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WA SB6210

Bill

Status

Engrossed

2/11/2026

Primary Sponsor

Vandana Slatter

Click for details

Origin

Senate

2025-2026 Regular Session

AI Summary

  • Authorizes the Washington Health Benefit Exchange to adopt additional "market factor certification criteria" for health plans sold on the exchange, addressing access and affordability issues beyond the 19 basic federal criteria established under the Affordable Care Act

  • Criteria may evaluate whether plans in each county are meaningfully different in cost-sharing, benefits, premiums, networks, and quality; offered by multiple carriers; maximizing federal tax credits; and efficiently using state premium assistance

  • Establishes a detailed timeline for plan year 2028 and beyond, including preliminary criteria due by December 15th two years prior, governor/commissioner objection period, public hearings, and final criteria published by March 1st of the year before implementation

  • Allows carriers to request waivers from market factor criteria by demonstrating good faith efforts to comply, with the exchange considering factors like network contracting barriers, premium impacts, and effects on Washington residents

  • Declares carrier information submitted for market factor certification confidential and exempt from public disclosure, and takes effect immediately as an emergency measure

Legislative Description

Concerning the health plan certification process.

Last Action

Rules Committee relieved of further consideration. Placed on second reading.

3/5/2026

Committee Referrals

Rules3/2/2026
Appropriations2/25/2026
Health Care and Wellness2/14/2026
Rules2/4/2026
Health & Long-term Care1/19/2026

Full Bill Text

No bill text available