---
type: "Bill"
title: "Creating an ambulance transport quality assurance fee."
description: "Creating an ambulance transport quality assurance fee."
jurisdiction: "us/states/wa"
legislature: "Washington Legislature"
session: "2019-2020"
identifier: "SB 6534"
citation: "Washington SB 6534 (2019-2020)"
classification: ["bill"]
subjects: ["HEALTH CARE AUTHORITY", "EMERGENCY MANAGEMENT AND SERVICES", "PUBLIC ASSISTANCE", "PUBLIC FUNDS AND ACCOUNTS"]
status: "enacted"
primary_sponsors: ["Cleveland"]
version_count: 3
action_count: 39
vote_count: 3
first_action: "2020-01-21"
last_action: "2020-04-03"
source: "openstates"
source_identifier: "ocd-bill/388399ad-c43c-4706-9c62-32c6c3b8815f"
source_url: "http://apps.leg.wa.gov/billinfo/summary.aspx?bill=6534&year=2019"
source_hash: "bbf414e25e4f685556bea9a1cbbeab6d72361fb4446c411685e025f3c19f70bb"
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 6534 (2019-2020) — Creating an ambulance transport quality assurance fee.

## 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/6534.htm)
2. **Engrossed Substitute Bill** (committee substitute) — [source](http://lawfilesext.leg.wa.gov/Biennium/2019-20/Htm/Bills/Senate%20Bills/6534-S.E.htm)
3. **Substitute Bill** (committee substitute) — [source](http://lawfilesext.leg.wa.gov/Biennium/2019-20/Htm/Bills/Senate%20Bills/6534-S.htm)

## Votes

- Final Passage as Amended by the House (#5) — **87–10** (pass) · lower
- 3rd Reading & Final Passage (#43) — **49–0** (pass) · upper
- Final Passage as Amended by the House (#20) — **44–4** (pass) · upper

## Sponsors

- Cleveland — primary (person)

## Timeline

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

- **2020-01-21** First reading, referred to Health & Long Term Care. `reading-1`
- **2020-01-31** HLTC - Majority; 1st substitute bill be substituted, do pass. `passage`
- **2020-01-31** And refer to Ways & Means. `referral-committee`
- **2020-02-03** Referred to Ways & Means.
- **2020-02-11** WM - Majority; do pass 1st substitute bill proposed by Health & Long Term Care.
- **2020-02-11** Minority; do not pass.
- **2020-02-11** Minority; without recommendation.
- **2020-02-11** Passed to Rules Committee for second reading.
- **2020-02-17** Placed on second reading by Rules Committee.
- **2020-03-03** 1st substitute bill substituted. `substitution`
- **2020-01-31** HLTC - Majority; 1st substitute bill be substituted, do pass. `passage`
- **2020-01-31** And refer to Ways & Means. `referral-committee`
- **2020-02-03** Referred to Ways & Means.
- **2020-02-11** WM - Majority; do pass 1st substitute bill proposed by Health & Long Term Care.
- **2020-02-11** Minority; do not pass.
- **2020-02-11** Minority; without recommendation.
- **2020-02-11** Passed to Rules Committee for second reading.
- **2020-02-17** Placed on second reading by Rules Committee.
- **2020-03-03** 1st substitute bill substituted. `substitution`
- **2020-03-03** Floor amendment(s) adopted.
- **2020-03-03** Rules suspended. Placed on Third Reading.
- **2020-03-03** Third reading, passed; yeas, 49; nays, 0; absent, 0; excused, 0. `reading-3`
- **2020-03-06** First reading, referred to Rules. `reading-1`
- **2020-03-09** Rules Committee relieved of further consideration. Placed on second reading.
- **2020-03-12** Floor amendment(s) adopted.
- **2020-03-12** Rules suspended. Placed on Third Reading.
- **2020-03-12** Third reading, passed; yeas, 87; nays, 10; absent, 0; excused, 1. `reading-3`
- **2020-03-12** Senate concurred in House amendments.
- **2020-03-12** Passed final passage; yeas, 44; nays, 4; absent, 0; excused, 1. `passage`
- **2020-03-12** President signed. `passage`
- **2020-03-12** Speaker signed. `passage`
- **2020-03-12** Delivered to Governor.
- **2020-04-03** Governor signed. `executive-signature`
- **2020-04-03** Chapter 354, 2020 Laws. `became-law`
- **2020-04-03** Effective date 4/3/2020. `became-law`
- **2020-01-29T18:30:00+00:00** Scheduled for public hearing in the Senate Committee on Health & Long Term Care at 01:30 PM
- **2020-01-31T13:00:00+00:00** Scheduled for public hearing in the Senate Committee on Health & Long Term Care at 08:00 AM
- **2020-02-10T15:00:00+00:00** Scheduled for public hearing in the Senate Committee on Ways & Means at 10:00 AM
- **2020-02-11T15:00:00+00:00** Scheduled for public hearing in the Senate Committee on Ways & Means at 10:00 AM

## Source

OpenStates / OpenCivicData bulk snapshot [2026-07-01](https://data.openstates.org/daily/2026-07-01/public.pgdump); origin `ocd-bill/388399ad-c43c-4706-9c62-32c6c3b8815f`. Confidence: reported (aggregated from official Washington legislature records).