The bill aims to improve health coverage equity in Washington State by creating a new program under the Apple Health expansion that provides health coverage to individuals ineligible for federal assistance due to their immigration status. This state Medicaid equivalent program will offer no-cost health coverage to those who meet income eligibility standards, regardless of immigration status. Additionally, the bill mandates financial assistance for qualified health and dental plans for enrollees who cannot access federal advance premium tax credits due to their immigration status. A community accountability committee will be established to monitor the program's performance and ensure accountability to enrollees and community organizations.

To further enhance accessibility and affordability, the bill requires collaboration between the exchange, the authority, and the office of the insurance commissioner to explore federal waivers for funding premium assistance and cost-sharing reduction programs. It specifically addresses the needs of lawfully present immigrants with incomes at or below 138 percent of the federal poverty level, potentially transitioning them to a state program if federal funds are available. The bill also emphasizes the importance of public input in the waiver application process and clarifies definitions of key terms to ensure consistent understanding. Overall, the legislation reflects a commitment to improving health outcomes for all residents, particularly those who have historically faced barriers to accessing healthcare.

Statutes affected:
Original Bill: 43.71.020, 43.71.110, 43.71.095