---
type: "Bill"
title: "Concerning audio-only telemedicine."
description: "Concerning audio-only telemedicine."
jurisdiction: "us/states/wa"
legislature: "Washington Legislature"
session: "2021-2022"
identifier: "HB 1196"
citation: "Washington HB 1196 (2021-2022)"
classification: ["bill"]
subjects: ["HEALTH CARE", "HEALTH CARE AUTHORITY", "HEALTH CARE PROFESSIONS AND PROVIDERS", "INSURANCE", "MENTAL HEALTH", "PUBLIC ASSISTANCE", "SUBSTANCE USE DISORDER"]
status: "enacted"
primary_sponsors: ["Riccelli"]
version_count: 3
action_count: 42
vote_count: 3
first_action: "2021-01-14T05:00:00+00:00"
last_action: "2021-05-03T04:00:00+00:00"
source: "openstates"
source_identifier: "ocd-bill/36a33d8f-1f00-4b7e-a7a8-9536166147a6"
source_url: "http://apps.leg.wa.gov/billinfo/summary.aspx?bill=1196&year=2021"
source_hash: "0efcd111b9b5dc691263321dc503f56a1afd87ef7d83e514518ee9ce462c1ac5"
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 HB 1196 (2021-2022) — Concerning audio-only telemedicine.

## 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/2021-22/Htm/Bills/House%20Bills/1196.htm)
2. **Engrossed Substitute Bill** (committee substitute) — [source](http://lawfilesext.leg.wa.gov/Biennium/2021-22/Htm/Bills/House%20Bills/1196-S.E.htm)
3. **Substitute Bill** (committee substitute) — [source](http://lawfilesext.leg.wa.gov/Biennium/2021-22/Htm/Bills/House%20Bills/1196-S.htm)

## Votes

- 3rd Reading & Final Passage (#6) — **94–3** (pass) · lower
- 3rd Reading & Final Passage as Amended by the Senate (#29) — **45–4** (pass) · upper
- Final Passage as Amended by the Senate (#7) — **96–0** (pass) · lower

## Sponsors

- Riccelli — primary (person)
- Bateman — cosponsor (person)
- Berg — cosponsor (person)
- Bergquist — cosponsor (person)
- Callan — cosponsor (person)
- Cody — cosponsor (person)
- Davis — cosponsor (person)
- Duerr — cosponsor (person)
- Fitzgibbon — cosponsor (person)
- Frame — cosponsor (person)
- Harris — cosponsor (person)
- Harris-Talley — cosponsor (person)
- Leavitt — cosponsor (person)
- Macri — cosponsor (person)
- Ortiz-Self — cosponsor (person)
- Orwall — cosponsor (person)
- Pollet — cosponsor (person)
- Ramos — cosponsor (person)
- Shewmake — cosponsor (person)
- Slatter — cosponsor (person)
- Tharinger — cosponsor (person)

