---
type: "Bill"
title: "Concerning cost sharing for diagnostic and supplemental breast examinations."
description: "Concerning cost sharing for diagnostic and supplemental breast examinations."
jurisdiction: "us/states/wa"
legislature: "Washington Legislature"
session: "2023-2024"
identifier: "SB 5396"
citation: "Washington SB 5396 (2023-2024)"
classification: ["bill"]
subjects: []
status: "enacted"
primary_sponsors: ["L. Wilson"]
version_count: 3
action_count: 39
vote_count: 3
first_action: "2023-01-16"
last_action: "2023-05-09"
source: "openstates"
source_identifier: "ocd-bill/283c57a1-d3f6-489c-b017-c7b3108b2321"
source_url: "http://apps.leg.wa.gov/billinfo/summary.aspx?bill=5396&year=2023"
source_hash: "974fd3e792051dac85719d66467fb1fb3d30b27ff473588802e60c7020465fcd"
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 5396 (2023-2024) — Concerning cost sharing for diagnostic and supplemental breast examinations.

## 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/5396.htm)
2. **Substitute Bill** (committee substitute) — [source](http://lawfilesext.leg.wa.gov/Biennium/2023-24/Htm/Bills/Senate%20Bills/5396-S.htm)
3. **Substitute Passed Legislature** (committee substitute) — [source](http://lawfilesext.leg.wa.gov/Biennium/2023-24/Htm/Bills/Senate%20Passed%20Legislature/5396-S.PL.htm)

## Votes

- Final Passage as Amended by the House (#6) — **48–0** (pass) · upper
- Final Passage as Amended by the House (#5) — **90–6** (pass) · lower
- 3rd Reading & Final Passage (#28) — **48–0** (pass) · upper

## Sponsors

- L. Wilson — primary (person)
- Boehnke — cosponsor (person)
- Frame — cosponsor (person)
- Hunt — cosponsor (person)
- Kauffman — cosponsor (person)
- Kuderer — cosponsor (person)
- Rivers — cosponsor (person)
- Rolfes — cosponsor (person)
- Shewmake — cosponsor (person)
- Valdez — cosponsor (person)
- Warnick — cosponsor (person)

## Timeline

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

- **2023-01-16** First reading, referred to Health & Long Term Care. `reading-1`
- **2023-01-20** Public hearing in the Senate Committee on Health & Long Term Care at 8:00 AM.
- **2023-01-24** Executive action taken in the Senate Committee on Health & Long Term Care at 8:00 AM.
- **2023-01-24** HLTC - Majority; 1st substitute bill be substituted, do pass. `substitution`
- **2023-01-24** And refer to Ways & Means. `referral-committee`
- **2023-01-24** Minority; without recommendation. `committee-passage-unfavorable`
- **2023-01-24** Referred to Ways & Means. `referral-committee`
- **2023-01-31** Public hearing in the Senate Committee on Ways & Means at 4:00 PM.
- **2023-02-07** Executive action taken in the Senate Committee on Ways & Means at 4:00 PM.
- **2023-02-07** WM - Majority; do pass 1st substitute bill proposed by Health & Long Term Care. `committee-passage-favorable`
- **2023-02-09** Passed to Rules Committee for second reading.
- **2023-02-22** Placed on second reading by Rules Committee. `reading-2`
- **2023-02-28** 1st substitute bill substituted (HLTC 23). `substitution`
- **2023-02-28** Rules suspended. Placed on Third Reading. `reading-3`
- **2023-02-28** Third reading, passed; yeas, 48; nays, 0; absent, 0; excused, 1. `reading-3`
- **2023-03-02** First reading, referred to Health Care & Wellness. `reading-1`
- **2023-03-10** Public hearing in the House Committee on Health Care & Wellness at 8:00 AM.
- **2023-03-15** Executive action taken in the House Committee on Health Care & Wellness at 1:30 PM.
- **2023-03-15** HCW - Majority; do pass with amendment(s). `committee-passage-favorable`
- **2023-03-15** Minority; do not pass. `committee-passage-unfavorable`
- **2023-03-17** Referred to Appropriations. `referral-committee`
- **2023-03-22** Public hearing in the House Committee on Appropriations at 4:00 PM.
- **2023-03-30** Executive action taken in the House Committee on Appropriations at 1:30 PM.
- **2023-03-30** APP - Majority; do pass with amendment(s) but without amendment(s) by Health Care & Wellness. `committee-passage-favorable`
- **2023-03-30** Minority; do not pass. `committee-passage-unfavorable`
- **2023-03-30** Minority; without recommendation. `committee-passage-unfavorable`
- **2023-04-04** Referred to Rules 2 Review. `referral-committee`
- **2023-04-06** Rules Committee relieved of further consideration. Placed on second reading. `reading-2`
- **2023-04-07** Committee amendment(s) adopted with no other amendments.
- **2023-04-07** Rules suspended. Placed on Third Reading. `reading-3`
- **2023-04-07** Third reading, passed; yeas, 90; nays, 6; absent, 0; excused, 2. `reading-3`
- **2023-04-18** Senate concurred in House amendments.
- **2023-04-18** Passed final passage; yeas, 48; nays, 0; absent, 0; excused, 1. `passage`
- **2023-04-19** President signed. `passage`
- **2023-04-20** Speaker signed. `passage`
- **2023-04-21** Delivered to Governor. `executive-receipt`
- **2023-05-09** Governor signed. `executive-signature`
- **2023-05-09** Chapter 366, 2023 Laws. `became-law`
- **2023-05-09** 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/283c57a1-d3f6-489c-b017-c7b3108b2321`. Confidence: reported (aggregated from official Washington legislature records).