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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:

  • 2025: Thanks to HCFA-WA supporters who sent more than 3,000 messages to legislators 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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January FTAC Recap: Financial Foundations of Universal Health Care

January 31, 2026

PROVIDER REIMBURSEMENT AND FINANCIAL FOUNDATIONS OF UNIVERSAL HEALTHCARE The January 15 FTAC meeting focused on advancing the financial and provider-payment foundations of a future universal health care system in Washington State. The committee oriented new members, approved prior minutes, reviewed public input, and clarified...

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December UHCC Recap: The answer to skyrocketing costs

December 30, 2025

By Marcia Stedman  The December 11th UHCC meeting opened with Chair Vicki Lowe’s land acknowledgment honoring the Nisqually and Squaxin Island tribes, emphasizing connections between historical land loss and current healthcare disparities. This was followed by the adoption of the October meeting minutes and the written...

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November FTAC Recap: Provider and Hospital Pricing

November 28, 2025

November 6th UHCC Finance Technical Advisory Committee (FTAC) Discusses Provider and Hospital Pricing Washington's Finance Technical Advisory Committee (subcommittee of Universal Health Care Committee)  convened to advance implementation of universal health care, with key focus on hospital reference pricing and provider reimbursement strategy.

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