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WA SB5577
Bill
Status
4/4/2025
Primary Sponsor
Marko Liias
Click for details
AI Summary
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Requires Washington Medicaid (Apple Health) to cover all FDA-approved HIV antiviral drugs without prior authorization or step therapy requirements
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Applies to both fee-for-service and managed care Medicaid programs
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Mandates that managed care organizations provide the same coverage requirements upon contract initiation or renewal with the Health Care Authority
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Passed unanimously (Senate 48-0, House 94-0) and signed by Governor Ferguson on April 4, 2025, with a partial veto
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Governor vetoed the emergency clause (Section 2) because funding is already in the Health Care Authority's base budget; law takes effect July 27, 2025 instead of July 1, 2025
Legislative Description
Concerning medicaid coverage for HIV antiviral drugs.
Last Action
Effective date 7/27/2025.
4/4/2025