In Every Corner of Our State, the Heart of Washington is Strong
Happy Fantastic Friday!
Dear friends,
This summer, I’ve been fortunate to meet with constituents across the 40th District and beyond—hearing directly from you about your stories, your hopes, and your concerns. Earlier this month, I had the deep honor of joining Governor Bob Ferguson for a series of public meetings on Orcas Island, including an economic roundtable, a town hall focused on ferries, and conversations with ferry workers in the engine and steam rooms.
These visits haven’t just been ceremonial—they’ve been essential. Whether it’s a conversation on a front porch, a community forum in a school gym, or a quiet moment with a nurse or farmworker after their shift, every interaction has reminded me of why I serve.
We’ve heard from families worried about losing their health care, immigrants fearful about privacy violations, teachers struggling with outdated classrooms, and small business owners building hope out of hardship. We’ve also met young people stepping into advocacy, elders guiding us with wisdom, and communities organizing in the face of adversity with grit and grace.
This newsletter is about honoring what we’ve heard and updating you on how we’re responding—from defending your privacy in the wake of federal overreach, to standing up against a federal budget that threatens working families, to sharing vital resources.
More than anything, I want you to know: your voice is powerful, and it’s being heard. We are working every day in partnership—with each other and with you—to uphold the values that make Washington home.
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Fighting for Health Care, Equity, and Washington Values
The recent federal Republican budget proposal—what many are calling the Big Betrayal Bill—is not just a policy document. It’s a direct attack on the health and well-being of Washingtonians. As your State Representative and Vice Chair of the House Health Care & Wellness Committee, I want to speak plainly: this bill robs our elders, working families, and vulnerable communities of the care, dignity, and security they deserve.
The cuts are staggering. Hundreds of billions of dollars are being stripped from health care, food assistance, clean energy, housing, and education—and handed over to the wealthiest individuals and corporations through irresponsible tax breaks. This is not governance. This is greed.
Here in Washington state, we are standing strong in the face of this cruelty. Governor Ferguson is already taking action to backfill the federal defunding of Planned Parenthood with emergency dollars from our Health Care Authority—because access to reproductive health care is non-negotiable. Attorney General Brown is leading legal efforts with other states to defend public health funding and protect critical medical research.
Even while the Legislature is out of session, I am working closely with the Governor’s office, agency leaders, and my fellow lawmakers to evaluate the full impact of these cuts and pursue every tool available to protect our people. We are particularly focused on assessing how the bill’s Medicaid reductions will impact rural and tribal communities, small clinics, and the providers who serve them.
These decisions being made in Washington, D.C. will affect every person in our state: rising health care costs, longer waits for care, disappearing providers, and fewer safety net programs for those already living on the margins.
If your family, your nonprofit, your clinic—or you personally—are experiencing harm due to these federal changes, I urge you to share your story with my office. Your voice matters, and it will guide our fight forward.
I also encourage you to raise your voice with our federal delegation. Reach out to Senators Patty Murray and Maria Cantwell. Call Congressman Rick Larsen. Let them know what’s at stake in your life.
This is a moment for courage and unity. We are not powerless. We are not alone. And we are not giving up.
I will continue to fight for a Washington that reflects our shared values: compassion, health, justice, and care for one another.
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Protecting Privacy, Health Access, and the Dignity of Every Washingtonian
As your state representative and Vice Chair of the House Health Care & Wellness Committee, I want to share urgent news that may affect the privacy of some of our most vulnerable community members—especially immigrants and non-citizen residents who rely on Apple Health for essential medical care.
On June 13, 2025, we learned through a troubling news report that the federal agency overseeing Medicaid, Centers for Medicare & Medicaid Services (CMS), may have shared personal information of Apple Health clients with the Department of Homeland Security (DHS).
Let me be clear: the State of Washington did not approve this, and we were not notified in advance. We were blindsided, and we are outraged.
For our immigrant neighbors—especially those enrolled in Apple Health Expansion, a state-managed Medicaid program partially funded with federal dollars—this is an unacceptable breach of trust. While the Health Care Authority (HCA) never disclosed specific immigration statuses, any sharing of personal data with immigration enforcement agencies is harmful and dangerous.
Our values as a state do not change with federal administrations. We believe that health care is a human right—not a tool for surveillance or punishment.
In response:
- Governor Ferguson acted swiftly to stop unnecessary data sharing and protect the privacy of Apple Health Expansion clients.
- HCA has now halted the submission of non-emergency care data for enrollees in that program, unless federally required.
- Our team in Olympia is working closely with agency leaders to assess the full scope and develop long-term safeguards.
We are committed to building systems of care and trust—not fear. That includes strengthening our programs, improving oversight, and ensuring no one in Washington is afraid to seek medical care.
For help, I encourage you to visit Washington for All—a one-stop resource hub created in collaboration with state agencies and local partners. It offers multilingual tools, immigration rights information, and access to public services, regardless of immigration status.
If you, your family, or your organization is affected by these developments, please reach out. You are not alone, and we are in this fight together.
Your health, your story, and your dignity matter. And as long as I serve, I will fight to ensure this state remains a place where everyone belongs, and no one is left behind.
Read the HCA statement here.
Read the Apple Health Data Privacy Document here.
