---
type: "Bill"
title: "Extending certificate of need exemptions."
description: "Extending certificate of need exemptions."
jurisdiction: "us/states/wa"
legislature: "Washington Legislature"
session: "2021-2022"
identifier: "SB 5236"
citation: "Washington SB 5236 (2021-2022)"
classification: ["bill"]
subjects: ["HOSPITALS", "MENTAL HEALTH", "SUBSTANCE USE DISORDER"]
status: "enacted"
primary_sponsors: ["Warnick"]
version_count: 2
action_count: 33
vote_count: 3
first_action: "2021-01-15T05:00:00+00:00"
last_action: "2021-05-12T04:00:00+00:00"
source: "openstates"
source_identifier: "ocd-bill/a0bf5a18-5830-4de0-8a48-0041fc3f4991"
source_url: "http://apps.leg.wa.gov/billinfo/summary.aspx?bill=5236&year=2021"
source_hash: "bea0be325ba0244650b4e9f3c89a6ef20330a0eeef6cb2f8a8a59b9884169899"
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 5236 (2021-2022) — Extending certificate of need exemptions.

## 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/Senate%20Bills/5236.htm)
2. **Substitute Bill** (committee substitute) — [source](http://lawfilesext.leg.wa.gov/Biennium/2021-22/Htm/Bills/Senate%20Bills/5236-S.htm)

## Votes

- Final Passage as Amended by the House (#9) — **49–0** (pass) · upper
- Final Passage as Amended by the House (#5) — **97–0** (pass) · lower
- 3rd Reading & Final Passage (#7) — **47–0** (pass) · upper

## Sponsors

- Warnick — primary (person)
- Dhingra — cosponsor (person)
- Nguyen — cosponsor (person)
- Wagoner — cosponsor (person)

## Timeline

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

- **2021-01-15T05:00:00+00:00** First reading, referred to Health & Long Term Care. `reading-1`
- **2021-01-20T05:00:00+00:00** Executive action taken in the Senate Committee on Health & Long Term Care at 8:00 AM.
- **2021-01-20T05:00:00+00:00** Referred to Behavioral Health Subcommittee to Health & Long Term Care. `referral-committee`
- **2021-01-29T05:00:00+00:00** Public hearing in the Senate Committee on Behavioral Health Subcommittee to Health & Long Term Care at 10:30 AM.
- **2021-02-05T05:00:00+00:00** Executive action taken in the Senate Committee on Behavioral Health Subcommittee to Health & Long Term Care at 10:30 AM.
- **2021-02-05T05:00:00+00:00** BH - Majority; 1st substitute bill be substituted, do pass. `passage`
- **2021-02-08T05:00:00+00:00** Passed to Rules Committee for second reading.
- **2021-02-12T05:00:00+00:00** Placed on second reading by Rules Committee. `reading-2`
- **2021-02-16T05:00:00+00:00** 1st substitute bill substituted (BH 21). `substitution`
- **2021-02-16T05:00:00+00:00** Rules suspended. Placed on Third Reading. `reading-3`
- **2021-02-16T05:00:00+00:00** Third reading, passed; yeas, 47; nays, 0; absent, 0; excused, 2. `reading-3`
- **2021-02-18T05:00:00+00:00** First reading, referred to Health Care & Wellness. `reading-1`
- **2021-03-10T05:00:00+00:00** Public hearing in the House Committee on Health Care & Wellness at 8:00 AM.
- **2021-03-11T05:00:00+00:00** Executive action taken in the House Committee on Health Care & Wellness at 10:00 AM.
- **2021-03-11T05:00:00+00:00** HCW - Majority; do pass with amendment(s). `committee-passage-favorable`
- **2021-03-12T05:00:00+00:00** Referred to Rules 2 Review. `referral-committee`
- **2021-03-23T04:00:00+00:00** Rules Committee relieved of further consideration. Placed on second reading. `reading-2`
- **2021-03-28T04:00:00+00:00** Committee amendment(s) adopted with no other amendments.
- **2021-03-28T04:00:00+00:00** Rules suspended. Placed on Third Reading. `reading-3`
- **2021-03-28T04:00:00+00:00** Third reading, passed; yeas, 97; nays, 0; absent, 0; excused, 1. `reading-3`
- **2021-04-19T04:00:00+00:00** Senate concurred in House amendments.
- **2021-04-19T04:00:00+00:00** Passed final passage; yeas, 49; nays, 0; absent, 0; excused, 0. `passage`
- **2021-04-21T04:00:00+00:00** President signed. `passage`
- **2021-04-23T04:00:00+00:00** Speaker signed. `passage`
- **2021-04-26T04:00:00+00:00** Delivered to Governor. `executive-receipt`
- **2021-05-12T04:00:00+00:00** Governor signed. `executive-signature`
- **2021-05-12T04:00:00+00:00** Chapter 277, 2021 Laws. `became-law`
- **2021-05-12T04:00:00+00:00** Effective date 7/1/2021. `became-law`
- **2021-01-20T13:00:00+00:00** Scheduled for public hearing in the Senate Committee on Health & Long Term Care at 08:00 AM
- **2021-01-29T15:30:00+00:00** Scheduled for public hearing in the Senate Committee on Behavioral Health Subcommittee to Health & Long Term Care at 10:30 AM
- **2021-02-05T15:30:00+00:00** Scheduled for public hearing in the Senate Committee on Behavioral Health Subcommittee to Health & Long Term Care at 10:30 AM
- **2021-03-10T13:00:00+00:00** Scheduled for public hearing in the House Committee on Health Care & Wellness at 08:00 AM
- **2021-03-11T15:00:00+00:00** Scheduled for public hearing in the House Committee on Health Care & Wellness 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/a0bf5a18-5830-4de0-8a48-0041fc3f4991`. Confidence: reported (aggregated from official Washington legislature records).