---
type: "Bill"
title: "Authorizing public hospital districts to participate in self-insurance risk pools with nonprofit hospitals."
description: "Authorizing public hospital districts to participate in self-insurance risk pools with nonprofit hospitals."
jurisdiction: "us/states/wa"
legislature: "Washington Legislature"
session: "2017-2018"
identifier: "SB 5581"
citation: "Washington SB 5581 (2017-2018)"
classification: ["bill"]
subjects: ["HEALTH CARE", "INSURANCE", "HOSPITALS", "ENTERPRISE SERVICES", "DEPARTMENT"]
status: "enacted"
primary_sponsors: ["Angel"]
version_count: 1
action_count: 22
vote_count: 3
first_action: "2017-01-30"
last_action: "2017-05-05"
source: "openstates"
source_identifier: "ocd-bill/dd44fb43-28f8-436d-9211-fcabe87c3c09"
source_url: "http://apps.leg.wa.gov/billinfo/summary.aspx?bill=5581&year=2017"
source_hash: "f6c8b249ac1815b5502a493490a9a4997cb64b96d84035db408f260f156040c3"
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 5581 (2017-2018) — Authorizing public hospital districts to participate in self-insurance risk pools with nonprofit hospitals.

## 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/5581.htm)

## Votes

- Final Passage as Amended by the House (#20) — **47–1** (pass) · upper
- Final Passage as Amended by the House (#10) — **96–0** (pass) · lower
- 3rd Reading & Final Passage (#10) — **46–1** (pass) · upper

## Sponsors

- Angel — primary (person)
- Mullet — cosponsor (person)

## Timeline

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

- **2017-01-30** First reading, referred to Financial Institutions & Insurance. `reading-1`
- **2017-02-02** FI - Majority; do pass.
- **2017-02-06** Passed to Rules Committee for second reading.
- **2017-03-01** Placed on second reading by Rules Committee.
- **2017-03-03** Rules suspended. Placed on Third Reading.
- **2017-03-03** Third reading, passed; yeas, 46; nays, 1; absent, 0; excused, 2. `reading-3`
- **2017-03-06** First reading, referred to Business & Financial Services (Not Officially read and referred until adoption of Introduction report). `reading-1`
- **2017-03-15** BFS - Majority; do pass.
- **2017-03-15** Minority; do not pass.
- **2017-03-21** Referred to Rules 2 Review.
- **2017-04-10** Rules Committee relieved of further consideration. Placed on second reading.
- **2017-04-11** Floor amendment(s) adopted.
- **2017-04-11** Rules suspended. Placed on Third Reading.
- **2017-04-11** Third reading, passed; yeas, 96; nays, 0; absent, 0; excused, 2. `reading-3`
- **2017-04-17** Senate concurred in House amendments.
- **2017-04-17** Passed final passage; yeas, 47; nays, 1; absent, 0; excused, 1. `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 221, 2017 Laws. `became-law`
- **2017-05-05** 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/dd44fb43-28f8-436d-9211-fcabe87c3c09`. Confidence: reported (aggregated from official Washington legislature records).