Bill > SB5967

This bill aims to ensure continued access to preventive health services in Washington state by clarifying state authority and definitions. It allows the Department of Health to issue immunization recommendations and guidance, considering expert advice and scientific evidence, 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 that have an "A" or "B" rating from the U.S. Preventive Services Task Force, specific services for infants, children, and women based on guidelines from the Health Resources and Services Administration, and immunizations recommended by the Department of Health, with these coverage requirements to be at least as favorable as those in effect on June 30, 2025. Additionally, it clarifies that health plans generally cannot impose cost-sharing for these preventive services when provided by in-network providers, with an exception for health savings accounts, and allows for reasonable medical management techniques. The bill also modifies the definition of "vaccine" within the context of the Washington Vaccine Association to include immunizations recommended by the Department of Health for individuals under 19, and clarifies that vaccine purchases will prioritize the federal discount rate or the most cost-effective rate available.

Health and Social Services

https://app.leg.wa.gov/billsummary?BillNumber=5967&Year=2025&Initiative=false