Concerning medicaid coverage for HIV antiviral drugs.

SB 5577 requires Washington State's Medicaid program (Apple Health) to cover all FDA-approved HIV antiviral drugs without prior authorization or step therapy for both fee-for-service and managed care plans. This policy change directly affects Medicaid patients with HIV and the managed care organizations administering their coverage. The law eliminates extra approval steps needed to access these medications, ensuring faster treatment access. It takes effect on July 27, 2025, after being signed into law following legislative passage.