---
type: "Bill"
title: "Allowing payments to be made based on allowable costs for services provided by any rural hospital that is located on a federally recognized Indian reservation."
description: "Allowing payments to be made based on allowable costs for services provided by any rural hospital that is located on a federally recognized Indian reservation."
jurisdiction: "us/states/wa"
legislature: "Washington Legislature"
session: "2025-2026"
identifier: "SB 6194"
citation: "Washington SB 6194 (2025-2026)"
classification: ["bill"]
subjects: []
status: "enacted"
primary_sponsors: ["King"]
version_count: 4
action_count: 33
vote_count: 3
first_action: "2026-01-16"
last_action: "2026-03-20"
source: "openstates"
source_identifier: "ocd-bill/8bf826fc-bcda-4ca8-9d92-a044ab7b1b5b"
source_url: "https://app.leg.wa.gov/billsummary/?BillNumber=6194&Year=2025&Initiative=false"
source_hash: "d791d3dc601ac482a4fc6fcfa8d07371e0c39e2efd8664d05bdc6c8b8b69b153"
vintage: "2026-07-01"
source_snapshot: "https://data.openstates.org/daily/2026-07-01/public.pgdump"
retrieved_at: "2026-07-06"
confidence: "reported"
tags: ["legislation", "bill", "us-wa"]
---

# Washington SB 6194 (2025-2026) — Allowing payments to be made based on allowable costs for services provided by any rural hospital that is located on a federally recognized Indian reservation.

## Version chain

The bill's text revisions, in order — the diff chain from filing to enrollment.

1. **Bill** (committee substitute) — [source](http://lawfilesext.leg.wa.gov/Biennium/2025-26/Htm/Bills/Senate%20Bills/6194.htm)
2. **Engrossed Substitute Bill** (committee substitute) — [source](http://lawfilesext.leg.wa.gov/Biennium/2025-26/Htm/Bills/Senate%20Bills/6194-S.E.htm)
3. **Substitute Bill** (committee substitute) — [source](http://lawfilesext.leg.wa.gov/Biennium/2025-26/Htm/Bills/Senate%20Bills/6194-S.htm)
4. **Substitute Passed Legislature** (committee substitute) — [source](http://lawfilesext.leg.wa.gov/Biennium/2025-26/Htm/Bills/Senate%20Passed%20Legislature/6194-S.PL.htm)

## Votes

- Final Passage as Amended by the House (#4) — **95–0** (pass) · lower
- 3rd Reading & Final Passage (#15) — **48–0** (pass) · upper
- Final Passage as Amended by the House (#28) — **49–0** (pass) · upper

## Sponsors

- King — primary (person)
- Hasegawa — cosponsor (person)
- Torres — cosponsor (person)

## Timeline

The legislative action history — every referral, reading, and vote.

- **2026-01-16** First reading, referred to Health & Long-Term Care. `reading-1`
- **2026-01-22** Executive action taken in the Senate Committee on Health & Long-Term Care at 8:00 AM.
- **2026-01-22** HLTC - Majority; without recommendation.
- **2026-01-22** And refer to Ways & Means. `referral-committee`
- **2026-01-23** Referred to Ways & Means. `referral-committee`
- **2026-02-03** Public hearing in the Senate Committee on Ways & Means at 4:00 PM.
- **2026-02-09** Executive action taken in the Senate Committee on Ways & Means at 10:30 AM.
- **2026-02-09** WM - Majority; 1st substitute bill be substituted, do pass. `substitution`
- **2026-02-09** Passed to Rules Committee for second reading.
- **2026-02-10** Placed on second reading by Rules Committee. `reading-2`
- **2026-02-13** 1st substitute bill substituted (WM 26). `substitution`
- **2026-02-13** Floor amendment(s) adopted.
- **2026-02-13** Rules suspended. Placed on Third Reading. `reading-3`
- **2026-02-13** Third reading, passed; yeas, 48; nays, 0; absent, 0; excused, 1. `reading-3`
- **2026-02-17** First reading, referred to Health Care & Wellness. `reading-1`
- **2026-02-17** Committee relieved of further consideration.
- **2026-02-17** Referred to Appropriations. `referral-committee`
- **2026-02-26** Public hearing in the House Committee on Appropriations at 1:30 PM.
- **2026-02-27** Executive action taken in the House Committee on Appropriations at 10:30 AM.
- **2026-02-27** APP - Majority; do pass with amendment(s). `committee-passage-favorable`
- **2026-03-02** Referred to Rules 2 Review. `referral-committee`
- **2026-03-03** Rules Committee relieved of further consideration. Placed on second reading. `reading-2`
- **2026-03-06** Committee amendment(s) adopted with no other amendments.
- **2026-03-06** Rules suspended. Placed on Third Reading. `reading-3`
- **2026-03-06** Third reading, passed; yeas, 95; nays, 0; absent, 0; excused, 3. `reading-3`
- **2026-03-10** Senate concurred in House amendments.
- **2026-03-10** Passed final passage; yeas, 49; nays, 0; absent, 0; excused, 0. `passage`
- **2026-03-11** President signed. `passage`
- **2026-03-11** Speaker signed. `passage`
- **2026-03-12** Delivered to Governor. `executive-receipt`
- **2026-03-20** Governor signed. `executive-signature`
- **2026-03-20** Chapter 124, 2026 Laws. `became-law`
- **2026-03-20** Effective date 6/11/2026. `became-law`

## Source

OpenStates / OpenCivicData bulk snapshot [2026-07-01](https://data.openstates.org/daily/2026-07-01/public.pgdump); origin `ocd-bill/8bf826fc-bcda-4ca8-9d92-a044ab7b1b5b`. Confidence: reported (aggregated from official Washington legislature records).