republic-os/legislation/us/states/wa/2021-2022/hb-1688.md

---
type: "Bill"
title: "Protecting consumers from charges for out-of-network health care services, by aligning state law and the federal no surprises act and addressing coverage of treatment for emergency conditions."
description: "Protecting consumers from charges for out-of-network health care services, by aligning state law and the federal no surprises act and addressing coverage of treatment for emergency conditions."
jurisdiction: "us/states/wa"
legislature: "Washington Legislature"
session: "2021-2022"
identifier: "HB 1688"
citation: "Washington HB 1688 (2021-2022)"
classification: ["bill"]
subjects: ["CONSUMER PROTECTION", "HEALTH CARE AUTHORITY", "HEALTH CARE FACILITIES", "HEALTH CARE PROFESSIONS AND PROVIDERS", "HOSPITALS", "INSURANCE", "INSURANCE COMMISSIONER", "MENTAL HEALTH", "NAMED ACTS", "SUBSTANCE USE DISORDER"]
status: "enacted"
primary_sponsors: ["Cody"]
version_count: 4
action_count: 49
vote_count: 3
first_action: "2022-01-10T05:00:00+00:00"
last_action: "2022-12-22T05:00:00+00:00"
source: "openstates"
source_identifier: "ocd-bill/120388e6-e3df-406f-b152-93d0b2743227"
source_url: "http://apps.leg.wa.gov/billinfo/summary.aspx?bill=1688&year=2021"
source_hash: "be6d460f59752468be164f7ac5fb7fff660ade2543d6897f46228c40ac02a1b4"
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 1688 (2021-2022) — Protecting consumers from charges for out-of-network health care services, by aligning state law and the federal no surprises act and addressing coverage of treatment for emergency conditions.

## 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/2021-22/Htm/Bills/House%20Bills/1688.htm)
2. **Engrossed Second Substitute Bill** (committee substitute) — [source](http://lawfilesext.leg.wa.gov/Biennium/2021-22/Htm/Bills/House%20Bills/1688-S2.E.htm)
3. **Second Substitute Bill** (committee substitute) — [source](http://lawfilesext.leg.wa.gov/Biennium/2021-22/Htm/Bills/House%20Bills/1688-S2.htm)
4. **Substitute Bill** (committee substitute) — [source](http://lawfilesext.leg.wa.gov/Biennium/2021-22/Htm/Bills/House%20Bills/1688-S.htm)

## Votes

- Final Passage as Amended by the Senate (#20) — **88–10** (pass) · lower
- 3rd Reading & Final Passage as Amended by the Senate (#27) — **49–0** (pass) · upper
- 3rd Reading & Final Passage (#10) — **67–30** (pass) · lower

## Sponsors

- Cody — primary (person)
- Bateman — cosponsor (person)
- Berry — cosponsor (person)
- Caldier — cosponsor (person)
- Callan — cosponsor (person)
- Chopp — cosponsor (person)
- Davis — cosponsor (person)
- Eslick — cosponsor (person)
- Frame — cosponsor (person)
- Goodman — cosponsor (person)
- Graham — cosponsor (person)
- Klicker — cosponsor (person)
- Kloba — cosponsor (person)
- Leavitt — cosponsor (person)
- Macri — cosponsor (person)
- Ormsby — cosponsor (person)
- Paul — cosponsor (person)
- Pollet — cosponsor (person)
- Ramos — cosponsor (person)
- Riccelli — cosponsor (person)
- Ryu — cosponsor (person)
- Schmick — cosponsor (person)
- Sells — cosponsor (person)
- Simmons — cosponsor (person)
- Slatter — cosponsor (person)
- Springer — cosponsor (person)
- Sullivan — cosponsor (person)
- Taylor — cosponsor (person)
- Thai — cosponsor (person)
- Tharinger — cosponsor (person)
- Valdez — cosponsor (person)
- Wicks — cosponsor (person)
- Wylie — cosponsor (person)

