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Bill > HB1186


WA HB1186

WA HB1186
Expanding the situations in which medications can be dispensed or delivered from hospitals and health care entities.


summary

Introduced
01/13/2025
In Committee
03/27/2025
Crossed Over
03/04/2025
Passed
04/23/2025
Dead
Signed/Enacted/Adopted
05/12/2025

Introduced Session

Potential new amendment
2025-2026 Regular Session

Bill Summary

AN ACT Relating to expanding the situations in which medications 2 can be dispensed or delivered from hospitals and health care 3 entities; and amending RCW 70.41.480 and 18.64.450. 4

AI Summary

This bill expands the circumstances under which hospitals and healthcare entities can dispense emergency medications to patients being discharged from emergency departments. The legislation allows practitioners to prescribe and distribute prepackaged emergency medications when community pharmacy services are unavailable, particularly in situations where patients have limited access to pharmacies. The bill specifically broadens the types of medications that can be dispensed, now including HIV postexposure prophylaxis drugs, anti-infective medications, and manufacturer-prepackaged drugs. Hospitals must develop comprehensive policies to ensure safe medication distribution, including creating a pre-approved list of emergency medications, ensuring pharmacist supervision of medication preparation, and training practitioners on medication distribution. The bill limits initial medication dispensing to a 48-hour supply, with exceptions for specific scenarios like extended treatment needs or manufacturer packaging constraints. Additionally, the legislation clarifies that practitioners cannot bill separately for these medications, except in specific circumstances like HIV postexposure prophylaxis or opioid overdose reversal drugs. The goal is to improve patient access to critical medications during times when traditional pharmacy services are unavailable, particularly in emergency situations.

Committee Categories

Health and Social Services

Sponsors (14)

Last Action

Effective date 7/27/2025. (on 05/12/2025)

bill text


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bill summary

Document Type Source Location
State Bill Page https://app.leg.wa.gov/billsummary?BillNumber=1186&Year=2025&Initiative=false
Fiscal Note - 1186 HB (Final) https://fnspublic.ofm.wa.gov/FNSPublicSearch/GetPDF?packageID=71798
Fiscal Note - 1186 HB (Partial) https://fnspublic.ofm.wa.gov/FNSPublicSearch/GetPDF?packageID=71739
Final Bill Report https://lawfilesext.leg.wa.gov/biennium/2025-26/Pdf/Bill%20Reports/House/1186-S%20HBR%20FBR%2025.pdf
BillText https://lawfilesext.leg.wa.gov/biennium/2025-26/Pdf/Bills/Session%20Laws/House/1186-S.SL.pdf
Substitute House Bill Report https://lawfilesext.leg.wa.gov/biennium/2025-26/Pdf/Bill%20Reports/House/1186-S%20HBR%20PL%2025.pdf
BillText https://lawfilesext.leg.wa.gov/biennium/2025-26/Pdf/Bills/House%20Passed%20Legislature/1186-S.PL.pdf
1186-S AMS ENGR S2527.E https://lawfilesext.leg.wa.gov/biennium/2025-26/Pdf/Amendments/Senate/1186-S%20AMS%20ENGR%20S2527.E.pdf
Substitute House Bill Report https://lawfilesext.leg.wa.gov/biennium/2025-26/Pdf/Bill%20Reports/House/1186-S%20HBR%20SA%2025.pdf
Substitute Senate Bill Report https://lawfilesext.leg.wa.gov/biennium/2025-26/Pdf/Bill%20Reports/Senate/1186-S%20SBR%20APS%2025.pdf
Robinson 1186-S AMS ROBI S2672.1 https://lawfilesext.leg.wa.gov/biennium/2025-26/Pdf/Amendments/Senate/1186-S%20AMS%20ROBI%20S2672.1.pdf
Health & Long-Term Care 1186-S AMS HLTC S2527.1 https://lawfilesext.leg.wa.gov/biennium/2025-26/Pdf/Amendments/Senate/1186-S%20AMS%20HLTC%20S2527.1.pdf
Substitute Senate Bill Report https://lawfilesext.leg.wa.gov/biennium/2025-26/Pdf/Bill%20Reports/Senate/1186-S%20SBR%20HLTC%20OC%2025.pdf
Substitute Senate Bill Report https://lawfilesext.leg.wa.gov/biennium/2025-26/Pdf/Bill%20Reports/Senate/1186-S%20SBR%20HLTC%20TA%2025.pdf
Substitute Senate Bill Report (Orig.) https://lawfilesext.leg.wa.gov/biennium/2025-26/Pdf/Bill%20Reports/Senate/1186-S%20SBA%20HLTC%2025.pdf
Substitute House Bill Report https://lawfilesext.leg.wa.gov/biennium/2025-26/Pdf/Bill%20Reports/House/1186-S%20HBR%20APH%2025.pdf
BillText https://lawfilesext.leg.wa.gov/biennium/2025-26/Pdf/Bills/House%20Bills/1186-S.pdf
House Bill Report https://lawfilesext.leg.wa.gov/biennium/2025-26/Pdf/Bill%20Reports/House/1186%20HBR%20HCW%2025.pdf
House Bill Analysis 2025 https://lawfilesext.leg.wa.gov/biennium/2025-26/Pdf/Bill%20Reports/House/1186%20HBA%20HCW%2025.pdf
BillText https://lawfilesext.leg.wa.gov/biennium/2025-26/Pdf/Bills/House%20Bills/1186.pdf
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