---
type: "Bill"
title: "Providing enhanced payment to low volume, small rural hospitals."
description: "Providing enhanced payment to low volume, small rural hospitals."
jurisdiction: "us/states/wa"
legislature: "Washington Legislature"
session: "2023-2024"
identifier: "SB 5532"
citation: "Washington SB 5532 (2023-2024)"
classification: ["bill"]
subjects: []
status: "enacted"
primary_sponsors: ["King"]
version_count: 4
action_count: 35
vote_count: 3
first_action: "2023-01-23"
last_action: "2023-05-11"
source: "openstates"
source_identifier: "ocd-bill/07aad578-a112-45ce-a8c8-3a75fc2e68a2"
source_url: "http://apps.leg.wa.gov/billinfo/summary.aspx?bill=5532&year=2023"
source_hash: "c1d1d2a189a15475da916c1da624030cf107ffb63a855357c2f0165d523562ae"
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 5532 (2023-2024) — Providing enhanced payment to low volume, small rural hospitals.

## 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/5532.htm)
2. **Second Substitute Bill** (committee substitute) — [source](http://lawfilesext.leg.wa.gov/Biennium/2023-24/Htm/Bills/Senate%20Bills/5532-S2.htm)
3. **Second Substitute Passed Legislature** (committee substitute) — [source](http://lawfilesext.leg.wa.gov/Biennium/2023-24/Htm/Bills/Senate%20Passed%20Legislature/5532-S2.PL.htm)
4. **Substitute Bill** (committee substitute) — [source](http://lawfilesext.leg.wa.gov/Biennium/2023-24/Htm/Bills/Senate%20Bills/5532-S.htm)

## Votes

- Final Passage as Amended by the House (#27) — **98–0** (pass) · lower
- 3rd Reading & Final Passage (#26) — **48–0** (pass) · upper
- Final Passage as Amended by the House (#28) — **48–0** (pass) · upper

## Sponsors

- King — primary (person)
- Cleveland — cosponsor (person)
- Lovelett — cosponsor (person)
- Warnick — cosponsor (person)
- Wellman — cosponsor (person)

## Timeline

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

- **2023-01-23** First reading, referred to Health & Long Term Care. `reading-1`
- **2023-02-09** Public hearing in the Senate Committee on Health & Long Term Care at 10:30 AM.
- **2023-02-14** Executive action taken in the Senate Committee on Health & Long Term Care at 8:00 AM.
- **2023-02-14** HLTC - Majority; 1st substitute bill be substituted, do pass. `substitution`
- **2023-02-14** And refer to Ways & Means. `referral-committee`
- **2023-02-15** Referred to Ways & Means. `referral-committee`
- **2023-02-21** Public hearing in the Senate Committee on Ways & Means at 9:00 AM.
- **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`
- **2023-03-06** 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, 48; nays, 0; absent, 0; excused, 1. `reading-3`
- **2023-03-08** 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.
- **2023-03-22** Executive action taken in the House Committee on Health Care & Wellness at 1:30 PM.
- **2023-03-22** HCW - Majority; do pass. `committee-passage-favorable`
- **2023-03-24** 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). `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`
- **2023-04-10** Committee amendment(s) adopted with no other amendments.
- **2023-04-10** Rules suspended. Placed on Third Reading. `reading-3`
- **2023-04-10** Third reading, passed; yeas, 98; nays, 0; absent, 0; excused, 0. `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`
- **2023-04-20** Delivered to Governor. `executive-receipt`
- **2023-05-11** Governor partially vetoed. `executive-veto-line-item`
- **2023-05-11** Chapter 443, 2023 Laws PV. `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/07aad578-a112-45ce-a8c8-3a75fc2e68a2`. Confidence: reported (aggregated from official Washington legislature records).