Washington is a leading state in terms of healthcare reform legislative efforts. In the 2019 session, the Legislature passed legislation to provide a public option health insurance plan (HB 5526) to brings its residents a step closer to universal healthcare. The state also enacted bills to tackle surprise and balance billing (HB 1065) and promote transparency in network adequacy (HB 1099) and prescription drugs pricing (HB 1224). In healthcare markets, the Legislature enacted HB 1607 to give the state attorney general additional merger review authority of healthcare entities. Additionally, HB 1870 would protect against pre-existing conditions and provide essential health benefits in the case of repeal of the Affordable Care Act.

In 2018, the state introduced a number of price transparency and cost control bills aimed at tackling prescription drug costs. Notably, the legislature passed a bill to promote telemedicine in the state. SB 6399 would establish a telemedicine payment parity pilot program to provide parity in reimbursement for certain health care services and requires certain health care professionals to complete telemedicine training.

In the 2017 legislative term, Washington actively built upon its legislation promoting price transparency by continuing to pass legislation related to the creation of the state’s APCD. The state legislature passed SB 5084 in 2015, which established an APCD in the state. The Washington All Payer Health Care Claims Database (WA-APCD) is administered by the state’s Office of Financial Management through its lead organization, the Center for Health Systems Effectiveness (CHSE) at Oregon Health & Science University (OHSU). In July 2018, the state launched the new public face of the WA-APCD program, named Washington HealthCareCompare. The site will aggregate health care claims information of over 4 million Washington residents to present informative cost comparisons for consumer, as well as statistical reports and data access for health care industry insiders.

The State Database

The Source tracks state activities impacting healthcare price and competition in both legislation and litigation in a searchable database to help stakeholders at the state level understand their legal and regulatory environment as they make efforts to improve access, quality, and efficiency, and reduce costs in healthcare.

LEGISLATION: The Database of State Laws Impacting Healthcare Cost and Quality (SLIHCQ), created by The Source on Healthcare Price & Competition and Catalyst for Payment Reform, catalogues state legislation governing price transparency, provider market power, provider payment, provider networks, and benefit design. The database also includes pharmaceutical legislation beginning in the 2017-2018 legislative session. *Note: Current legislative session bill updates are ongoing. Check back weekly for updates. 

LITIGATION: The Source tracks major litigation and antitrust enforcement action by federal entities (FTC or DOJ), state attorney generals, and private parties in the main provider and insurer markets, particularly legal challenges of healthcare consolidation and anticompetitive contract provisions. Additionally, the database contains major pharmaceutical cases including legislation challenges and significant appellate cases.

Search the database across all jurisdictions on the State Overview page, or view and filter existing legislation or litigation on individual state pages. The database allows customized search and filter by keyword, status, and/or key issue category. *Multiple filter/selections enabled. Click here for User Guide.


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© 2018-2019 The SLIHCQ DatabaseInitial funding for this project was provided by the Robert Wood Johnson Foundation. The views expressed here do not necessarily reflect the views of the Foundation.
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Download User Guide

© 2018-2019 The SLIHCQ DatabaseInitial funding for this project was provided by the Robert Wood Johnson Foundation. The views expressed here do not necessarily reflect the views of the Foundation.
Filter by Key Issue

Additional Resources


Washington’s latest legislative session ran from 1/14/2019 – 4/23/2019. Bills from 2019 will carry over to 2020 as part of the 2019-2020 legislative term.

2019 – 2021 BUDGET

Washington enacts budgets on a two-year cycle, beginning July 1 of each odd-numbered year. Washington’s new Biennial Budget will take effect on July 1, 2019 and is valid through June 30, 2021. To view Washington’s enacted 2019-2021 Budget, click here.


  • Washington was one of 16 states to file an amicus brief supporting the FTC’s winning position in the Ninth Circuit appeal of St. Luke’s Health Care Sys. v. FTC, No. 14-35173 (March 7, 2014), decided February 10, 2015. The States’ brief stated that the acceleration of health care costs due to the growth of large health care provider systems had become a matter of grave concern for the states.