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What do we mean by universal health care?

  • Coverage designed and administered by the state
  • Care delivered by private and public providers, clinics and hospitals
  • Financed through a unified single-payer system
  • From cradle to grave, all Washingtonians covered by state, federal, or tribal programs

How do we get there? Through legislative advocacy.

Our track record of success:

  • 2026: In response to the drastic cuts to health care by the current Federal administration, HCFA-WA focused in 2026 on protecting Washingtonians’ access to critical health services and affordable health care. Thanks to the advocacy of our members and coalition partners, we successfully passed bills that protect rural healthcare, preserve preventive services such as low-cost vaccines and affordable reproductive care, ensure more timely payment of insurance claims, guard against the use of Artificial Intelligence in prior authorizations, and protect patients from sudden disruptions and surprise price increases when health care entities change ownership. We also succeeded in passing the Millionaire’s tax, a crucial source of funding for these protections. To learn more, please navigate to our Current Legislation page.

    We were pleased to note that the Legislature also retained funding achieved in 2025 that supports the Universal Health Care Commission and the design of an auto-enrollment process for those who lose Medicaid and qualify for Health Benefit Exchange plans.
  • 2025: Thanks to HCFA-WA supporters who sent more than 3,000 messages to legislators during this Session, six of our priority bills were passed into law, including a resolution endorsing universal health care principles and laws that improve healthcare access and affordability and ensure that medical debt will not impact credit scores or reports. In the context of a significant reduction in the state budget, we also secured $514,000 for the UHCC, $1M to transition those who lose Medicaid coverage to coverage on the WA Health Benefit Exchange, and supported funding for a study to determine the effect of credit history on health insurance premiums.
  • 2024: We secured $490,000 in total funding for 3 studies to develop infrastructure and capacity, unify our healthcare system, and meet federal waiver requirements. And, five of our priority bills passed, thanks to the 871 Actions taken by our supporters! To learn more click here.
  • 2023: We doubled the funding to speed up the work of the Universal Health Care Commission (UHCC) and supported increased funding for immigrant health care.
  • 2022: The legislature passed eight of our top priority bills into law, including controlling the price of prescription drugs and increasing access to health care. 
  • 2021: We helped lay the groundwork for the Universal Health Care Commission. Governor Inslee appointed five of our six recommendations to the 15-member Commission.
  • 2020: We successfully passed health care cost legislation into law, from reducing the costs of insulin to requiring greater transparency in health care costs.
  • 2019: We were instrumental in securing funding for the Universal Health Care Work Group and the passage of the Cascade Care Bill.

We build relationships with legislators and voters across the state and aisle.

Be part of the organization that is moving our state toward a healthier and more equitable future with universal health care.

The Health Care for All-WA Education fund is a 501(c)(3) entity that assists in the educational activities of HCFA-WA. Click here to learn more.

Get the current Legislative Session Information

Read our 2026 Strategic Plan (pdf)

2nd Wednesday Speaker Series - Watch the Videos

This speaker series is your opportunity to:

  • Hear from our health care champions in Olympia.
  • Learn about current issues and the latest news in health care reform.

Universal Health Care Commission (UHCC)

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In 2021, Washington state took the lead by creating the Universal Health Care Commission. The purpose of the commission is to:

  • Creates immediate and impactful changes in health care access and the delivery system in Washington.
  • Prepares the state for the creation of a health care system that provides coverage and access for all Washington residents through a unified financing system, once the necessary federal authority has become available.
  • Submits annual reports to the Legislature each November.

Blog

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March FTAC Recap: Universal Primary Care: Design & Risks

April 29, 2026

By John Sobeck The March 19, 2026, FTAC meeting advanced Washington State’s effort to build a universal healthcare system, with universal primary care as a possible first step. The approach emphasizes a phased, incremental strategy, using pilots in state programs before broader expansion. The...

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2WSS Recap: Standing with Our Somali Neighbors

March 31, 2026

Standing With Our Somali Neighbors: A Night of Inspiration and Action A joint program presented by Healthcare for All Washington (HCFA-WA) — a Washington State advocacy organization working toward universal healthcare, whose president Ronnie Shore hosted the event. Physicians for a National Health Program...

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February UHCC Recap: Details, Details, Details

February 28, 2026

The February 12, 2026 UHCC meeting, headed by Chair Vicki Lowe, delved into details of ways to use the OIC proviso funding, and the Enrollment, Infrastructure and Governance elements of the Commission’s Universal System Design. 

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