Legislation: batch E — CA TN VA VT WA WI WV WY

Co-Authored-By: Claude Opus 4.8 <noreply@anthropic.com>

legislation/us/states/wa/2021-2022/sb-5423.md

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+---
+type: "Bill"
+title: "Concerning telemedicine consultations."
+description: "Concerning telemedicine consultations."
+jurisdiction: "us/states/wa"
+legislature: "Washington Legislature"
+session: "2021-2022"
+identifier: "SB 5423"
+citation: "Washington SB 5423 (2021-2022)"
+classification: ["bill"]
+subjects: ["HEALTH CARE", "HEALTH CARE PROFESSIONS AND PROVIDERS"]
+status: "enacted"
+primary_sponsors: ["Rivers"]
+version_count: 2
+action_count: 31
+vote_count: 3
+first_action: "2021-02-04T05:00:00+00:00"
+last_action: "2021-05-10T04:00:00+00:00"
+source: "openstates"
+source_identifier: "ocd-bill/69a42dee-9e2a-43a8-ab78-b81be067f15c"
+source_url: "http://apps.leg.wa.gov/billinfo/summary.aspx?bill=5423&year=2021"
+source_hash: "7cfe11110429cf026558a3d08f16497543c4d0fbac1affe72c8e8d3ce20470fe"
+vintage: "2026-07-01"
+source_snapshot: "https://data.openstates.org/daily/2026-07-01/public.pgdump"
+retrieved_at: "2026-07-06"
+confidence: "reported"
+tags: ["legislation", "bill", "us-wa"]
+---
+
+# Washington SB 5423 (2021-2022) — Concerning telemedicine consultations.
+
+## Version chain
+
+The bill's text revisions, in order — the diff chain from filing to enrollment.
+
+1. **Bill** (committee substitute) — [source](http://lawfilesext.leg.wa.gov/Biennium/2021-22/Htm/Bills/Senate%20Bills/5423.htm)
+2. **Substitute Bill** (committee substitute) — [source](http://lawfilesext.leg.wa.gov/Biennium/2021-22/Htm/Bills/Senate%20Bills/5423-S.htm)
+
+## Votes
+
+- Final Passage as Amended by the House (#14) — **98–0** (pass) · lower
+- Final Passage as Amended by the House (#4) — **48–0** (pass) · upper
+- 3rd Reading & Final Passage (#7) — **49–0** (pass) · upper
+
+## Sponsors
+
+- Rivers — primary (person)
+- Cleveland — cosponsor (person)
+- Holy — cosponsor (person)
+
+## Timeline
+
+The legislative action history — every referral, reading, and vote.
+
+- **2021-02-04T05:00:00+00:00** First reading, referred to Health & Long Term Care. `reading-1`
+- **2021-02-05T05:00:00+00:00** Public hearing scheduled, but not heard in the Senate Committee on Health & Long Term Care at 8:00 AM.
+- **2021-02-08T05:00:00+00:00** Public hearing in the Senate Committee on Health & Long Term Care at 1:30 PM.
+- **2021-02-10T05:00:00+00:00** Executive action taken in the Senate Committee on Health & Long Term Care at 8:00 AM.
+- **2021-02-10T05:00:00+00:00** HLTC - Majority; 1st substitute bill be substituted, do pass. `passage`
+- **2021-02-11T05:00:00+00:00** Passed to Rules Committee for second reading.
+- **2021-02-12T05:00:00+00:00** Placed on second reading by Rules Committee. `reading-2`
+- **2021-02-18T05:00:00+00:00** 1st substitute bill substituted (HLTC 21). `substitution`
+- **2021-02-18T05:00:00+00:00** Rules suspended. Placed on Third Reading. `reading-3`
+- **2021-02-18T05:00:00+00:00** Third reading, passed; yeas, 49; nays, 0; absent, 0; excused, 0. `reading-3`
+- **2021-02-24T05:00:00+00:00** First reading, referred to Health Care & Wellness. `reading-1`
+- **2021-03-10T05:00:00+00:00** Public hearing in the House Committee on Health Care & Wellness at 8:00 AM.
+- **2021-03-11T05:00:00+00:00** Executive action taken in the House Committee on Health Care & Wellness at 10:00 AM.
+- **2021-03-11T05:00:00+00:00** HCW - Majority; do pass with amendment(s). `committee-passage-favorable`
+- **2021-03-12T05:00:00+00:00** Referred to Rules 2 Review. `referral-committee`
+- **2021-03-23T04:00:00+00:00** Rules Committee relieved of further consideration. Placed on second reading. `reading-2`
+- **2021-03-24T04:00:00+00:00** Committee amendment(s) adopted with no other amendments.
+- **2021-03-24T04:00:00+00:00** Rules suspended. Placed on Third Reading. `reading-3`
+- **2021-03-24T04:00:00+00:00** Third reading, passed; yeas, 98; nays, 0; absent, 0; excused, 0. `reading-3`
+- **2021-04-15T04:00:00+00:00** Senate concurred in House amendments.
+- **2021-04-15T04:00:00+00:00** Passed final passage; yeas, 48; nays, 0; absent, 0; excused, 1. `passage`
+- **2021-04-20T04:00:00+00:00** President signed. `passage`
+- **2021-04-23T04:00:00+00:00** Speaker signed. `passage`
+- **2021-04-26T04:00:00+00:00** Delivered to Governor. `executive-receipt`
+- **2021-05-10T04:00:00+00:00** Governor signed. `executive-signature`
+- **2021-05-10T04:00:00+00:00** Chapter 247, 2021 Laws. `became-law`
+- **2021-05-10T04:00:00+00:00** Effective date 7/25/2021. `became-law`
+- **2021-02-08T18:30:00+00:00** Scheduled for public hearing in the Senate Committee on Health & Long Term Care at 01:30 PM
+- **2021-02-10T13:00:00+00:00** Scheduled for public hearing in the Senate Committee on Health & Long Term Care at 08:00 AM
+- **2021-03-10T13:00:00+00:00** Scheduled for public hearing in the House Committee on Health Care & Wellness at 08:00 AM
+- **2021-03-11T15:00:00+00:00** Scheduled for public hearing in the House Committee on Health Care & Wellness at 10:00 AM
+
+## Source
+
+OpenStates / OpenCivicData bulk snapshot [2026-07-01](https://data.openstates.org/daily/2026-07-01/public.pgdump); origin `ocd-bill/69a42dee-9e2a-43a8-ab78-b81be067f15c`. Confidence: reported (aggregated from official Washington legislature records).
+