Expanding the situations in which medications can be dispensed or delivered from hospitals and health care entities.
House Bill 1186 expands the situations in which hospitals and health care entities can dispense medications directly to patients. It allows practitioners in hospital emergency departments to prescribe and distribute limited amounts of prepackaged emergency medications to patients being discharged. This is permitted when community or outpatient pharmacy services are unavailable or inaccessible, or for specific treatments like human immunodeficiency virus postexposure prophylaxis. Hospitals must establish clear policies, including a list of approved medications, staff training, patient counseling, and generally limit supplies to a 48-hour maximum, with some exceptions. The bill also adjusts similar medication dispensing limits for other health care entities.
Bill status
signed
all 5 stages cleared
Introduction
Jan 2025
Committee Review
Apr 2025
House Passage
Apr 2025
Senate Passage
Apr 2025
Signed into Law
May 2025
Introduced Jan 7, 2025
Signed May 12, 2025
Maddy AI version diff · 2 comparisons
What changed between versions
Substitute Bill
→
Substitute Passed Legislature
·
3 edits
MINOR
The bill was finalized and certified for the 2025 legislative session. A new provision was added to prevent hospitals from billing separately for emergency drugs and therapies (like HIV post-exposure prophylaxis and opioid reversal) when they are bundled into a single payment. Additionally, a new rule was introduced prohibiting separate billing for specific emergency supplies provided when community pharmacies are unavailable or when drugs cannot be repackaged into smaller quantities.
Scope change
The bill's scope was expanded to include new billing restrictions for health care entities regarding emergency drug supplies.
REQUIREMENT
Added a prohibition on health care entities billing separately for emergency drugs and therapies dispensed under specific subsections, ensuring these costs are covered within the bundled payment.
Added a restriction preventing hospitals from billing separately for opioid overdose reversal medications and HIV post-exposure prophylaxis, except where explicitly permitted.
TECHNICAL
Updated the bill header to reflect its passage by the Senate and House, marking it as passed by the legislature.
Floor votes · Senate Apr 16, 2025 · House Apr 21, 2025
How they voted
51–0
Passed
Total votes 51
Apr 16, 2025
D
Democratic31
100% Yea
R
Republican20
100% Yea
Vote distribution
All Yea
All Nay
Mixed
No data
Full legislative history
Actions timeline
Total actions
29
Key actions
13
Committee
8
May 12, 2025
Signed into law
Governor signed.
executive
Apr 23, 2025
Upper · Passed
President signed.
upper
Apr 22, 2025
Lower · Passed
Speaker signed.
lower
Apr 21, 2025
Lower · Passed
Passed final passage; yeas, 97; nays, 0; absent, 0; excused, 1.
lower
Apr 21, 2025
Lower · Passed
House concurred in Senate amendments.
lower
Apr 16, 2025
Upper · Passed
Committee amendment(s) adopted as amended.
upper
Apr 16, 2025
Senate · Passed
Senate Vote: pass (51-0)
senate
Mar 27, 2025
Upper · Passed
HLTC - Majority; do pass with amendment(s).
upper
Mar 27, 2025
Upper · Passed
Executive action taken in the Senate Committee on Health & Long-Term Care at 8:00 AM.
upper
Mar 20, 2025
Upper · Passed
Executive session scheduled, but no action was taken in the Senate Committee on Health & Long-Term Care at 8:00 AM.
upper
Mar 18, 2025
Upper · Passed
Public hearing in the Senate Committee on Health & Long-Term Care at 10:30 AM.
upper
Feb 4, 2025
Committee
Referred to Rules 2 Review.
lower
Jan 31, 2025
Lower · Passed
Executive action taken in the House Committee on Health Care & Wellness at 8:00 AM.
lower
Jan 24, 2025
Lower · Passed
Public hearing in the House Committee on Health Care & Wellness at 8:00 AM.
lower
1 primary · 13 co-sponsors
Sponsors
Role
Legislator
Party
State
District
P
Lisa Parshley
DDemocratic
Co
Adam Bernbaum
DDemocratic
Co
Alex Ramel
DDemocratic
Co
Alicia Rule
DDemocratic
Co
Beth Doglio
DDemocratic
Co
Darya Farivar
DDemocratic
Co
Edwin Obras
DDemocratic
Co
Julia Reed
DDemocratic
Co
Mary Fosse
DDemocratic
Co
Natasha Hill
DDemocratic
Co
Nicole Macri
DDemocratic
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