Bill > SB6210

This bill aims to improve access to and affordability of health insurance plans offered through the Washington Health Benefit Exchange, which is a marketplace where individuals and small businesses can purchase health coverage. The bill allows the Exchange to establish additional criteria, called "market factor certification criteria," beyond the basic requirements of the Affordable Care Act, to evaluate health plans. These new criteria will focus on factors like cost-sharing, covered benefits, premiums, prescription drug coverage, provider networks, and quality to ensure plans are meaningful and diverse for consumers. The bill also clarifies the roles of the Exchange and the Office of the Insurance Commissioner, with the Commissioner retaining responsibility for reviewing rate increases and network adequacy, while the Exchange gains authority to assess market factors. Importantly, any information submitted by health carriers to the Exchange for these new certification criteria will be kept confidential. Additionally, the bill mandates collaboration between the Exchange and the Commissioner to address counties with limited carrier options, working with carriers and hospitals to encourage more plan offerings.

Budget and Finance, Health and Social Services

https://app.leg.wa.gov/billsummary?BillNumber=6210&Year=2025&Initiative=false