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HB1291 • 2026

Maternity services costs

Concerning cost sharing for maternity services.

Passed Legislature

This bill passed both chambers and reached final enrollment, even if later executive action is not shown here.

Sponsor
Representative Rule, Representative Stonier, Representative Ryu, Representative Parshley, Representative Alvarado, Representative Timmons, Representative Macri, Representative Simmons, Representative Hunt, Representative Hill, Representative Fosse
Last action
2025-03-03
Official status
H subst for
Effective date
Not listed

Plain English Breakdown

Using official source text because the generated explanation was unavailable or could not be confirmed against the official bill text.

Maternity services costs

Maternity services costs

What This Bill Does

  • Maternity services costs

Limits and Unknowns

  • This entry is temporarily using official source text because the generated explanation could not be confirmed against the official bill text during the last sync.

Amendments

These notes stay tied to the official amendment files and metadata from the legislature.

1291-S.E AMS HLTC S2471.1

0 • Health & Long-Term Care

NOT CONSIDERED

Plain English: 1291-S.E AMS HLTC S2471.1 ESHB 1291 - S COMM AMD By Committee on Health & Long-Term Care NOT CONSIDERED 04/27/2025 Strike everything after the enacting clause and insert the 1 following: 2 "NEW SECTION.

  • 1291-S.E AMS HLTC S2471.1 ESHB 1291 - S COMM AMD By Committee on Health & Long-Term Care NOT CONSIDERED 04/27/2025 Strike everything after the enacting clause and insert the 1 following: 2 "NEW SECTION.
  • Sec.
  • 1.
  • A new section is added to chapter 48.43 3 RCW to read as follows: 4 (1) Except as required in subsection (2) of this section, for a 5 health plan issued or renewed on or after January 1, 2026, that 6 provides coverage for labor and delivery services, labor and delivery 7 services are not subject to the enrollee's deductible.
ADOPTED

Plain English: 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 1291-S AMH RULE WEIK 023 1 - Official Print EFFECT: Restores the provisions of the original bill.

  • 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 1291-S AMH RULE WEIK 023 1 - Official Print EFFECT: Restores the provisions of the original bill.
  • Authorizes the Office of the Insurance Commissioner to adopt rules necessary to implement the Act.
  • 1291-S AMH RULE WEIK 023 SHB 1291 - H AMD 46 By Representative Rule ADOPTED 03/03/2025 On page 1, beginning on line 9, after "coverage for" strike all material through "in-network" on line 18 and insert "labor and delivery services, labor and delivery services are not subject to the enrollee's deductible.
  • Any cost sharing for labor and delivery services paid by an enrollee must be applied toward the enrollee's deductible obligation.

Bill History

  1. 2025-03-03 House

    1st substitute bill substituted.

Official Summary Text

Maternity services costs

Current Bill Text

Read the full stored bill text 
AN ACT Relating to cost sharing for maternity services; 1
reenacting and amending RCW 41.05.017; and adding a new section to 2
chapter 48.43 RCW. 3
BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF WASHINGTON:4
NEW SECTION. Sec. 1. A new section is added to chapter 48.43 5
RCW to read as follows: 6
(1) Except as required in subsection (2) of this section, for a 7
health plan issued or renewed on or after January 1, 2026, that 8
provides coverage for labor and delivery services, labor and delivery 9
services are not subject to the enrollee's deductible. Any cost 10
sharing for labor and delivery services paid by an enrollee must be 11
applied toward the enrollee's deductible obligation.12
(2) For a health plan that provides coverage of labor and 13
delivery services and is offered as a qualifying health plan for a 14
health savings account, the health carrier shall establish the plan's 15
deductible for the coverage of the labor and delivery services at the 16
minimum level necessary to preserve the enrollee's ability to claim 17
tax exempt contributions from their health savings account under 18
internal revenue service laws and regulations. 19
H-0338.1
HOUSE BILL 1291
State of Washington 69th Legislature 2025 Regular Session
By Representatives Rule, Stonier, Ryu, Parshley, Alvarado, Timmons,
Macri, Simmons, Hunt, Hill, and Fosse
Read first time 01/14/25. Referred to Committee on Health Care &
Wellness.
p. 1 HB 1291
Sec. 2. RCW 41.05.017 and 2024 c 251 s 5 and 2024 c 242 s 10 are 1
each reenacted and amended to read as follows: 2
Each health plan that provides medical insurance offered under 3
this chapter, including plans created by insuring entities, plans not 4
subject to the provisions of Title 48 RCW, and plans created under 5
RCW 41.05.140, are subject to the provisions of RCW 48.43.500, 6
70.02.045, 48.43.505 through 48.43.535, 48.43.537, 48.43.545, 7
48.43.550, 70.02.110, 70.02.900, 48.43.190, 48.43.083, 48.43.0128, 8
48.43.780, 48.43.435, 48.43.815, 48.200.020 through 48.200.280, 9
48.200.300 through 48.200.320, 48.43.440, section 1 of this act, and 10
chapter 48.49 RCW. 11
--- END ---
p. 2 HB 1291