---
type: "Bill"
title: "Concerning training standards in providing telemedicine services."
description: "Concerning training standards in providing telemedicine services."
jurisdiction: "us/states/wa"
legislature: "Washington Legislature"
session: "2019-2020"
identifier: "SB 5386"
citation: "Washington SB 5386 (2019-2020)"
classification: ["bill"]
subjects: ["HEALTH CARE", "HEALTH CARE PROFESSIONS AND PROVIDERS"]
status: "enacted"
primary_sponsors: ["Becker"]
version_count: 2
action_count: 27
vote_count: 2
first_action: "2019-01-18"
last_action: "2019-04-17"
source: "openstates"
source_identifier: "ocd-bill/f7ce73fd-ff0d-4116-9756-a08bee429c65"
source_url: "http://apps.leg.wa.gov/billinfo/summary.aspx?bill=5386&year=2019"
source_hash: "8c15cb53a0d397cc59de78439d21d5db7bc970d70a1cb49eecaf549bf0e6722e"
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 5386 (2019-2020) — Concerning training standards in providing telemedicine 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/2019-20/Htm/Bills/Senate%20Bills/5386.htm)
2. **Substitute Bill** (committee substitute) — [source](http://lawfilesext.leg.wa.gov/Biennium/2019-20/Htm/Bills/Senate%20Bills/5386-S.htm)

## Votes

- Final Passage (#10) — **93–0** (pass) · lower
- 3rd Reading & Final Passage (#24) — **48–0** (pass) · upper

## Sponsors

- Becker — primary (person)
- Bailey — cosponsor (person)
- Braun — cosponsor (person)
- Brown — cosponsor (person)
- Cleveland — cosponsor (person)
- Conway — cosponsor (person)
- Holy — cosponsor (person)
- O'Ban — cosponsor (person)
- Rivers — cosponsor (person)
- Short — cosponsor (person)
- Van De Wege — cosponsor (person)
- Warnick — cosponsor (person)
- Wilson, L. — cosponsor (person)
- Zeiger — cosponsor (person)

## Timeline

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

- **2019-01-18** First reading, referred to Health & Long Term Care. `reading-1`
- **2019-02-08** HLTC - Majority; 1st substitute bill be substituted, do pass. `passage`
- **2019-02-11** Passed to Rules Committee for second reading.
- **2019-02-19** Placed on second reading by Rules Committee.
- **2019-03-04** 1st substitute bill substituted. `substitution`
- **2019-02-08** HLTC - Majority; 1st substitute bill be substituted, do pass. `passage`
- **2019-02-11** Passed to Rules Committee for second reading.
- **2019-02-19** Placed on second reading by Rules Committee.
- **2019-03-04** 1st substitute bill substituted. `substitution`
- **2019-03-04** Rules suspended. Placed on Third Reading.
- **2019-03-04** Third reading, passed; yeas, 48; nays, 0; absent, 0; excused, 1. `reading-3`
- **2019-03-06** First reading, referred to Health Care & Wellness. `reading-1`
- **2019-03-20** HCW - Majority; do pass.
- **2019-03-22** Referred to Rules 2 Review.
- **2019-03-29** Rules Committee relieved of further consideration. Placed on second reading.
- **2019-04-04** Placed on third reading.
- **2019-04-04** Third reading, passed; yeas, 93; nays, 0; absent, 0; excused, 5. `reading-3`
- **2019-04-08** President signed. `passage`
- **2019-04-09** Speaker signed. `passage`
- **2019-04-11** Delivered to Governor.
- **2019-04-17** Governor signed. `executive-signature`
- **2019-04-17** Chapter 48, 2019 Laws. `became-law`
- **2019-04-17** Effective date 7/28/2019. `became-law`
- **2019-01-30T18:30:00+00:00** Scheduled for public hearing in the Senate Committee on Health & Long Term Care at 01:30 PM
- **2019-02-08T13:00:00+00:00** Scheduled for public hearing in the Senate Committee on Health & Long Term Care at 08:00 AM
- **2019-03-15T12:30:00+00:00** Scheduled for public hearing in the House Committee on Health Care & Wellness at 08:30 AM
- **2019-03-20T17:30:00+00:00** Scheduled for public hearing in the House Committee on Health Care & Wellness at 01:30 PM

## Source

OpenStates / OpenCivicData bulk snapshot [2026-07-01](https://data.openstates.org/daily/2026-07-01/public.pgdump); origin `ocd-bill/f7ce73fd-ff0d-4116-9756-a08bee429c65`. Confidence: reported (aggregated from official Washington legislature records).