HB 2073 — Funding health insurance premium assistance.

H-3496.1H-2139.1 SUBSTITUTE HOUSE BILL 2073 State of Washington 69th Legislature 20262025 Regular Session By House Appropriations (originally sponsored by Representatives Parshley, Macri, and Scott)Scott READRead FIRSTfirst TIMEtime 02/09/26.04/08/25.

Referred to Committee on Appropriations.

and creating a new section.section;

and providing an effective date.

(1)(a)(1) By OctoberJuly 1, 2026, theand commissionerannually thereafter, nonprofit health carriers must determinesubmit whetherto athe nonprofitcommissioner healththe carrier'samount surplusof isthe excessive.carrier's surplus.

1 SHBHB 2073 (b)(2)(a) TheBy surplusOctober of1, a2026, nonprofitand healthannually carrierthereafter, must be determined to be excessive if the surpluscommissioner ismust 100determine timeswhether thea minimumnonprofit nethealth worth level set in RCW 48.44.037(1)(a) as reported on the carrier's annualsurplus statementis requiredexcessive. by RCW 48.05.250 for calendar year 2025.

(2)(b) ExceptThe when a reduction in payment is permitted under subsection (3) of this section, if the commissioner determines the surplus of a nonprofit health carrier tomust be excessive,determined withinto 90be daysexcessive ofif the determinationsurplus theis nonprofitgreater healththan carrier600 must pay 10 percent of the excessivenonprofit surplus to the commissioner's office for deposit into the state health carecarrier's affordabilityRBC accountrequirements, created in RCWaccordance 43.71.130with tothe administerformula aset premiumforth assistance program, as established in RCWthe 43.71.110.RBC instructions.

(3)(a)(3) WithinExcept 30when daysa reduction in payment is permitted under subsection (4) of athis determinationsection, byif the commissioner thatdetermines the surplus of a nonprofit health carrier'scarrier surplusto isbe excessive, awithin 90 days of the determination the nonprofit health carrier maymust requestpay athree hearingpercent byof the commissionerexcessive surplus to considerthe acommissioner's reductionoffice infor deposit into the requiredstate amounthealth ofcare excessiveaffordability surplusaccount paymentcreated in RCW 43.71.130 to theadminister fund.a premium assistance program, as established in RCW 43.71.110.

(4)(a) Within 30 days of a determination by the commissioner that a nonprofit health carrier's surplus is excessive, a nonprofit health carrier may request a hearing by the commissioner to consider a reduction in the required amount of excessive surplus payment to the fund.

(4)(5) The commissioner may adopt rules to implement this section.

(5)(6) ForThe purposesdefinitions ofin this section,subsection "excessiveapply surplus"throughout meansthis thesection amountunless of a nonprofit health carrier's surplus is 100 times the minimumcontext netclearly worthrequires levelotherwise. set in RCW 48.44.037(1)(a).

(a) "Excessive surplus" means the amount of a nonprofit health carrier's surplus above 600 percent of the nonprofit health carrier's RBC requirements, as determined in subsection (2) of this section.

(b) "RBC" means risk-based capital.

(c) "RBC instructions" has the same meaning as in RCW 48.43.300.

(d) "Surplus" means the amount by which a nonprofit health carrier's assets exceed its liabilities.

p.

2 HB 2073 NEW SECTION.

Sec.

3.

This act takes effect January 1, 2026.

23 SHBHB 2073