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Key Votes

HB 2319 - Requirements for Health Insurance Exchange - Key Vote

Washington Key Votes

John McCoy voted Yea (Concurrence Vote) on this Legislation.

Read statements John McCoy made in this general time period.

Stages

Family

Issues

Stage Details

Legislation - Vetoed (Line Item Veto) (Executive) -

Title: Requirements for Health Insurance Exchange

Legislation - Concurrence Vote Passed (House) (57-39) - (Key vote)

Title: Requirements for Health Benefit Exchange

Vote Smart's Synopsis:

Vote to concur with Senate amendments and pass a bill that establishes specific rules for the Washington health benefit exchange.

Highlights:
  • Establishes the Washington Health Benefit Exchange as a "self-sustaining" public-private partnership separate and distinct from the state (Sec. 3).
  • Defines “self-sustaining” as capable of operating without a direct state tax subsidy (Sec. 2).
  • Requires the exchange to open enrollment to various qualified health plans beginning October 1, 2013 (Sec. 4).
  • Authorizes the Washington Health Benefit Exchange to establish procedures allowing governments, Native American tribes, and private foundations to pay premiums on the behalf of certain qualified individuals (Sec. 4).
  • Requires carriers offering "bronze plans" for individual or small group health insurance outside of the exchange to offer "silver" and "gold" plans as well (Sec. 6).
  • Defines “bronze plans” as plans that provide coverage roughly equivalent to 60 percent of the benefits provided under the plan (Sec. 6).
  • Defines “silver plans” as plans that provide coverage roughly equivalent to 70 percent of the benefits provided under the plan (Sec. 6).
  • Defines “gold plans” as plans that provide coverage roughly equivalent to 80 percent of the benefits provided under the plan (Sec. 6).
  • Specifies that a "catastrophic health plan" may only be sold through the exchange (Sec. 6).
  • Defines “catastrophic health plan” as a plan that requires a yearly deductible of $1,750 and an annual out-of-pocket maximum of $3,500 for a single enrollee, to be adjusted annually (Sec. 1).
  • Specifies that a plan will be certified as a qualified health plan to be offered through the exchange if the plan meets the following criteria (Sec. 8):
    • The insurance commissioner determines that the plan meets legal requirements;
    • The board of the exchange determines that the plan meets legal requirements; and
    • The plan includes rural and urban Native American clinics as community providers in a way that is consistent with federal law.
  • Requires the board of the exchange to establish a rating system to assist customers in choosing a plan offered within the exchange (Sec. 9).
  • Requires the rating system to incorporate certain criteria including, but not limited to, the following (Sec. 9):
    • Affordability;
    • Enrollee satisfaction; and
    • Coverage of spiritual care services.
  • Requires the operations of the Washington Health Benefit Exchange to be suspended if the exchange ceases to be self-sustaining (Sec. 26).
Note:

NOTE: THIS IS A SUBSTITUTE BILL, MEANING THE LANGUAGE OF THE ORIGINAL BILL HAS BEEN REPLACED. THE DEGREE TO WHICH THE SUBSTITUTE BILL TEXT DIFFERS FROM THE PREVIOUS VERSION OF THE TEXT CAN VARY GREATLY.

Legislation - Bill Passed With Amendment (Senate) (27-22) - (Key vote)

Title: Requirements for Health Benefit Exchange

Vote Smart's Synopsis:

Vote to pass a bill that establishes specific rules for the Washington health benefit exchange.

Highlights:
  • Establishes the Washington Health Benefit Exchange as a "self-sustaining" public-private partnership separate and distinct from the state (Sec. 3).
  • Defines “self-sustaining” as capable of operating without a direct state tax subsidy (Sec. 2).
  • Requires the exchange to open enrollment to various qualified health plans beginning October 1, 2013 (Sec. 4).
  • Authorizes the Washington Health Benefit Exchange to establish procedures allowing governments, Native American tribes, and private foundations to pay premiums on the behalf of certain qualified individuals (Sec. 4).
  • Requires carriers offering "bronze plans" for individual or small group health insurance outside of the exchange to offer "silver" and "gold" plans as well (Sec. 6).
  • Defines “bronze plans” as plans that provide coverage roughly equivalent to 60 percent of the benefits provided under the plan (Sec. 6).
  • Defines “silver plans” as plans that provide coverage roughly equivalent to 70 percent of the benefits provided under the plan (Sec. 6).
  • Defines “gold plans” as plans that provide coverage roughly equivalent to 80 percent of the benefits provided under the plan (Sec. 6).
  • Specifies that a "catastrophic health plan" may only be sold through the exchange (Sec. 6).
  • Defines “catastrophic health plan” as a plan that requires a yearly deductible of $1,750 and an annual out-of-pocket maximum of $3,500 for a single enrollee, to be adjusted annually (Sec. 1).
  • Specifies that a plan will be certified as a qualified health plan to be offered through the exchange if the plan meets the following criteria (Sec. 8):
    • The insurance commissioner determines that the plan meets legal requirements;
    • The board of the exchange determines that the plan meets legal requirements; and
    • The plan includes rural and urban Native American clinics as community providers in a way that is consistent with federal law.
  • Requires the board of the exchange to establish a rating system to assist customers in choosing a plan offered within the exchange (Sec. 9).
  • Requires the rating system to incorporate certain criteria including, but not limited to, the following (Sec. 9):
    • Affordability;
    • Enrollee satisfaction; and
    • Coverage of spiritual care services.
  • Requires the operations of the Washington Health Benefit Exchange to be suspended if the exchange ceases to be self-sustaining (Sec. 26).
Note:

NOTE: THIS IS A SUBSTITUTE BILL, MEANING THE LANGUAGE OF THE ORIGINAL BILL HAS BEEN REPLACED. THE DEGREE TO WHICH THE SUBSTITUTE BILL TEXT DIFFERS FROM THE PREVIOUS VERSION OF THE TEXT CAN VARY GREATLY.

Legislation - Bill Passed (House) (52-43) -
Note:

NOTE: THIS IS A SUBSTITUTE BILL, MEANING THE LANGUAGE OF THE ORIGINAL BILL HAS BEEN REPLACED. THE DEGREE TO WHICH THE SUBSTITUTE BILL TEXT DIFFERS FROM THE PREVIOUS VERSION OF THE TEXT CAN VARY GREATLY.

Legislation - Introduced (House) -

Title: Requirements for Health Benefit Exchange

Sponsors

By Requests

  • Christine 'Chris' Gregoire (WA - D) (Out Of Office)
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