WeVote
Log In

Bill

Bill

HB 1291

Concerning cost sharing for maternity services.

2025-2026 Regular Session Introduced by Emily Alvarado and 10 co-sponsors

HB 1291 eliminates or reduces patient cost-sharing for maternity services in Washington to improve access to prenatal and childbirth care.

By resolution, returned to House Rules Committee for third reading.
0
WeVote Research Nonpartisan
Bill Summary · HB 1291

Legislative bill overview

HB 1291 addresses cost-sharing requirements for maternity services in Washington State, likely limiting or eliminating copayments, coinsurance, or deductibles for pregnant individuals and childbirth-related care. The bill has advanced through committee with amendments and is proceeding toward a full legislative vote.

Why is this important

Maternity cost-sharing directly affects healthcare access for pregnant people, as high out-of-pocket costs can delay or prevent prenatal care, delivery services, and postpartum care. This legislation could significantly impact maternal health outcomes, healthcare equity, and family financial burden during a critical life event.

Potential points of contention

  • Coverage scope: Disagreement over which services qualify as maternity care (prenatal visits, delivery, postpartum care, fertility treatments, or complications management) and whether all must be zero-cost
  • Insurance market impact: Concerns that eliminating cost-sharing could increase insurance premiums for all enrollees or reduce insurer participation in the maternity coverage market
  • Implementation costs: Disputes over fiscal impact on state budget, federal Medicaid matching funds, and whether employers/insurers can absorb costs without rate increases

Compiled from official sources — confirm details with the bill’s official record.

Sign in to ask a question.