---
type: "Bill"
title: "Creating temporary exemptions from certificate of need requirements for kidney disease centers."
description: "Creating temporary exemptions from certificate of need requirements for kidney disease centers."
jurisdiction: "us/states/wa"
legislature: "Washington Legislature"
session: "2023-2024"
identifier: "SB 5569"
citation: "Washington SB 5569 (2023-2024)"
classification: ["bill"]
subjects: []
status: "enacted"
primary_sponsors: ["Rivers"]
version_count: 3
action_count: 24
vote_count: 2
first_action: "2023-01-26"
last_action: "2023-04-06"
source: "openstates"
source_identifier: "ocd-bill/567f69d4-4651-4f05-90bb-ff902ea8dc83"
source_url: "http://apps.leg.wa.gov/billinfo/summary.aspx?bill=5569&year=2023"
source_hash: "8bf665edf647f3bb24a6fcf90048ffc13d5b9d00ca09ba0f3a6d3c56a637da3d"
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 5569 (2023-2024) — Creating temporary exemptions from certificate of need requirements for kidney disease centers.

## 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/5569.htm)
2. **Substitute Bill** (committee substitute) — [source](http://lawfilesext.leg.wa.gov/Biennium/2023-24/Htm/Bills/Senate%20Bills/5569-S.htm)
3. **Substitute Passed Legislature** (committee substitute) — [source](http://lawfilesext.leg.wa.gov/Biennium/2023-24/Htm/Bills/Senate%20Passed%20Legislature/5569-S.PL.htm)

## Votes

- 3rd Reading & Final Passage (#26) — **49–0** (pass) · upper
- 3rd Reading & Final Passage (#3) — **98–0** (pass) · lower

## Sponsors

- Rivers — primary (person)
- Dozier — cosponsor (person)

## Timeline

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

- **2023-01-26** 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`
- **2023-02-15** Passed to Rules Committee for second reading.
- **2023-02-22** Placed on second reading by Rules Committee. `reading-2`
- **2023-03-02** 1st substitute bill substituted (HLTC 23). `substitution`
- **2023-03-02** Rules suspended. Placed on Third Reading. `reading-3`
- **2023-03-02** Third reading, passed; yeas, 49; nays, 0; absent, 0; excused, 0. `reading-3`
- **2023-03-04** First reading, referred to Human Services, Youth, & Early Learning (Not Officially read and referred until adoption of Introduction report). `reading-1`
- **2023-03-04** First reading, referred to Health Care & Wellness. `reading-1`
- **2023-03-14** Public hearing in the House Committee on Health Care & Wellness at 1:30 PM.
- **2023-03-17** Executive action taken in the House Committee on Health Care & Wellness at 8:00 AM.
- **2023-03-17** HCW - Majority; do pass. `committee-passage-favorable`
- **2023-03-20** Referred to Rules 2 Review. `referral-committee`
- **2023-03-21** Rules Committee relieved of further consideration. Placed on second reading. `reading-2`
- **2023-03-23** Rules suspended. Placed on Third Reading. `reading-3`
- **2023-03-23** Third reading, passed; yeas, 98; nays, 0; absent, 0; excused, 0. `reading-3`
- **2023-03-24** President signed. `passage`
- **2023-03-29** Speaker signed. `passage`
- **2023-03-31** Delivered to Governor. `executive-receipt`
- **2023-04-06** Governor signed. `executive-signature`
- **2023-04-06** Chapter 48, 2023 Laws. `became-law`
- **2023-04-06** 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/567f69d4-4651-4f05-90bb-ff902ea8dc83`. Confidence: reported (aggregated from official Washington legislature records).