States / Washington / SB 5498

SB 5498 Enacted

Concerning contraceptive coverage.

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 S-0838.1

SENATE BILL 5498

State of Washington

69th Legislature

2025 Regular Session

By Senators Alvarado, Slatter, Bateman, Cleveland, Frame, Liias, Lovelett, Nobles, Pedersen, Saldaña, Salomon, Stanford, Trudeau, Valdez, and C. Wilson

Read first time 01/27/25. Referred to Committee on Health & Long-Term Care.

AN ACT Relating to contraceptive coverage; amending RCW 48.43.195 ; and providing an effective date.

BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF WASHINGTON:

Sec. 1. RCW 48.43.195 and 2017 c 293 s 2 are each amended to read as follows:

(1) A health benefit plan issued or renewed on or after January 1, (( 2018 )) 2026 , that includes coverage for contraceptive drugs must provide reimbursement for a (( twelve-month refill )) 12-month supply of contraceptive drugs obtained at one time by the enrollee, unless the enrollee requests a smaller supply or the prescribing provider instructs that the enrollee must receive a smaller supply. The health plan must allow enrollees to receive the contraceptive drugs on-site at the provider's office, if available. Any dispensing practices required by the plan must follow clinical guidelines for appropriate prescribing and dispensing to ensure the health of the patient while maximizing access to effective contraceptive drugs.

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