WA HB1186

Allows hospitals to dispense prepackaged emergency medications to patients discharged from emergency departments when community or outpatient pharmacy services are unavailable within 15 miles, when patients cannot reasonably reach a pharmacy, or when HIV postexposure prophylaxis is needed

Expands the standard 48-hour medication supply limit to permit larger quantities when pharmacy services won't be available within 48 hours, when anti-infectives or HIV prophylaxis drugs are required, or when manufacturer packaging cannot be altered to a 48-hour supply

Requires hospital pharmacy directors to develop policies covering preapproved medication lists, pharmacist preparation or supervision, staff training, prescription documentation, secure storage, and mandatory practitioner counseling before distribution

Extends similar exceptions to health care entities, allowing practitioners to dispense beyond the standard 72-hour limit under the same circumstances (pharmacy unavailability, anti-infectives/HIV drugs, or manufacturer packaging constraints)

Prohibits hospitals and health care entities from billing separately for drugs dispensed under these expanded exceptions, except for HIV postexposure prophylaxis and opioid overdose reversal medications