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WashingtonSB 61832025-2026 Regular SessionSenateWALLET

Concerning coverage for HIV antiviral drugs.

Sponsored By: Marko Liias (Democratic)

Signed by Governor

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Bill Overview

Analyzed Economic Effects

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

Fewer insurance barriers for HIV medicines

The law applies to covered Washington health plans issued or renewed on or after January 1, 2027, including state employee plans. These plans must cover all FDA-approved HIV antiviral drugs without requiring advance approval, trying another drug first, or other treatment-use controls. When the FDA approves equivalent HIV prevention or treatment products, only one equivalent version must be covered without those barriers. The law does not set limits on copays or deductibles.

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

All Roll Calls

Yes: 141 • No: 1

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

  1. Effective date 6/11/2026.

    3/14/2026Senate

  2. Chapter 48, 2026 Laws.

    3/14/2026Senate

  3. Governor signed.

    3/14/2026legislature

  4. Delivered to Governor.

    3/10/2026legislature

  5. Speaker signed.

    3/5/2026legislature

  6. President signed.

    3/4/2026legislature

  7. Third reading, passed; yeas, 93; nays, 1; absent, 0; excused, 4.

    3/3/2026Senate

  8. Rules suspended. Placed on Third Reading.

    3/3/2026Senate

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

    3/2/2026Senate

  10. HCW - Majority; do pass.

    2/25/2026Senate

  11. HCW - Executive action taken by committee.

    2/25/2026Senate

  12. Referred to Rules 2 Review.

    2/25/2026Senate

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

    2/12/2026Senate

  14. Third reading, passed; yeas, 48; nays, 0; absent, 0; excused, 1.

    2/10/2026Senate

  15. Rules suspended. Placed on Third Reading.

    2/10/2026Senate

  16. 1st substitute bill substituted.

    2/10/2026Senate

  17. Placed on second reading by Rules Committee.

    2/4/2026Senate

  18. Passed to Rules Committee for second reading.

    1/29/2026Senate

  19. Minority; without recommendation.

    1/27/2026Senate

  20. HLTC - Majority; 1st substitute bill be substituted, do pass.

    1/27/2026Senate

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

    1/16/2026Senate

  22. Introduced

    1/16/2026Senate

Bill Text

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