Washington enacts law for 12-month hormone therapy refills starting January 2026

February 25, 2025 | 2025 Introduced Bills, House, 2025 Bills, Washington Legislation Bills, Washington


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Washington enacts law for 12-month hormone therapy refills starting January 2026
Washington State is poised to enhance access to essential healthcare services with the introduction of House Bill 1971, aimed at improving the availability of prescription hormone therapy for patients of all ages. Proposed on February 25, 2025, this legislation mandates that health plans provide reimbursement for a full 12-month supply of hormone therapy medications, allowing patients to obtain their prescriptions in a single refill.

The bill, which will take effect for health plans issued or renewed after January 1, 2026, addresses a significant gap in healthcare access for individuals requiring hormone therapy. Currently, many patients face barriers due to restrictive refill policies that necessitate more frequent visits to healthcare providers and pharmacies. By allowing a full year's supply to be dispensed at once, House Bill 1971 aims to streamline treatment, reduce healthcare costs, and improve adherence to prescribed therapies.

Key provisions of the bill stipulate that reimbursement for a 12-month supply is mandatory unless the patient requests a smaller quantity or if the prescribing provider deems it necessary. Additionally, for controlled substances, the bill ensures that health plans comply with state and federal laws regarding maximum refill limits.

The introduction of this bill has sparked discussions among healthcare advocates and providers, who emphasize the importance of accessible hormone therapy for individuals undergoing gender transition or those with hormonal imbalances. Supporters argue that this legislation will not only alleviate the logistical burdens faced by patients but also promote better health outcomes by ensuring consistent access to necessary medications.

However, the bill has not been without its critics. Some stakeholders express concerns about the potential for increased costs to health plans and the implications for insurance premiums. As the legislative process unfolds, these debates will likely shape the final form of the bill and its implementation.

The significance of House Bill 1971 extends beyond its immediate healthcare implications; it reflects a growing recognition of the need for inclusive healthcare policies that cater to diverse patient populations. If passed, this legislation could serve as a model for other states seeking to enhance access to critical health services.

As Washington moves forward with this initiative, the focus will remain on ensuring that all patients can access the hormone therapies they need without unnecessary barriers, ultimately fostering a more equitable healthcare landscape.

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Scribe from Workplace AI
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