---
type: "Bill"
title: "Creating a health care entity registry."
description: "Creating a health care entity registry."
jurisdiction: "us/states/wa"
legislature: "Washington Legislature"
session: "2025-2026"
identifier: "HB 1686"
citation: "Washington HB 1686 (2025-2026)"
classification: ["bill"]
subjects: []
status: "enacted"
primary_sponsors: ["Bronoske"]
version_count: 5
action_count: 38
vote_count: 2
first_action: "2025-01-29"
last_action: "2025-04-22"
source: "openstates"
source_identifier: "ocd-bill/9d481b78-cb12-4ecf-b9a4-43e18fdc0541"
source_url: "https://app.leg.wa.gov/billsummary/?BillNumber=1686&Year=2025&Initiative=false"
source_hash: "752c117f645f15b173ca16ab4291086caee76186f12577e1e28460484a322f05"
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 HB 1686 (2025-2026) — Creating a health care entity registry.

## 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/House%20Bills/1686.htm)
2. **Engrossed Second Substitute Bill** (committee substitute) — [source](http://lawfilesext.leg.wa.gov/Biennium/2025-26/Htm/Bills/House%20Bills/1686-S2.E.htm)
3. **Second Substitute Bill** (committee substitute) — [source](http://lawfilesext.leg.wa.gov/Biennium/2025-26/Htm/Bills/House%20Bills/1686-S2.htm)
4. **Second Substitute Passed Legislature** (committee substitute) — [source](http://lawfilesext.leg.wa.gov/Biennium/2025-26/Htm/Bills/House%20Passed%20Legislature/1686-S2.PL.htm)
5. **Substitute Bill** (committee substitute) — [source](http://lawfilesext.leg.wa.gov/Biennium/2025-26/Htm/Bills/House%20Bills/1686-S.htm)

## Votes

- 3rd Reading & Final Passage (#2) — **86–7** (pass) · lower
- 3rd Reading & Final Passage (#23) — **49–0** (pass) · upper

## Sponsors

- Bronoske — primary (person)
- Fosse — cosponsor (person)
- Hill — cosponsor (person)
- Macri — cosponsor (person)
- Nance — cosponsor (person)
- Reed — cosponsor (person)
- Scott — cosponsor (person)

## Timeline

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

- **2025-01-29** First reading, referred to Health Care & Wellness. `reading-1`
- **2025-02-12** Public hearing in the House Committee on Health Care & Wellness at 1:30 PM.
- **2025-02-21** Executive action taken in the House Committee on Health Care & Wellness at 8:00 AM.
- **2025-02-21** HCW - Majority; 1st substitute bill be substituted, do pass. `substitution`
- **2025-02-21** Minority; without recommendation. `committee-passage-unfavorable`
- **2025-02-21** Referred to Appropriations. `referral-committee`
- **2025-02-25** Public hearing in the House Committee on Appropriations at 1:30 PM.
- **2025-02-27** Executive action taken in the House Committee on Appropriations at 9:00 AM.
- **2025-02-27** APP - Majority; 2nd substitute bill be substituted, do pass. `substitution`
- **2025-02-27** Minority; do not pass. `committee-passage-unfavorable`
- **2025-02-27** Minority; without recommendation. `committee-passage-unfavorable`
- **2025-02-28** Referred to Rules 2 Review. `referral-committee`
- **2025-03-06** Rules Committee relieved of further consideration. Placed on second reading. `reading-2`
- **2025-03-10** 2nd substitute bill substituted (APP 25). `substitution`
- **2025-03-10** Floor amendment(s) adopted.
- **2025-03-10** Rules suspended. Placed on Third Reading. `reading-3`
- **2025-03-10** Third reading, passed; yeas, 86; nays, 7; absent, 0; excused, 5. `reading-3`
- **2025-03-12** First reading, referred to Health & Long-Term Care. `reading-1`
- **2025-03-18** Public hearing in the Senate Committee on Health & Long-Term Care at 10:30 AM.
- **2025-03-20** Executive action taken in the Senate Committee on Health & Long-Term Care at 8:00 AM.
- **2025-03-20** HLTC - Majority; do pass. `committee-passage-favorable`
- **2025-03-20** Minority; without recommendation. `committee-passage-unfavorable`
- **2025-03-20** And refer to Ways & Means. `referral-committee`
- **2025-03-21** Referred to Ways & Means. `referral-committee`
- **2025-04-03** Public hearing in the Senate Committee on Ways & Means at 1:30 PM.
- **2025-04-07** Executive action taken in the Senate Committee on Ways & Means at 1:30 PM.
- **2025-04-07** WM - Majority; do pass. `committee-passage-favorable`
- **2025-04-07** Minority; without recommendation. `committee-passage-unfavorable`
- **2025-04-08** Passed to Rules Committee for second reading.
- **2025-04-09** Placed on second reading by Rules Committee. `reading-2`
- **2025-04-14** Rules suspended. Placed on Third Reading. `reading-3`
- **2025-04-14** Third reading, passed; yeas, 49; nays, 0; absent, 0; excused, 0. `reading-3`
- **2025-04-15** Speaker signed. `passage`
- **2025-04-16** President signed. `passage`
- **2025-04-17** Delivered to Governor. `executive-receipt`
- **2025-04-22** Governor signed. `executive-signature`
- **2025-04-22** Chapter 142, 2025 Laws. `became-law`
- **2025-04-22** Effective date 7/27/2025. `became-law`

## Source

OpenStates / OpenCivicData bulk snapshot [2026-07-01](https://data.openstates.org/daily/2026-07-01/public.pgdump); origin `ocd-bill/9d481b78-cb12-4ecf-b9a4-43e18fdc0541`. Confidence: reported (aggregated from official Washington legislature records).