Bill > SB5498

This bill amends existing Washington state law regarding health insurance coverage of contraceptive drugs, extending the effective date from January 1, 2018, to January 1, 2026. The bill requires health benefit plans that include contraceptive drug coverage to provide a 12-month supply of contraceptive drugs at one time, unless the patient or prescribing provider requests a smaller supply. Health plans must allow patients to obtain these drugs on-site at the provider's office when possible, and must follow clinical guidelines to ensure patient health while maximizing access to contraceptive drugs. The bill defines "contraceptive drugs" as all FDA-approved pregnancy prevention medications, including hormonal drugs administered orally, transdermally, and intravaginally. Health plans are still permitted to limit refills in the last quarter of the plan year if a 12-month supply has already been dispensed. The legislation aims to improve access to contraceptive medications by ensuring longer-term supplies and more convenient procurement options for patients.

Health and Social Services

https://app.leg.wa.gov/billsummary?BillNumber=5498&Year=2025&Initiative=false