---
type: "Bill"
title: "Updating mental health advance directive laws."
description: "Updating mental health advance directive laws."
jurisdiction: "us/states/wa"
legislature: "Washington Legislature"
session: "2021-2022"
identifier: "SB 5370"
citation: "Washington SB 5370 (2021-2022)"
classification: ["bill"]
subjects: ["MENTAL HEALTH", "SUBSTANCE USE DISORDER"]
status: "enacted"
primary_sponsors: ["Keiser"]
version_count: 3
action_count: 38
vote_count: 3
first_action: "2021-01-28T05:00:00+00:00"
last_action: "2021-05-12T04:00:00+00:00"
source: "openstates"
source_identifier: "ocd-bill/8cee3133-048b-41f7-95f0-637b794c3dd3"
source_url: "http://apps.leg.wa.gov/billinfo/summary.aspx?bill=5370&year=2021"
source_hash: "9e1c24afe6c87304d99153ad67390ece514bdc2d621960984b8eb65dd1d56b31"
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 5370 (2021-2022) — Updating mental health advance directive laws.

## 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/5370.htm)
2. **Engrossed Substitute Bill** (committee substitute) — [source](http://lawfilesext.leg.wa.gov/Biennium/2021-22/Htm/Bills/Senate%20Bills/5370-S.E.htm)
3. **Substitute Bill** (committee substitute) — [source](http://lawfilesext.leg.wa.gov/Biennium/2021-22/Htm/Bills/Senate%20Bills/5370-S.htm)

## Votes

- Final Passage as Amended by the House (#4) — **79–19** (pass) · lower
- Final Passage as Amended by the House (#2) — **46–2** (pass) · upper
- 3rd Reading & Final Passage (#3) — **48–1** (pass) · upper

## Sponsors

- Keiser — primary (person)
- C. Wilson — cosponsor (person)
- Dhingra — cosponsor (person)
- Saldaña — cosponsor (person)

## Timeline

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

- **2021-01-28T05:00:00+00:00** First reading, referred to Health & Long Term Care. `reading-1`
- **2021-02-03T05:00:00+00:00** Executive action taken in the Senate Committee on Health & Long Term Care at 8:00 AM.
- **2021-02-03T05:00:00+00:00** Referred to Behavioral Health Subcommittee to Health & Long Term Care. `referral-committee`
- **2021-02-05T05:00:00+00:00** Public hearing in the Senate Committee on Behavioral Health Subcommittee to Health & Long Term Care at 10:30 AM.
- **2021-02-12T05:00:00+00:00** Executive action taken in the Senate Committee on Behavioral Health Subcommittee to Health & Long Term Care at 10:30 AM.
- **2021-02-12T05:00:00+00:00** BH - Majority; 1st substitute bill be substituted, do pass. `passage`
- **2021-02-15T05:00:00+00:00** Passed to Rules Committee for second reading.
- **2021-03-03T05:00:00+00:00** Placed on second reading by Rules Committee. `reading-2`
- **2021-03-08T05:00:00+00:00** 1st substitute bill substituted (BH 21). `substitution`
- **2021-03-08T05:00:00+00:00** Floor amendment(s) adopted.
- **2021-03-08T05:00:00+00:00** Rules suspended. Placed on Third Reading. `reading-3`
- **2021-03-08T05:00:00+00:00** Third reading, passed; yeas, 48; nays, 1; absent, 0; excused, 0. `reading-3`
- **2021-03-10T05:00:00+00:00** First reading, referred to Health Care & Wellness. `reading-1`
- **2021-03-16T04:00:00+00:00** Committee relieved of further consideration.
- **2021-03-16T04:00:00+00:00** Referred to Civil Rights & Judiciary. `referral-committee`
- **2021-03-23T04:00:00+00:00** Public hearing in the House Committee on Civil Rights & Judiciary at 10:00 AM.
- **2021-03-24T04:00:00+00:00** Executive action taken in the House Committee on Civil Rights & Judiciary at 10:00 AM.
- **2021-03-24T04:00:00+00:00** CRJ - Majority; do pass. `committee-passage-favorable`
- **2021-03-24T04:00:00+00:00** Minority; do not pass. `committee-passage-unfavorable`
- **2021-03-24T04:00:00+00:00** Minority; without recommendation. `committee-passage-unfavorable`
- **2021-03-25T04:00:00+00:00** Referred to Rules 2 Review. `referral-committee`
- **2021-04-02T04:00:00+00:00** Rules Committee relieved of further consideration. Placed on second reading. `reading-2`
- **2021-04-08T04:00:00+00:00** Floor amendment(s) adopted.
- **2021-04-08T04:00:00+00:00** Rules suspended. Placed on Third Reading. `reading-3`
- **2021-04-08T04:00:00+00:00** Third reading, passed; yeas, 79; nays, 19; absent, 0; excused, 0. `reading-3`
- **2021-04-15T04:00:00+00:00** Senate concurred in House amendments.
- **2021-04-15T04:00:00+00:00** Passed final passage; yeas, 46; nays, 2; absent, 1; excused, 0. `passage`
- **2021-04-20T04:00:00+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 287, 2021 Laws. `became-law`
- **2021-05-12T04:00:00+00:00** Effective date 7/25/2021*. `became-law`
- **2021-02-03T13:00:00+00:00** Scheduled for public hearing in the Senate Committee on Health & Long Term Care at 08:00 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
- **2021-02-12T15:30:00+00:00** Scheduled for public hearing in the Senate Committee on Behavioral Health Subcommittee to Health & Long Term Care at 10:30 AM
- **2021-03-23T14:00:00+00:00** Scheduled for public hearing in the House Committee on Civil Rights & Judiciary at 10:00 AM
- **2021-03-24T14:00:00+00:00** Scheduled for public hearing in the House Committee on Civil Rights & Judiciary 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/8cee3133-048b-41f7-95f0-637b794c3dd3`. Confidence: reported (aggregated from official Washington legislature records).