Washington 2025-2026 Regular Session Status: Passed House Bipartisan · 6 R · 2 D cosponsors

HB 2168 — Facilitating the rapid sharing of overdose mapping information for overdose prevention.

Last action — Third reading, passed; yeas, 42; nays, 6; absent, 0; excused, 1.

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

This bill has passed the House. Introduced December 18, 2025. It now moves to the second chamber.

Next likely step: consideration and a floor vote in the Senate.

Odds of enactment

Moderate chance

Based on the sponsor, cosponsors, and committee posture, this bill has a moderate 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 74% · high confidence
  • Passed House

    Current position in the legislative process.

  • 8 sponsors

    1 primary, 7 co-sponsors signed on.

  • Bipartisan support

    Sponsored across 2 parties (6 R · 2 D) — cross-party backing.

  • Cleared a recorded vote

    Passed 2 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

133 added · 145 removed

Plain-language change summary

The amendments to HB 2168 change the starting date for data submission related to opioid overdoses from July 1, 2027, to January 1, 2027. Additionally, the details on how specific geolocation data should be reported have been simplified, focusing instead on whether this information is necessary for managing overdose situations in a timely manner. This change is important as it allows for faster implementation of data collection, which can help improve responses to opioid overdoses while ensuring patient privacy is protected.

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ENGROSSED SUBSTITUTE HOUSE BILL 2168 State of Washington 69th Legislature 2026 Regular Session By House Health Care & Wellness (originally sponsored by Representatives Manjarrez, Dent, Dufault, Barnard, Mendoza, Graham, Pollet, and Bernbaum) READ FIRST TIME 02/04/26.
H-2488.3 HOUSE BILL 2168 State of Washington 69th Legislature 2026 Regular Session By Representatives Manjarrez, Dent, Dufault, Barnard, Mendoza, Graham, Pollet, and Bernbaum Prefiled 12/18/25.
Read first time 01/12/26.
Referred to Committee on Health Care & Wellness.
1 ESHB 2168 entities to combine their numerous resources and strengths, thus reducing insular decision making.
1 HB 2168 entities to combine their numerous resources and strengths, thus reducing insular decision making.
(1)(a) Beginning July 1, 2027, the department shall submit the information required under this section to the overdose detection mapping application program to report all incidences of fatal and nonfatal opioid overdoses submitted to the Washington emergency medical services information system.
(1)(a) Beginning January 1, 2027, the department shall submit the information required under this section to the overdose detection mapping application program to report all incidences of fatal and nonfatal opioid overdoses submitted to the Washington emergency medical services information system.
2 ESHB 2168 an application programing interface or similar process to allow for the near time transfer of the information required under the section between the Washington emergency medical services information system and the overdose detection mapping application program.
2 HB 2168 an application programing interface or similar process to allow for the near time transfer of the information required under the section between the Washington emergency medical services information system and the overdose detection mapping application program.
(ii) The location in latitude and longitude where the patient was initially encountered by the emergency medical services provider;
(ii) The location in latitude and longitude, to no more than four decimal places, where the patient was initially encountered by the emergency medical services provider;
(2) Within the parameters established in subsection (1)(b)(ii) of this section, geolocation data specificity submitted to the overdose detection mapping application program is at the discretion of the department but should allow for effective deployment of resources in areas affected by overdose spikes.
(2) Information submitted under this section by the department or available through the overdose detection mapping application program may not be used for law enforcement welfare checks, warrant checks, or criminal investigations or prosecution of the individual who was treated by the emergency medical services providers for experiencing the suspected or actual overdose.
(3) Information submitted under this section by the department or available through the overdose detection mapping application program may not be used for law enforcement welfare checks, warrant checks, immigration or customs enforcement, or criminal investigations or prosecution of the individual who was treated by the emergency medical services providers for experiencing the suspected or actual overdose.
(3) The department may not submit any information pursuant to this section that allows for or creates a risk of identification of an individual or individuals experiencing a suspected or actual overdose.
(4) The department may not submit any information pursuant to this section that allows for or creates a risk of identification of an individual or individuals experiencing a suspected or actual overdose.
(4) For purposes of this section:
(5) If the department determines that information submitted to the overdose detection mapping application program by the department is being used in ways specified under subsection (3) of this section or has been accessed by any federal agency without prior authorization by the department, submission to the overdose detection mapping application program by the department and access to p.
3 ESHB 2168 department information submitted to the overdose detection mapping application program must be immediately terminated.
(6) For purposes of this section:
(d) "Overdose detection mapping application program" means the Washington/Baltimore high intensity drug trafficking area overdose detection mapping application program or subsequent program operated by a unit of state or local government for the same purpose, if the subsequent program is approved by the department.
p.
3 HB 2168 (d) "Overdose detection mapping application program" means the Washington/Baltimore high intensity drug trafficking area overdose detection mapping application program or subsequent program operated by a unit of state or local government for the same purpose, if the subsequent program is approved by the department.
All other p.
All other hospitals and prehospital providers shall furnish trauma data as required by the department by rule.
4 ESHB 2168 hospitals and prehospital providers shall furnish trauma data as required by the department by rule.
The data system must be used to improve the availability and delivery of prehospital emergency medical services.
The data system must be used to improve the availability and p.
4 HB 2168 delivery of prehospital emergency medical services.
(4) ((Data)) Except as provided in section 2 of this act, data elements related to the identification of individual patient's, provider's and facility's care outcomes shall be confidential, shall p.
(4) ((Data)) Except as provided in section 2 of this act, data elements related to the identification of individual patient's, provider's and facility's care outcomes shall be confidential, shall be exempt from RCW 29B.05.030, 29B.15.010, 29B.20.010 through 29B.20.030, 29B.20.060 through 29B.20.100, 29B.60.010 through 29B.60.050, and 42.56.030 through 42.56.570 ((and 42.17.350 through 42.17.450)), and shall not be subject to discovery by subpoena or admissible as evidence.
5 ESHB 2168 be exempt from RCW 29B.05.030, 29B.15.010, 29B.20.010 through 29B.20.030, 29B.20.060 through 29B.20.100, 29B.60.010 through 29B.60.050, and 42.56.030 through 42.56.570 ((and 42.17.350 through 42.17.450)), and shall not be subject to discovery by subpoena or admissible as evidence.
(a) In actions arising out of the department's designation of a hospital or health care facility pursuant to RCW 70.168.070;
(a) In actions arising out of the department's designation of a hospital or health care facility pursuant to RCW p.
5 HB 2168 70.168.070;
6 ESHB 2168
6 HB 2168
View plain text versions (3)

