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Developing the Washington Health Trust (SB 5233)

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Washington

2026

Creates the Washington Health Trust to cover all residents with comprehensive care - doctor, hospital, drugs, mental health, dental, vision - with no premiums, deductibles, or copays for most care (annual drug cap; some long-term care room/board for higher incomes). Residents under 300% of poverty pay no cost sharing. Prices are negotiated and hospitals get global budgets. Funded by employer payroll (up to 10.5%, small business discounts), a 2% worker/self-employed share, and higher capital gains taxes. Phased in 2026-2029.

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