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Residency limits on hospital charity care split supporters and advocates at committee hearing

House Health Care and Wellness Committee · January 27, 2026
AI-Generated Content: All content on this page was generated by AI to highlight key points from the meeting. For complete details and context, we recommend watching the full video. so we can fix them.

Summary

House Bill 2,250 would restrict nonemergent charity care to Washington residents using Medicaid‑style residency rules; rural hospital leaders said out‑of‑state charity care threatens sustainability, while legal and immigrant‑rights groups warned the measure could deter eligible patients and lack clear verification safeguards.

Olympia — The House Health Care and Wellness Committee heard extensive, sometimes sharply contrasting testimony on House Bill 2,250 on Jan. 27, a measure that would limit eligibility for hospital charity care to individuals who meet residency criteria similar to Washington’s Medicaid rules.

Staff explained the bill narrows charity care for nonemergent services to persons who ‘‘intend to reside in Washington indefinitely’’ or meet specified residency criteria while preserving EMTALA protections for emergency care.

Representative Andrew Engel, the bill’s sponsor, said feedback from border communities and Newport Hospital suggested a dramatic increase in out‑of‑state…

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