Washington 2025-2026 Regular Session Status: Enacted Bipartisan · 12 D · 1 R cosponsors

SB 6183 — Concerning coverage for HIV antiviral drugs.

Last action — Effective date 6/11/2026.

  1. ✓
    Introduced
  2. ✓
    In Committee
  3. ✓
    Passed Senate
  4. ✓
    Passed House
  5. ✓
    To Executive
  6. 6
    Enacted

This bill has been enacted into law. Introduced January 16, 2026. Enacted.

Signed by Governor Bob Ferguson (Democratic) on March 14, 2026.

Odds of enactment

High chance

Based on the sponsor, cosponsors, and committee posture, this bill has a high chance of becoming law.

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A statistical estimate from our own model of past outcomes — an insight, not a guarantee. Policymaking is volatile.

Prognosis

Likely to advance 98% · high confidence

  • Enacted

    Current position in the legislative process.

  • 13 sponsors

    1 primary, 12 co-sponsors signed on.

  • Bipartisan support

    Sponsored across 2 parties (12 D · 1 R) — cross-party backing.

  • Cleared a recorded vote

    Passed 2 recorded votes so far.

Based on stage, sponsorship breadth, committee status, recorded votes, and cross-state momentum — a description of the observable signals, not a prediction.

Bill Text

What changed in the latest version

14 added · 14 removed

Plain-language change summary

The latest version of Senate Bill 6183 removes the requirement for health plans to cover all therapeutically equivalent versions of certain HIV prevention or treatment products without prior authorization or additional management protocols. Now, the bill specifies that it only requires one equivalent version to be covered without these barriers. This change is significant because it can simplify access to needed medications for people living with or at risk for HIV, while still allowing plans some flexibility in their coverage options.

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Latest
S-4243.1 SUBSTITUTE SENATE BILL 6183 State of Washington 69th Legislature 2026 Regular Session By Senate Health & Long-Term Care (originally sponsored by Senators Liias, Harris, Bateman, Cleveland, C.
S-3914.1 SENATE BILL 6183 State of Washington 69th Legislature 2026 Regular Session By Senators Liias, Harris, Bateman, Cleveland, C.
Wilson, Dhingra, Hasegawa, Nobles, Pedersen, Saldaña, Stanford, Trudeau, and Valdez) READ FIRST TIME 01/29/26.
Wilson, Dhingra, Hasegawa, Nobles, Pedersen, Saldaña, Stanford, Trudeau, and Valdez Read first time 01/16/26.
Referred to Committee on Health & Long- Term Care.
(2) If the United States food and drug administration has approved one or more therapeutic equivalents of a drug, device, or product for the prevention or treatment of HIV, this section does not require a health plan to cover all of the therapeutically equivalent versions without prior authorization, step therapy, or any other utilization management protocols, if at least one therapeutically equivalent version is covered without prior authorization, step therapy, or any other utilization management protocols.
(2) If the United States food and drug administration has approved one or more therapeutic equivalents of a drug, device, or product for the prevention of HIV, this section does not require a health plan to cover all of the therapeutically equivalent versions without prior authorization, step therapy, or any other utilization management protocols, if at least one therapeutically equivalent version is covered without prior authorization, step therapy, or any other utilization management protocols.
1 SSB 6183 Sec.
1 SB 6183 Sec.
2 SSB 6183
2 SB 6183
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Action History

  1. Effective date 6/11/2026.

  2. Chapter 48, 2026 Laws.

  3. Governor signed.

  4. Delivered to Governor.

  5. Speaker signed.

  6. President signed.

  7. Third reading, passed; yeas, 93; nays, 1; absent, 0; excused, 4.

  8. Rules suspended. Placed on Third Reading.

  9. Rules Committee relieved of further consideration. Placed on second reading.

  10. Referred to Rules 2 Review.

  11. HCW - Majority; do pass.

  12. Executive action taken in the House Committee on Health Care & Wellness at 1:30 PM.

  13. Public hearing in the House Committee on Health Care & Wellness at 1:30 PM.

  14. First reading, referred to Health Care & Wellness.

  15. Third reading, passed; yeas, 48; nays, 0; absent, 0; excused, 1.

  16. Rules suspended. Placed on Third Reading.

  17. 1st substitute bill substituted (HLTC 26).

