Medicaid/transition services
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SB 6191 — Medicaid/transition services
Last action — First reading, referred to Health & Long-Term Care.
No card. One bill, free forever — alerts when it moves.
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1Introduced
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2In Committee
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3Passed Senate
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4Passed House
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5To Executive
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6Enacted
This bill has been introduced in the Senate. Introduced January 16, 2026. It must pass committee before a floor vote.
Next likely step: a committee referral and hearing.
Prognosis
Where this bill stands today.
Odds of enactment
LowHow often bills like it became law.
Not enough signal yet to read this bill's trajectory — we surface a likelihood only once there's real movement (stage, sponsorship, committee, or votes) to point to.
Prognosis reads this bill's own signals — stage, sponsorship breadth, committee status, recorded votes and cross-state momentum. Odds come from a model trained on which bills have become law.
Summary
Limiting state medicaid coverage for transition-related surgical and nonsurgical interventions to only adults.
Bill Text
We don't have the full text on file for this bill yet.
Read SB 6191 on the official Washington source →Compared against the Revised Code of Washington as published AI-generated reading aid — verify against the official bill.
This bill amends 1 section(s) of the Revised Code of Washington: RCW 74.09.675.
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RCW 74.09.675
(4) (5)→ prior treatment, when prescribed as gender-affirming treatment, may not be excluded as cosmetic. (c) The authority and managed care plans administering services purchased or contracted for by the authority may not issue an adverse benefit determination denying or limiting access to gender-affirming treatment, unless a health care provider with experience prescribing or delivering gender-affirming treatment has reviewed and confirmed the appropriateness of the adverse benefit determination. (d) If the authority and managed care plans administering services purchased or contracted for by the authority do not have an adequate network for gender-affirming treatment, they shall ensure the delivery of timely and geographically accessible medically necessary gender-affirming treatment at no greater expense than if they had an in-network, geographically accessible provider available. This includes, but is not limited to, providing case management services to secure out-of-network gender-affirming treatment options that are available to the enrollee in a timely manner within their geographic region. The enrollee shall pay no more than the same cost sharing that the enrollee would pay for the same covered services received from an in-network provider. (3) The authority may not purchase or contract the following services for individuals under the age of 18 even if the individual has a gender dysphoria diagnosis: Breast augmentation procedures, including but not limited to breast reductions and breast implants; sex reassignment or confirmation surgery; puberty suppression therapy; and hormone therapy, including but not limited to presurgical and postsurgical hormone therapy. (4) t ent eans d i CW 7 th indi es, t i -af ming end non (5) ge se (6) --- END ---amended
Action History
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First reading, referred to Health & Long-Term Care.
Sponsors
- (Christian) · Primary
Sponsorship breakdown
Export CSV (upgrade) →1 sponsors · 0 co-sponsors · 150 not signed on
Sponsors (1)
- (Christian)
Co-sponsors (0)
None.
Not signed on (150)
150 members have not signed on to this bill.
Show all 150 →"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.
Subjects
Frequently asked questions
- What does SB 6191 do?
- Limiting state medicaid coverage for transition-related surgical and nonsurgical interventions to only adults.
- Who sponsors SB 6191?
- SB 6191 is sponsored by (Christian).
- What is the current status of SB 6191?
- This bill has been introduced in the Senate. Introduced January 16, 2026. It must pass committee before a floor vote.
- Where can I track SB 6191?
- Track SB 6191 free on One Click Politics — get push/email alerts when it moves.
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Last checked for changes 4 months ago · updated continuously
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