---
type: "Bill"
title: "Concerning access to reproductive health care services and gender-affirming treatment in Washington state."
description: "Concerning access to reproductive health care services and gender-affirming treatment in Washington state."
jurisdiction: "us/states/wa"
legislature: "Washington Legislature"
session: "2023-2024"
identifier: "HB 1469"
citation: "Washington HB 1469 (2023-2024)"
classification: ["bill"]
subjects: []
status: "enacted"
primary_sponsors: ["Hansen"]
version_count: 4
action_count: 34
vote_count: 2
first_action: "2023-01-20"
last_action: "2023-04-27"
source: "openstates"
source_identifier: "ocd-bill/f727124a-19a4-4df1-bd94-0919b42858e7"
source_url: "http://apps.leg.wa.gov/billinfo/summary.aspx?bill=1469&year=2023"
source_hash: "f73e02372337c442af9f1746f64840f2bf28eda8589c9ca6364df02d5935b22d"
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 1469 (2023-2024) — Concerning access to reproductive health care services and gender-affirming treatment in Washington state.

## 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/2023-24/Htm/Bills/House%20Bills/1469.htm)
2. **Engrossed Substitute Bill** (committee substitute) — [source](http://lawfilesext.leg.wa.gov/Biennium/2023-24/Htm/Bills/House%20Bills/1469-S.E.htm)
3. **Substitute Bill** (committee substitute) — [source](http://lawfilesext.leg.wa.gov/Biennium/2023-24/Htm/Bills/House%20Bills/1469-S.htm)
4. **Substitute Passed Legislature** (committee substitute) — [source](http://lawfilesext.leg.wa.gov/Biennium/2023-24/Htm/Bills/House%20Passed%20Legislature/1469-S.PL.htm)

## Votes

- 3rd Reading & Final Passage (#21) — **29–20** (pass) · upper
- 3rd Reading & Final Passage (#7) — **59–38** (pass) · lower

## Sponsors

- Hansen — primary (person)
- Alvarado — cosponsor (person)
- Bateman — cosponsor (person)
- Bergquist — cosponsor (person)
- Berry — cosponsor (person)
- Callan — cosponsor (person)
- Chopp — cosponsor (person)
- Doglio — cosponsor (person)
- Fitzgibbon — cosponsor (person)
- Goodman — cosponsor (person)
- Gregerson — cosponsor (person)
- Macri — cosponsor (person)
- Morgan — cosponsor (person)
- Ormsby — cosponsor (person)
- Peterson — cosponsor (person)
- Pollet — cosponsor (person)
- Ramel — cosponsor (person)
- Reeves — cosponsor (person)
- Riccelli — cosponsor (person)
- Ryu — cosponsor (person)
- Santos — cosponsor (person)
- Senn — cosponsor (person)
- Simmons — cosponsor (person)
- Slatter — cosponsor (person)
- Street — cosponsor (person)
- Thai — cosponsor (person)
- Tharinger — cosponsor (person)

## Timeline

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

- **2023-01-20** First reading, referred to Civil Rights & Judiciary. `reading-1`
- **2023-01-24** Public hearing in the House Committee on Civil Rights & Judiciary at 10:30 AM.
- **2023-01-27** Executive action taken in the House Committee on Civil Rights & Judiciary at 10:30 AM.
- **2023-01-27** CRJ - Majority; 1st substitute bill be substituted, do pass. `substitution`
- **2023-01-27** Minority; do not pass. `committee-passage-unfavorable`
- **2023-01-27** Minority; without recommendation. `committee-passage-unfavorable`
- **2023-01-31** Referred to Rules 2 Review. `referral-committee`
- **2023-02-08** Placed on second reading by Rules Committee. `reading-2`
- **2023-02-28** 1st substitute bill substituted (CRJ 23). `substitution`
- **2023-02-28** Floor amendment(s) adopted.
- **2023-02-28** Rules suspended. Placed on Third Reading. `reading-3`
- **2023-02-28** Third reading, passed; yeas, 59; nays, 38; absent, 0; excused, 1. `reading-3`
- **2023-03-02** First reading, referred to Law & Justice. `reading-1`
- **2023-03-16** Public hearing in the Senate Committee on Law & Justice at 8:00 AM.
- **2023-03-22** Executive action taken in the Senate Committee on Law & Justice at 6:00 PM.
- **2023-03-22** LAW - Majority; do pass. `committee-passage-favorable`
- **2023-03-22** Minority; do not pass. `committee-passage-unfavorable`
- **2023-03-22** And refer to Ways & Means. `referral-committee`
- **2023-03-24** Referred to Ways & Means. `referral-committee`
- **2023-03-30** Public hearing in the Senate Committee on Ways & Means at 12:30 PM.
- **2023-04-03** Executive action taken in the Senate Committee on Ways & Means at 10:00 AM.
- **2023-04-03** WM - Majority; do pass. `committee-passage-favorable`
- **2023-04-03** Minority; do not pass. `committee-passage-unfavorable`
- **2023-04-03** Minority; without recommendation. `committee-passage-unfavorable`
- **2023-04-04** Passed to Rules Committee for second reading.
- **2023-04-07** Placed on second reading by Rules Committee. `reading-2`
- **2023-04-10** Rules suspended. Placed on Third Reading. `reading-3`
- **2023-04-10** Third reading, passed; yeas, 29; nays, 20; absent, 0; excused, 0. `reading-3`
- **2023-04-11** Speaker signed. `passage`
- **2023-04-12** President signed. `passage`
- **2023-04-19** Delivered to Governor. `executive-receipt`
- **2023-04-27** Governor signed. `executive-signature`
- **2023-04-27** Chapter 193, 2023 Laws. `became-law`
- **2023-04-27** Effective date 4/27/2023. `became-law`

## Source

OpenStates / OpenCivicData bulk snapshot [2026-07-01](https://data.openstates.org/daily/2026-07-01/public.pgdump); origin `ocd-bill/f727124a-19a4-4df1-bd94-0919b42858e7`. Confidence: reported (aggregated from official Washington legislature records).