New legislation providing free or discounted hospital care to 4 million Washingtonians efficient tomorrow

Irina Baranova

Roughly half of all Washingtonians will lower your expenses on account of Legal professional Common request laws

OLYMPIA — Beginning tomorrow, 4 million Washingtonians will qualify at no cost or discounted care at hospitals throughout Washington on account of laws requested by Legal professional Common Bob Ferguson.

The laws requires giant hospital programs to offer extra monetary help. Starting July 1, roughly half of all Washingtonians can be eligible at no cost or reduced-cost care at hospitals that characterize roughly 80 p.c of the licensed beds within the state.

Ferguson labored with prime sponsor Rep. Tarra Simmons, D-Bremerton, and Reps. Eileen Cody, D-Seattle, and Nicole Macri, D-Seattle, on HB 1616 to strengthen Washington’s charity care legislation. Ferguson’s Legal professional Common request laws expands charity care eligibility to greater than 1 million Washingtonians, and ensures free hospital care to a further million Washingtonians who’re presently eligible for discounted care.

“It is a landmark achievement for reasonably priced well being care,” Ferguson stated. “Too many Washingtonians are only one hospital invoice away from monetary disaster. Our new legislation strikes us away from a system the place a single mother working two minimal wage jobs didn’t qualify for any assist together with her hospital payments, to one thing that provides assist to about half the individuals in Washington. It’s the precise factor to do. Be sure to know what sort of help you qualify for, and in the event you aren’t getting it, contact my workplace.”

“No Washingtonian ought to be bankrupted by a visit to the emergency room,” Rep. Simmons stated. “I’m proud to have labored with the Legal professional Common to replace and standardize Washington’s charity care legislation. 4 million Washingtonians will now be eligible at no cost or decreased out-of-pocket hospital prices making our healthcare system fairer and extra equitable.”

Ferguson’s and Simmons’ laws establishes two tiers of monetary help — one for giant well being care programs and one other for smaller, unbiased hospitals. The brand new legislation provides Washington the strongest protections within the nation for out-of-pocket hospital prices.

Nationwide, about two-thirds of people who file for chapter cite medical points as a key contributor, and greater than half of assortment gadgets on credit score stories are for medical money owed.

Entry to care can also be an fairness difficulty, as communities of coloration are disproportionately underinsured, and particularly susceptible to catastrophic and surprising medical bills.

For instance, in line with 2019 knowledge from the Federal Reserve, the median checking account stability for Black households is about $1,500, lower than one-fifth the median stability for white households of $8,200. The median account stability for Latino households is about $2,000. One in 5 people in majority nonwhite zip codes have not less than one medical debt in collections on their credit score report.

Who qualifies for monetary help?

Chart showing income levels qualifying for discounted hospital care.


Unofficial chart of hospital tiers (click on to enlarge):

Chart showing unofficial listing of the hospitals categorized as Tier 1 and Tier 2 (click for PDF)




The brand new legislation considerably will increase eligibility for full write-offs of out-of-pocket hospital prices, in addition to increasing eligibility for reductions. The legislation ensures all Washingtonians inside 300 p.c of the federal poverty degree are eligible for monetary help, with reductions as much as 400 p.c of the federal poverty degree for the overwhelming majority of Washington hospital beds.

SHB 1616 ensures roughly 3 million Washingtonians entry to free hospital care at Tier 1 hospitals, and discounted care on the Tier 2 hospitals usually situated in rural communities. Roughly 4 million Washingtonians may have entry to free or discounted hospital care at Tier 1 hospitals, which characterize roughly 80 p.c of all licensed beds.

For instance, a household of 4 with an revenue of as much as $111,000 will now qualify for as much as 50 p.c off their out-of-pocket prices at Tier 1 hospitals. A household of 4 incomes as much as $55,500 can now pay zero out-of-pocket prices at any hospital within the state.

The prior legislation solely supplied full write-offs for these incomes as much as 100% of the federal poverty degree — as much as $17,420 a yr for a two-person family — and sliding scale reductions as much as 200 p.c. Roughly 1.8 million Washingtonians have been eligible for monetary help underneath that legislation. A single father or mother working two minimal wage jobs at 50 hours per week was not eligible for monetary help at Washington hospitals. The brand new legislation adjustments that.

AGO enforcement of charity care legislation

Ferguson has filed lawsuits towards three Washington hospitals for violating Washington’s Shopper Safety Act by stopping low-income sufferers from accessing charity care. 

Below state legislation, hospitals are required to:

  • Present discover of the supply of charity care each verbally and in writing;
  • Display screen sufferers for charity care eligibility earlier than making an attempt to gather fee, and;
  • Solely require sufferers to offer one income-related doc to show charity care eligibility.

In February, Ferguson introduced a client safety lawsuit towards 5 Swedish hospitals and 9 Windfall-affiliated amenities for failing to make sure that eligible low-income Washingtonians obtain the reductions to which they’re legally entitled, and aggressively amassing cash from charity care-eligible low-income Washingtonians.

As the results of a 2017 lawsuit, CHI Franciscan supplied $41 million in debt reduction and $1.8 million in refunds, along with rehabilitating the credit score of hundreds of sufferers who weren’t provided charity care once they have been eligible at eight of its hospitals in Washington. CHI Franciscan additionally paid $2.46 million to the Legal professional Common’s Workplace to cowl the prices of the investigation and enforcement of the Shopper Safety Act.

Ferguson additionally sued Capital Medical Heart in Olympia in 2017 over its charity care practices. To resolve the lawsuit, Capital supplied not less than $250,000 in refunds and greater than $131,000 in debt reduction. As well as, Capital paid $1.2 million to the Legal professional Common’s Workplace.


Washington’s Legal professional Common serves the individuals and the state of Washington. Because the state’s largest legislation agency, the Legal professional Common’s Workplace supplies authorized illustration to each state company, board, and fee in Washington. Moreover, the Workplace serves the individuals straight by imposing client safety, civil rights, and environmental safety legal guidelines. The Workplace additionally prosecutes elder abuse, Medicaid fraud, and handles sexually violent predator instances in 38 of Washington’s 39 counties. Go to to study extra.


Media Contact:

Brionna Aho, Communications Director, (360) 753-2727; [email protected]

Common contacts: Click on right here

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