All Roll Calls
Yes: 141 • No: 1
WashingtonSB 61832025-2026 Regular SessionSenateWALLET
Concerning coverage for HIV antiviral drugs.
Sponsored By: Marko Liias (Democratic)
Became Law
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Bill Overview
Analyzed Economic Effects
1 provisions identified: 1 benefits, 0 costs, 0 mixed.
Washington plans: no prior approval for HIV antivirals
Beginning January 1, 2027, Washington health plans must cover FDA‑approved HIV antiviral drugs without prior authorization or step therapy. The rule applies when your plan is issued or renewed on or after that date. If there are equivalent versions, the plan must cover at least one of them without these hurdles. It can still use these rules on other equivalent versions. State-run employee health plans must follow the same coverage rule.
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Sponsors & Cosponsors
Sponsor
Marko Liias
Democratic • Senate
Cosponsors
Annette Cleveland
Democratic • Senate
Bob Hasegawa
Democratic • Senate
Claire Wilson
Democratic • Senate
Derek Stanford
Democratic • Senate
Jamie Pedersen
Democratic • Senate
Javier Valdez
Democratic • Senate
Jessica Bateman
Democratic • Senate
Manka Dhingra
Democratic • Senate
Paul Harris
Republican • Senate
Rebecca Saldaña
Democratic • Senate
T'wina Nobles
Democratic • Senate
Yasmin Trudeau
Democratic • Senate
Roll Call Votes
House vote • 3/3/2026
3rd Reading & Final Passage
Yes: 93 • No: 1 • Other: 4
Senate vote • 2/10/2026
3rd Reading & Final Passage
Yes: 48 • No: 0 • Other: 1
Actions Timeline
Effective date 6/11/2026.
3/14/2026SenateChapter 48, 2026 Laws.
3/14/2026SenateGovernor signed.
3/14/2026legislatureDelivered to Governor.
3/10/2026legislatureSpeaker signed.
3/5/2026legislaturePresident signed.
3/4/2026legislatureThird reading, passed; yeas, 93; nays, 1; absent, 0; excused, 4.
3/3/2026SenateRules suspended. Placed on Third Reading.
3/3/2026SenateRules Committee relieved of further consideration. Placed on second reading.
3/2/2026SenateHCW - Majority; do pass.
2/25/2026SenateHCW - Executive action taken by committee.
2/25/2026SenateReferred to Rules 2 Review.
2/25/2026SenateFirst reading, referred to Health Care & Wellness.
2/12/2026SenateThird reading, passed; yeas, 48; nays, 0; absent, 0; excused, 1.
2/10/2026SenateRules suspended. Placed on Third Reading.
2/10/2026Senate1st substitute bill substituted.
2/10/2026SenatePlaced on second reading by Rules Committee.
2/4/2026SenatePassed to Rules Committee for second reading.
1/29/2026SenateMinority; without recommendation.
1/27/2026SenateHLTC - Majority; 1st substitute bill be substituted, do pass.
1/27/2026SenateFirst reading, referred to Health & Long-Term Care.
1/16/2026SenateIntroduced
1/16/2026Senate
Bill Text
Session Law
3/17/2026
Bill as Passed Legislature
3/12/2026
Substitute Bill
1/29/2026
Original Bill
1/20/2026
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