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WashingtonHB 22422025-2026 Regular SessionHouseWALLET

Preserving access to preventive services by clarifying state authority and definitions.

Sponsored By: Dan Bronoske (Democratic)

Became Law

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Bill Overview

Analyzed Economic Effects

3 provisions identified: 2 benefits, 0 costs, 1 mixed.

Most new plans cover preventive care

Beginning April 1, 2026, most new nongrandfathered health plans cover key preventive care. Plans cover services rated A or B by the U.S. Preventive Services Task Force and federal guidelines for children and for women that were in effect on June 30, 2025. They also cover immunizations the state health department recommends under this law. You pay no copays, deductibles, or coinsurance when you use an in-network provider. If no in-network provider is available, the plan must cover an out-of-network provider with no cost sharing. HSA-qualifying plans may use only the minimum cost sharing needed to keep HSA tax status. Plans add newly recommended items starting with plan years that begin one year after the recommendation.

State buys kids’ vaccines, insurers pay

Effective March 9, 2026, Washington runs a state program to buy vaccines for many children under 19. “Covered lives” are kids on plans issued in Washington or on group plans run by third-party administrators; children whose vaccines are paid with federal funds or who are in specified state-purchased programs are not included. Vaccines must be FDA-approved and recommended by the state health department. Each year by October 1, the health secretary estimates the nonfederal cost. The vaccine association sets assessments so insurers and third-party administrators pay that cost and sends the money to the state vaccine account. The board links doses to each carrier and uses that data by November 1 to set each share. The association covers any shortfall and can reduce future assessments if there is a surplus. These assessments can flow into premiums over time.

State can issue vaccine guidance

Starting March 9, 2026, the state health department can issue vaccine recommendations and guidance. It considers national experts and science and posts the guidance online. This guidance does not go through formal rulemaking. The law does not create new vaccine mandates or change consent rules for minors or adults.

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Sponsors & Cosponsors

Sponsor

  • Dan Bronoske

    Democratic • House

Cosponsors

  • Alex Ramel

    Democratic • House

  • Beth Doglio

    Democratic • House

  • Brianna Thomas

    Democratic • House

  • Edwin Obras

    Democratic • House

  • Gerry Pollet

    Democratic • House

  • Janice Zahn

    Democratic • House

  • Lisa Parshley

    Democratic • House

  • Liz Berry

    Democratic • House

  • Mary Fosse

    Democratic • House

  • My-Linh Thai

    Democratic • House

  • Natasha Hill

    Democratic • House

  • Nicole Macri

    Democratic • House

  • Sharon Wylie

    Democratic • House

  • Tarra Simmons

    Democratic • House

  • Timm Ormsby

    Democratic • House

Roll Call Votes

All Roll Calls

Yes: 93 • No: 51

Senate vote • 2/26/2026

3rd Reading & Final Passage

Yes: 36 • No: 12 • Other: 1

House vote • 2/11/2026

3rd Reading & Final Passage

Yes: 57 • No: 39 • Other: 2

Actions Timeline

  1. Effective date 3/9/2026.

    3/9/2026House

  2. Chapter 13, 2026 Laws.

    3/9/2026House

  3. Governor signed.

    3/9/2026legislature

  4. Delivered to Governor.

    3/3/2026legislature

  5. President signed.

    2/28/2026legislature

  6. Speaker signed.

    2/28/2026legislature

  7. Third reading, passed; yeas, 36; nays, 12; absent, 0; excused, 1.

    2/26/2026House

  8. Rules suspended. Placed on Third Reading.

    2/26/2026House

  9. Placed on second reading by Rules Committee.

    2/24/2026House

  10. Passed to Rules Committee for second reading.

    2/23/2026House

  11. Minority; do not pass.

    2/20/2026House

  12. HLTC - Majority; do pass.

    2/20/2026House

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

    2/13/2026House

  14. Third reading, passed; yeas, 57; nays, 39; absent, 0; excused, 2.

    2/11/2026House

  15. Rules suspended. Placed on Third Reading.

    2/11/2026House

  16. Floor amendment(s) adopted.

    2/11/2026House

  17. 1st substitute bill substituted.

    2/11/2026House

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

    2/6/2026House

  19. Referred to Rules 2 Review.

    1/30/2026House

  20. Minority; without recommendation.

    1/28/2026House

  21. Minority; do not pass.

    1/28/2026House

  22. HCW - Majority; 1st substitute bill be substituted, do pass.

    1/28/2026House

  23. HCW - Executive action taken by committee.

    1/28/2026House

  24. First reading, referred to Health Care & Wellness.

    1/12/2026House

  25. Prefiled for introduction.

    1/2/2026House

Bill Text

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