Concerning postpartum coverage.
HB 2041 concerns postpartum health care coverage for residents of Washington state. Until June 30, 2026, the bill requires the state to provide 12 months of continuous postpartum health care coverage to individuals with incomes up to 210% of the federal poverty level. After this date, the continuous postpartum coverage period will be six months, maintaining the 210% income threshold. The bill also directs the state to prioritize maximizing federal funding for eligible individuals and mandates annual reporting from managed care organizations on maternal health services.
Bill status
passed
3 of 5 stages cleared
Introduction
Jan 2026
Committee Review
Jan 2026
House Passage
Apr 2025
Senate Passage
Governor
Introduced Jan 12, 2026
Last action Jan 12, 2026
Maddy AI version diff · 1 comparison
What changed between versions
Bill
→
Substitute Bill
·
3 edits
MINOR
The bill was amended to extend the postpartum coverage period from six months back to 12 months for new applicants starting July 1, 2026, while maintaining a six-month limit for those already approved. Additionally, the income eligibility threshold was increased from 193% to 210% of the federal poverty level for the initial phase of the program through June 2026, making coverage available to more low-income families.
Scope change
The bill's scope was modified to create a two-tiered eligibility system based on application dates: a 12-month coverage period applies to new approvals after July 1, 2026, while existing approvals remain under the 6-month rule.
TIMELINE
The postpartum coverage duration was changed from a flat six months to a graduated timeline where new applicants after July 1, 2026, receive 12 months of coverage, while current applicants retain the six-month limit.
ELIGIBILITY
The income threshold for eligibility was raised from 193% to 210% of the federal poverty level, expanding access to health coverage for postpartum individuals.
REQUIREMENT
The bill was reorganized to clearly separate the temporary 12-month coverage provision for future applicants from the permanent requirements for current enrollees.
Floor votes · House Apr 17, 2025
How they voted
57–41
Passed · 2 other
Total votes 100
Apr 17, 2025
D
Democratic61
93% Yea
R
Republican39
97% Nay
Vote distribution
All Yea
All Nay
Mixed
No data
Full legislative history
Actions timeline
Total actions
18
Key actions
7
Committee
8
Jan 12, 2026
Committee
Referred to Appropriations.
lower
Jan 12, 2026
Lower · Passed
Rules Committee relieved of further consideration.
lower
Jan 12, 2026
Introduced
By resolution, reintroduced and retained in present status.
lower
Apr 25, 2025
Upper · Passed
Executive session scheduled, but no action was taken in the Senate Committee on Ways & Means at 1:30 PM.
upper
Apr 23, 2025
Upper · Passed
Public hearing in the Senate Committee on Ways & Means at 1:30 PM.
upper
Apr 17, 2025
House · Passed
House Vote: pass (57-41-2)
house
Apr 8, 2025
Committee
Referred to Rules 2 Review.
lower
Apr 5, 2025
Lower · Passed
Minority; do not pass.
lower
Apr 5, 2025
Lower · Passed
Executive action taken in the House Committee on Appropriations at 9:00 AM.
lower
Apr 3, 2025
Lower · Passed
Public hearing in the House Committee on Appropriations at 1:30 PM.
lower
1 primary · 2 co-sponsors
Sponsors
Role
Legislator
Party
State
District
P
Nicole Macri
DDemocratic
Co
Lisa Parshley
DDemocratic
Co
Mia Gregerson
DDemocratic
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