FOLLOWUP: Legislators pass ‘public option’ for health insurance as session nears end

Just before the almost-over State Legislature session began, in our pre-session conversations with local legislators, 34th District Rep. Eileen Cody told us she had hopes for approval of a “public option” for health insurance. This news release we received today says it’s on its way to reality:

A bill passed April 27 by the Washington State Legislature would create a public option for health care coverage, available through Washington’s Health Benefit Exchange. The plan would be known as Cascade Care, and would be the first public health insurance option in the nation.

Senate Bill 5526, sponsored by Sen. David Frockt (D-Seattle), and led in the state House of Representatives by Rep. Eileen Cody (D-West Seattle), will give Washingtonians who purchase healthcare coverage on the individual insurance market an option that would decrease the cost of premiums, copays and other out-of-pocket expenses. Gov. Jay Inslee also supported the legislation, and worked with lawmakers throughout the process.

The bill passed with a 56-41 vote in the House, and a 27-21 vote in the Senate. It now goes to the governor for signing.

“Under the current administration in Washington DC, health care policy has gone backward,” Frockt said. “Their policies have led to dramatic increases in premiums and deductibles for our residents who don’t have employer-sponsored coverage (and) rely on coverage from our health benefit exchange.”

Cascade Care will lend predictability by establishing standard benefit packages that are easier for consumers to understand and navigate, and will lower cost sharing — which includes deductibles and copays. The plan will also make cost sharing more transparent and predictable.

“Cascade Care is the next step in affordable and accessible health care for everyone and further demonstrates the Democratic desire to ensure access to care. It is that dedication that has led to the state’s lowest uninsured rate ever and a guarantee of essential health benefits to keep Washington families healthy,” said Rep. Eileen Cody, Chair of the House Health Care & Wellness Committee.

Cascade Care will be available to all Washingtonians, regardless of income, who are not covered by employer health plans. Washingtonians who receive care through an employer, Medicare, or Apple Care will not be affected.

“Every Washingtonian deserves access to consistent and affordable health insurance,” Frockt said. “We need to ensure that people in every county of our state have options to buy into the individual market. Cascade Care takes imperative steps to establish lower premiums and deductibles. This new option with standardized plans will not only make insurance coverage more affordable, but will allow people to have better access to care when they need it.”

6 Replies to "FOLLOWUP: Legislators pass 'public option' for health insurance as session nears end"

  • Onion April 28, 2019 (9:10 pm)

    Awesome.  Thank you for leading the country in what should be a common sense direction.

  • Raye April 29, 2019 (12:34 am)

    I agree with Onion. This is so important. Thank you, Sen. Frockt and Rep. Cody.

  • steve April 29, 2019 (7:23 am)

    Sad that it passed by such a slim margin.  Why, for something that is desperately needed?  Hopefully its a good plan that will help those in the cracks.

  • TJ April 29, 2019 (10:33 am)

    Who is paying for this? 

    • WSB April 29, 2019 (11:22 am)

      Paying what? If you are interested, here’s the fiscal info:
      https://fortress.wa.gov/FNSPublicSearch/GetPDF?packageID=57369

      Relatively small amount of administrative cost. The actual health insurance? Paid for by us customer types, as insurance is now. As a small businessperson with no other source of health coverage other than what we pay for ourselves, I personally hope it might actually provide some slightly more affordable and usable insurance. We pay $1300+ a month for insurance that has such a high deductible, when I had $4,400 in health-care costs last year after years of perfect health, every cent still came straight out of my pocket, without even approaching the deductible. (I’m thankful the need for health-care spending stopped there and I recovered!) No guarantee I guess that this will lead to something more affordable but that’s the intention, if you read the fine print. – TR

  • Mj April 29, 2019 (1:24 pm)

    I’m paying $1,200 a month for me my wife and infant for high deductible plan. More consumer options are needed including allowing people to purchase a plan that only includes preventive care without anything else.  This is the type of plan I had for years, before the ACA and it was perfect for my needs and was much less expensive!  The ACA caused significant cost increases for millions of people that still has not been addressed!

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