---
type: "Bill"
title: "Requiring fair reimbursement for chiropractic services."
description: "Requiring fair reimbursement for chiropractic services."
jurisdiction: "us/states/wa"
legislature: "Washington Legislature"
session: "2017-2018"
identifier: "SB 5518"
citation: "Washington SB 5518 (2017-2018)"
classification: ["bill"]
subjects: []
status: "enacted"
primary_sponsors: ["Miloscia"]
version_count: 2
action_count: 32
vote_count: 3
first_action: "2017-01-26"
last_action: "2018-03-22"
source: "openstates"
source_identifier: "ocd-bill/351f345d-8329-4a87-8e94-e8072a32386b"
source_url: "http://apps.leg.wa.gov/billinfo/summary.aspx?bill=5518&year=2017"
source_hash: "1b7e4d81dff7224d09560c5a13a7e6a40a1087c3f8c7ad1851e7aa03441b33d2"
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 5518 (2017-2018) — Requiring fair reimbursement for chiropractic services.

## 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/5518.htm)
2. **Engrossed Bill** (committee substitute) — [source](http://lawfilesext.leg.wa.gov/Biennium/2017-18/Htm/Bills/Senate%20Bills/5518.E.htm)

## Votes

- Final Passage as Amended by the House (#4) — **86–12** (pass) · lower
- 3rd Reading & Final Passage (#32) — **45–3** (pass) · upper
- Final Passage as Amended by the House (#18) — **49–0** (pass) · upper

## Sponsors

- Miloscia — primary (person)
- Cleveland — cosponsor (person)
- Fortunato — cosponsor (person)
- Keiser — cosponsor (person)
- O'Ban — cosponsor (person)

## Timeline

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

- **2017-01-26** First reading, referred to Health Care. `reading-1`
- **2017-02-16** HLTH - Majority; do pass.
- **2017-02-16** And refer to Ways & Means. `referral-committee`
- **2017-02-16** Minority; without recommendation.
- **2017-02-17** Referred to Ways & Means.
- **2017-04-24** By resolution, reintroduced and retained in present status.
- **2017-05-23** By resolution, reintroduced and retained in present status.
- **2017-06-21** By resolution, reintroduced and retained in present status.
- **2018-01-08** By resolution, reintroduced and retained in present status.
- **2018-01-31** WM - Majority; without recommendation.
- **2018-02-01** Passed to Rules Committee for second reading.
- **2018-02-07** Placed on second reading by Rules Committee.
- **2018-02-07** Floor amendment(s) adopted.
- **2018-02-07** Rules suspended. Placed on Third Reading.
- **2018-02-07** Third reading, passed; yeas, 45; nays, 3; absent, 0; excused, 1. `reading-3`
- **2018-02-09** First reading, referred to Health Care & Wellness (Not Officially read and referred until adoption of Introduction report). `reading-1`
- **2018-02-21** HCW - Majority; do pass with amendment(s).
- **2018-02-21** Minority; do not pass.
- **2018-02-21** Minority; without recommendation.
- **2018-02-23** Referred to Rules 2 Review.
- **2018-02-26** Rules Committee relieved of further consideration. Placed on second reading.
- **2018-02-28** Committee amendment(s) adopted with no other amendments.
- **2018-02-28** Rules suspended. Placed on Third Reading.
- **2018-02-28** Third reading, passed; yeas, 86; nays, 12; absent, 0; excused, 0. `reading-3`
- **2018-03-05** Senate concurred in House amendments.
- **2018-03-05** Passed final passage; yeas, 49; nays, 0; absent, 0; excused, 0. `passage`
- **2018-03-07** President signed. `passage`
- **2018-03-08** Speaker signed. `passage`
- **2018-03-09** Delivered to Governor.
- **2018-03-22** Governor signed. `executive-signature`
- **2018-03-22** Chapter 181, 2018 Laws. `became-law`
- **2018-03-22** Effective date 6/7/2018*. `became-law`

## Source

OpenStates / OpenCivicData bulk snapshot [2026-07-01](https://data.openstates.org/daily/2026-07-01/public.pgdump); origin `ocd-bill/351f345d-8329-4a87-8e94-e8072a32386b`. Confidence: reported (aggregated from official Washington legislature records).