The bill seeks to modernize and correct various statutes overseen by the insurance commissioner in Washington State by repealing outdated laws and aligning state policies with federal regulations. Key amendments include a revised timeline for refund requests, allowing taxpayers to request refunds for taxes within six years and for fees within 13 months of payment. The bill also introduces new definitions and clarifications regarding the handling of confidential information related to insurance and financial institutions, enhancing the protection of patient data and personal information. Significant insertions include the clarification of terms related to charitable gift annuities and adjustments to the annual filing fee structure, as well as modifications that enhance the insurance commissioner’s authority in market conduct actions.

Additionally, the bill prohibits health carriers from issuing new charitable gift annuities unless they maintain minimum net assets without donor restrictions and mandates non-discrimination in health plans based on factors such as age, race, and gender identity. It specifically requires coverage for gender-affirming treatments and establishes reporting requirements for geographic access to such treatments. The bill also expands coverage for hearing instruments, mandates annual reporting of dental plan data and medical malpractice claims, and introduces new registration requirements for guaranteed asset protection waivers. These changes are set to take effect on January 1, 2026, with the goal of improving healthcare access and equity for diverse populations.

Statutes affected:
Original Bill: 42.56.400, 48.200.040, 48.19.460, 48.19.501, 48.19.540, 48.37.050, 48.38.010, 48.38.012, 48.43.0128, 48.43.115, 48.43.135, 48.43.743, 48.135.030, 48.02.190, 48.140.050, 48.150.100, 48.160.020
Substitute Bill: 42.56.400, 48.200.040, 48.19.460, 48.19.540, 48.37.050, 48.38.010, 48.38.012, 48.43.0128, 48.43.135, 48.43.743, 48.135.030, 48.02.190, 48.140.050, 48.150.100, 48.160.020
Bill as Passed Legislature: 42.56.400, 48.200.040, 48.19.460, 48.19.540, 48.37.050, 48.38.010, 48.38.012, 48.43.0128, 48.43.135, 48.43.743, 48.135.030, 48.02.190, 48.150.100, 48.160.020
Session Law: 42.56.400, 48.200.040, 48.19.460, 48.19.540, 48.37.050, 48.38.010, 48.38.012, 48.43.0128, 48.43.135, 48.43.743, 48.135.030, 48.02.190, 48.150.100, 48.160.020