WA SB5233

Creates the Washington Health Trust, a single-payer universal health care system providing comprehensive coverage to all Washington residents including primary care, dental, vision, prescription drugs, mental health, and long-term care (starting January 1, 2029) with no premiums, deductibles, or copayments for most enrollees

Establishes a 17-member Board of Trustees to govern the trust, set benefits packages, negotiate provider reimbursement rates, and manage an annual budget capped at 7% administrative costs

Funds the system through employer contributions of 10.5% of payroll (reduced rates for small businesses), employee deductions of 2%, self-employment contributions of 2%, and increased capital gains taxes of 5-7% on gains over $200,000

Requires the state to seek federal waivers to integrate Medicare, Medicaid, and other federal health programs into the trust, with coverage beginning November 1, 2027

Prohibits discrimination in coverage based on race, immigration status, disability, gender identity, body size, or preexisting conditions, and allows residents to purchase supplemental private insurance for benefits beyond the essential package