PRIA Logo™
WashingtonHB 19712025-2026 Regular SessionHouseWALLET

Increasing access to prescription hormone therapy.

Sponsored By: Nicole Macri (Democratic)

Became Law

Your PRIA Score

Score Hidden

Personalized for You

How does this bill affect your finances?

Sign up for a PRIA Policy Scan to see your personalized alignment score for this bill and every other piece of legislation we track. We analyze your financial profile against policy provisions to show you exactly what matters to your wallet.

Free to start

Bill Overview

Analyzed Economic Effects

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

State employees get 12-month refills

State employee medical plans under chapter 41.05 RCW must follow the same 12‑month hormone refill rules. This means eligible state employees can get a 12‑month supply at once on the same schedule as other plans when their plan is issued or renewed on or after January 1, 2026.

12-month hormone refills starting 2026

Beginning January 1, 2026, health plans issued or renewed on or after that date that cover prescription hormone therapy must pay for a 12‑month refill given at once. This applies only to drugs you can safely keep at room temperature, and it excludes GLP‑1 drugs. You or your prescriber can ask for a smaller supply. For controlled substances, plans pay only up to the legal maximum refill at one time. Plans may limit refills in the last quarter if you already got a 12‑month supply that plan year. A prescriber may temporarily limit fills to 90 days during an acute shortage. Plans may use drug‑utilization rules where allowed.

Free Policy Watch

You just read the policy. Now see what it costs you.

Pick a topic. PRIA runs your household against live legislation and sends you a free personalized readout.

Pick a topic to get started

My TaxesMy HealthMy BudgetMy MoneyMy Freedom
Or tell us something more specific

Sponsors & Cosponsors

Sponsor

  • Nicole Macri

    Democratic • House

Cosponsors

  • Alex Ramel

    Democratic • House

  • Beth Doglio

    Democratic • House

  • Gerry Pollet

    Democratic • House

  • Lisa Parshley

    Democratic • House

  • Liz Berry

    Democratic • House

  • Natasha Hill

    Democratic • House

  • Shaun Scott

    Democratic • House

  • Timm Ormsby

    Democratic • House

Roll Call Votes

All Roll Calls

Yes: 98 • No: 47

Senate vote • 4/16/2025

3rd Reading & Final Passage

Yes: 40 • No: 9

House vote • 3/8/2025

3rd Reading & Final Passage

Yes: 58 • No: 38 • Other: 2

Actions Timeline

  1. Effective date 7/27/2025.

    4/25/2025House

  2. Chapter 171, 2025 Laws.

    4/25/2025House

  3. Governor signed.

    4/25/2025legislature

  4. Delivered to Governor.

    4/21/2025legislature

  5. President signed.

    4/19/2025legislature

  6. Speaker signed.

    4/18/2025legislature

  7. Third reading, passed; yeas, 40; nays, 9; absent, 0; excused, 0.

    4/16/2025House

  8. Rules suspended. Placed on Third Reading.

    4/16/2025House

  9. Placed on second reading by Rules Committee.

    4/15/2025House

  10. Passed to Rules Committee for second reading.

    4/8/2025House

  11. Minority; without recommendation.

    4/8/2025House

  12. Minority; do not pass.

    4/8/2025House

  13. WM - Majority; do pass.

    4/8/2025House

  14. Referred to Ways & Means.

    3/26/2025House

  15. And refer to Ways & Means.

    3/25/2025House

  16. Minority; without recommendation.

    3/25/2025House

  17. Minority; do not pass.

    3/25/2025House

  18. HLTC - Majority; do pass.

    3/25/2025House

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

    3/11/2025House

  20. Third reading, passed; yeas, 58; nays, 38; absent, 0; excused, 2.

    3/8/2025House

  21. Rules suspended. Placed on Third Reading.

    3/8/2025House

  22. Floor amendment(s) adopted.

    3/8/2025House

  23. 1st substitute bill substituted.

    3/8/2025House

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

    3/5/2025House

  25. Referred to Rules 2 Review.

    2/28/2025House

Bill Text

Related Bills

Back to State Legislation

Take It Personal

Get Your Personalized Policy View

Take the PRIA Score to see how policy affects your household, then upgrade to PRIA Full Coverage for year-round monitoring.

Already have an account? Sign in