Biden Administration Approves Health Insurance for Illegal Immigrants in Washington State

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The Biden administration has approved a waiver that will allow Washington state to offer health insurance to illegal immigrants.

The waiver, known as the “State Innovation Waiver” was submitted by the state in the spring and approved by the Department of Health and Human Services (HHS) and the Treasury Department on Dec. 9 under section 1332 of the Affordable Care Act (ACA), according to officials.

Washington requested the waiver in an effort to expand residents’ access to qualified health plans, stand-alone qualified dental plans, as well as the state affordability program regardless of their immigration status.

“The waiver will help Washington work towards its goals of improving health equity and reducing racial disparities by expanding access to coverage for the uninsured population through the state Exchange, all the while not increasing costs for those currently enrolled,” the departments said (pdf).

According to the departments, the waiver is projected to meet certain requirements, including “providing coverage at least as comprehensive as coverage provided without the waiver,” “providing coverage and cost-sharing protections against excessive out-of-pocket spending that are at least as affordable as would be provided without the waiver,” and “providing coverage to at least a comparable number of people as would be provided without the waiver.”

Insuring 105,000 Illegal Immigrants

The waiver will be effective from January 2024 through to December 2028, subject to the state accepting specific terms and conditions, and will allow roughly 105,000 uninsured illegal immigrants in the state to shop for insurance.

Washington state had already allocated $50 million for a state subsidy program called “Cascade Care Savings,” through which Washington residents with incomes below 250 percent of the federal poverty level and who get plans through Washington Healthplanfinder are offered premium subsidies.

With the approval of the new waiver, an additional $5 million in state funding will become available for these subsidies, starting in 2024, the departments said.

By Katabella Roberts

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Washington State Innovation Waiver PDF


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