On Monday, Washington Governor Jay Inslee, a Democrat who is also running for president, signed into law a bill making the state the first to enter the health insurance market with a universally available public option.
Washington residents may choose the public option regardless of their income beginning in 2021.
To ensure that enough people choose the public option to make it work, the state said it will set rates about 10% lower than comparable private insurance.
Reimbursements to doctors and hospitals will be capped at up to 160% higher than Medicare payouts. These rates are much higher than those found in other states with public options.
California is also looking for ways to expand health care. At his inauguration in January, Governor Gavin Newsom announced plans to move California toward a single-payer health care system.
Tom James, a Seattle-based reporter for Associated Press, joins KPBS Midday Edition to discuss Washington's new initiative.