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Washington · 2025-2026 Biennium (69th Legislature)

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

AN ACT Relating to making improvements to transparency and accountability in the prior authorization determination process;

E2SSB 5395·Senate·Bill
Sen. Tina OrwallState Senate · LD-33·5 cosponsors
Fiscal noteState YesLocal No
Effective dateJune 11, 2026 (sections take effect on several dates)
Primary sponsor
Tina OrwallTina OrwallState Senate · LD-33
Cosponsors
Ron MuzzallRon MuzzallState Senate · LD-10Bob HasegawaBob HasegawaState Senate · LD-11Liz LovelettLiz LovelettState Senate · LD-40T'wina NoblesT'wina NoblesState Senate · LD-28Vandana SlatterVandana SlatterState Senate · LD-48
Floor votes
House · Final Passage as Amended by the House · E2SSB 5395Mar 4, 202694–0
Senate · Final Passage as Amended by the House · E2SSB 5395Mar 9, 202649–0
Legislative history
Jan 21, 2025
First reading, referred to Health & Long-Term Care.
Feb 21, 2025
HLTC - Majority; 1st substitute bill be substituted, do pass.
Feb 21, 2025
And refer to Ways & Means.
Feb 21, 2025
Minority; without recommendation.
Feb 21, 2025
Referred to Ways & Means.
Jan 12, 2026
By resolution, reintroduced and retained in present status.
Jan 27, 2026
WM - Majority; 2nd substitute bill be substituted, do pass.
Jan 27, 2026
Minority; without recommendation.
Jan 29, 2026
Passed to Rules Committee for second reading.
Feb 6, 2026
Placed on second reading by Rules Committee.
Feb 11, 2026
2nd substitute bill substituted.
Feb 11, 2026
Floor amendment(s) adopted.
Feb 11, 2026
Rules suspended. Placed on Third Reading.
Feb 11, 2026
Third reading, passed; yeas, 48; nays, 1; absent, 0; excused, 0.
Feb 14, 2026
First reading, referred to Health Care & Wellness.
Feb 25, 2026
HCW - Executive action taken by committee.
Feb 25, 2026
HCW - Majority; do pass with amendment(s).
Feb 25, 2026
Minority; without recommendation.
Feb 25, 2026
Referred to Appropriations.
Mar 2, 2026
APP - Executive action taken by committee.
Mar 2, 2026
APP - Majority; do pass with amendment(s) but without amendment(s) by Health Care & Wellness.
Mar 2, 2026
Referred to Rules 2 Review.
Mar 4, 2026
Rules Committee relieved of further consideration. Placed on second reading.
Mar 4, 2026
Committee amendment(s) adopted with no other amendments.
Mar 4, 2026
Rules suspended. Placed on Third Reading.
Mar 4, 2026
Third reading, passed; yeas, 94; nays, 0; absent, 0; excused, 4.
Mar 9, 2026
Senate concurred in House amendments.
Mar 9, 2026
Passed final passage; yeas, 49; nays, 0; absent, 0; excused, 0.
Mar 10, 2026
President signed.
Mar 11, 2026
Speaker signed.
Mar 12, 2026
Delivered to Governor.
Mar 23, 2026
Governor signed.
Mar 23, 2026
Chapter 157, 2026 Laws.
Mar 23, 2026
Effective date 6/11/2026*.
Bill text
Original BillSubstitute BillSecond SubstituteEngrossed Second SubstituteBill as Passed Legislature
Amendments
Floor amendment by Orwall (Adopted)Committee amendment by Appropriations (Adopted)Committee amendment by Health Care & Wellness (Not adopted)
Bill reports
Senate Bill Report (Orig.) — Initial Bill Report 02-07-25Senate Bill Report — Testimony Added 02-07-25Senate Bill Report — Reported by HLTC 02-21-25Senate Bill Report — Initial Bill Report 02-26-25Senate Bill Report — Testimony Added 02-26-25Senate Bill Report — Reported by WM 01-27-26Engrossed Second Substitute Senate Bill Report — Passed Senate 02-11-26Engrossed Second Substitute House Bill Analysis 2026 — Initial House Analysis 02-18-26Engrossed Second Substitute House Bill Report — Reported by HCW 02-25-26Engrossed Second Substitute House Bill Report — Reported by APP 03-02-26Engrossed Second Substitute House Bill Report — Passed House 03-04-26Engrossed Second Substitute Senate Bill Report — Amended by House 03-04-26Final Bill Report — Final Bill Report 2026
Session law
Chapter 157, Laws of 2026
Where it stands
In committee — the Senate
On the floor — the Senate
In committee — the House
On the floor — the House
Resolving differences
With the Governor
Became lawChapter 157, Laws of 2026
Path for a Senate bill