This bill adds a new section to chapter 43.70 RCW and amends RCW 70.168.090 to require a state department to submit opioid overdose incident data from the Washington emergency medical services information system (WEMSIS) into the Overdose Detection Mapping Application Program (ODMAP) starting January 1, 2027. The department must create an application programming interface or similar near‑time transfer process and, within 24 hours after an EMS patient care report is entered into WEMSIS, transmit for each report the date and time of the overdose, the geolocation of the initial patient encounter (with precision capped at four decimal places in urban areas and no less than two in rural areas), whether an opioid reversal medication was given, and whether the overdose was fatal or nonfatal when first encountered or during transport. The bill defines key terms (aid service, ambulance service, opioid, ODMAP, WEMSIS). These changes are procedural and data‑reporting in nature: they create a new statutory duty to report and share specified EMS overdose data and they amend existing EMS data system law to require statewide electronic EMS reporting and inclusion of suspected drug overdoses for purposes that include sharing with ODMAP and identifying individuals for engagement with peer support and related services. The bill prohibits using the submitted information for law enforcement welfare checks, warrant checks, or criminal investigations or prosecutions of the treated individual, prohibits submitting information that would allow identification of an individual, and requires immediate termination of department access to ODMAP if a federal agency obtains access without prior authorization. The amendment retains confidentiality and statutory exemptions for certain data and patient care quality assurance records, and includes a limited exception allowing disclosure in actions about restriction or revocation of a health care provider’s clinical or staff privileges subject to the restrictions in RCW 4.24.250; patient‑identifying information must not be publicly disclosed without the patient’s consent. The extracted text does not name which state department is responsible, does not identify the “secretary” who licenses EMS agencies, and ends mid‑provision so additional implementation, enforcement, data security, funding, or penalty details (if any) are not available in the provided material.

If enacted, the state will begin automatically sending opioid overdose reports from its emergency medical services reporting system into the statewide overdose-mapping program starting January 1, 2027, with near‑real‑time transfers required within 24 hours and specific fields (time, location to a specified degree of precision, whether reversal medication was given, and initial fatal/nonfatal status). That will give public health and outreach teams faster, more geographically precise signals of overdose spikes so they can deploy peer support, outreach, and other response resources more quickly. The main burden falls on the unnamed state department and licensed ambulance, aid, and other EMS providers, which will need to build or adapt an API and reporting processes and absorb implementation and ongoing reporting work and costs; ODMAP operators and substance use disorder peer programs will get timelier data to act on. The law limits use of the data for law enforcement or identification of individual patients and requires stopping access if a federal agency gains unauthorized access, which lowers risk of criminal use but creates privacy-protection and operational compliance obligations. Important details are missing here, including which department is responsible, how implementation will be funded, and full confidentiality exception language, so practical timelines, costs, and enforcement are uncertain.