This bill establishes an emergency insulin program in Washington state, allowing eligible individuals to access a 30-day supply of insulin for a maximum out-of-pocket cost of $10, starting January 1, 2026. To qualify, individuals must be Washington residents, not enrolled in medical assistance or prescription drug coverage that limits their cost-sharing for insulin to $35 or less, possess a valid prescription, and have less than a seven-day supply of insulin available. The program will be administered by the health care authority, which will provide a process for individuals to attest to their eligibility and receive an electronic voucher for insulin at a network pharmacy.

The bill outlines the responsibilities of network pharmacies, including accepting vouchers and dispensing insulin, as well as the reimbursement process from the prescription drug purchasing consortium to the pharmacies. It also includes provisions for fines against manufacturers that fail to comply with reimbursement requirements, with collected fines directed to the state health care affordability account. Additionally, the authority is tasked with providing information on manufacturer patient assistance programs to help patients access insulin at reduced or no cost. The bill adds new sections to chapter 70.330 RCW to implement these provisions.