The bill introduces a new section to chapter 74.09 RCW, mandating that the Washington State Medicaid program provide coverage for all FDA-approved HIV antiviral drugs without requiring prior authorization or step therapy. This provision applies to Apple Health clients enrolled in both fee-for-service and managed care programs. Additionally, managed health care systems must also offer this coverage without prior authorization or step therapy upon initiating or renewing their contracts with the authority to administer a Medicaid managed care plan.

The act emphasizes the urgency of its implementation, declaring it necessary for the immediate preservation of public peace, health, or safety, and it is set to take effect on July 1, 2025.