Essentially, the Medicare for All Act of 2019 had its third hearing in ninety days. Though the Chair would have preferred that "Medicare for All" was never uttered during the hearing, everyone seemed to ignore that directive.

Watch powerful testimony from the former administrator of Medicare and Medicaid, Dr. Donald Berwick, and who has recently become a supporter of single-payer, at the 28:27 mark and in his answers to Congress members questions. Pam MacEwan, CEO of the Washington Health Benefits Exchange, which oversees ACA plans in our state, says that Washington state is not waiting for Congress and will continue to pursue creative solutions to achieve universal health care in our state. Find her testimony at the 38:20 mark.

The Pathway Work Group is Official. On May 21, Governor Inslee nudged Washington state onto a pathway to universal healthcare. He authorized $500,000 for the Health Care Authority to convene a work group on establishing a universal health care system in Washington state in the state budget HB 1109. 

Thanks to several HCFA-WA amendments included in the budget line item, the work group will consist of a broad range of stakeholders with expertise in the health care financing and delivery systems. It will include patients, labor, insurance, healthcare providers and facilities, patient advocates, and many more interest groups.

First Step to Universal Health Care. Although the work group flew in under the radar, the consequences are significant. Among other directives, the work group must study and make recommendations to the legislature on how to create, implement, maintain, and fund a universal health care system. We will be working to establish the very foundation of a single-payer healthcare system for Washingtonians.

Now our new work begins. We will be supporting the Health Care Authority, who will convene the work group after July. We need to thank the Governor and our legislators and support them in moving the work group in the right direction. We will continue to build more alliances with other advocacy groups and make connections with the government agencies we believe will ultimately implement a single-payer universal health care system in our state.

If you are interested in applying to work group, please apply directly to the Washington State Health Care Authority here.

Washingtonians! Time to Celebrate! 40+ health care access bills passed the 2019 Washington state legislature. On June 4th, the Healthcare is a Human Right - WA Campaign (HCHR-WA) gathered our allies to share and celebrate our wins, and consider the work ahead. Watch a recording of the meeting here. Read on for a meeting recap.

The 2018 Election is Key. All of these gains were made possible by voters and advocates like you. Washington voters delivered five crucial seats in the Washington Senate with a progressive surge that gave us a sturdy majority in the House and the Senate in Olympia. This incoming class hit the ground running and were a big part of passing this health care legislation. Voters also elected a Democratic majority in the US House. As a result, Congress just held the third hearing this year on the Medicare for All Act of 2019 in the US Congress.

We believe that a true singlepayer, Universal Health Care system is the best solution, but in the meantime, Cascade Care will provide some immediate relief to some Washingtonians as explained in the following article by DJ Wilson.

Terminology note: While it is often referred to as a "public option," Cascade Care is not a true public option. Rather it strives to make premiums more affordable for people who are with 500% of the federal poverty level, to standardize policies, and rein in the costs of the private insurance offerings on the Washington Health Exchange.

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State of Reform

DJ Wilson | May 17, 2019

For all of the gnashing of teeth by some around this year's "public option" legislation, I think it's possible this legislation will prove itself to be more modest in scope than those opposed might have argued.

In the end, the bill is a modest but important step forward in innovation in health care. It's neither a panacea nor a signal of the end of times.
It's a strategy to use the purchasing power of the state to try to shape a better health care product. It's an effort to push the market to do more in areas where policy makers -- and the broader community -- think that the health care sector isn't doing enough: on pricing and transparency, in particular.

This is something the State of Washington already does through Medicaid, through PEBB, and shortly through SEBB.

"No one should sacrifice their life so that their family doesn't become homeless and bankrupt from the cost of medical care." 

By Richard Kovar, MD - Community Clinic Physician

Editor's Note: According to the Washington Association of Community Health, community and migrant health centers in Washington serve more than 1,092,000 residents at over 300 clinic sites, offering primary, preventive and supportive health services. These clinics are directed by local consumers and respond to the needs of the community, serving all without regard to economic or insurance status.

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As the US. continues to struggle with healthcare reform, it is vitally important to prioritize the central role of our nation’s community health centers (otherwise known as Federally Qualified Health Centers (FQHCs) and ensure they are not weakened in the process. As the African expression goes, “when elephants dance, the grass gets trampled." The debate regarding Medicare For All brings to the surface the simmering question of whether the FQHCs are a central part of the solution or a 50-year old finger in the dike. I believe it is strongly the former and there must be a win-win going forward.

> Note: To see the amendments HCFA-WA fought for and won, scroll down.

Thanks to your full court press last week, the Pathway to Universal Health Group Work Group is becoming a reality. There is now funding for the work group in the state budget that is on the Governor's desk to sign. Work continues with the Governor's office to issue an additional Executive Order for the work group. 

The path to the Pathway was dramatic and full of twists and turns, but with perseverance, together we made it happen.

We also achieved some other very important wins that will serve us well moving forward:

★ We formed a tight-knit coalition with our allies. Working together we were able to resurrect the Pathway bill in the nick of time at the Universal Health Care Forum in January.

★ We presented crucial amendments to SB 5822 (see below) that were incorporated into the bill and remain in the budget proviso.

★ We forged strong relationships with legislators and legislative staff. We even garnered bi-partisan support for the bill in the House.

★ We testified several times and helped form compelling panels at the hearings.

★ We worked the legislative process.  We persevered when the Pathway bill SB 5822 stalled in House Rules, the final hurdle for passage.

★ We were able to call on our supporters to let their voices be heard at each stage of the bill's advancement.

All of this will be fruitful moving forward as we continue to build the coalition with our supporters and allies and work to achieve true universal health care for Washingtonians.

Thanks to you, the momentum for single-payer is growing!

We are in the last couple of minutes of a tied championship game -- anything could happen. We cannot let up. We're so close!

We are pursuing all available avenues for making the elements of the Pathway to Universal Health Care bill, SB 5822, a reality in whatever form it takes. The legislators are still duking it out, so we need to continue to pressure the House and now the Executive branch as well. Our best option now is a budget proviso and/or an Executive Order from the Governor.

Update: It would be super helpful for small business owners, doctors, nurses, pharmacists to email today! Especially our friends in Eastern Washington.

If you're following the journey of SB 5822: A Pathway to Universal Healthcare, you know it's making history: it is the first bill in Washington state history to declare healthcare a human right. It has sailed through the Senate, out of the House Health Care & Wellness Committee and the Appropriations Committee. That's history-making by itself - but this bill also has bi-partisan support!

Now, SB 5822 sits in the House Rules Committee, where it is just one floor vote away from landing on the Governor’s desk.

This is why this action - five minutes, tops - is so important.