---
type: "Bill"
title: "Concerning the integration of international medical graduates into Washington's health care delivery system."
description: "Concerning the integration of international medical graduates into Washington's health care delivery system."
jurisdiction: "us/states/wa"
legislature: "Washington Legislature"
session: "2019-2020"
identifier: "SB 5846"
citation: "Washington SB 5846 (2019-2020)"
classification: ["bill"]
subjects: ["PUBLIC FUNDS AND ACCOUNTS", "IMMIGRATION", "IMMIGRANTS", "AND IMMIGRATION STATUS", "STUDIES", "COLLEGES AND UNIVERSITIES", "HEALTH", "DEPARTMENT", "HEALTH CARE PROFESSIONS AND PROVIDERS"]
status: "enacted"
primary_sponsors: ["Saldaña"]
version_count: 3
action_count: 49
vote_count: 3
first_action: "2019-02-06"
last_action: "2019-05-09"
source: "openstates"
source_identifier: "ocd-bill/bd519fc7-3b4b-4d8d-9a5b-6bb953b8b798"
source_url: "http://apps.leg.wa.gov/billinfo/summary.aspx?bill=5846&year=2019"
source_hash: "25a63c7db97f761fdcca87bf24c51a0d33c31f588b74fba25a74c5652e701051"
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 5846 (2019-2020) — Concerning the integration of international medical graduates into Washington's health care delivery system.

## 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/5846.htm)
2. **Second Substitute Bill** (committee substitute) — [source](http://lawfilesext.leg.wa.gov/Biennium/2019-20/Htm/Bills/Senate%20Bills/5846-S2.htm)
3. **Substitute Bill** (committee substitute) — [source](http://lawfilesext.leg.wa.gov/Biennium/2019-20/Htm/Bills/Senate%20Bills/5846-S.htm)

## Votes

- 3rd Reading & Final Passage (#7) — **44–4** (pass) · upper
- Final Passage as Amended by the House (#15) — **39–8** (pass) · upper
- Final Passage as Amended by the House (#13) — **97–1** (pass) · lower

## Sponsors

- Saldaña — primary (person)
- Cleveland — cosponsor (person)
- Das — cosponsor (person)
- Dhingra — cosponsor (person)
- Hasegawa — cosponsor (person)
- Keiser — cosponsor (person)
- Nguyen — cosponsor (person)
- Randall — cosponsor (person)
- Wilson, C. — cosponsor (person)

## Timeline

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

- **2019-02-06** First reading, referred to Health & Long Term Care. `reading-1`
- **2019-02-22** HLTC - Majority; 1st substitute bill be substituted, do pass. `passage`
- **2019-02-22** And refer to Ways & Means. `referral-committee`
- **2019-02-22** Minority; do not pass.
- **2019-02-22** Minority; without recommendation.
- **2019-02-22** Referred to Ways & Means.
- **2019-02-28** WM - Majority; 2nd substitute bill be substituted, do pass. `passage`
- **2019-02-28** Minority; without recommendation.
- **2019-03-01** Passed to Rules Committee for second reading.
- **2019-03-12** Placed on second reading by Rules Committee.
- **2019-03-13** 2nd substitute bill substituted. `substitution`
- **2019-02-22** HLTC - Majority; 1st substitute bill be substituted, do pass. `passage`
- **2019-02-22** And refer to Ways & Means. `referral-committee`
- **2019-02-22** Minority; do not pass.
- **2019-02-22** Minority; without recommendation.
- **2019-02-22** Referred to Ways & Means.
- **2019-02-28** WM - Majority; 2nd substitute bill be substituted, do pass. `passage`
- **2019-02-28** Minority; without recommendation.
- **2019-03-01** Passed to Rules Committee for second reading.
- **2019-03-12** Placed on second reading by Rules Committee.
- **2019-03-13** 2nd substitute bill substituted. `substitution`
- **2019-02-28** WM - Majority; 2nd substitute bill be substituted, do pass. `passage`
- **2019-02-28** Minority; without recommendation.
- **2019-03-01** Passed to Rules Committee for second reading.
- **2019-03-12** Placed on second reading by Rules Committee.
- **2019-03-13** 2nd substitute bill substituted. `substitution`
- **2019-03-13** Rules suspended. Placed on Third Reading.
- **2019-03-13** Third reading, passed; yeas, 44; nays, 4; 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 Rules 2 Review.
- **2019-04-11** Rules Committee relieved of further consideration. Placed on second reading.
- **2019-04-12** Committee recommendations adopted and the bill amended.
- **2019-04-12** Rules suspended. Placed on Third Reading.
- **2019-04-12** Third reading, passed; yeas, 97; nays, 1; absent, 0; excused, 0. `reading-3`
- **2019-04-26** Senate concurred in House amendments.
- **2019-04-26** Passed final passage; yeas, 39; nays, 8; absent, 0; excused, 2. `passage`
- **2019-04-27** President signed. `passage`
- **2019-04-27** Speaker signed. `passage`
- **2019-04-29** Delivered to Governor.
- **2019-05-09** Governor signed. `executive-signature`
- **2019-05-09** Chapter 329, 2019 Laws. `became-law`
- **2019-05-09** Effective date 7/28/2019. `became-law`
- **2019-02-20T18:30:00+00:00** Scheduled for public hearing in the Senate Committee on Health & Long Term Care at 01:30 PM
- **2019-02-22T13:00:00+00:00** Scheduled for public hearing in the Senate Committee on Health & Long Term Care at 08:00 AM
- **2019-02-27T18:30:00+00:00** Scheduled for public hearing in the Senate Committee on Ways & Means at 01:30 PM
- **2019-02-28T18:30:00+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

## Source

OpenStates / OpenCivicData bulk snapshot [2026-07-01](https://data.openstates.org/daily/2026-07-01/public.pgdump); origin `ocd-bill/bd519fc7-3b4b-4d8d-9a5b-6bb953b8b798`. Confidence: reported (aggregated from official Washington legislature records).