## Timeline

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

- **2022-12-22T05:00:00+00:00** Prefiled for introduction. `filing`
- **2022-01-10T05:00:00+00:00** First reading, referred to Health Care & Wellness. `reading-1`
- **2022-01-12T05:00:00+00:00** Public hearing in the House Committee on Health Care & Wellness at 8:00 AM.
- **2022-01-26T05:00:00+00:00** Executive action taken in the House Committee on Health Care & Wellness at 8:00 AM.
- **2022-01-26T05:00:00+00:00** HCW - Majority; 1st substitute bill be substituted, do pass. `passage`
- **2022-01-26T05:00:00+00:00** Minority; do not pass. `committee-passage-unfavorable`
- **2022-01-31T05:00:00+00:00** Referred to Appropriations. `referral-committee`
- **2022-02-03T05:00:00+00:00** Public hearing in the House Committee on Appropriations at 1:30 PM.
- **2022-02-04T05:00:00+00:00** Executive action taken in the House Committee on Appropriations at 10:00 AM.
- **2022-02-04T05:00:00+00:00** APP - Majority; 2nd substitute bill be substituted, do pass. `passage`
- **2022-02-04T05:00:00+00:00** Minority; do not pass. `committee-passage-unfavorable`
- **2022-02-04T05:00:00+00:00** Minority; without recommendation. `committee-passage-unfavorable`
- **2022-02-07T05:00:00+00:00** Referred to Rules 2 Review. `referral-committee`
- **2022-02-10T05:00:00+00:00** Rules Committee relieved of further consideration. Placed on second reading. `reading-2`
- **2022-02-11T05:00:00+00:00** 2nd substitute bill substituted (APP 22). `substitution`
- **2022-02-11T05:00:00+00:00** Floor amendment(s) adopted.
- **2022-02-11T05:00:00+00:00** Rules suspended. Placed on Third Reading. `reading-3`
- **2022-02-11T05:00:00+00:00** Third reading, passed; yeas, 67; nays, 30; absent, 0; excused, 1. `reading-3`
- **2022-02-15T05:00:00+00:00** First reading, referred to Health & Long Term Care. `reading-1`
- **2022-02-18T05:00:00+00:00** Public hearing scheduled, but not heard in the Senate Committee on Health & Long Term Care at 8:00 AM.
- **2022-02-21T05:00:00+00:00** Public hearing in the Senate Committee on Health & Long Term Care at 1:00 PM.
- **2022-02-23T05:00:00+00:00** Executive action taken in the Senate Committee on Health & Long Term Care at 8:00 AM.
- **2022-02-23T05:00:00+00:00** HLTC - Majority; do pass. `committee-passage-favorable`
- **2022-02-23T05:00:00+00:00** Minority; do not pass. `committee-passage-unfavorable`
- **2022-02-23T05:00:00+00:00** Minority; without recommendation. `committee-passage-unfavorable`
- **2022-02-23T05:00:00+00:00** And refer to Ways & Means. `referral-committee`
- **2022-02-24T05:00:00+00:00** Referred to Ways & Means. `referral-committee`
- **2022-02-28T05:00:00+00:00** Executive action taken in the Senate Committee on Ways & Means at 10:00 AM.
- **2022-02-28T05:00:00+00:00** WM - Majority; without recommendation.
- **2022-02-28T05:00:00+00:00** Passed to Rules Committee for second reading.
- **2022-03-02T05:00:00+00:00** Placed on second reading by Rules Committee. `reading-2`
- **2022-03-03T05:00:00+00:00** Floor amendment(s) adopted.
- **2022-03-03T05:00:00+00:00** Rules suspended. Placed on Third Reading. `reading-3`
- **2022-03-03T05:00:00+00:00** Third reading, passed; yeas, 49; nays, 0; absent, 0; excused, 0. `reading-3`
- **2022-03-07T05:00:00+00:00** House concurred in Senate amendments.
- **2022-03-07T05:00:00+00:00** Passed final passage; yeas, 88; nays, 10; absent, 0; excused, 0. `passage`
- **2022-03-08T05:00:00+00:00** Speaker signed. `passage`
- **2022-03-10T05:00:00+00:00** President signed. `passage`
- **2022-03-10T05:00:00+00:00** Delivered to Governor. `executive-receipt`
- **2022-03-31T04:00:00+00:00** Governor signed. `executive-signature`
- **2022-03-31T04:00:00+00:00** Chapter 263, 2022 Laws. `became-law`
- **2022-03-31T04:00:00+00:00** Effective date 3/31/2022. `became-law`
- **2022-01-12T13:00:00+00:00** Scheduled for public hearing in the House Committee on Health Care & Wellness at 08:00 AM
- **2022-01-26T13:00:00+00:00** Scheduled for public hearing in the House Committee on Health Care & Wellness at 08:00 AM
- **2022-02-03T18:30:00+00:00** Scheduled for public hearing in the House Committee on Appropriations at 01:30 PM
- **2022-02-04T15:00:00+00:00** Scheduled for public hearing in the House Committee on Appropriations at 10:00 AM
- **2022-02-21T18:00:00+00:00** Scheduled for public hearing in the Senate Committee on Health & Long Term Care at 01:00 PM
- **2022-02-23T13:00:00+00:00** Scheduled for public hearing in the Senate Committee on Health & Long Term Care at 08:00 AM
- **2022-02-28T15:00:00+00:00** Scheduled for public hearing in the Senate Committee on Ways & Means at 10:00 AM

## Source

OpenStates / OpenCivicData bulk snapshot [2026-07-01](https://data.openstates.org/daily/2026-07-01/public.pgdump); origin `ocd-bill/120388e6-e3df-406f-b152-93d0b2743227`. Confidence: reported (aggregated from official Washington legislature records).