The bill seeks to improve health coverage equity in Washington State by extending health coverage options to all residents, regardless of immigration status. It establishes a new Apple Health expansion program for individuals aged 19 and older with incomes at or below 138% of the federal poverty level who are ineligible for federal assistance due to their immigration status. The program will provide health services comparable to those available to individuals eligible for categorically needy medical assistance. Additionally, the bill mandates the creation of a community accountability committee to oversee managed care organizations and ensure they are accountable to enrollees.

Moreover, the legislation introduces a culturally and linguistically appropriate outreach campaign aimed at improving health coverage for immigrants, with a focus on supporting community-based organizations. It also amends existing laws to prioritize achieving parity in financial assistance for enrollees by January 1, 2028, while ensuring privacy regarding immigration status. The bill requires the exchange to collaborate with relevant authorities to explore federal waivers for premium assistance and cost-sharing reductions, and it clarifies definitions of key terms to facilitate understanding of eligibility and program implementation. Overall, the bill aims to enhance access and affordability of health insurance for vulnerable populations in Washington State.

Statutes affected:
Original Bill: 43.71.020, 43.71.110, 43.71.095