Bill > SB6183

This bill requires health plans issued or renewed on or after January 1, 2027, to cover all HIV antiviral drugs approved by the U.S. Food and Drug Administration (FDA) without requiring prior authorization, step therapy, or other utilization management protocols, which are procedures insurers use to control costs and ensure appropriate drug use. However, if the FDA has approved multiple versions of a drug that are therapeutically equivalent, meaning they work the same way, the health plan is not obligated to cover all of them without these protocols, as long as at least one equivalent version is covered without them. The bill also amends existing law to ensure that health plans, including those not typically regulated under Title 48 RCW (which governs insurance in Washington state), are subject to these new coverage requirements for HIV antiviral drugs.

Health and Social Services

https://app.leg.wa.gov/billsummary?BillNumber=6183&Year=2025&Initiative=false