BILL · 2025–26 SESSION · LATEST VERSION SHB 2283

HB 2283: Medical loss ratio

Establishing a medical loss ratio of at least 90 percent for health plans.

Summary

  • Requires fully insured health plans to have a medical loss ratio of at least 90 percent for health plans issued or renewed on or after January 1, 2028.
  • Authorizes the Insurance Commissioner to require health carriers to submit information regarding a carrier's calculation of the medical loss ratio as part of a carrier's health plan rate filings for plan years beginning January 1, 2027.

From the House Bill Report (HB 2283), written by the Legislature's nonpartisan staff. Read the full report ↗

Did not pass Did not pass · stalled on the House floor
  1. IntroducedJan 12, 2026
  2. Out of committeeFeb 3, 2026
  3. Passed Housestopped here
  4. Passed Senate
  5. Governor
  6. Law
Prime sponsor
Alicia Rule (D-42)
Introduced
January 12, 2026 in the House
Last action
February 19, 2026
Companion bill
SB 5953
Budget
Has a fiscal note
Versions
HB 2283, SHB 2283

AN ACT Relating to establishing a medical loss ratio of at least 90 percent for health plans;

Sponsors

Prime sponsor: Alicia Rule (D-42)

3 co-sponsors (2 Democrats, 1 Republican)

Votes

No recorded floor votes.

History

  1. Returned to Rules Committee for second reading. (SHB 2283)
  2. House Rules "X" file. (SHB 2283)
  3. House Rules "X" file.
  4. Returned to Rules Committee for second reading.
  5. Rules Committee relieved of further consideration. Placed on second reading. (SHB 2283)
  6. Rules Committee relieved of further consideration. Placed on second reading.
  7. Referred to Rules 2 Review. (SHB 2283)
  8. Referred to Rules 2 Review.
  9. HCW - Majority; 1st substitute bill be substituted, do pass. (SHB 2283)
  10. Minority; without recommendation. (SHB 2283)
  11. Minority; do not pass. (SHB 2283)
  12. Minority; do not pass.
  13. Minority; without recommendation.
  14. HCW - Majority; 1st substitute bill be substituted, do pass.
  15. HCW - Executive action taken by committee.
  16. First reading, referred to Health Care & Wellness.
  17. Prefiled for introduction.

HB 2283 in other sessions

Bill numbers restart every two years, so the same number is a different bill in each session.

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