---
type: "Bill"
title: "Expanding patient access to health services through telemedicine by further defining where a patient may receive the service."
description: "Expanding patient access to health services through telemedicine by further defining where a patient may receive the service."
jurisdiction: "us/states/wa"
legislature: "Washington Legislature"
session: "2017-2018"
identifier: "SB 5436"
citation: "Washington SB 5436 (2017-2018)"
classification: ["bill"]
subjects: ["HEALTH CARE", "HEALTH CARE AUTHORITY", "PUBLIC ASSISTANCE", "INSURANCE"]
status: "enacted"
primary_sponsors: ["Becker"]
version_count: 1
action_count: 22
vote_count: 3
first_action: "2017-01-24"
last_action: "2017-05-05"
source: "openstates"
source_identifier: "ocd-bill/b6aefba5-c242-40ca-a64a-728ef11697fe"
source_url: "http://apps.leg.wa.gov/billinfo/summary.aspx?bill=5436&year=2017"
source_hash: "29c9fb03d7944957e813095e2e717a0a8154c8cb0e7f5bffb3959433c029ec6b"
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 5436 (2017-2018) — Expanding patient access to health services through telemedicine by further defining where a patient may receive the service.

## 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/2017-18/Htm/Bills/Senate%20Bills/5436.htm)

## Votes

- Final Passage as Amended by the House (#3) — **97–0** (pass) · lower
- 3rd Reading & Final Passage (#9) — **49–0** (pass) · upper
- Recede from House amendment (#11) — **96–0** (pass) · lower

## Sponsors

- Becker — primary (person)
- Cleveland — cosponsor (person)
- Frockt — cosponsor (person)
- Keiser — cosponsor (person)

## Timeline

The legislative action history — every referral, reading, and vote.

- **2017-01-24** First reading, referred to Health Care. `reading-1`
- **2017-02-13** HLTH - Majority; do pass.
- **2017-02-14** Passed to Rules Committee for second reading.
- **2017-02-21** Placed on second reading by Rules Committee.
- **2017-02-23** Rules suspended. Placed on Third Reading.
- **2017-02-23** Third reading, passed; yeas, 49; nays, 0; absent, 0; excused, 0. `reading-3`
- **2017-02-24** First reading, referred to Health Care & Wellness (Not Officially read and referred until adoption of Introduction report). `reading-1`
- **2017-03-15** HCW - Majority; do pass.
- **2017-03-17** Referred to Rules 2 Review.
- **2017-03-31** Placed on second reading by Rules Committee.
- **2017-04-06** Floor amendment(s) adopted.
- **2017-04-06** Rules suspended. Placed on Third Reading.
- **2017-04-06** Third reading, passed; yeas, 97; nays, 0; absent, 0; excused, 1. `reading-3`
- **2017-04-18** Senate refuses to concur in House amendments. Asks House to recede from amendments.
- **2017-04-18** House receded from amendments.
- **2017-04-18** Passed final passage; yeas, 96; nays, 0; absent, 0; excused, 2. `passage`
- **2017-04-19** President signed. `passage`
- **2017-04-20** Speaker signed. `passage`
- **2017-04-21** Delivered to Governor.
- **2017-05-05** Governor signed. `executive-signature`
- **2017-05-05** Chapter 219, 2017 Laws. `became-law`
- **2017-05-05** Effective date 1/1/2018. `became-law`

## Source

OpenStates / OpenCivicData bulk snapshot [2026-07-01](https://data.openstates.org/daily/2026-07-01/public.pgdump); origin `ocd-bill/b6aefba5-c242-40ca-a64a-728ef11697fe`. Confidence: reported (aggregated from official Washington legislature records).