The bill amends RCW 48.43.195 to enhance contraceptive coverage in health benefit plans. It mandates that any health benefit plan issued or renewed on or after January 1, 2026, must provide reimbursement for a 12-month supply of contraceptive drugs obtained at one time, unless the enrollee requests a smaller supply or the prescribing provider specifies a smaller amount. Additionally, the bill allows enrollees to receive contraceptive drugs on-site at the provider's office if available and requires that dispensing practices adhere to clinical guidelines to ensure patient health while maximizing access to effective contraceptive options.

Furthermore, the bill clarifies that health plans may limit refills in the last quarter of the plan year if a 12-month supply has already been dispensed. The definition of "contraceptive drugs" is also included, encompassing all FDA-approved drugs used to prevent pregnancy, such as hormonal drugs administered through various methods. The act is set to take effect on January 1, 2026.

Statutes affected:
Original Bill: 48.43.195