Status Summary

First reading, referred to Health & Long Term Care on 1.12.21.

Public hearing in the Senate Committee on Health & Long Term Care on 1.27.21.

Executive action taken in the Senate Committee on Health & Long Term Care on 2.12.21; 1st substitute bill passed and refer to Ways & Means.

Referred to Ways & Means on 2.15.21.

No change 4.30.21

(updated 4.30.21)

Legislative Session



In Progress



The intent of SB5149 is to fund foundational public health services that are essential to protect public health.  The bill lays out a funding mechanism that includes a requirement that the insurance commissioner to assess health carriers, Medicaid managed care organizations, and third-party administrators for a per member per month assessment of $3.25.

Beginning March 1, 2022, and annually thereafter, each health carrier, Medicaid managed care organization, and third-party administrator must file with the commissioner a statement of all Washington state residents who are:

  • Covered under an individual or group health plan or an individual or group limited health care service plan 
  • Covered under a self-funded multiple employer welfare arrangement 
  • Enrolled in a group health plan administered by a third-party administrator.

Any health carrier, Medicaid Managed Care organization, or third-party administrator who fails to pay the assessment may be subject to penalties.