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Exchange proposes authority to require carriers to serve underserved counties; San Juan singled out for 2027
Summary
Exchange staff presented draft legislation to let the board add targeted plan-certification criteria to address access and affordability. For plan year 2027 staff proposes requiring carriers filing in certain oversaturated rating areas to also file in an identified underserved county (San Juan), with a waiver process and interagency coordination with OIC and HCA.
Exchange legislative staff outlined a bill concept on Dec. 11 that would expand the Washington Health Benefits Exchange's ability to use the plan-certification process to address county-level gaps in carrier participation.
Shirley Posada, legislative lead, said the draft bill would let the Exchange add specific criteria during plan certification to ensure carriers address "access and affordability" problems the board identifies. Laura Kate Zajken, director of market competition and affordability, described an incremental approach for plan year 2027 focused on two priorities: (1) ensuring underserved counties have multiple carriers and (2) preserving a range of metal levels…
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