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WashingtonHB 11862025-2026 Regular SessionHouseWALLET

Expanding the situations in which medications can be dispensed or delivered from hospitals and health care entities.

Sponsored By: Lisa Parshley (Democratic)

Became Law

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Bill Overview

Analyzed Economic Effects

3 provisions identified: 1 benefits, 0 costs, 2 mixed.

Hospitals must follow overdose reversal rules

Emergency departments must follow state law when they dispense or give opioid overdose reversal medicine. This keeps access consistent and supports community safety.

Licenses and limits for clinic drug dispensing

Health care entities must be licensed by the Department of Health to handle prescription drugs and must get a yearly license to handle controlled substances. A pharmacist must supervise how these drugs are received, given, dispensed, and delivered. Entities may give drugs only to patients getting care at that entity. A practitioner may dispense up to a 72‑hour supply for personal use; more is allowed if no pharmacy is available within 72 hours, for anti‑infectives or HIV PEP, or when the manufacturer package is larger. Entities cannot bill separately for drugs given under those exceptions.

ED can give take-home emergency meds

Hospital emergency departments can send you home with prepackaged emergency medicine. A practitioner prescribes it, and a practitioner or registered nurse can give it to you. This applies when no local pharmacy is within 15 road miles, when your practitioner says you cannot reasonably reach a pharmacy, or when you need HIV post‑exposure prophylaxis (PEP). The default limit is up to a 48‑hour supply; more is allowed if no pharmacy will be available within 48 hours, for anti‑infectives or HIV PEP, or when the manufacturer package is larger. A single dose given right away in the ED is not part of these rules. You usually do not get a separate bill for these take‑home drugs; separate billing is allowed only for HIV PEP or opioid overdose reversal drugs. Emergency medication can include drugs commonly used in the ED, including some controlled substances.

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Sponsors & Cosponsors

Sponsor

  • Lisa Parshley

    Democratic • House

Cosponsors

  • Adam Bernbaum

    Democratic • House

  • Alex Ramel

    Democratic • House

  • Alicia Rule

    Democratic • House

  • Beth Doglio

    Democratic • House

  • Darya Farivar

    Democratic • House

  • Edwin Obras

    Democratic • House

  • Julia Reed

    Democratic • House

  • Mary Fosse

    Democratic • House

  • Natasha Hill

    Democratic • House

  • Nicole Macri

    Democratic • House

  • Osman Salahuddin

    Democratic • House

  • Sam Low

    Republican • House

  • Timm Ormsby

    Democratic • House

Roll Call Votes

All Roll Calls

Yes: 243 • No: 0

House vote • 4/21/2025

Final Passage as Amended by the Senate

Yes: 97 • No: 0 • Other: 1

Senate vote • 4/16/2025

3rd Reading & Final Passage as Amended by the Senate

Yes: 49 • No: 0

House vote • 3/4/2025

3rd Reading & Final Passage

Yes: 97 • No: 0 • Other: 1

Actions Timeline

  1. Effective date 7/27/2025.

    5/12/2025House

  2. Chapter 213, 2025 Laws.

    5/12/2025House

  3. Governor signed.

    5/12/2025legislature

  4. President signed.

    4/23/2025legislature

  5. Delivered to Governor.

    4/23/2025legislature

  6. Speaker signed.

    4/22/2025legislature

  7. Passed final passage; yeas, 97; nays, 0; absent, 0; excused, 1.

    4/21/2025House

  8. House concurred in Senate amendments.

    4/21/2025House

  9. Third reading, passed; yeas, 49; nays, 0; absent, 0; excused, 0.

    4/16/2025House

  10. Rules suspended. Placed on Third Reading.

    4/16/2025House

  11. Committee amendment(s) adopted as amended.

    4/16/2025House

  12. Placed on second reading by Rules Committee.

    4/15/2025House

  13. Passed to Rules Committee for second reading.

    3/29/2025House

  14. HLTC - Majority; do pass with amendment(s).

    3/27/2025House

  15. First reading, referred to Health & Long-Term Care.

    3/6/2025House

  16. Third reading, passed; yeas, 97; nays, 0; absent, 0; excused, 1.

    3/4/2025House

  17. Rules suspended. Placed on Third Reading.

    3/4/2025House

  18. 1st substitute bill substituted.

    3/4/2025House

  19. Rules Committee relieved of further consideration. Placed on second reading.

    2/11/2025House

  20. Referred to Rules 2 Review.

    2/4/2025House

  21. HCW - Executive action taken by committee.

    1/31/2025House

  22. HCW - Majority; 1st substitute bill be substituted, do pass.

    1/31/2025House

  23. First reading, referred to Health Care & Wellness.

    1/13/2025House

  24. Prefiled for introduction.

    1/7/2025House

Bill Text

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