Washington Gov. Jay Inslee recently signed legislation making Washington the first state to enter the private health insurance market with a universally available public option. Rachel La Corte/AP hide caption toggle caption Rachel La Corte/AP Shots - Health News Will Washington State's New 'Public Option' Plan Reduce Health Care Costs? Northwest News Network May 16, 2019 Washington passed a law this week to create a new kind of public health insurance. It could inspire other states to try such a plan, but consumers might be in for a reality check.