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WA SB5075
Bill
Status
1/13/2025
Primary Sponsor
Ron Muzzall
Click for details
AI Summary
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Nongrandfathered health plans issued or renewed on or after January 1, 2026 cannot impose cost-sharing for in-network prenatal services (office visits, lab work, ultrasounds, screening tests, prenatal vitamins) or postnatal services (office visits, lactation specialists, cesarean follow-up, counseling/therapy)
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Beginning January 1, 2027, health plans cannot impose cost-sharing for prescription drugs treating pregnancy-related conditions or complications during prenatal and postnatal periods
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Postnatal coverage without cost-sharing extends 12 weeks after delivery for pregnancy-related services, and up to one year for pregnancy complication-related services
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Health savings account (HSA)-compatible plans may maintain minimum cost-sharing necessary to preserve enrollees' tax-exempt contribution eligibility under IRS regulations
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Applies the new requirements to state employee health plans under RCW 41.05 and authorizes the Office of the Insurance Commissioner to adopt implementing rules
Legislative Description
Concerning cost sharing for prenatal and postnatal care.
Last Action
By resolution, reintroduced and retained in present status.
1/12/2026