Action History

  1. Third reading, passed; yeas, 42; nays, 6; absent, 0; excused, 1.

  2. Rules suspended. Placed on Third Reading.

  3. Committee amendment(s) adopted as amended.

  4. Placed on second reading by Rules Committee.

  5. Passed to Rules Committee for second reading.

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

  7. Executive action taken in the Senate Committee on Ways & Means at 10:30 AM.

  8. Public hearing in the Senate Committee on Ways & Means at 1:30 PM.

  9. Referred to Ways & Means.

  10. And refer to Ways & Means.

  11. HLTC - Majority; do pass.

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

  13. First reading, referred to Health & Long-Term Care.

  14. Third reading, passed; yeas, 81; nays, 16; absent, 0; excused, 1.

  15. Rules suspended. Placed on Third Reading.

  16. Floor amendment(s) adopted.

  17. 1st substitute bill substituted (HCW 26).

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

  19. Referred to Rules 2 Review.

  20. Minority; without recommendation.

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

  22. Executive action taken in the House Committee on Health Care & Wellness at 1:30 PM.

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

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

  25. Prefiled for introduction.

Sponsors

Sponsorship breakdown

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1 sponsors · 7 co-sponsors · 143 not signed on · 21 voted No

Sponsors (1)

Co-sponsors (7)

Not signed on (143)

143 members have not signed on to this bill.

Show all 143 →

"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

Passed 42 Yea · 6 Nay · 1 Other
Party YeaNayPresentNot Voting
Democrat 24600
Republican 18001
Total 42601
% of votes cast 86%12%0%2%
How each member voted (49)
Member Party Vote
Adrian Cortes Democrat Nay
Annette Cleveland Democrat Yea
Bob Hasegawa Democrat Nay
Claire Wilson Democrat Yea
Claudia Kauffman Democrat Nay
Deborah Krishnadasan Democrat Yea
Derek Stanford Democrat Yea
Drew Hansen Democrat Yea
Emily Alvarado Democrat Nay
Jamie Pedersen Democrat Yea
Javier Valdez Democrat Yea
Jesse Salomon Democrat Yea
Jessica Bateman Democrat Yea
John Lovick Democrat Yea
June Robinson Democrat Yea
Lisa Wellman Democrat Yea
Liz Lovelett Democrat Nay
Manka Dhingra Democrat Yea
Marcus Riccelli Democrat Yea
Marko Liias Democrat Yea
Mike Chapman Democrat Yea
Noel Frame Democrat Yea
Rebecca Saldaña Democrat Yea
Sharon Shewmake Democrat Yea
Steve Conway Democrat Yea
T'wina Nobles Democrat Yea
Tina Orwall Democrat Yea
Vandana Slatter Democrat Yea
Victoria Hunt Democrat Yea
Yasmin Trudeau Democrat Nay
Chris Gildon Republican Yea
Curtis King Republican Yea
Drew MacEwen Republican Yea
Jeff Holy Republican Yea
Jeff Wilson Republican Not Voting
Jim McCune Republican Yea
John Braun Republican Yea
Judy Warnick Republican Yea
Keith Goehner Republican Yea
Keith Wagoner Republican Yea
Leonard Christian Republican Yea
Mark Schoesler Republican Yea
Matt Boehnke Republican Yea
Nikki Torres Republican Yea
Paul Harris Republican Yea
Perry Dozier Republican Yea
Phil Fortunato Republican Yea
Ron Muzzall Republican Yea
Shelly Short Republican Yea

