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WashingtonHB 19712025-2026 Regular SessionHouseWALLET

Increasing access to prescription hormone therapy.

Sponsored By: Nicole Macri (Democratic)

Signed by Governor

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Bill Overview

Analyzed Economic Effects

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

Longer hormone refills with some limits

The law took effect July 27, 2025. Its refill requirement applies to health plans issued or renewed on or after January 1, 2026. Plans that cover prescription hormone therapy must pay for a 12-month refill obtained at once. This applies to FDA-approved drugs that suppress, increase, or replace hormones the body does not produce at intended levels. GLP-1 drugs and GLP-1 receptor agonists are excluded. The drug must be safe to store at room temperature without refrigeration. A smaller supply applies if you request it or your prescriber says it is required. For controlled substances, plans must pay for the largest refill state and federal law allow at once. Plans may limit refills in the plan year's last quarter if a 12-month supply was already dispensed that year. During an acute dispensing shortage, prescribers may temporarily limit refills to a 90-day supply at once. They must lift that limit at the first opportunity when a sustainable supply returns. Dispensing must follow clinical guidelines that protect health while maximizing access. Plans may also use drug-use management rules consistent with these requirements.

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

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