WAS LEG Hormone Therapy Reimbursing

Published on: May 20, 2025

On Apr. 25, WAS LEG enacted bill on health plan reimbursements.

  • WAS LEG enacted HB 1971 on insurer reimbursements for hormone therapy refills.
  • Amends WAS INS 41.05.017 (applicability of insurance chapter to health plans offering medical insurance), adds section to WAS INS 48.43 (hormone therapy reimbursing).
  • Document dated Apr. 25, 2025, was received on May 16 due to a fixed feed.
  • Bill Provisions
  • Requires health plans that included coverage for prescription hormone therapy to provide reimbursement for a 12-month refill of the covered hormone therapy.
  • Specifies exceptions where refill ordered at end of plan year, shortages of the hormone therapy; provides a definition of prescription hormone therapy; applicability provision.
  • Legislative History
  • On Feb. 13, 2025, bill introduced on House; on Mar. 8, 2025, bill passed in House.
  • On Mar. 11, 2025, bill introduced in Senate; on Apr. 16, 2025, bill passed in Senate.
  • On Apr. 25, 2025, bill was signed by the governor, assigned Chapter 171.
  • Effectiveness
  • Chapter 171 becomes effective on Jul. 27, 2025.
Regulators
WAS LEG
Entity Types
Ins
Reference
Bill 1971, 4/25/2025; Citation: *WAS INS* 41.05.017, 48.43;
Functions
Claims/Accelerated Benefits; Compliance; Legal
Countries
United States of America
Category
State
N/A
Products
Insurance; Insurance-Health
Rule Type
Final
Regions
Am
Rule Date
Apr 25, 2025
Effective Date
Jul 27, 2025
Rule ID
254927
Linked to
N/A
Reg. Last Update
Apr 25, 2025
Report Section
US Insurance