Washington legislation · 2025-26 Regular Session
Washington HB2283: Medical loss ratio
Status: In committee, February 19, 2026
Establishing a medical loss ratio of at least 90 percent for health plans.
What the bill says
An act Relating to establishing a medical loss ratio of at least 90 percent for health plans; and adding a new section to chapter 48.43 RCW. NEW SECTION.
From the introduced text:
AN ACT Relating to establishing a medical loss ratio of at least 90 percent for health plans; and adding a new section to chapter 48.43 RCW. NEW SECTION. Sec. 1. A new section is added to chapter 48.43 RCW to read as follows: (1) For health plans issued or renewed on or after January 1, 2028, the medical loss ratio shall be at least 90 percent. (2) The commissioner may require carriers to submit, in the form and level of detail specified by the commissioner, information regarding a carrier's calculation of medical loss ratios as part of a carrier's health plan rate filings for plan years beginning on or after January 1, 2027. Such information may include, but is not limited (b) A carrier's use of nonclaims-based payments, such as subcapitation or bundled payment methodologies; and (c) A carrier's payments for quality improvement, risk mitigation, and other incentive-based activities. (3) The authority granted by this section does not modify or limit the commissioner's rate review authority under RCW 48.43.733, 48.44.017, and 48.46.062. (4) The commissioner may adopt any rules necessary to implement this section. (5) For the purposes of this section, "medical loss ratio" means the same as in 45 C.F.R. Sec. 158.221 (2025) as of January 1, 2026. --- END ---
Sponsors
- Alicia Rule (D) · primary sponsor
- Leavitt, Mari (D)
- Kristine Reeves (D)
- Valdez, Michelle (R)
Latest actions
- : House Rules "X" file.
- : Returned to Rules Committee for second reading.
- : Rules Committee relieved of further consideration. Placed on second reading.
- : Referred to Rules 2 Review.
- : Minority; without recommendation.
- : Minority; do not pass.
- : HCW - Majority; 1st substitute bill be substituted, do pass.
- : Executive action taken in the House Committee on Health Care & Wellness at 8:00 AM.
- : Public hearing in the House Committee on Health Care & Wellness at 1:30 PM.
- : First reading, referred to Health Care & Wellness.
Votes
- House Committee on Health Care & Wellness: The substitute bill be substituted therefor and the substitute bill do pass (January 30, 2026): 12 yea, 3 nay, passed
Subjects: HEALTH INSURANCE
Common questions
- What is HB2283?
- HB2283 is a bill in the Washington Legislature (2025-26 Regular Session): Medical loss ratio.
- What does HB2283 do?
- In its own words: An act Relating to establishing a medical loss ratio of at least 90 percent for health plans; and adding a new section to chapter 48.43 RCW. NEW SECTION.
- What is the status of HB2283?
- In committee as of February 19, 2026. Latest action: House Rules "X" file. (February 19, 2026).
- Who sponsored HB2283?
- Alicia Rule (D), with 3 co-sponsors.
- Where is the official record for HB2283?
- On the Washington Legislature website: https://app.leg.wa.gov/billsummary?BillNumber=2283&Year=2025
Source: official Washington record. Tracked by Delilah, AI for legislation across all 50 states and Congress.