Concerning coverage for HIV antiviral drugs.
SB 6183 requires most health plans in Washington State to cover all FDA-approved HIV antiviral drugs without prior authorization, step therapy, or other extra approval steps starting January 1, 2027. This directly affects people with HIV who rely on these medications and their health insurers. The law allows plans to restrict coverage for certain drug versions if at least one therapeutically equivalent option is fully covered without hurdles. It applies to all health plans subject to state insurance regulations, ensuring broader access to essential HIV treatment.
Bill status
signed
all 5 stages cleared
Introduction
Jan 2026
Committee Review
Feb 2026
Senate Passage
Mar 2026
House Passage
Mar 2026
Signed into Law
Mar 2026
Introduced Jan 16, 2026
Signed Mar 14, 2026
Maddy AI version diff · 2 comparisons
What changed between versions
Substitute Bill
→
Substitute Passed Legislature
·
3 edits
MINOR
The document has been updated from a draft 'Substitute Bill' to a final 'Substitute Passed Legislature' version, adding official certification text and signatures to confirm the bill was approved by both the Senate and House of Representatives. This change signifies that the legislation is now officially enacted law rather than a proposed draft.
TECHNICAL
Added certification header, voting records (yeas and nays), and signatures from legislative officers to formally certify the bill's passage.
Removed the draft bill number 'S-4243.1' and replaced it with the formal title 'CERTIFICATION OF ENROLLMENT'.
Inserted specific dates (February 10, 2026 for Senate; March 3, 2026 for House) and vote counts to document the legislative process.
Floor votes · Senate Feb 10, 2026 · House Mar 3, 2026
How they voted
50–0
Passed · 1 other
Total votes 51
Feb 10, 2026
D
Democratic31
100% Yea
R
Republican20
95% Yea
Vote distribution
All Yea
All Nay
Mixed
No data
Full legislative history
Actions timeline
Total actions
26
Key actions
11
Committee
7
Mar 14, 2026
Signed into law
Governor signed.
executive
Mar 5, 2026
Lower · Passed
Speaker signed.
lower
Mar 4, 2026
Upper · Passed
President signed.
upper
Mar 3, 2026
House · Passed
House Vote: pass (95-1-4)
house
Feb 25, 2026
Committee
Referred to Rules 2 Review.
lower
Feb 25, 2026
Lower · Passed
HCW - Majority; do pass.
lower
Feb 25, 2026
Lower · Passed
Executive action taken in the House Committee on Health Care & Wellness at 1:30 PM.
lower
Feb 24, 2026
Lower · Passed
Public hearing in the House Committee on Health Care & Wellness at 1:30 PM.
lower
Feb 10, 2026
Senate · Passed
Senate Vote: pass (50-0-1)
senate
Jan 27, 2026
Upper · Passed
Minority; without recommendation.
upper
Jan 27, 2026
Upper · Passed
Executive action taken in the Senate Committee on Health & Long-Term Care at 10:30 AM.
upper
Jan 22, 2026
Upper · Passed
Public hearing in the Senate Committee on Health & Long-Term Care at 8:00 AM.
upper
1 primary · 12 co-sponsors
Sponsors
Role
Legislator
Party
State
District
P
Marko Liias
DDemocratic
Co
Annette Cleveland
DDemocratic
Co
Bob Hasegawa
DDemocratic
Co
Claire Wilson
DDemocratic
Co
Derek Stanford
DDemocratic
Co
Jamie Pedersen
DDemocratic
Co
Javier Valdez
DDemocratic
Co
Jess Bateman
DDemocratic
Co
Manka Dhingra
DDemocratic
Co
Paul Harris
RRepublican
Co
RS
Rebecca Saldaña
DDemocratic
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