
Elizabeth Hovde of the Washington Policy Center believes being able to hire qualified nurses licensed in other states to get to work immediately should be a welcome allowance
Elizabeth Hovde
Washington Policy Center
A bipartisan bill that would allow the state to join 37 others in the multistate Nurse Licensure Compact cleared the state Senate in time to get pushed to the House for hopeful consideration. It would give Washington state hospitals and caregivers a tool to help patients in need.
My fingers are crossed for Senate Bill 5499, which was sponsored by a bipartisan bunch looking for a solution to one of our most pressing workforce challenges. A vote of 40 “yeas” and only eight “nays” (and one excused) gives me realistic hope for the legislation.

Our health system is in need of a lot of urgent care. Problems include workforce issues, an aging population, lack of educated or price-concerned consumers, missing price transparency, Medicaid rolls filled with people in need and people not in need, bad state reimbursement rates for hospitals, unnecessary licensing regulations and government interference with competition needed to help with cost containment. And then there are pandemics that put caregivers in stressful situations, motivate people to retire or change jobs, create the need for more manned hospital beds, and bring cities and states disease hotspots in need of immediate staff fluctuation.
COVID-19 also stressed the importance of using tools available to us in modern times to help provide patient-centered care. Those include increased telemedicine options, various licensure easements and ridding the state of its Certificate of Need law, which lawmakers should have in their sights.
Being able to hire qualified nurses licensed in other states to get to work immediately — while retaining safety and the state’s disciplinary authority, as SB 5499 emphasizes — should be a welcome allowance. I’m glad to see it was in the Senate.
Elizabeth Hovde is a policy analyst and the director of the Centers for Health Care and Worker Rights at the Washington Policy Center. She is a Clark County resident.
Also read:
- Opinion: In search of joy at Vancouver Mall during Christmas timePaul Valencia reflects on his annual Christmas-time visit to Vancouver Mall, finding nostalgia, people-watching, and moments of joy amid last-minute holiday shopping.
- Opinion: Atmospheric River events mean even less clearance for vessels crossing under the proposed Interstate Bridge PlanNeighbors for a Better Crossing argues that high river levels from atmospheric river events further reduce vessel clearance under the proposed Interstate Bridge design, creating long-term navigation risks on the Columbia River.
- Opinion: Why I won’t mourn the end of enhanced ACA subsidiesElizabeth New (Hovde) argues that allowing enhanced ACA subsidies to expire forces a necessary conversation about rising health care costs rather than continued cost shifting to taxpayers.
- Letter: Worried about a replacement bridge?Sharon Nasset raises concerns about congestion, bridge capacity, and unanswered questions surrounding inspections and decisions tied to the I-5 bridge replacement effort.
- Opinion: IBR promotes ‘giving away’ historic interstate bridges while withholding cost estimate for replacementNeighbors for a Better Crossing argues the IBR program is promoting demolition of the historic Interstate Bridges without releasing updated cost estimates or current seismic data to justify replacement.