  18. Placed on second reading by Rules Committee.

  19. Passed to Rules Committee for second reading.

  20. Minority; without recommendation.

  21. HLTC - Majority; 1st substitute bill be substituted, do pass.

  22. Executive action taken in the Senate Committee on Health & Long-Term Care at 10:30 AM.

  23. Public hearing in the Senate Committee on Health & Long-Term Care at 8:00 AM.

  24. First reading, referred to Health & Long-Term Care.

Sponsors

Sponsorship breakdown

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1 sponsors · 12 co-sponsors · 138 not signed on · 1 voted No

Sponsors (1)

Co-sponsors (12)

Not signed on (138)

138 members have not signed on to this bill.

Show all 138 →

"Not signed on" means a member has not sponsored or co-sponsored this bill — it does not imply opposition. Members flagged Voted No have a recorded No vote on this bill.

Whip count is in markup. Polling the chamber and every recorded vote this session. Only the first open is slow. It’s instant for you after this. Calling the roll · Tallying · Engrossing

Votes

3rd Reading & Final Passage (#16)

Passed 93 Yea · 1 Nay · 4 Other
Party YeaNayPresentNot Voting
Republican 36101
Democrat 57003
Total 93104
% of votes cast 95%1%0%4%
How each member voted (98)
Member Party Vote
Adam Bernbaum Democrat Yea
Adison Richards Democrat Yea
Adrian Cortes Democrat Yea
Alex Ramel Democrat Yea
Alicia Rule Democrat Yea
Amy Walen Democrat Yea
April Berg Democrat Yea
Beth Doglio Democrat Yea
Brandy Donaghy Democrat Yea
Brianna Thomas Democrat Yea
Chipalo Street Democrat Yea
Chris Stearns Democrat Yea
Cindy Ryu Democrat Yea
Clyde Shavers Democrat Yea
Dan Bronoske Democrat Yea
Darya Farivar Democrat Yea
Dave Paul Democrat Yea
David Hackney Democrat Not Voting
Davina Duerr Democrat Yea
Debra Entenman Democrat Yea
Debra Lekanoff Democrat Yea
Edwin Obras Democrat Yea
Gerry Pollet Democrat Yea
Greg Nance Democrat Yea
Jake Fey Democrat Yea
Jamila Taylor Democrat Yea
Janice Zahn Democrat Yea
Javier Valdez Democrat Yea
Joe Fitzgibbon Democrat Not Voting
Joe Timmons Democrat Yea
Julia Reed Democrat Yea
Kristine Reeves Democrat Yea
Larry Springer Democrat Yea
Lauren Davis Democrat Yea
Laurie Jinkins Democrat Yea
Lillian Ortiz-Self Democrat Yea
Lisa Callan Democrat Yea
Lisa Parshley Democrat Yea
Liz Berry Democrat Yea
Mari Leavitt Democrat Yea
Mary Fosse Democrat Yea
Melanie Morgan Democrat Yea
Mia Gregerson Democrat Yea
Monica Jurado Stonier Democrat Yea
My-Linh Thai Democrat Yea
Natasha Hill Democrat Yea
Nicole Macri Democrat Yea
Osman Salahuddin Democrat Yea
Roger Goodman Democrat Yea
Sharlett Mena Democrat Yea
Sharon Tomiko Santos Democrat Yea
Sharon Wylie Democrat Yea
Shaun Scott Democrat Yea
Shelley Kloba Democrat Yea
Steve Bergquist Democrat Yea
Steve Tharinger Democrat Not Voting
Strom Peterson Democrat Yea
Tarra Simmons Democrat Yea
Timm Ormsby Democrat Yea
Zach Hall Democrat Yea
Alex Ybarra Republican Yea
Andrew Barkis Republican Yea
Andrew Engell Republican Yea
April Connors Republican Yea
Brian Burnett Republican Yea
Carolyn Eslick Republican Yea
Chris Corry Republican Yea
Cyndy Jacobsen Republican Yea
Dan Griffey Republican Yea
David Stuebe Republican Yea
Deb Manjarrez Republican Yea
Drew Stokesbary Republican Yea
Ed Orcutt Republican Yea
Gloria Mendoza Republican Yea
Hunter Abell Republican Yea
Jenny Graham Republican Yea
Jeremie Dufault Republican Yea
Jim Walsh Republican Nay
Joe Schmick Republican Yea
Joel McEntire Republican Yea
John Ley Republican Yea
Joshua Penner Republican Yea
Kevin Waters Republican Yea
Mark Klicker Republican Yea
Mary Dye Republican Yea
Matt Marshall Republican Yea
Michael Keaton Republican Yea
Mike Steele Republican Yea
Mike Volz Republican Not Voting
Peter Abbarno Republican Yea
Rob Chase Republican Yea
Sam Low Republican Yea
Skyler Rude Republican Yea
Stephanie Barnard Republican Yea
Stephanie McClintock Republican Yea
Suzanne Schmidt Republican Yea
Tom Dent Republican Yea
Travis Couture Republican Yea

