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Our Legislative Work
Since its founding in 1999, NoHLA has promoted state-level policies that improve access to affordable, quality health care for lower-income residents. As part of that work, NoHLA:
Participates in coalitions, providing technical assistance and helping to identify key issues that affect health care for Washington residents.
Develops policy priorities and advocates for regulatory or legislative solutions.
Monitors state bill and budget proposals during each legislative session.
Provides updates and tracking of state bills and budget proposals to our followers and the public.
NoHLA in the 2025 Legislature
The state legislative session is a critical time for Washington’s health care system. From January through April 2025, the Washington Legislature will make decisions on hundreds of policy bills and budget proposals that impact health care. NoHLA reviews every health care bill and budget proposal to understand how it will impact access to health care. We work in coalition with community organizations to provide a patient-focused perspective to legislators on health care issues that matter to Washingtonians.
Defending an Equitable Health Safety Net
Medicaid & Medicare. We oppose cuts to Apple Health/Medicaid & Medicare that reduce eligibility or limit benefits. We support reducing Apple Health disparities for older adults and people with disabilities.
Immigrant health coverage. We prioritize maintaining recent immigrant coverage expansions that provide a lifeline to about 12,000 Washingtonians, and call for new Apple Health Expansion slots to address the over 17,000 who have been denied coverage due to capped funding.
Cascade Care Savings. We support maintaining state funding for Exchange premium assistance and expanding state funds to back fill expiring federal enhanced premium tax credits.
Progressive revenue. We support new progressive revenue to address the state’s revenue shortfall, rather than balancing the budget on the backs of marginalized communities
Improving Health Care Affordability
Stop unfair medical bills. We support protecting patients from harsh billing practices, such as excess garnishment for medical debt, reporting medical debt on credit scores, and surprise hospital facilities fees.
Slow corporate influence. We support addressing outsized profit incentives in health care by enhancing state oversight of health system consolidations and codifying corporate practice of medicine protections.
Improve transparency. We support shedding light on insurers and providers’ secretive health pricing.
Tackle high prices. We support re-balancing excessive hospital prices for state & school employee health plans, allowing reinvestment in primary care and behavioral health.
Expanding Access to Care
Reproductive health. As other states erode rights, we support improving & protecting access to contraception, abortion, and other reproductive health care in Washington.
Care denials. We support eliminating unnecessary care delays and denials, such as excessive prior authorization requirements.
Summaries of Past Sessions
Summary of Health Care Access Bills that Passed the 2023 Washington Legislature and 2023-2025 Health Budget Highlights
Summary of Health Care Access Bills that Passed the 2022 Washington Legislature
Summary of provisions in the 2021 - 23 Operating Budget that relate to health care access
Summary of Health Care Access Bills that Passed the 2021 Washington Legislature
Summary of provisions in the 2021 - 23 Operating Budget that relate to health care access
Summary of Health Care Access Bills that Passed the 2020 Washington Legislature
2020 Supplemental Budget: Selected Provisions of Interest
Summary of Health Care Access Bills that Passed the 2019 Washington Legislature
Summary of provisions in the 2019 - 21 Operating Budget that relate to health care access
Summary of Health Care Access Bills that Passed the 2018 Washington Legislature of enacted bills
2018 Supplemental Budget: Selected Provisions of Interest
Summary of Health Care Access Bills that Passed the 2017 Washington Legislature of enacted bills
Summary of provisions in the 2017-19 Operating Budget that relate to health care access
Summary of Health Care Access Bills that Passed the 2016 Washington Legislature
2016 Supplemental Budget: Selected Provisions of Interest
Summary of Health Care Access Bills that Passed the 2015 Washington Legislature
Final Biennial Budget 2015-17: Selected Provisions of Interest