Washingtonians are struggling to get by – skipping care due to cost, facing outsized medical debt, and forced to make impossible choices for their health and safety. Federal attacks cut even deeper, placing 1 in 20 Washingtonians at risk of losing health coverage, and threatening immigrants and reproductive care. Health access and disparities continue to worsen for communities of color, rural residents, and those with disabilities & chronic conditions.

We’re fighting back. Dig into the bills that NoHLA is prioritizing below. See also: NoHLA 2026 Priorities Summary [PDF] and January Legislative Lunch and Learn

2026 Priorities and Bill Tracking

In 2026, NoHLA is pushing back against cuts to the health safety net and urging policymakers to continue their commitment to equitable care.

  • Defend an equitable health safety net

  • Safety Net Coverage

    We oppose cuts to Apple Health/Medicaid, the Exchange Marketplace, and Medicare that would reduce eligibility or limit benefits. WA has already cut to the bone: 4 in 5 Apple Health enrollees already report struggling to access care. We urge focus on minimizing harm from “work requirements” & other red tape from the federal “Big Bad Bill,” H.R. 1.

  • Immigrant Health Care

    We prioritize maintaining the Apple Health Expansion to provide a lifeline to 12,000 Washingtonians, expanding capacity to ensure basic care for at least 45,000 lawfully present immigrants losing coverage this year due to the federal “Big Bad Bill” H.R. 1, and enhanced immigrant privacy protections.

  • Marketplace Stabilization

    We support maintaining state Cascade Care Savings premium assistance to help 75,000 Washingtonians afford coverage, expanding investment to offset rising premiums and expired federal enhanced premium tax credits, and setting higher standards for Marketplace plans.

  • Progressive and Targeted Revenue

    We need new progressive revenue to protect the health safety net, including structural solutions to balance our tax code and targeted policies, such as a fee on large corporations that rely on taxpayers to subsidize their employee health costs.
  • Creating an apple health employer assessment.
  • Funding health insurance premium assistance.
  • Concerning taxes imposed on insurers operating within the state.
  • Improve Health Care Affordability

  • Stop Unfair Medical Bills

    We support protecting patients from harsh billing practices, such as excessive interest rates and wage garnishment for medical debt.

  • Slow Corporate Influence

    We support addressing outsized profit incentives by enhancing state oversight of health system consolidations and codifying corporate practice of medicine protections.

  • Tackle High Prices

    We support efforts to moderate rising premiums, including requiring insurers to devote a greater share of premiums to care instead of profit or administration.
  • Prohibiting interest charges for new and unpaid medical debt.
  • Raising the exemption from garnishment of earnings for judgments arising from medical debt.
  • Concerning the corporate practice of health care.
  • Establishing a medical loss ratio of at least 90 percent for health plans.
  • Expand Access to Care

  • Preventive Care, Reproductive Care, and Vaccines

    We support efforts to shore up state vaccine infrastructure, preventive services, and reproductive care as federal public health systems erode.

  • Care Denials

    We support eliminating unnecessary care delays and denials, such as excessive prior authorization requirements that stem from AI.
  • Improving access to abortion medications.
  • Preserving access to preventive services by clarifying state authority and definitions.
  • Making improvements to transparency and accountability in the prior authorization determination process.

Learn more

Legislative Lunch and Learn - January 15, 2026

NoHLA shared an overview of the bills we’re watching this session and the big issues in Olympia.