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WA SB5953

Bill

Status

Introduced

1/12/2026

Primary Sponsor

Vandana Slatter

Click for details

Origin

Senate

2025-2026 Regular Session

AI Summary

  • Health plans issued or renewed on or after January 1, 2027 must maintain a medical loss ratio of at least 90 percent
  • Medical loss ratio is defined by federal regulation (45 C.F.R. Sec. 158.221), which measures the percentage of premium revenue spent on clinical services and quality improvement versus administrative costs
  • The Insurance Commissioner is granted authority to adopt rules necessary to implement the requirement
  • Adds a new section to chapter 48.43 RCW governing health plan standards

Legislative Description

Establishing a medical loss ratio of at least 90 percent for health plans.

Last Action

First reading, referred to Health & Long-Term Care.

1/12/2026

Committee Referrals

Health & Long-term Care1/12/2026

Full Bill Text

No bill text available