Washington bills · 2025-2026 Regular Session

Washington SB 5395

Making improvements to transparency and accountability in the prior authorization determination process.

1. Introduced
2. In committee
3. Passed Senate
4. Passed House
5. To Governor
6. Became law

Sponsors

• Orwall (Democratic)

Cosponsors (5)

• Muzzall (Republican)
• Hasegawa (Democratic)
• Lovelett (Democratic)
• Nobles (Democratic)
• Slatter (Democratic)

Summary

Text versions

• Substitute Bill
• Engrossed Second Substitute Bill
• Second Substitute Bill
• Bill
• Second Substitute Passed Legislature

Roll-call votes

State vote data last updated Oct 15, 2026, 4:19 PM.

Actions

• Mar 23, 2026
  Effective date 6/11/2026*.
• Mar 23, 2026
  Chapter 157, 2026 Laws.
• Mar 23, 2026
  Governor signed.
• Mar 12, 2026
  Delivered to Governor.
• Mar 11, 2026 · House
  Speaker signed.
• Mar 10, 2026 · Senate
  President signed.
• Mar 9, 2026 · Senate
  Passed final passage; yeas, 49; nays, 0; absent, 0; excused, 0.
• Mar 9, 2026 · Senate
  Senate concurred in House amendments.
• Mar 4, 2026 · House
  Third reading, passed; yeas, 94; nays, 0; absent, 0; excused, 4.
• Mar 4, 2026 · House
  Rules suspended. Placed on Third Reading.
• Mar 4, 2026 · House
  Committee amendment(s) adopted with no other amendments.
• Mar 4, 2026 · House
  Rules Committee relieved of further consideration. Placed on second reading.
• Mar 2, 2026 · House
  Referred to Rules 2 Review.
• Mar 2, 2026 · House
  APP - Majority; do pass with amendment(s) but without amendment(s) by Health Care & Wellness.
• Mar 2, 2026 · House
  Executive action taken in the House Committee on Appropriations at 10:30 AM.
• Feb 27, 2026 · House
  Public hearing in the House Committee on Appropriations at 10:30 AM.
• Feb 25, 2026 · House
  Referred to Appropriations.
• Feb 25, 2026 · House
  Minority; without recommendation.
• Feb 25, 2026 · House
  HCW - Majority; do pass with amendment(s).
• Feb 25, 2026 · House
  Executive action taken in the House Committee on Health Care & Wellness at 1:30 PM.
• Feb 18, 2026 · House
  Public hearing in the House Committee on Health Care & Wellness at 1:30 PM.
• Feb 14, 2026 · House
  First reading, referred to Health Care & Wellness.
• Feb 11, 2026 · Senate
  Third reading, passed; yeas, 48; nays, 1; absent, 0; excused, 0.
• Feb 11, 2026 · Senate
  Rules suspended. Placed on Third Reading.
• Feb 11, 2026 · Senate
  Floor amendment(s) adopted.
• Feb 11, 2026 · Senate
  2nd substitute bill substituted (WM 26).
• Feb 6, 2026 · Senate
  Placed on second reading by Rules Committee.
• Jan 29, 2026 · Senate
  Passed to Rules Committee for second reading.
• Jan 27, 2026 · Senate
  Minority; without recommendation.
• Jan 27, 2026 · Senate
  WM - Majority; 2nd substitute bill be substituted, do pass.
• Jan 27, 2026 · Senate
  Executive action taken in the Senate Committee on Ways & Means at 4:00 PM.
• Jan 12, 2026 · Senate
  By resolution, reintroduced and retained in present status.
• Feb 28, 2025 · Senate
  Executive session scheduled, but no action was taken in the Senate Committee on Ways & Means at 1:30 PM.
• Feb 26, 2025 · Senate
  Public hearing in the Senate Committee on Ways & Means at 1:30 PM.
• Feb 21, 2025 · Senate
  Referred to Ways & Means.
• Feb 21, 2025 · Senate
  Minority; without recommendation.
• Feb 21, 2025 · Senate
  And refer to Ways & Means.
• Feb 21, 2025 · Senate
  HLTC - Majority; 1st substitute bill be substituted, do pass.
• Feb 21, 2025 · Senate
  Executive action taken in the Senate Committee on Health & Long-Term Care at 8:00 AM.
• Feb 7, 2025 · Senate
  Public hearing in the Senate Committee on Health & Long-Term Care at 8:00 AM.
• Jan 21, 2025 · Senate
  First reading, referred to Health & Long-Term Care.