Accessing an emergency supply of insulin.

SB 5326 creates a Washington State program to provide one emergency 30-day insulin supply per year for $10 out-of-pocket to eligible residents. It directly affects Washington residents who lack insurance coverage that already limits insulin costs to $35 or less per 30-day supply, have a valid prescription, and have less than a seven-day supply available. The program uses electronic vouchers redeemable at contracted pharmacies, with pharmacies submitting claims for reimbursement from the state's prescription drug consortium. The consortium then invoices insulin manufacturers for reimbursement within 30 days, with fines for nonpayment. This is a direct policy change to improve short-term insulin access for uninsured or underinsured Washington residents.