---
type: "Bill"
title: "Requiring the insurance commissioner to educate breast cancer patients about the availability of insurance coverage for breast reconstruction and breast prostheses."
description: "Requiring the insurance commissioner to educate breast cancer patients about the availability of insurance coverage for breast reconstruction and breast prostheses."
jurisdiction: "us/states/wa"
legislature: "Washington Legislature"
session: "2017-2018"
identifier: "SB 5481"
citation: "Washington SB 5481 (2017-2018)"
classification: ["bill"]
subjects: ["INSURANCE COMMISSIONER", "HEALTH", "DEPARTMENT", "HEALTH CARE", "HEALTH AND SAFETY", "PUBLIC", "INSURANCE", "HEALTH CARE AUTHORITY", "WOMEN"]
status: "enacted"
primary_sponsors: ["Cleveland"]
version_count: 2
action_count: 27
vote_count: 2
first_action: "2017-01-25"
last_action: "2017-04-20"
source: "openstates"
source_identifier: "ocd-bill/c2531c03-c8a4-4624-b6f9-7f6fa7c3d457"
source_url: "http://apps.leg.wa.gov/billinfo/summary.aspx?bill=5481&year=2017"
source_hash: "f60282f5bd6d197baca8cef7c125f3a2cdbb81f29cf9792d3194c1d7f4fed28c"
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 5481 (2017-2018) — Requiring the insurance commissioner to educate breast cancer patients about the availability of insurance coverage for breast reconstruction and breast prostheses.

## 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/5481.htm)
2. **Substitute Bill** (committee substitute) — [source](http://lawfilesext.leg.wa.gov/Biennium/2017-18/Htm/Bills/Senate%20Bills/5481-S.htm)

## Votes

- 3rd Reading & Final Passage (#20) — **49–0** (pass) · upper
- Final Passage (#4) — **97–0** (pass) · lower

## Sponsors

- Cleveland — primary (person)
- Becker — cosponsor (person)
- Carlyle — cosponsor (person)
- Keiser — cosponsor (person)
- Kuderer — cosponsor (person)
- Rivers — cosponsor (person)
- Saldaña — cosponsor (person)

## Timeline

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

- **2017-01-25** First reading, referred to Health Care. `reading-1`
- **2017-02-16** HLTH - Majority; 1st substitute bill be substituted, do pass. `passage`
- **2017-02-16** Minority; without recommendation.
- **2017-02-17** Passed to Rules Committee for second reading.
- **2017-02-21** On motion, referred to Rules Green Sheet for second reading.
- **2017-02-24** Placed on second reading by Rules Committee.
- **2017-03-01** 1st substitute bill substituted. `substitution`
- **2017-02-16** HLTH - Majority; 1st substitute bill be substituted, do pass. `passage`
- **2017-02-16** Minority; without recommendation.
- **2017-02-17** Passed to Rules Committee for second reading.
- **2017-02-21** On motion, referred to Rules Green Sheet for second reading.
- **2017-02-24** Placed on second reading by Rules Committee.
- **2017-03-01** 1st substitute bill substituted. `substitution`
- **2017-03-01** Rules suspended. Placed on Third Reading.
- **2017-03-01** Third reading, passed; yeas, 49; nays, 0; absent, 0; excused, 0. `reading-3`
- **2017-03-03** First reading, referred to Health Care & Wellness (Not Officially read and referred until adoption of Introduction report). `reading-1`
- **2017-03-22** HCW - Majority; do pass.
- **2017-03-24** Referred to Rules 2 Review.
- **2017-03-31** Placed on second reading by Rules Committee.
- **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`
- **2017-04-10** President signed. `passage`
- **2017-04-11** Speaker signed. `passage`
- **2017-04-14** Delivered to Governor.
- **2017-04-20** Governor signed. `executive-signature`
- **2017-04-20** Chapter 91, 2017 Laws. `became-law`
- **2017-04-20** Effective date 7/23/2017. `became-law`

## Source

OpenStates / OpenCivicData bulk snapshot [2026-07-01](https://data.openstates.org/daily/2026-07-01/public.pgdump); origin `ocd-bill/c2531c03-c8a4-4624-b6f9-7f6fa7c3d457`. Confidence: reported (aggregated from official Washington legislature records).