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Universal Health Care Commission

In 2021, Washington state took the lead by creating the Universal Health Care Commission.

The purpose of the commission is to:

  • Create immediate and impactful changes in the health care access and delivery system in Washington.
  • Prepare 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.
  • Submit a baseline report by November 2022.

Our impact:

  • We actively support the work of the UHCC through our relationships with allied organizations and UHCC members.
  • We recommended five of the six public members of this 15-member body, including the Chair, Vicki Lowe. Click here to learn more about Commission members.
  • We submit live and written public comments.
  • We encourage our members to tell their personal stories.
  • We provide links and updates and recaps of the meetings.

Meet the Commission members at our 2nd Wednesday Speakers Series.

Other Boards and Commissions

Health Care Cost Transparency Board

Total Cost of Insulin Work Group

Take action: Attend upcoming UHCC meetings and add your voice

The UHCC meets every two months on Zoom. Meetings are open to the public and your voice is needed.

Mark your calendar:

  • Dec. 15, 2022 3-5 p.m.

To view and UHCC meeting materials and to receive updates, see the following resources:

Connect with us

Stay informed about our work. Join our email list to receive action alerts, e-bulletins, and meeting recaps.

Our challenge

Overview of Models A, B, and C developed from the UHC Work Group.


Model A

  • State administered health care that covers everyone
  • Most cost effective saving
    • $1.56 billion statewide the 1st year
    • $5.5 billion each year after

This is the system that HCFA WA has been advocating for years

Model B

Privately administered by health insurance companies that cover their enrollees limited reduction in administrative costs, saving approximately $783 million the first year.

Model C

  • Privately administered
  • Covers the currently uninsured including undocumented immigrants
  • Would cost the state $617 million in the first year.

Click here to learn more about these models at the Health Care Authority.

Assessment criteria

Each model was assessed by the following criteria

  • Access:
    • comprehensive medically necessary health care for everyone.
  • Equity:
    • quality care for everyone.
  • Governance:
    • transparent, accountable and highly responsive governance that includes Tribal Sovereignty
    • patient voices to ensure person-centered care
  • Quality:
    • measurable improvements and transparency
  • Affordability:
    • affordable to consumers, health care professionals and the state.
  • Administration:
    • manages costs effectively and drives out waste.
  • Feasibility:
    • politically, financially, and administratively achievable system.

Lack of political will

Even though Model A surpassed the other models in 6 of the 7 criteria, it was found to be the least feasible politically even though it saved the state millions in administrative and real costs.

What they mean by least feasible is a lack of political will.

This is our challenge!

Add your voice to make universal health care feasible for all Washingtonians.

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