WA HB2657

Imposes an annual coverage assessment on health carriers offering plans on the health benefit exchange: $0.82 per coverage month in the first year, then $0.165 per coverage month thereafter, with the initial assessment due March 1, 2027

Creates the "abortion savings program" to provide operating grants to organizations that employ health care providers authorized to terminate pregnancies, supporting direct patient abortion clinical care services for uninsured, underinsured, or those unable to use insurance

Establishes the "abortion savings account" in the state treasury to receive assessment revenues, with at least 85% of appropriated funds required to go directly to eligible organizations as grants

Prohibits health carriers from passing the assessment costs to enrollees through premiums, rates, or plan design, and authorizes penalties of 5-20% plus interest for late payments

Protects identifying information of grant recipients, their staff, and patients from public disclosure, broadly defining "identifying information" to include names, addresses, social media accounts, and other sensitive data