---
type: "Bill"
title: "Concerning payment to acute care hospitals for difficult to discharge medicaid patients."
description: "Concerning payment to acute care hospitals for difficult to discharge medicaid patients."
jurisdiction: "us/states/wa"
legislature: "Washington Legislature"
session: "2023-2024"
identifier: "SB 5103"
citation: "Washington SB 5103 (2023-2024)"
classification: ["bill"]
subjects: []
status: "enacted"
primary_sponsors: ["Muzzall"]
version_count: 4
action_count: 37
vote_count: 3
first_action: "2022-12-28"
last_action: "2023-05-04"
source: "openstates"
source_identifier: "ocd-bill/97eeeeae-459f-417d-b3cd-f95d51bd235c"
source_url: "http://apps.leg.wa.gov/billinfo/summary.aspx?bill=5103&year=2023"
source_hash: "aef9c639077e506c752063e5259a98cf1dbb7da138968048e76249d4dda15399"
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 5103 (2023-2024) — Concerning payment to acute care hospitals for difficult to discharge medicaid patients.

## 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/Senate%20Bills/5103.htm)
2. **Second Substitute Bill** (committee substitute) — [source](http://lawfilesext.leg.wa.gov/Biennium/2023-24/Htm/Bills/Senate%20Bills/5103-S2.htm)
3. **Second Substitute Passed Legislature** (committee substitute) — [source](http://lawfilesext.leg.wa.gov/Biennium/2023-24/Htm/Bills/Senate%20Passed%20Legislature/5103-S2.PL.htm)
4. **Substitute Bill** (committee substitute) — [source](http://lawfilesext.leg.wa.gov/Biennium/2023-24/Htm/Bills/Senate%20Bills/5103-S.htm)

## Votes

- 3rd Reading & Final Passage (#32) — **49–0** (pass) · upper
- Final Passage as Amended by the House (#9) — **46–0** (pass) · upper
- Final Passage as Amended by the House (#23) — **97–0** (pass) · lower

## Sponsors

- Muzzall — primary (person)
- Cleveland — cosponsor (person)
- Rivers — cosponsor (person)

## Timeline

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

- **2022-12-28** Prefiled for introduction. `filing`
- **2023-01-09** First reading, referred to Health & Long Term Care. `reading-1`
- **2023-01-17** Public hearing in the Senate Committee on Health & Long Term Care at 8:00 AM.
- **2023-02-07** Executive action taken in the Senate Committee on Health & Long Term Care at 8:00 AM.
- **2023-02-07** HLTC - Majority; 1st substitute bill be substituted, do pass. `substitution`
- **2023-02-07** And refer to Ways & Means. `referral-committee`
- **2023-02-07** Minority; without recommendation. `committee-passage-unfavorable`
- **2023-02-08** Referred to Ways & Means. `referral-committee`
- **2023-02-16** Public hearing in the Senate Committee on Ways & Means at 4:00 PM.
- **2023-02-23** Executive action taken in the Senate Committee on Ways & Means at 9:00 AM.
- **2023-02-23** WM - Majority; 2nd substitute bill be substituted, do pass. `substitution`
- **2023-02-24** Passed to Rules Committee for second reading.
- **2023-03-01** Placed on second reading by Rules Committee. `reading-2`
- **2023-03-08** 2nd substitute bill substituted (WM 23). `substitution`
- **2023-03-08** Rules suspended. Placed on Third Reading. `reading-3`
- **2023-03-08** Third reading, passed; yeas, 49; nays, 0; absent, 0; excused, 0. `reading-3`
- **2023-03-10** First reading, referred to Health Care & Wellness. `reading-1`
- **2023-03-21** Public hearing in the House Committee on Health Care & Wellness at 1:30 PM.
- **2023-03-28** Executive action taken in the House Committee on Health Care & Wellness at 1:30 PM.
- **2023-03-28** HCW - Majority; do pass with amendment(s). `committee-passage-favorable`
- **2023-03-29** Referred to Appropriations. `referral-committee`
- **2023-04-01** Public hearing in the House Committee on Appropriations at 9:00 AM.
- **2023-04-04** Executive action taken in the House Committee on Appropriations at 9:00 AM.
- **2023-04-04** APP - Majority; do pass with amendment(s) but without amendment(s) by Health Care & Wellness. `committee-passage-favorable`
- **2023-04-04** Referred to Rules 2 Review. `referral-committee`
- **2023-04-12** Rules Committee relieved of further consideration. Placed on second reading. `reading-2`
- **2023-04-12** Committee amendment(s) adopted as amended.
- **2023-04-12** Rules suspended. Placed on Third Reading. `reading-3`
- **2023-04-12** Third reading, passed; yeas, 97; nays, 0; absent, 0; excused, 1. `reading-3`
- **2023-04-14** Senate concurred in House amendments.
- **2023-04-14** Passed final passage; yeas, 46; nays, 0; absent, 0; excused, 3. `passage`
- **2023-04-18** President signed. `passage`
- **2023-04-18** Speaker signed. `passage`
- **2023-04-19** Delivered to Governor. `executive-receipt`
- **2023-05-04** Governor signed. `executive-signature`
- **2023-05-04** Chapter 315, 2023 Laws. `became-law`
- **2023-05-04** Effective date 7/23/2023. `became-law`

## Source

OpenStates / OpenCivicData bulk snapshot [2026-07-01](https://data.openstates.org/daily/2026-07-01/public.pgdump); origin `ocd-bill/97eeeeae-459f-417d-b3cd-f95d51bd235c`. Confidence: reported (aggregated from official Washington legislature records).