Bill > HB1445

This bill creates the Washington Health Trust, a comprehensive state-wide health care system designed to provide universal health coverage to all Washington residents. The trust will be governed by a 17-member board of trustees appointed by the governor and will establish a single comprehensive benefits package covering essential health services like hospital care, preventive care, prescription drugs, mental health treatment, reproductive care, and more. Funding for the trust will come from multiple sources, including a new capital gains tax on high-income earners, employer contributions (ranging from 4.5% to 10.5% of payroll depending on business size), and a 2% employee payroll deduction. The bill aims to eliminate administrative waste, create more equitable health care access, and guarantee coverage without premiums, deductibles, or copayments for most residents. Key provisions include establishing the trust by February 1, 2026, creating advisory committees to guide its implementation, negotiating provider reimbursement rates, developing a statewide health data system, and working to integrate existing federal health programs like Medicare and Medicaid. The system will be phased in gradually, with full implementation targeted for November 1, 2027, and seeks to address health care disparities by ensuring culturally competent and linguistically appropriate care for all Washington residents.

Health and Social Services

https://app.leg.wa.gov/billsummary?BillNumber=1445&Year=2025&Initiative=false