Official roll call →

Passed 81 Yea · 16 Nay · 1 Other
Party YeaNayPresentNot Voting
Republican 38000
Democrat 431601
Total 811601
% of votes cast 83%16%0%1%
How each member voted (98)
Member Party Vote
Adam Bernbaum Democrat Yea
Adison Richards Democrat Yea
Adrian Cortes Democrat Nay
Alex Ramel Democrat Yea
Alicia Rule Democrat Yea
Amy Walen Democrat Yea
April Berg Democrat Yea
Beth Doglio Democrat Yea
Brandy Donaghy Democrat Yea
Brianna Thomas Democrat Yea
Chipalo Street Democrat Yea
Chris Stearns Democrat Yea
Cindy Ryu Democrat Nay
Clyde Shavers Democrat Yea
Dan Bronoske Democrat Yea
Darya Farivar Democrat Nay
Dave Paul Democrat Yea
David Hackney Democrat Yea
Davina Duerr Democrat Yea
Debra Entenman Democrat Nay
Debra Lekanoff Democrat Yea
Edwin Obras Democrat Yea
Gerry Pollet Democrat Yea
Greg Nance Democrat Yea
Jake Fey Democrat Yea
Jamila Taylor Democrat Nay
Janice Zahn Democrat Nay
Javier Valdez Democrat Yea
Joe Fitzgibbon Democrat Yea
Joe Timmons Democrat Yea
Julia Reed 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
Lisa Parshley Democrat Nay
Liz Berry Democrat Yea
Mari Leavitt Democrat Nay
Mary Fosse Democrat Yea
Melanie Morgan Democrat Nay
Mia Gregerson Democrat Yea
Monica Jurado Stonier Democrat Yea
My-Linh Thai Democrat Nay
Natasha Hill Democrat Yea
Nicole Macri Democrat Nay
Osman Salahuddin Democrat Nay
Roger Goodman Democrat Yea
Sharlett Mena Democrat Nay
Sharon Tomiko Santos Democrat Yea
Sharon Wylie Democrat Yea
Shaun Scott Democrat Nay
Shelley Kloba Democrat Nay
Steve Bergquist Democrat Yea
Steve Tharinger Democrat Not Voting
Strom Peterson Democrat Nay
Tarra Simmons Democrat Yea
Timm Ormsby Democrat Yea
Zach Hall Democrat Yea
Alex Ybarra Republican Yea
Andrew Barkis Republican Yea
Andrew Engell Republican Yea
April Connors Republican Yea
Brian Burnett Republican Yea
Carolyn Eslick Republican Yea
Chris Corry Republican Yea
Cyndy Jacobsen Republican Yea
Dan Griffey Republican Yea
David Stuebe Republican Yea
Deb Manjarrez Republican Yea
Drew Stokesbary Republican Yea
Ed Orcutt Republican Yea
Gloria Mendoza Republican Yea
Hunter Abell Republican Yea
Jenny Graham Republican Yea
Jeremie Dufault Republican Yea
Jim Walsh Republican Yea
Joe Schmick Republican Yea
Joel McEntire Republican Yea
John Ley Republican Yea
Joshua Penner Republican Yea
Kevin Waters Republican Yea
Mark Klicker Republican Yea
Mary Dye Republican Yea
Matt Marshall Republican Yea
Michael Keaton Republican Yea
Mike Steele Republican Yea
Mike Volz Republican Yea
Peter Abbarno Republican Yea
Rob Chase 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 →

Subjects

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Frequently asked questions

Who sponsors HB 2168?
HB 2168 is sponsored by Adam Bernbaum (Democrat), Gerry Pollet (Democrat), Jenny Graham (Republican), Gloria Mendoza (Republican), Stephanie Barnard (Republican), Jeremie Dufault (Republican), Tom Dent (Republican), and Deb Manjarrez (Republican).
What is the current status of HB 2168?
This bill has passed the House. Introduced December 18, 2025. It now moves to the second chamber.
Where can I track HB 2168?
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