---
type: "Bill"
title: "Creating the Washington Indian health improvement act."
description: "Creating the Washington Indian health improvement act."
jurisdiction: "us/states/wa"
legislature: "Washington Legislature"
session: "2019-2020"
identifier: "SB 5415"
citation: "Washington SB 5415 (2019-2020)"
classification: ["bill"]
subjects: ["GOVERNOR", "HEALTH AND SAFETY", "PUBLIC", "PUBLIC FUNDS AND ACCOUNTS", "NAMED ACTS", "INDIANS"]
status: "enacted"
primary_sponsors: ["McCoy"]
version_count: 1
action_count: 36
vote_count: 3
first_action: "2019-01-21"
last_action: "2019-05-07"
source: "openstates"
source_identifier: "ocd-bill/03cf3392-aacd-4272-973c-f92b038d7a2e"
source_url: "http://apps.leg.wa.gov/billinfo/summary.aspx?bill=5415&year=2019"
source_hash: "eb8d5510e6d4bd1e718907b639b7fc8bdd613278fa0fc41de88db6cb52565326"
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 5415 (2019-2020) — Creating the Washington Indian health improvement act.

## 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/5415.htm)

## Votes

- 3rd Reading & Final Passage (#10) — **48–0** (pass) · upper
- Final Passage as Amended by the House (#5) — **42–0** (pass) · upper
- Final Passage as Amended by the House (#4) — **96–0** (pass) · lower

## Sponsors

- McCoy — primary (person)
- Billig — cosponsor (person)
- Cleveland — cosponsor (person)
- Conway — cosponsor (person)
- Frockt — cosponsor (person)
- Kuderer — cosponsor (person)
- Nguyen — cosponsor (person)
- Rivers — cosponsor (person)
- Rolfes — cosponsor (person)
- Saldaña — cosponsor (person)
- Van De Wege — cosponsor (person)

## Timeline

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

- **2019-01-21** First reading, referred to Health & Long Term Care. `reading-1`
- **2019-02-06** HLTC - Majority; do pass.
- **2019-02-06** And refer to Ways & Means. `referral-committee`
- **2019-02-06** Minority; without recommendation.
- **2019-02-07** Referred to Ways & Means.
- **2019-02-26** WM - Majority; do pass.
- **2019-02-26** Minority; without recommendation.
- **2019-02-28** Passed to Rules Committee for second reading.
- **2019-03-09** Placed on second reading by Rules Committee.
- **2019-03-13** Rules suspended. Placed on Third Reading.
- **2019-03-13** Third reading, passed; yeas, 48; nays, 0; absent, 0; excused, 1. `reading-3`
- **2019-03-14** First reading, referred to Health Care & Wellness. `reading-1`
- **2019-03-27** HCW - Majority; do pass with amendment(s).
- **2019-04-01** Referred to Appropriations.
- **2019-04-08** APP - Majority; do pass with amendment(s) by Health Care & Wellness.
- **2019-04-09** Referred to Rules 2 Review.
- **2019-04-10** Rules Committee relieved of further consideration. Placed on second reading.
- **2019-04-11** Committee recommendations adopted and the bill amended.
- **2019-04-11** Rules suspended. Placed on Third Reading.
- **2019-04-11** Third reading, passed; yeas, 96; nays, 0; absent, 0; excused, 2. `reading-3`
- **2019-04-22** Senate concurred in House amendments.
- **2019-04-22** Passed final passage; yeas, 42; nays, 0; absent, 0; excused, 7. `passage`
- **2019-04-24** President signed. `passage`
- **2019-04-24** Speaker signed. `passage`
- **2019-04-25** Delivered to Governor.
- **2019-05-07** Governor signed. `executive-signature`
- **2019-05-07** Chapter 282, 2019 Laws. `became-law`
- **2019-05-07** Effective date 7/28/2019. `became-law`
- **2019-02-04T18:30:00+00:00** Scheduled for public hearing in the Senate Committee on Health & Long Term Care at 01:30 PM
- **2019-02-06T18:30:00+00:00** Scheduled for public hearing in the Senate Committee on Health & Long Term Care at 01:30 PM
- **2019-02-19T20:30:00+00:00** Scheduled for public hearing in the Senate Committee on Ways & Means at 03:30 PM
- **2019-02-26T18:30:00+00:00** Scheduled for public hearing in the Senate Committee on Ways & Means at 01:30 PM
- **2019-03-22T13:00:00+00:00** Scheduled for public hearing in the House Committee on Health Care & Wellness at 09:00 AM
- **2019-03-27T17:30:00+00:00** Scheduled for public hearing in the House Committee on Health Care & Wellness at 01:30 PM
- **2019-04-06T13:00:00+00:00** Scheduled for public hearing in the House Committee on Appropriations at 09:00 AM
- **2019-04-08T13:00:00+00:00** Scheduled for public hearing in the House Committee on Appropriations at 09:00 AM

## Source

OpenStates / OpenCivicData bulk snapshot [2026-07-01](https://data.openstates.org/daily/2026-07-01/public.pgdump); origin `ocd-bill/03cf3392-aacd-4272-973c-f92b038d7a2e`. Confidence: reported (aggregated from official Washington legislature records).