.

  9. House concurred in Senate amendments.

  10. Third reading, passed; yeas, 28; nays, 19; absent, 0; excused, 2.

  11. Rules suspended. Placed on Third Reading.

  12. Floor amendment(s) adopted.

  13. Placed on second reading by Rules Committee.

  14. Passed to Rules Committee for second reading.

  15. Minority; without recommendation.

  16. Minority; do not pass.

  17. HLTC - Majority; do pass.

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

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

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

  21. Third reading, passed; yeas, 57; nays, 40; absent, 0; excused, 1.

  22. Rules suspended. Placed on Third Reading.

  23. Floor amendment(s) adopted.

  24. 1st substitute bill substituted (HCW 23).

  25. Placed on second reading by Rules Committee.

  26. Referred to Rules 2 Review.

  27. Minority; without recommendation.

  28. Minority; do not pass.

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

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

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

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

Sponsors

Sponsorship breakdown

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1 sponsors · 24 co-sponsors · 126 not signed on · 46 voted No

Sponsors (1)

Co-sponsors (24)

Not signed on (126)

126 members have not signed on to this bill.

Show all 126 →

"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 on Reconsideration (#29)

Passed 57 Yea · 39 Nay · 2 Other
Party YeaNayPresentNot Voting
Republican 03000
Democrat 56001
Unaffiliated 1901
Total 573902
% of votes cast 58%40%0%2%
How each member voted (98)
Member Party Vote
Chambers — Nay
Chandler — Not Voting
Cheney — Nay
Chopp — Yea
Hutchins — Nay
Kretz — Nay
Maycumber — Nay
Mosbrucker — Nay
Robertson — Nay
Sandlin — Nay
Wilcox — Nay
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 Nay
Andrew Barkis Republican Nay
April Connors Republican Nay
Carolyn Eslick Republican Nay
Chris Corry Republican Nay
Cyndy Jacobsen Republican Nay
Dan Griffey Republican Nay
Drew Stokesbary Republican Nay
Ed Orcutt Republican Nay
Jenny Graham Republican Nay
Jim Walsh Republican Nay
Joe Schmick Republican Nay
Joel McEntire Republican Nay
Keith Goehner Republican Nay
Kevin Waters Republican Nay
Leonard Christian Republican Nay
Mark Klicker Republican Nay
Mary Dye Republican Nay
Michelle Valdez Republican Nay
Mike Steele Republican Nay
Mike Volz Republican Nay
Paul Harris Republican Nay
Peter Abbarno Republican Nay
Sam Low Republican Nay
Skyler Rude Republican Nay
Stephanie Barnard Republican Nay
Stephanie McClintock Republican Nay
Suzanne Schmidt Republican Nay
Tom Dent Republican Nay
Travis Couture Republican Nay

Official roll call →

Final Passage as Amended by the Senate (#9)

Passed 60 Yea · 36 Nay · 2 Other
Party YeaNayPresentNot Voting
Republican 22800
Democrat 56001
Unaffiliated 2801
Total 603602
% of votes cast 61%37%0%2%
How each member voted (98)
Member Party Vote
Chambers — Nay
Chandler — Not Voting
Cheney — Nay
Chopp — Yea
Hutchins — Nay
Kretz — Nay
Maycumber — Nay
Mosbrucker — Nay
Robertson — Nay
Sandlin — Yea
Wilcox — Nay
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 Nay
Andrew Barkis Republican Nay
April Connors Republican Nay
Carolyn Eslick Republican Nay
Chris Corry Republican Nay
Cyndy Jacobsen Republican Nay
Dan Griffey Republican Nay
Drew Stokesbary Republican Nay
Ed Orcutt Republican Nay
Jenny Graham Republican Nay
Jim Walsh Republican Nay
Joe Schmick Republican Nay
Joel McEntire Republican Nay
Keith Goehner Republican Nay
Kevin Waters Republican Nay
Leonard Christian Republican Nay
Mark Klicker Republican Yea
Mary Dye Republican Nay
Michelle Valdez Republican Nay
Mike Steele Republican Nay
Mike Volz Republican Nay
Paul Harris Republican Nay
Peter Abbarno Republican Nay
Sam Low Republican Nay
Skyler Rude Republican Yea
Stephanie Barnard Republican Nay
Stephanie McClintock Republican Nay
Suzanne Schmidt Republican Nay
Tom Dent Republican Nay
Travis Couture Republican Nay

