Washington State
House of Representatives
Office of Program Research
BILL
ANALYSIS
Health Care & Wellness Committee
SJM 8002
Brief Description: Concerning Medicare.
Sponsors: Senators Hasegawa, Chapman, Stanford, Trudeau and Valdez.
Brief Summary of Joint Memorial
  • Requests the federal government to take certain actions so that Medicare beneficiaries will not suffer additional costs from choosing original Medicare and will have a choice between the public and private program.
Hearing Date: 3/21/25
Staff: Jim Morishima (786-7191).
Background:

Medicare is a federal health insurance program covering individuals 65 years of age or older and younger individuals with certain disabilities.  Individuals enrolling in Medicare may enroll in original Medicare, which is administered by the federal government, or in Medicare Advantage, which is administered by private insurers.

 

Both original Medicare and Medicare Advantage are regulated almost exclusively by federal law, which preempts state law in this area.

Summary of Bill:

The Legislature makes various findings regarding Medicare and states its opposition to Medicare privatization.  

 

The Legislature requests the federal government to level the playing field between original Medicare and Medicare Advantage so that Medicare beneficiaries will not suffer additional costs by enrolling in original Medicare and will have a genuine choice between the public and private program as a step toward health care equity.  To that end, the Legislature asks the federal government to:

  • eliminate the original Medicare 20 percent copays and set an out-of-pocket cap on medical expenses;
  • add benefits to original Medicare such as dental, vision, and hearing coverage as is permitted for Medicare Advantage;
  • eliminate the allowed excessive administrative costs and profits in the Medicare Advantage program; and
  • recoup funds for the Medicare Trust Fund from the Medicare Advantage overpayments, fraud, and abuse to support a robust original Medicare system that will lower costs and improve benefits, access, and equity for all seniors and disabled beneficiaries.  
Appropriation: None.
Fiscal Note: Not requested.
Effective Date: Upon enactment.