Health insurance in Washington state is about to get a lot more expensive—starting in 2027, premiums on the state exchange will jump an average of 22.2%, hitting self-employed folks, retirees, and small businesses hardest. Insurance Commissioner Patty Kuderer says soaring healthcare costs are to blame, and without reforms to slow spending, these hikes will keep coming. Enrollment has dropped 13% since 2025, largely because enhanced tax credits expired—leaving those most in need paying more. Senator Patty Murray blames Republicans for the credit lapse, pointing to a 21% increase last year that cost a family of four over $12,000 annually. Meanwhile, hospitals face funding cuts and rising uncompensated care, forcing some to scale back or shut down entirely.
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