Cascade Care 2021 Implementation

Washington Health Benefit Exchange is excited to be implementing Senate Bill 5526 (Cascade Care), in partnership with the Health Care Authority and the Office of the Insurance Commissioner.

Cascade Care creates new coverage options (standard plans and public option plans) that will be available through Washington Healthplanfinder during Open Enrollment on November 1, 2020 for coverage effective January 1, 2021.

Cascade Care implementation includes:

  1. Standard Plans: The Exchange has developed standard plan designs by working with a wide variety of implementation partners – including Standard Plan Workgroup members and actuaries from Wakely Consulting Group. Standard plans, which are qualified health plans that have a standard benefit design across carriers, will be more understandable, more affordable, and of more value for Washington Healthplanfinder customers.
  2. Public Option Plans: The Health Care Authority will be working with the Exchange and other implementation partners to procure public option plans that will be available to Washington Healthplanfinder. Public option plans are qualified health plans that have a standard benefit design and meet additional quality and value requirements.
  3. Subsidy Study (premium wrap): The Exchange will be developing and submitting a plan for implementing state premium subsidies for Washington Healthplanfinder consumers with income up to 500% Federal Poverty Level (FPL). This report is due to the legislature November 15, 2020.

This page will be regularly updated with the information about the implementation of Cascade Care. If you are interested in following this work, please subscribe to receive emails with information about updates to this page, upcoming meetings, stakeholder input opportunities, and other relevant announcements.

Additional Information

Learn more about:

Cascade Care Launch (PDF)

For more information on the Exchange’s Cascade Care implementation work please contact Cascade Care Workgroup at

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