## Timeline

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

- **2021-01-14T05:00:00+00:00** First reading, referred to Health Care & Wellness. `reading-1`
- **2021-01-25T05:00:00+00:00** Public hearing in the House Committee on Health Care & Wellness at 1:30 PM.
- **2021-01-27T05:00:00+00:00** Executive session scheduled, but no action was taken in the House Committee on Health Care & Wellness at 8:00 AM.
- **2021-02-03T05:00:00+00:00** Executive action taken in the House Committee on Health Care & Wellness at 8:00 AM.
- **2021-02-03T05:00:00+00:00** HCW - Majority; 1st substitute bill be substituted, do pass. `passage`
- **2021-02-03T05:00:00+00:00** Minority; do not pass. `committee-passage-unfavorable`
- **2021-02-03T05:00:00+00:00** Minority; without recommendation. `committee-passage-unfavorable`
- **2021-02-05T05:00:00+00:00** Referred to Rules 2 Review. `referral-committee`
- **2021-02-17T05:00:00+00:00** Placed on second reading by Rules Committee. `reading-2`
- **2021-02-24T05:00:00+00:00** 1st substitute bill substituted (HCW 21). `substitution`
- **2021-02-24T05:00:00+00:00** Floor amendment(s) adopted.
- **2021-02-24T05:00:00+00:00** Rules suspended. Placed on Third Reading. `reading-3`
- **2021-02-24T05:00:00+00:00** Third reading, passed; yeas, 94; nays, 3; absent, 0; excused, 1. `reading-3`
- **2021-02-26T05:00:00+00:00** First reading, referred to Health & Long Term Care. `reading-1`
- **2021-03-12T05:00:00+00:00** Public hearing in the Senate Committee on Health & Long Term Care at 8:00 AM.
- **2021-03-26T04:00:00+00:00** Executive action taken in the Senate Committee on Health & Long Term Care at 8:00 AM.
- **2021-03-26T04:00:00+00:00** HLTC - Majority; do pass with amendment(s). `committee-passage-favorable`
- **2021-03-26T04:00:00+00:00** And refer to Ways & Means. `referral-committee`
- **2021-03-26T04:00:00+00:00** Referred to Ways & Means. `referral-committee`
- **2021-03-31T04:00:00+00:00** Public hearing in the Senate Committee on Ways & Means at 1:30 PM.
- **2021-04-02T04:00:00+00:00** Executive action taken in the Senate Committee on Ways & Means at 9:00 AM.
- **2021-04-02T04:00:00+00:00** WM - Majority; do pass with amendment(s). `committee-passage-favorable`
- **2021-04-02T04:00:00+00:00** Minority; without recommendation. `committee-passage-unfavorable`
- **2021-04-02T04:00:00+00:00** Passed to Rules Committee for second reading.
- **2021-04-07T04:00:00+00:00** Placed on second reading by Rules Committee. `reading-2`
- **2021-04-10T04:00:00+00:00** Committee amendment(s) adopted with no other amendments.
- **2021-04-10T04:00:00+00:00** Rules suspended. Placed on Third Reading. `reading-3`
- **2021-04-10T04:00:00+00:00** Third reading, passed; yeas, 45; nays, 4; absent, 0; excused, 0. `reading-3`
- **2021-04-15T04:00:00+00:00** House concurred in Senate amendments.
- **2021-04-15T04:00:00+00:00** Passed final passage; yeas, 96; nays, 0; absent, 0; excused, 2. `passage`
- **2021-04-20T04:00:00+00:00** Speaker signed. `passage`
- **2021-04-21T04:00:00+00:00** President signed. `passage`
- **2021-04-22T04:00:00+00:00** Delivered to Governor. `executive-receipt`
- **2021-05-03T04:00:00+00:00** Governor signed. `executive-signature`
- **2021-05-03T04:00:00+00:00** Chapter 157, 2021 Laws. `became-law`
- **2021-05-03T04:00:00+00:00** Effective date 7/25/2021. `became-law`
- **2021-01-25T18:30:00+00:00** Scheduled for public hearing in the House Committee on Health Care & Wellness at 01:30 PM
- **2021-02-03T13:00:00+00:00** Scheduled for public hearing in the House Committee on Health Care & Wellness at 08:00 AM
- **2021-03-12T13:00:00+00:00** Scheduled for public hearing in the Senate Committee on Health & Long Term Care at 08:00 AM
- **2021-03-26T12:00:00+00:00** Scheduled for public hearing in the Senate Committee on Health & Long Term Care at 08:00 AM
- **2021-03-31T17:30:00+00:00** Scheduled for public hearing in the Senate Committee on Ways & Means at 01:30 PM
- **2021-04-02T13:00:00+00:00** Scheduled for public hearing in the Senate Committee on Ways & Means 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/36a33d8f-1f00-4b7e-a7a8-9536166147a6`. Confidence: reported (aggregated from official Washington legislature records).