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coverage and health care services. The amounts provided in this 1 subsection for fiscal year 2022 must be distributed no later than 2 October 1, 2021. The amounts provided in this subsection for fiscal 3 year 2023 must be distributed no later than October 1, 2022. 4 (((54))) (51) The authority shall collaborate with the Washington 5 state LGBTQ commission, the department of health, advocates for 6 people living with HIV in Washington, consumers, and medical 7 professionals with expertise in serving the medicaid population 8 living with HIV, to consider and develop recommendations regarding: 9 (a) Access to HIV antiretroviral drugs on the medicaid drug 10 formulary, including short- and long-term fiscal implications of 11 eliminating current prior authorization and fail-first requirements; 12 (b) Impact of drug access on public health and the statewide goal 13 of reducing HIV transmissions; and 14 (c) Maximizing pharmaceutical drug rebates for HIV antiretroviral 15 drugs. 16 (((55))) (52) $22,000 of the general fund—state appropriation for 17 fiscal year 2022, $22,000 of the general fund—state appropriation for 18 fiscal year 2023, and $134,000 of the general fund—federal 19 appropriation are provided solely to implement Substitute Senate Bill 20 No. 5157 (behavioral disorders/justice). 21 (((56))) (53) Within the amounts appropriated in this section, 22 the authority shall extend the oral health connections pilot project 23 in Spokane, Thurston, and Cowlitz counties. The authority shall 24 continue to work in collaboration with a state-based oral health 25 foundation to jointly develop and implement the program. The purpose 26 of the pilot is to test the effect that enhanced dental benefits for 27 medicaid clients with diabetes and pregnant clients have on access to 28 dental care, health outcomes, and medical care costs. The pilot 29 program must continue to include enhanced reimbursement rates for 30 participating dental providers, including denturists licensed under 31 chapter 18.30 RCW, and an increase in the allowable number of 32 periodontal treatments to up to four per calendar year. The authority 33 has the option of extending pilot program eligibility to dually 34 eligible medicaid clients who are diabetic or pregnant and to 35 pregnant medicaid clients under the age of 20. The authority has the 36 option of adjusting the pilot program benefit design and fee schedule 37 based on previous findings, within amounts appropriated in this 38 section. Diabetic or pregnant medicaid clients who are receiving 39 p. 975 ESSB 5187.SL