Bill > HB2242

This bill aims to ensure continued access to preventive health services by clarifying state authority and definitions, particularly concerning immunizations and other preventive care. It allows the Department of Health to issue immunization recommendations and guidance, considering federal guidelines from the Centers for Disease Control and Prevention (CDC) and other relevant experts, and these recommendations will be posted online without requiring formal rule-making. The bill also updates requirements for health plans, mandating coverage for preventive services rated "A" or "B" by the U.S. Preventive Services Task Force, as well as specific services for infants, children, adolescents, and women, with coverage dates generally set for plans starting on or after April 1, 2026, and incorporating recommendations and guidelines in effect as of June 30, 2025. Importantly, it clarifies that health plans cannot impose cost-sharing for these preventive services when provided by in-network providers, with a limited exception for health savings accounts, and allows for reasonable medical management techniques. The bill also modifies definitions related to vaccine costs and coverage for children under 19, ensuring that the state prioritizes purchasing vaccines at the most cost-effective rate. Finally, it establishes a review by the Joint Legislative Audit and Review Committee by November 15, 2032, to assess the act's effectiveness in preserving access to preventive services and ensuring cost-effective vaccine purchases, with the act taking effect immediately.

Health and Social Services

https://app.leg.wa.gov/billsummary?BillNumber=2242&Year=2025&Initiative=false