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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)

Signed by Governor

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Bill Overview

Analyzed Economic Effects

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

No-cost preventive care for Washington enrollees

Beginning April 1, 2026, nongrandfathered health plans issued or delivered in Washington must cover specified preventive care. These are plans without the exemption for certain older plans. Covered care includes U.S. Preventive Services Task Force A- or B-rated services and federally supported screenings for women and children. Those ratings and guidelines use the June 30, 2025 baseline; coverage also includes vaccines recommended by Washington's health department. Coverage starts with plan years beginning at least one year after the relevant recommendation or guideline is issued. Covered in-network care has no cost sharing, such as copays or deductibles. When no in-network provider can provide the care, plans must cover an out-of-network provider without cost sharing. Qualifying health savings account plans may charge only the minimum needed to preserve tax-free account deposits and withdrawals. The insurance commissioner can update coverage rules, but they must be at least as favorable to enrollees as the baseline.

Broader state vaccine purchasing for children

Beginning March 9, 2026, Washington's health department can issue vaccine recommendations using scientific evidence and judgment. It must consider federal vaccine advisory guidance and other relevant experts, then post its guidance online without standard state rulemaking. State vaccine purchases can include immunizations it recommends for children under 19 that the Food and Drug Administration approves as safe and effective. This replaces the definition tied to federal vaccine advisory recommendations and broadens which vaccines the program can purchase. When estimating program costs not covered by federal funding, the state must prioritize federal discount prices. If those prices are unavailable, it must prioritize the most cost-effective prices. The law gives no dollar savings estimate or direct household payment.

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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