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Community Solutions: Whatcom County’s Opioid Response
The opioid and fentanyl crisis has deeply impacted families and communities across Washington—and the 40th District is no exception. But in the face of this heartbreak, I see something powerful: our neighbors and institutions coming together, shoulder to shoulder, to save lives and build a healthier future.
In Whatcom County, local leaders recognized that tackling the overdose crisis couldn’t fall on one agency or one solution alone. That’s why, in the summer of 2023, they launched the Opioid Multi-Agency Coordination (MAC) group—a groundbreaking collaboration of public health leaders, schools, fire and EMS, social service providers, hospitals, law enforcement, tribal nations, recovery advocates, and more.
The MAC is more than a meeting—it’s a movement. It was created to coordinate a countywide response to rising overdose deaths and substance use. Together, its members are aligning efforts to prevent drug misuse, improve access to treatment, support long-term recovery, and reduce the strain on emergency services.
These efforts are fully aligned with the Washington State Opioid and Overdose Response Plan, and address five core goals:
Prevent misuse of opioids and other drugs
Improve identification and treatment for substance use disorders
Promote health and wellness for those impacted
Use data to guide decision-making and improve interventions
Support long-term recovery and second-chance opportunities
Since its launch, the MAC group has held monthly convenings that foster trust, share knowledge, and advance real-time solutions. In addition to these large group gatherings, subgroups are hard at work on urgent priorities, including:
- Bridging emergency and long-term care: The MOUD (Medications for Opioid Use Disorder) subgroup is working with PeaceHealth to ensure that those treated in emergency rooms don’t fall through the cracks—and instead have a clear path to outpatient care.
“That kind of coordination simply wouldn’t have happened without the relationships and shared focus this group has helped nurture.” — Dr. Shannon Boustead
- Building pathways to employment: Another subgroup is supporting “second-chance” employment for people in recovery or reentry—mapping current efforts and strengthening the network of supportive employers.
This work is a testament to what’s possible when we break down silos and lead with care, courage, and collaboration. As Brittany Hargrove, Chief Program Officer at Lighthouse Mission Ministries, shared:
“The MAC group is a community of deeply committed people setting aside differences, coming together to take a stand against the challenge we face across our beautiful state. It’s opened doors for partnership, and it’s encouraging to see real solutions already being put into action.”
🧭 Resources for the 40th District
If you or a loved one are impacted by opioid use, you are not alone—and there are trusted resources here to help:
- Whatcom Overdose Prevention (Opioid & Fentanyl Info) »
- Whatcom Has Hope »
- All Hands Whatcom »
- Request Naloxone kits and access local overdose data and other information at https://whatcomoverdoseprevention.org/naloxone/order/
- Get Naloxone/Narcan mailed to you for free anywhere in Washington State at http://phra.org/naloxone
These tools are for everyone—parents, educators, health care providers, first responders, and those in recovery.
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🐟 Salmon Is Back!
In the 40th District, salmon is more than just a species—it’s a way of life. Salmon teach us how to return home, how to nurture future generations, and how to live in balance with the land and waters that sustain us. As a Native woman and lawmaker, I carry this sacred responsibility forward each day in the Legislature, where I continue to advocate for policies that honor salmon, tribal treaty rights, and healthy ecosystems for all.
That’s why I’m proud to share that salmon recovery work across Washington is moving forward with renewed momentum—and salmon are making their return to the rivers, estuaries, and streams we’ve fought so hard to protect.
The latest State of Salmon report (2024 Executive Summary) outlines our collective progress—and our continued challenges—in restoring salmon runs statewide. While some species remain at risk, we’re seeing signs of resilience and recovery thanks to the dedication of tribes, local communities, scientists, and policymakers.
But healthy salmon cannot survive without healthy riparian zones—the critical green corridors of trees, roots, and shade that protect water quality and support the food web salmon depend on.
That’s why I’ve been proud to support and help guide the work of the Riparian Task Force, a collaborative effort designed to protect and restore riparian habitat across Washington. Over the past year, the Task Force convened a series of “Riparian Roundtables” with input from tribal nations, farmers, conservation groups, scientists, and state agencies. Together, they developed proposals for sustainable riparian restoration—grounded in science, equity, and real-world implementation.
You can read the full Riparian Task Force Report (with February 2025 Addendum) to learn more about their recommendations and the process ahead.
With new legislative funding, the Task Force will now continue this work for the next 18 months, building on the foundation we’ve laid and deepening engagement with community and legislative partners—including myself and others from the 40th District.
As we gather around fishing boats, riverbanks, and backyard grills this summer, let us remember that salmon carry more than just protein—they carry the stories, teachings, and spirit of our ancestors and our shared future. And they remind us: the work to heal our waters is not finished—but it is deeply underway.
REMINDER: Salmon Coffee Chat!
Join us for a casual virtual coffee chat THIS weekend — Saturday, July 26 at 9:00 AM — using this Zoom link: https://leg-wa-gov.zoom.us/j/99464250894. We look forward to seeing you there!
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Whether it’s standing up to federal overreach, protecting your right to health care and privacy, responding to the opioid crisis, or restoring salmon habitat for future generations—our work is grounded in one simple truth: Washington belongs to all of us. Every story you share, every question you ask, every step you take to support your neighbors—it matters. It fuels our collective fight for justice, dignity, and a future rooted in care. As we move forward together, I remain committed to listening, learning, and leading with you—because the strength of Washington has always come from the people who call it home.
All best wishes,
Rep. Debra Lekanoff