SB 5019 Washington Senate · 2025-2026 Regular Session

Concerning prepacked medication distribution.

SB 5019 allows hospitals in Washington to distribute prepackaged emergency medications directly to patients being discharged from emergency departments when community or outpatient pharmacy services are unavailable within 15 miles or within a reasonable time. It specifically permits limited supplies (up to 48 hours) of medications like opioid overdose reversal drugs, HIV postexposure prophylaxis, antibiotics, and other prepackaged drugs, with exceptions for longer durations when medically necessary. Hospitals must establish strict protocols including pharmacist oversight, staff training, secure storage, and patient counseling before distribution. The bill does not apply to routine medication dispensing but ensures continuity of care for urgent needs during pharmacy access gaps.
Bill status in committee 1 of 4 stages cleared
Introduction
Jan 2026
Committee Review
Floor Vote
Governor
Introduced Jan 12, 2026 Last action Jan 12, 2026
Maddy AI version diff · 1 comparison

What changed between versions

Bill Substitute Bill · 3 edits
MINOR
The bill was renumbered from S-0104.3 to S-1144.1 and its title was broadened to cover a wider range of medication dispensing situations beyond just large prepackaged quantities. The core policy change allows hospitals to dispense medications in quantities larger than the standard 48-hour limit, but only if the manufacturer's packaging physically prevents the pharmacy from reducing the amount to fit the limit. This ensures patients receive necessary emergency supplies when community pharmacies are unavailable, while preventing hospitals from dispensing excess medication that could lead to misuse.
Scope change
The bill's scope expanded from strictly permitting the distribution of manufacturer-packaged medications in large quantities to explicitly expanding all situations in which hospitals can dispense medications, including those with pre-existing quantity limits.
REQUIREMENT

The exception allowing dispensing of large medication quantities was updated to require that the manufacturer's packaging cannot be altered to fit the standard 48-hour limit, rather than just being packaged in larger quantities.

The exception for large medication quantities in the 72-hour limit section was similarly updated to require that the packaging cannot be altered to fit the 72-hour limit.

SCOPE

The bill title was changed to reflect a broader expansion of dispensing rules for hospitals and health care entities, moving beyond just prepackaged medications.

Floor votes

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Full legislative history

Actions timeline

Total actions
8
Key actions
2
Committee
2
Jan 12, 2026
Introduced
By resolution, reintroduced and retained in present status.
upper
Feb 6, 2025
Upper · Passed
Executive action taken in the Senate Committee on Health & Long-Term Care at 8:00 AM.
upper
Jan 23, 2025
Upper · Passed
Public hearing in the Senate Committee on Health & Long-Term Care at 8:00 AM.
upper
1 primary · 8 co-sponsors

Sponsors