The Washington Health Trust

Our proposal for statewide universal healthcare called the Washington Health Trust was originally based on previous language written by our allies at Health Care for All Washington called the Washington Health Security Trust. It was first introduced to the public in 2018 as an initiative to the people. It was introduced into the Senate in 2019 by Senator Bob Hasegawa and has been filed every session since as well as two more times in initiative form. In 2025 it was introduced into the House of Representatives for the first time by Representatives Lisa Parshley and Shaun Scott as House Bill 1445 and reintroduced into the Senate as Senate Bill 5233. While the overall design has remained consistent, every reintroduction has been treated as an opportunity to incorporate improvements collected through community feedback and collaboration with our coalition and allies in the legislature.

See the Legislature page for updates and the current Call to Action.

Full text (SB.5233)

One Pager

Past Versions

Senate Bill 5335

  • Introduced in January 2023
  • Reintroduced in the following session
  • Sponsored by State Senators Hasegawa, Hunt, Liias, Nguyen, Stanford.
  • Was not let out of committee.

Initiative 1471

  • Filed in March 2022
  • Signature gathering began April 2022
  • Did not meet the threshold of 405,000 needed by December 30, 2022

Initiative 1362

  • Filed in April 2021
  • Campaign suspended due to Covid, August 2021

Senate Bill 5204

  • Introduced in January 2021
  • Re-introduced in the 2022 session
  • Sponsored by State Senators: Hasegawa, Kuderer, Liias, Lovelett, Nguyen, Stanford, Wilson, C.
  • Was not let out of committee

Senate Bill 5222

  • Introduced in January 2019
  • Sponsored by State Senators Hasegawa, Hunt, Keiser.
  • Was not let out of committee.

Initiative 1600

    • Filed in January 2018
    • Based on the Washington Health Security Trust (WHST) bill
    • Included a financing plan based on an economic analysis by Dr. Gerald Friedman.
    • 103,000 signatures via 100% volunteer effort but did not meet the threshold of 260,000 needed.
    • Received support from LD’s, organizations, campaigning candidates, and elected officials. See the I-1600 Endorsements here.