Official roll call →

3rd Reading & Final Passage as Amended by the Senate (#13)

Passed 28 Yea · 19 Nay · 2 Other
Party YeaNayPresentNot Voting
Unaffiliated 6401
Republican 01501
Democrat 22000
Total 281902
% of votes cast 57%39%0%4%
How each member voted (49)
Member Party Vote
Billig — Yea
Hawkins — Nay
Keiser — Yea
Kuderer — Yea
Mullet — Yea
Padden — Nay
Randall — Yea
Rivers — Nay
Rolfes — Yea
Van De Wege — Not Voting
Wilson, L. — Nay
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 Nay
Curtis King Republican Nay
Drew MacEwen Republican Not Voting
Jeff Holy Republican Nay
Jeff Wilson Republican Nay
Jim McCune Republican Nay
John Braun Republican Nay
Judy Warnick Republican Nay
Keith Wagoner Republican Nay
Mark Schoesler Republican Nay
Matt Boehnke Republican Nay
Nikki Torres Republican Nay
Perry Dozier Republican Nay
Phil Fortunato Republican Nay
Ron Muzzall Republican Nay
Shelly Short Republican Nay

Official roll call →

3rd Reading & Final Passage (#18)

Passed 57 Yea · 40 Nay · 1 Other
Party YeaNayPresentNot Voting
Republican 03000
Democrat 56001
Unaffiliated 11000
Total 574001
% of votes cast 58%41%0%1%
How each member voted (98)
Member Party Vote
Chambers — Nay
Chandler — Nay
Cheney — Nay
Chopp — Yea
Hutchins — Nay
Kretz — Nay
Maycumber — Nay
Mosbrucker — Nay
Robertson — Nay
Sandlin — Nay
Wilcox — Nay
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 Not Voting
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 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 Nay
Andrew Barkis Republican Nay
April Connors Republican Nay
Carolyn Eslick Republican Nay
Chris Corry Republican Nay
Cyndy Jacobsen Republican Nay
Dan Griffey Republican Nay
Drew Stokesbary Republican Nay
Ed Orcutt Republican Nay
Jenny Graham Republican Nay
Jim Walsh Republican Nay
Joe Schmick Republican Nay
Joel McEntire Republican Nay
Keith Goehner Republican Nay
Kevin Waters Republican Nay
Leonard Christian Republican Nay
Mark Klicker Republican Nay
Mary Dye Republican Nay
Michelle Valdez Republican Nay
Mike Steele Republican Nay
Mike Volz Republican Nay
Paul Harris Republican Nay
Peter Abbarno Republican Nay
Sam Low Republican Nay
Skyler Rude Republican Nay
Stephanie Barnard Republican Nay
Stephanie McClintock Republican Nay
Suzanne Schmidt Republican Nay
Tom Dent Republican Nay
Travis Couture Republican Nay

Official roll call →

Subjects

public-safety healthcare
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Frequently asked questions

Who sponsors HB 1340?
HB 1340 is sponsored by Gerry Pollet (Democrat), Steve Tharinger (Democrat), Shelley Kloba (Democrat), Alex Ramel (Democrat), Emily Alvarado (Democrat), Debra Lekanoff (Democrat), Julia Reed (Democrat), Roger Goodman (Democrat), Julio Cortes (Democrat), Joe Fitzgibbon (Democrat), Jamila Taylor (Democrat), Sharon Wylie (Democrat), Davina Duerr (Democrat), April Berg (Democrat), Monica Jurado Stonier (Democrat), Tarra Simmons (Democrat), Jessica Bateman (Democrat), Steve Bergquist (Democrat), Nicole Macri (Democrat), Chopp, Timm Ormsby (Democrat), Liz Berry (Democrat), My-Linh Thai (Democrat), Marcus Riccelli (Democrat), and Tana Senn (Democrat).
What is the current status of HB 1340?
This bill has been enacted into law. Introduced January 16, 2023. Enacted.
Where can I track HB 1340?
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