Preserving access to preventive services by clarifying state authority and definitions.
HB 2242 clarifies and preserves access to preventive health services covered by most Washington health insurance plans. It requires plans issued after April 1, 2026, to cover evidence-based services like vaccinations, cancer screenings, and other preventive care without cost-sharing, based on current U.S. Preventive Services Task Force (USPSTF) ratings and CDC recommendations. The bill updates coverage requirements to align with federal guidelines as of June 30, 2025, and allows the state Department of Health to issue immunization guidance without standard rulemaking. This directly affects Washington residents using health insurance and insurers offering new or updated plans, ensuring consistent access to preventive care without adding new requirements for patient consent or immunization mandates.
Bill status
signed
all 5 stages cleared
Introduction
Jan 2026
Committee Review
Feb 2026
House Passage
Feb 2026
Senate Passage
Feb 2026
Signed into Law
Mar 2026
Introduced Jan 2, 2026
Signed Mar 9, 2026
Maddy AI version diff · 3 comparisons
What changed between versions
Engrossed Substitute Bill
→
Substitute Passed Legislature
·
3 edits
MINOR
The document has been updated from a draft version to the final certified version of the bill. This change adds official signatures, dates, and certification statements confirming that the House and Senate have passed the legislation. It does not alter the actual policy, rules, or requirements contained within the bill itself.
TECHNICAL
Added certification text, signatures, and dates confirming the bill was passed by the House and Senate.
Added a header indicating the bill is now the 'Engrossed Substitute' version.
Removed draft formatting and placeholder lines.
Floor votes · Senate Feb 26, 2026 · House Feb 11, 2026
How they voted
38–12
Passed · 1 other
Total votes 51
Feb 26, 2026
D
Democratic31
96% Yea
R
Republican20
60% Nay
Vote distribution
All Yea
All Nay
Mixed
No data
Full legislative history
Actions timeline
Total actions
30
Key actions
14
Committee
10
Mar 9, 2026
Signed into law
Governor signed.
executive
Feb 28, 2026
Upper · Passed
President signed.
upper
Feb 28, 2026
Lower · Passed
Speaker signed.
lower
Feb 26, 2026
Senate · Passed
Senate Vote: pass (38-12-1)
senate
Feb 20, 2026
Upper · Passed
Minority; do not pass.
upper
Feb 20, 2026
Upper · Passed
HLTC - Majority; do pass.
upper
Feb 20, 2026
Upper · Passed
Executive action taken in the Senate Committee on Health & Long-Term Care at 8:00 AM.
upper
Feb 19, 2026
Upper · Passed
Public hearing in the Senate Committee on Health & Long-Term Care at 8:00 AM.
upper
Feb 11, 2026
Lower · Passed
Floor amendment(s) adopted.
lower
Jan 30, 2026
Committee
Referred to Rules 2 Review.
lower
Jan 28, 2026
Lower · Passed
Minority; without recommendation.
lower
Jan 28, 2026
Lower · Passed
Minority; do not pass.
lower
Jan 28, 2026
Lower · Passed
Executive action taken in the House Committee on Health Care & Wellness at 1:30 PM.
lower
Jan 23, 2026
Lower · Passed
Executive session scheduled, but no action was taken in the House Committee on Health Care & Wellness at 8:00 AM.
lower
Jan 16, 2026
Lower · Passed
Public hearing in the House Committee on Health Care & Wellness at 8:00 AM.
lower
1 primary · 15 co-sponsors
Sponsors
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