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

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---
type: "Bill"
title: "Updating and modernizing the Washington state health plan."
description: "Updating and modernizing the Washington state health plan."
jurisdiction: "us/states/wa"
legislature: "Washington Legislature"
session: "2025-2026"
identifier: "SB 5568"
citation: "Washington SB 5568 (2025-2026)"
classification: ["bill"]
subjects: []
status: "enacted"
primary_sponsors: ["Cleveland"]
version_count: 3
action_count: 34
vote_count: 3
first_action: "2025-01-29"
last_action: "2025-05-20"
source: "openstates"
source_identifier: "ocd-bill/727e4156-13ae-4f87-9e5d-840b88108662"
source_url: "https://app.leg.wa.gov/billsummary/?BillNumber=5568&Year=2025&Initiative=false"
source_hash: "c659f6cd56be28c369217e3796acbe28a9f1d0888cfc625ebe4f6052bdc8c978"
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 5568 (2025-2026) — Updating and modernizing the Washington state health plan.
## 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/5568.htm)
2. **Substitute Bill** (committee substitute) — [source](http://lawfilesext.leg.wa.gov/Biennium/2025-26/Htm/Bills/Senate%20Bills/5568-S.htm)
3. **Substitute Passed Legislature** (committee substitute) — [source](http://lawfilesext.leg.wa.gov/Biennium/2025-26/Htm/Bills/Senate%20Passed%20Legislature/5568-S.PL.htm)
## Votes
- Final Passage as Amended by the House (#5) — **34–13** (pass) · upper
- 3rd Reading & Final Passage (#13) — **37–9** (pass) · upper
- Final Passage as Amended by the House (#17) — **59–38** (pass) · lower
## Sponsors
- Cleveland — primary (person)
- Cortes — cosponsor (person)
- Nobles — cosponsor (person)
- Riccelli — cosponsor (person)
## Timeline
The legislative action history — every referral, reading, and vote.
- **2025-01-29** First reading, referred to Health & Long-Term Care. `reading-1`
- **2025-02-06** Public hearing in the Senate Committee on Health & Long-Term Care at 8:00 AM.
- **2025-02-13** Executive action taken in the Senate Committee on Health & Long-Term Care at 8:00 AM.
- **2025-02-13** HLTC - Majority; 1st substitute bill be substituted, do pass. `substitution`
- **2025-02-13** Minority; without recommendation. `committee-passage-unfavorable`
- **2025-02-14** Passed to Rules Committee for second reading.
- **2025-02-19** Placed on second reading by Rules Committee. `reading-2`
- **2025-02-26** 1st substitute bill substituted (HLTC 25). `substitution`
- **2025-02-26** Rules suspended. Placed on Third Reading. `reading-3`
- **2025-02-26** Third reading, passed; yeas, 37; nays, 9; absent, 0; excused, 3. `reading-3`
- **2025-02-28** First reading, referred to Health Care & Wellness. `reading-1`
- **2025-03-14** Public hearing in the House Committee on Health Care & Wellness at 8:00 AM.
- **2025-03-19** Executive action taken in the House Committee on Health Care & Wellness at 1:30 PM.
- **2025-03-19** HCW - Majority; do pass. `committee-passage-favorable`
- **2025-03-19** Minority; without recommendation. `committee-passage-unfavorable`
- **2025-03-21** Referred to Appropriations. `referral-committee`
- **2025-04-02** Public hearing in the House Committee on Appropriations at 4:00 PM.
- **2025-04-04** Executive action taken in the House Committee on Appropriations at 1:30 PM.
- **2025-04-04** APP - Majority; do pass with amendment(s). `committee-passage-favorable`
- **2025-04-04** Minority; do not pass. `committee-passage-unfavorable`
- **2025-04-04** Minority; without recommendation. `committee-passage-unfavorable`
- **2025-04-08** Referred to Rules 2 Review. `referral-committee`
- **2025-04-14** Rules Committee relieved of further consideration. Placed on second reading. `reading-2`
- **2025-04-15** Committee amendment(s) adopted with no other amendments.
- **2025-04-15** Rules suspended. Placed on Third Reading. `reading-3`
- **2025-04-15** Third reading, passed; yeas, 59; nays, 38; absent, 0; excused, 1. `reading-3`
- **2025-04-23** Senate concurred in House amendments.
- **2025-04-23** Passed final passage; yeas, 34; nays, 13; absent, 0; excused, 1. `passage`
- **2025-04-24** President signed. `passage`
- **2025-04-24** Speaker signed. `passage`
- **2025-04-25** Delivered to Governor. `executive-receipt`
- **2025-05-20** Governor signed. `executive-signature`
- **2025-05-20** Chapter 388, 2025 Laws. `became-law`
- **2025-05-20** Effective date 7/27/2025. `became-law`
## Source
OpenStates / OpenCivicData bulk snapshot [2026-07-01](https://data.openstates.org/daily/2026-07-01/public.pgdump); origin `ocd-bill/727e4156-13ae-4f87-9e5d-840b88108662`. Confidence: reported (aggregated from official Washington legislature records).