Healthcare Policy
Washington Healthcare Policy 2026
Medicaid expansion status, ACA coverage, uninsured rates, and how healthcare shapes the 2026 elections in Washington.
Yes
Medicaid Expanded
5.2%
Uninsured Rate
250,000
ACA Marketplace Enrollees
State (Washington Healthplanfinder)
Exchange Type
Key Healthcare Provisions
| Medicaid Expansion (ACA) | Yes |
| Reproductive Healthcare | Fully covered |
| Mental Health Parity | Nation-leading parity |
| Drug Pricing Policy | Drug pricing transparency board |
Healthcare System Overview
Washington state has been a healthcare innovator. The state launched the Cascade Care public option in 2021, available on the exchange. Washington has also passed insulin pricing caps and drug affordability review legislation.
2026 Political Impact
Washington\'s public option (Cascade Care) is one of the few implemented state-level public options. It provides a government-backed alternative to private insurance on the marketplace.