---
type: "Bill"
title: "Concerning industrial insurance coverage for posttraumatic stress disorders affecting registered nurses."
description: "Concerning industrial insurance coverage for posttraumatic stress disorders affecting registered nurses."
jurisdiction: "us/states/wa"
legislature: "Washington Legislature"
session: "2023-2024"
identifier: "SB 5454"
citation: "Washington SB 5454 (2023-2024)"
classification: ["bill"]
subjects: []
status: "enacted"
primary_sponsors: ["Cleveland"]
version_count: 4
action_count: 41
vote_count: 3
first_action: "2023-01-18"
last_action: "2023-05-09"
source: "openstates"
source_identifier: "ocd-bill/1737952c-016e-40a2-8e9a-f223f4ada727"
source_url: "http://apps.leg.wa.gov/billinfo/summary.aspx?bill=5454&year=2023"
source_hash: "11b822eb7325f228139f1fc9934c417da33c78c8ac8b73cdc9f16327da2bf614"
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 5454 (2023-2024) — Concerning industrial insurance coverage for posttraumatic stress disorders affecting registered nurses.

## 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/5454.htm)
2. **Second Substitute Bill** (committee substitute) — [source](http://lawfilesext.leg.wa.gov/Biennium/2023-24/Htm/Bills/Senate%20Bills/5454-S2.htm)
3. **Second Substitute Passed Legislature** (committee substitute) — [source](http://lawfilesext.leg.wa.gov/Biennium/2023-24/Htm/Bills/Senate%20Passed%20Legislature/5454-S2.PL.htm)
4. **Substitute Bill** (committee substitute) — [source](http://lawfilesext.leg.wa.gov/Biennium/2023-24/Htm/Bills/Senate%20Bills/5454-S.htm)

## Votes

- Final Passage as Amended by the House (#14) — **57–40** (pass) · lower
- Final Passage as Amended by the House (#14) — **30–18** (pass) · upper
- 3rd Reading & Final Passage (#19) — **35–13** (pass) · upper

## Sponsors

- Cleveland — primary (person)
- Conway — cosponsor (person)
- Keiser — cosponsor (person)
- King — cosponsor (person)
- Kuderer — cosponsor (person)
- Liias — cosponsor (person)
- Nguyen — cosponsor (person)
- Robinson — cosponsor (person)
- Shewmake — cosponsor (person)
- Stanford — cosponsor (person)
- Valdez — cosponsor (person)
- Van De Wege — cosponsor (person)

## Timeline

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

- **2023-01-18** First reading, referred to Labor & Commerce. `reading-1`
- **2023-01-26** Public hearing in the Senate Committee on Labor & Commerce at 8:00 AM.
- **2023-02-13** Executive action taken in the Senate Committee on Labor & Commerce at 10:30 AM.
- **2023-02-13** LC - Majority; 1st substitute bill be substituted, do pass. `substitution`
- **2023-02-13** And refer to Ways & Means. `referral-committee`
- **2023-02-13** Minority; do not pass. `committee-passage-unfavorable`
- **2023-02-13** Minority; without recommendation. `committee-passage-unfavorable`
- **2023-02-14** Referred to Ways & Means. `referral-committee`
- **2023-02-18** Public hearing in the Senate Committee on Ways & Means at 9:00 AM.
- **2023-02-24** Executive action taken in the Senate Committee on Ways & Means at 9:00 AM.
- **2023-02-24** WM - Majority; 2nd substitute bill be substituted, do pass. `substitution`
- **2023-02-24** Minority; do not pass. `committee-passage-unfavorable`
- **2023-02-24** Passed to Rules Committee for second reading.
- **2023-03-03** Placed on second reading by Rules Committee. `reading-2`
- **2023-03-06** 2nd substitute bill substituted (WM 23). `substitution`
- **2023-03-06** Rules suspended. Placed on Third Reading. `reading-3`
- **2023-03-06** Third reading, passed; yeas, 35; nays, 13; absent, 0; excused, 1. `reading-3`
- **2023-03-08** First reading, referred to Labor & Workplace Standards. `reading-1`
- **2023-03-17** Public hearing in the House Committee on Labor & Workplace Standards at 10:30 AM.
- **2023-03-24** Executive action taken in the House Committee on Labor & Workplace Standards at 10:30 AM.
- **2023-03-24** LAWS - Majority; do pass with amendment(s). `committee-passage-favorable`
- **2023-03-24** Minority; do not pass. `committee-passage-unfavorable`
- **2023-03-28** 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 Labor & Workplace Standards. `committee-passage-favorable`
- **2023-04-04** Minority; do not pass. `committee-passage-unfavorable`
- **2023-04-04** Minority; without recommendation. `committee-passage-unfavorable`
- **2023-04-04** Referred to Rules 2 Review. `referral-committee`
- **2023-04-07** 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, 57; nays, 40; absent, 0; excused, 1. `reading-3`
- **2023-04-18** Senate concurred in House amendments.
- **2023-04-18** Passed final passage; yeas, 30; nays, 18; 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 370, 2023 Laws. `became-law`
- **2023-05-09** Effective date 1/1/2024. `became-law`

## Source

OpenStates / OpenCivicData bulk snapshot [2026-07-01](https://data.openstates.org/daily/2026-07-01/public.pgdump); origin `ocd-bill/1737952c-016e-40a2-8e9a-f223f4ada727`. Confidence: reported (aggregated from official Washington legislature records).