With the July 4, 2025 signing of the federal reconciliation bill (H.R. 1), also known as the “One Big Beautiful Bill Act,” a series of policy changes will be implemented over the next five years that threaten to undermine the health and well-being of the American people. Implementation of this bill will include cuts to vital programs, causing millions of people to lose their health care coverage and access to food assistance, and will likely force the closure of hospitals, particularly in rural areas. 

We provide an assessment of leading proposals to improve youth mental health in Washington, and offer recommendations for strategies that the state could implement to make major progress in the year ahead.

This report presents findings from detailed analysis and identifies opportunities for breakthrough progress in Washington's adolescent mental health crisis.