---
type: "Bill"
title: "Concerning the uniform telemedicine act."
description: "Concerning the uniform telemedicine act."
jurisdiction: "us/states/wa"
legislature: "Washington Legislature"
session: "2023-2024"
identifier: "SB 5481"
citation: "Washington SB 5481 (2023-2024)"
classification: ["bill"]
subjects: []
status: "enacted"
primary_sponsors: ["Cleveland"]
version_count: 4
action_count: 32
vote_count: 3
first_action: "2023-01-19"
last_action: "2024-03-19"
source: "openstates"
source_identifier: "ocd-bill/b9031c53-5761-47a0-8b44-9cebbb517902"
source_url: "http://apps.leg.wa.gov/billinfo/summary.aspx?bill=5481&year=2023"
source_hash: "5ba5e131ea99b5c018b541fb0c7933ad471f543c565282c93fc8282df5b82a24"
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 5481 (2023-2024) — Concerning the uniform telemedicine act.

## 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/5481.htm)
2. **Engrossed Substitute Bill** (committee substitute) — [source](http://lawfilesext.leg.wa.gov/Biennium/2023-24/Htm/Bills/Senate%20Bills/5481-S.E.htm)
3. **Substitute Bill** (committee substitute) — [source](http://lawfilesext.leg.wa.gov/Biennium/2023-24/Htm/Bills/Senate%20Bills/5481-S.htm)
4. **Substitute Passed Legislature** (committee substitute) — [source](http://lawfilesext.leg.wa.gov/Biennium/2023-24/Htm/Bills/Senate%20Passed%20Legislature/5481-S.PL.htm)

## Votes

- Final Passage as Amended by the House (#2) — **94–0** (pass) · lower
- Final Passage as Amended by the House (#6) — **49–0** (pass) · upper
- 3rd Reading & Final Passage (#9) — **49–0** (pass) · upper

## Sponsors

- Cleveland — primary (person)
- Pedersen — cosponsor (person)

## Timeline

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

- **2023-01-19** First reading, referred to Health & Long Term Care. `reading-1`
- **2023-02-02** Public hearing in the Senate Committee on Health & Long Term Care at 10:30 AM.
- **2023-02-17** Executive action taken in the Senate Committee on Health & Long Term Care at 9:00 AM.
- **2023-02-17** HLTC - Majority; 1st substitute bill be substituted, do pass. `substitution`
- **2023-02-17** Minority; without recommendation. `committee-passage-unfavorable`
- **2023-02-17** Passed to Rules Committee for second reading.
- **2023-03-10** Senate Rules "X" file.
- **2024-01-08** By resolution, reintroduced and retained in present status.
- **2024-01-08** On motion, referred to Rules.
- **2024-01-17** Placed on second reading by Rules Committee. `reading-2`
- **2024-01-24** 1st substitute bill substituted (HLTC 23). `substitution`
- **2024-01-24** Floor amendment(s) adopted.
- **2024-01-24** Rules suspended. Placed on Third Reading. `reading-3`
- **2024-01-24** Third reading, passed; yeas, 49; nays, 0; absent, 0; excused, 0. `reading-3`
- **2024-02-05** First reading, referred to Health Care & Wellness. `reading-1`
- **2024-02-16** Public hearing in the House Committee on Health Care & Wellness at 8:00 AM.
- **2024-02-20** Executive session scheduled, but no action was taken in the House Committee on Health Care & Wellness at 1:30 PM.
- **2024-02-21** Executive action taken in the House Committee on Health Care & Wellness at 1:30 PM.
- **2024-02-21** HCW - Majority; do pass with amendment(s). `committee-passage-favorable`
- **2024-02-21** Referred to Rules 2 Review. `referral-committee`
- **2024-02-29** Rules Committee relieved of further consideration. Placed on second reading. `reading-2`
- **2024-03-01** Committee amendment(s) adopted with no other amendments.
- **2024-03-01** Rules suspended. Placed on Third Reading. `reading-3`
- **2024-03-01** Third reading, passed; yeas, 94; nays, 0; absent, 0; excused, 4. `reading-3`
- **2024-03-05** Senate concurred in House amendments.
- **2024-03-05** Passed final passage; yeas, 49; nays, 0; absent, 0; excused, 0. `passage`
- **2024-03-07** President signed. `passage`
- **2024-03-07** Speaker signed. `passage`
- **2024-03-08** Delivered to Governor. `executive-receipt`
- **2024-03-19** Governor signed. `executive-signature`
- **2024-03-19** Chapter 212, 2024 Laws. `became-law`
- **2024-03-19** Effective date 6/6/2024. `became-law`

## Source

OpenStates / OpenCivicData bulk snapshot [2026-07-01](https://data.openstates.org/daily/2026-07-01/public.pgdump); origin `ocd-bill/b9031c53-5761-47a0-8b44-9cebbb517902`. Confidence: reported (aggregated from official Washington legislature records).