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/2025-2026/sb-5395.md

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+---
+type: "Bill"
+title: "Making improvements to transparency and accountability in the prior authorization determination process."
+description: "Making improvements to transparency and accountability in the prior authorization determination process."
+jurisdiction: "us/states/wa"
+legislature: "Washington Legislature"
+session: "2025-2026"
+identifier: "SB 5395"
+citation: "Washington SB 5395 (2025-2026)"
+classification: ["bill"]
+subjects: []
+status: "enacted"
+primary_sponsors: ["Orwall"]
+version_count: 5
+action_count: 41
+vote_count: 3
+first_action: "2025-01-21"
+last_action: "2026-03-23"
+source: "openstates"
+source_identifier: "ocd-bill/a58869dc-74c2-4e4b-b60f-3230606a6339"
+source_url: "https://app.leg.wa.gov/billsummary/?BillNumber=5395&Year=2025&Initiative=false"
+source_hash: "79b41cf3a75b8d8985078cfe8c3d46624e1d3156d28d1d0f14a5192c6e8e3896"
+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 5395 (2025-2026) — Making improvements to transparency and accountability in the prior authorization determination process.
+
+## 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/2025-26/Htm/Bills/Senate%20Bills/5395.htm)
+2. **Engrossed Second Substitute Bill** (committee substitute) — [source](http://lawfilesext.leg.wa.gov/Biennium/2025-26/Htm/Bills/Senate%20Bills/5395-S2.E.htm)
+3. **Second Substitute Bill** (committee substitute) — [source](http://lawfilesext.leg.wa.gov/Biennium/2025-26/Htm/Bills/Senate%20Bills/5395-S2.htm)
+4. **Second Substitute Passed Legislature** (committee substitute) — [source](http://lawfilesext.leg.wa.gov/Biennium/2025-26/Htm/Bills/Senate%20Passed%20Legislature/5395-S2.PL.htm)
+5. **Substitute Bill** (committee substitute) — [source](http://lawfilesext.leg.wa.gov/Biennium/2025-26/Htm/Bills/Senate%20Bills/5395-S.htm)
+
+## Votes
+
+- 3rd Reading & Final Passage (#15) — **48–1** (pass) · upper
+- Final Passage as Amended by the House (#24) — **94–0** (pass) · lower
+- Final Passage as Amended by the House (#15) — **49–0** (pass) · upper
+
+## Sponsors
+
+- Orwall — primary (person)
+- Hasegawa — cosponsor (person)
+- Lovelett — cosponsor (person)
+- Muzzall — cosponsor (person)
+- Nobles — cosponsor (person)
+- Slatter — cosponsor (person)
+
+## Timeline
+
+The legislative action history — every referral, reading, and vote.
+
+- **2025-01-21** First reading, referred to Health & Long-Term Care. `reading-1`
+- **2025-02-07** Public hearing in the Senate Committee on Health & Long-Term Care at 8:00 AM.
+- **2025-02-21** Executive action taken in the Senate Committee on Health & Long-Term Care at 8:00 AM.
+- **2025-02-21** HLTC - Majority; 1st substitute bill be substituted, do pass. `substitution`
+- **2025-02-21** And refer to Ways & Means. `referral-committee`
+- **2025-02-21** Minority; without recommendation. `committee-passage-unfavorable`
+- **2025-02-21** Referred to Ways & Means. `referral-committee`
+- **2025-02-26** Public hearing in the Senate Committee on Ways & Means at 1:30 PM.
+- **2025-02-28** Executive session scheduled, but no action was taken in the Senate Committee on Ways & Means at 1:30 PM.
+- **2026-01-12** By resolution, reintroduced and retained in present status.
+- **2026-01-27** Executive action taken in the Senate Committee on Ways & Means at 4:00 PM.
+- **2026-01-27** WM - Majority; 2nd substitute bill be substituted, do pass. `substitution`
+- **2026-01-27** Minority; without recommendation. `committee-passage-unfavorable`
+- **2026-01-29** Passed to Rules Committee for second reading.
+- **2026-02-06** Placed on second reading by Rules Committee. `reading-2`
+- **2026-02-11** 2nd substitute bill substituted (WM 26). `substitution`
+- **2026-02-11** Floor amendment(s) adopted.
+- **2026-02-11** Rules suspended. Placed on Third Reading. `reading-3`
+- **2026-02-11** Third reading, passed; yeas, 48; nays, 1; absent, 0; excused, 0. `reading-3`
+- **2026-02-14** First reading, referred to Health Care & Wellness. `reading-1`
+- **2026-02-18** Public hearing in the House Committee on Health Care & Wellness at 1:30 PM.
+- **2026-02-25** Executive action taken in the House Committee on Health Care & Wellness at 1:30 PM.
+- **2026-02-25** HCW - Majority; do pass with amendment(s). `committee-passage-favorable`
+- **2026-02-25** Minority; without recommendation. `committee-passage-unfavorable`
+- **2026-02-25** Referred to Appropriations. `referral-committee`
+- **2026-02-27** Public hearing in the House Committee on Appropriations at 10:30 AM.
+- **2026-03-02** Executive action taken in the House Committee on Appropriations at 10:30 AM.
+- **2026-03-02** APP - Majority; do pass with amendment(s) but without amendment(s) by Health Care & Wellness. `committee-passage-favorable`
+- **2026-03-02** Referred to Rules 2 Review. `referral-committee`
+- **2026-03-04** Rules Committee relieved of further consideration. Placed on second reading. `reading-2`
+- **2026-03-04** Committee amendment(s) adopted with no other amendments.
+- **2026-03-04** Rules suspended. Placed on Third Reading. `reading-3`
+- **2026-03-04** Third reading, passed; yeas, 94; nays, 0; absent, 0; excused, 4. `reading-3`
+- **2026-03-09** Senate concurred in House amendments.
+- **2026-03-09** Passed final passage; yeas, 49; nays, 0; absent, 0; excused, 0. `passage`
+- **2026-03-10** President signed. `passage`
+- **2026-03-11** Speaker signed. `passage`
+- **2026-03-12** Delivered to Governor. `executive-receipt`
+- **2026-03-23** Governor signed. `executive-signature`
+- **2026-03-23** Chapter 157, 2026 Laws. `became-law`
+- **2026-03-23** Effective date 6/11/2026*. `became-law`
+
+## Source
+
+OpenStates / OpenCivicData bulk snapshot [2026-07-01](https://data.openstates.org/daily/2026-07-01/public.pgdump); origin `ocd-bill/a58869dc-74c2-4e4b-b60f-3230606a6339`. Confidence: reported (aggregated from official Washington legislature records).
+