WashingtonSB 59812025-2026 Regular SessionSenateWALLET

Protecting patient access to discounted medications and health care services through Washington's health care safety net by preventing manufacturer limitations on the 340B drug pricing program.

Sponsored By: Annette Cleveland (Democratic)

Became Law

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Bill Overview

Analyzed Economic Effects

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

Stops drugmakers from blocking 340B

Drug makers cannot deny or restrict discounted 340B drugs to covered clinics, their contract pharmacies, or approved sites. They also cannot require claims or other data to get 340B drugs, unless federal law requires it. Covered entities can sue and a court can order the conduct to stop and fine up to $5,000 per day per violation. Each package involved counts as a separate violation. The attorney general can also enforce this law under the state consumer protection rules.

Annual 340B reports and fees

Federally qualified health centers and certain hospitals in Washington must file a 340B report each year by April 1 after their fiscal year ends. Drug makers must also report by April 1 on last year’s 340B units and discounts, including average discounts for top drugs. The state can charge yearly filing fees; covered‑entity fees are tiered by revenue and cannot cover more than 25% of the state’s program costs. Late or missing reports can trigger fines up to $1,000 per day, with a 30‑day window to fix after written notice. The authority may assess up to $1,000 per day for reporting failures, and those fines go to the Medicaid fraud penalty account.

More public 340B and price data

The state publishes a yearly report by January 1 with aggregated 340B data, program costs, and fees collected. Some covered‑entity data items may be released by name; most other reported data stays confidential. Legislators and the state’s drug affordability and cost‑transparency boards can access confidential data for official work under strict protections. The law also clarifies who is covered and which drugs are tracked, including wholesale price thresholds: at least $10,000 for short courses or a 30‑day supply, or over $100 with large price hikes (20% in 1 year or 50% in 3 years). Covered entities must be in Washington, and the law defines covered manufacturers.

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Sponsors & Cosponsors

Sponsor

  • Annette Cleveland

    Democratic • Senate

Cosponsors

  • Bob Hasegawa

    Democratic • Senate

  • Emily Alvarado

    Democratic • House

  • Jamie Pedersen

    Democratic • Senate

  • Javier Valdez

    Democratic • Senate

  • Jessica Bateman

    Democratic • Senate

  • Manka Dhingra

    Democratic • Senate

  • Marko Liias

    Democratic • Senate

  • Mike Chapman

    Democratic • Senate

  • Noel Frame

    Democratic • Senate

  • Paul Harris

    Republican • Senate

  • Rebecca Saldaña

    Democratic • Senate

  • Member 27504

    House

Roll Call Votes

All Roll Calls

Yes: 376 • No: 394

Senate vote 3/9/2026

Final Passage as Amended by the House

Yes: 30 • No: 19

House vote 3/6/2026

2457 Marshall Pg 3 Ln 29

Yes: 46 • No: 50 • Other: 2

House vote 3/6/2026

2434 Engell Pg 2 Ln 26

Yes: 40 • No: 56 • Other: 2

House vote 3/6/2026

2432 Dufault Pg 2 Ln 30

Yes: 38 • No: 58 • Other: 2

House vote 3/6/2026

2435 Abell Pg 3 Ln 7

Yes: 43 • No: 53 • Other: 2

House vote 3/6/2026

2468 Marshall Pg 3 Ln 7

Yes: 43 • No: 53 • Other: 2

House vote 3/6/2026

2433 Manjarrez Pg 3 Ln 29

Yes: 39 • No: 57 • Other: 2

House vote 3/6/2026

Final Passage as Amended by the House

Yes: 67 • No: 30 • Other: 1

Senate vote 2/13/2026

3rd Reading & Final Passage

Yes: 30 • No: 18 • Other: 1

Actions Timeline

  1. Effective date 6/11/2026.

    3/25/2026Senate
  2. Chapter 227, 2026 Laws.

    3/25/2026Senate
  3. Governor signed.

    3/25/2026legislature
  4. Delivered to Governor.

    3/12/2026legislature
  5. Speaker signed.

    3/11/2026legislature
  6. President signed.

    3/10/2026legislature
  7. Passed final passage; yeas, 30; nays, 19; absent, 0; excused, 0.

    3/9/2026Senate
  8. Senate concurred in House amendments.

    3/9/2026House
  9. Third reading, passed; yeas, 67; nays, 30; absent, 0; excused, 1.

    3/6/2026Senate
  10. Rules suspended. Placed on Third Reading.

    3/6/2026Senate
  11. Committee amendment(s) adopted with no other amendments.

    3/6/2026Senate
  12. Rules Committee relieved of further consideration. Placed on second reading.

    3/4/2026Senate
  13. Referred to Rules 2 Review.

    3/2/2026Senate
  14. Minority; without recommendation.

    3/2/2026Senate
  15. Minority; do not pass.

    3/2/2026Senate
  16. APP - Majority; do pass with amendment(s) by Health Care & Wellness.

    3/2/2026Senate
  17. APP - Executive action taken by committee.

    3/2/2026Senate
  18. HCW - Executive action taken by committee.

    2/25/2026Senate
  19. Minority; without recommendation.

    2/25/2026Senate
  20. Minority; do not pass.

    2/25/2026Senate
  21. HCW - Majority; do pass with amendment(s).

    2/25/2026Senate
  22. Referred to Appropriations.

    2/25/2026Senate
  23. First reading, referred to Health Care & Wellness.

    2/17/2026Senate
  24. Third reading, passed; yeas, 30; nays, 18; absent, 0; excused, 1.

    2/13/2026Senate
  25. Rules suspended. Placed on Third Reading.

    2/13/2026Senate

Bill Text

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