---
type: "Bill"
title: "Concerning medicaid expenditures."
description: "Concerning medicaid expenditures."
jurisdiction: "us/states/wa"
legislature: "Washington Legislature"
session: "2023-2024"
identifier: "SB 5497"
citation: "Washington SB 5497 (2023-2024)"
classification: ["bill"]
subjects: []
status: "enacted"
primary_sponsors: ["L. Wilson"]
version_count: 2
action_count: 34
vote_count: 3
first_action: "2023-01-20"
last_action: "2023-05-11"
source: "openstates"
source_identifier: "ocd-bill/a80fef06-145b-490d-ac43-3dcf7a71d768"
source_url: "http://apps.leg.wa.gov/billinfo/summary.aspx?bill=5497&year=2023"
source_hash: "28d08d5c49facd954f78d08f79a9a57b7367c3b06b4484fc77bb963a8cac7bca"
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 5497 (2023-2024) — Concerning medicaid expenditures.

## 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/5497.htm)
2. **Passed Legislature** (committee substitute) — [source](http://lawfilesext.leg.wa.gov/Biennium/2023-24/Htm/Bills/Senate%20Passed%20Legislature/5497.PL.htm)

## Votes

- Final Passage as Amended by the House (#35) — **97–0** (pass) · lower
- Final Passage as Amended by the House (#22) — **49–0** (pass) · upper
- 3rd Reading & Final Passage (#8) — **45–3** (pass) · upper

## Sponsors

- L. Wilson — primary (person)
- Rolfes — cosponsor (person)

## Timeline

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

- **2023-01-20** First reading, referred to Health & Long Term Care. `reading-1`
- **2023-01-26** Executive action taken in the Senate Committee on Health & Long Term Care at 10:30 AM.
- **2023-01-26** HLTC - Majority; without recommendation.
- **2023-01-26** And refer to Ways & Means. `referral-committee`
- **2023-01-30** Referred to Ways & Means. `referral-committee`
- **2023-02-07** Public hearing in the Senate Committee on Ways & Means at 4:00 PM.
- **2023-02-14** Executive action taken in the Senate Committee on Ways & Means at 4:00 PM.
- **2023-02-14** WM - Majority; do pass. `committee-passage-favorable`
- **2023-02-14** Minority; do not pass. `committee-passage-unfavorable`
- **2023-02-14** Minority; without recommendation. `committee-passage-unfavorable`
- **2023-02-15** Passed to Rules Committee for second reading.
- **2023-02-15** Placed on second reading by Rules Committee. `reading-2`
- **2023-03-03** Rules suspended. Placed on Third Reading. `reading-3`
- **2023-03-03** Third reading, passed; yeas, 45; nays, 3; absent, 0; excused, 1. `reading-3`
- **2023-03-06** First reading, referred to Health Care & Wellness. `reading-1`
- **2023-03-22** Public hearing in the House Committee on Health Care & Wellness at 1:30 PM.
- **2023-03-24** Executive action taken in the House Committee on Health Care & Wellness at 8:00 AM.
- **2023-03-24** HCW - Majority; do pass. `committee-passage-favorable`
- **2023-03-27** Referred to Appropriations. `referral-committee`
- **2023-04-04** Public hearing and executive action taken in the House Committee on Appropriations at 9:00 AM.
- **2023-04-04** APP - Majority; do pass with amendment(s). `committee-passage-favorable`
- **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, 97; nays, 0; absent, 0; excused, 1. `reading-3`
- **2023-04-18** Senate concurred in House amendments.
- **2023-04-18** Passed final passage; yeas, 49; nays, 0; absent, 0; excused, 0. `passage`
- **2023-04-19** President signed. `passage`
- **2023-04-20** Speaker signed. `passage`
- **2023-04-20** Delivered to Governor. `executive-receipt`
- **2023-05-11** Governor signed. `executive-signature`
- **2023-05-11** Chapter 439, 2023 Laws. `became-law`
- **2023-05-11** 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/a80fef06-145b-490d-ac43-3dcf7a71d768`. Confidence: reported (aggregated from official Washington legislature records).