Official roll call →

3rd Reading & Final Passage (#17)

Passed 48 Yea · 0 Nay · 1 Other
Party YeaNayPresentNot Voting
Democrat 30000
Republican 18001
Total 48001
% of votes cast 98%0%0%2%
How each member voted (49)
Member Party Vote
Adrian Cortes Democrat Yea
Annette Cleveland Democrat Yea
Bob Hasegawa Democrat Yea
Claire Wilson Democrat Yea
Claudia Kauffman Democrat Yea
Deborah Krishnadasan Democrat Yea
Derek Stanford Democrat Yea
Drew Hansen Democrat Yea
Emily Alvarado Democrat Yea
Jamie Pedersen Democrat Yea
Javier Valdez Democrat Yea
Jesse Salomon Democrat Yea
Jessica Bateman Democrat Yea
John Lovick Democrat Yea
June Robinson Democrat Yea
Lisa Wellman Democrat Yea
Liz Lovelett Democrat Yea
Manka Dhingra Democrat Yea
Marcus Riccelli Democrat Yea
Marko Liias Democrat Yea
Mike Chapman Democrat Yea
Noel Frame Democrat Yea
Rebecca Saldaña Democrat Yea
Sharon Shewmake Democrat Yea
Steve Conway Democrat Yea
T'wina Nobles Democrat Yea
Tina Orwall Democrat Yea
Vandana Slatter Democrat Yea
Victoria Hunt Democrat Yea
Yasmin Trudeau Democrat Yea
Chris Gildon Republican Yea
Curtis King Republican Yea
Drew MacEwen Republican Yea
Jeff Holy Republican Yea
Jeff Wilson Republican Yea
Jim McCune Republican Yea
John Braun Republican Not Voting
Judy Warnick Republican Yea
Keith Goehner Republican Yea
Keith Wagoner Republican Yea
Leonard Christian Republican Yea
Mark Schoesler Republican Yea
Matt Boehnke Republican Yea
Nikki Torres Republican Yea
Paul Harris Republican Yea
Perry Dozier Republican Yea
Phil Fortunato Republican Yea
Ron Muzzall Republican Yea
Shelly Short Republican Yea

Official roll call →

Subjects

healthcare health-insurance
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Frequently asked questions

Who sponsors SB 6183?
SB 6183 is sponsored by Yasmin Trudeau (Democrat), Derek Stanford (Democrat), Rebecca Saldaña (Democrat), Jamie Pedersen (Democrat), T'wina Nobles (Democrat), Bob Hasegawa (Democrat), Manka Dhingra (Democrat), Claire Wilson (Democrat), Annette Cleveland (Democrat), Jessica Bateman (Democrat), Paul Harris (Republican), Marko Liias (Democrat), and Javier Valdez (Democrat).
What is the current status of SB 6183?
This bill has been enacted into law. Introduced January 16, 2026. Enacted.
Where can I track SB 6183?
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