---
type: "Bill"
title: "Improving maternal health outcomes."
description: "Improving maternal health outcomes."
jurisdiction: "us/states/wa"
legislature: "Washington Legislature"
session: "2023-2024"
identifier: "SB 5580"
citation: "Washington SB 5580 (2023-2024)"
classification: ["bill"]
subjects: []
status: "enacted"
primary_sponsors: ["Muzzall"]
version_count: 6
action_count: 54
vote_count: 4
first_action: "2023-01-26"
last_action: "2024-03-19"
source: "openstates"
source_identifier: "ocd-bill/a0f80738-ef82-4277-8ac5-a353dc6cc081"
source_url: "http://apps.leg.wa.gov/billinfo/summary.aspx?bill=5580&year=2023"
source_hash: "43ed7721e83ec97ec218699d86dd5aef3ca4cae5be8a77e8a19e4dcab976c697"
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 5580 (2023-2024) — Improving maternal health outcomes.

## 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/5580.htm)
2. **Engrossed Second Substitute Bill** (committee substitute) — [source](http://lawfilesext.leg.wa.gov/Biennium/2023-24/Htm/Bills/Senate%20Bills/5580-S2.E.htm)
3. **Second Engrossed Second Substitute Bill** (committee substitute) — [source](http://lawfilesext.leg.wa.gov/Biennium/2023-24/Htm/Bills/Senate%20Bills/5580-S2.E2.htm)
4. **Second Substitute Bill** (committee substitute) — [source](http://lawfilesext.leg.wa.gov/Biennium/2023-24/Htm/Bills/Senate%20Bills/5580-S2.htm)
5. **Second Substitute Passed Legislature** (committee substitute) — [source](http://lawfilesext.leg.wa.gov/Biennium/2023-24/Htm/Bills/Senate%20Passed%20Legislature/5580-S2.PL.htm)
6. **Substitute Bill** (committee substitute) — [source](http://lawfilesext.leg.wa.gov/Biennium/2023-24/Htm/Bills/Senate%20Bills/5580-S.htm)

## Votes

- 3rd Reading & Final Passage (#14) — **48–0** (pass) · upper
- 3rd Reading & Final Passage (#10) — **48–0** (pass) · upper
- Final Passage as Amended by the House (#29) — **94–0** (pass) · lower
- Final Passage as Amended by the House (#18) — **48–0** (pass) · upper

## Sponsors

- Muzzall — primary (person)
- Braun — cosponsor (person)
- Cleveland — cosponsor (person)
- Hasegawa — cosponsor (person)
- J. Wilson — cosponsor (person)
- Kuderer — cosponsor (person)
- Lovelett — cosponsor (person)
- Randall — cosponsor (person)
- Rivers — cosponsor (person)
- Shewmake — cosponsor (person)
- Warnick — 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`
- **2023-02-07** Public hearing in the Senate Committee on Health & Long Term Care at 8:00 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.
- **2023-02-27** Placed on second reading by Rules Committee. `reading-2`
- **2023-03-08** 2nd substitute bill substituted (WM 23). `substitution`
- **2023-03-08** Floor amendment(s) adopted.
- **2023-03-08** Rules suspended. Placed on Third Reading. `reading-3`
- **2023-03-08** Third reading, passed; yeas, 48; nays, 0; absent, 0; excused, 1. `reading-3`
- **2023-03-10** 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.
- **2023-03-28** Executive action taken in the House Committee on Health Care & Wellness at 1:30 PM.
- **2023-03-28** HCW - Majority; do pass with amendment(s). `committee-passage-favorable`
- **2023-03-29** 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 Health Care & Wellness. `committee-passage-favorable`
- **2023-04-04** Referred to Rules 2 Review. `referral-committee`
- **2023-04-23** By resolution, returned to Senate Rules Committee for third reading.
- **2024-01-08** By resolution, reintroduced and retained in present status.
- **2024-01-09** Placed on third reading by Rules Committee. `reading-3`
- **2024-01-17** Rules suspended.
- **2024-01-17** Returned to second reading for amendment.
- **2024-01-17** Floor amendment(s) adopted.
- **2024-01-17** Rules suspended. Placed on Third Reading. `reading-3`
- **2024-01-17** Third reading, passed; yeas, 48; nays, 0; absent, 0; excused, 1. `reading-3`
- **2024-01-22** 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 Appropriations. `referral-committee`
- **2024-02-23** Public hearing in the House Committee on Appropriations at 1:30 PM.
- **2024-02-26** Executive action taken in the House Committee on Appropriations at 10:30 AM.
- **2024-02-26** APP - Majority; do pass with amendment(s) but without amendment(s) by Health Care & Wellness. `committee-passage-favorable`
- **2024-02-26** Referred to Rules 2 Review. `referral-committee`
- **2024-02-27** Rules Committee relieved of further consideration. Placed on second reading. `reading-2`
- **2024-02-28** Committee amendment(s) adopted as amended.
- **2024-02-28** Rules suspended. Placed on Third Reading. `reading-3`
- **2024-02-28** Third reading, passed; yeas, 94; nays, 0; absent, 0; excused, 4. `reading-3`
- **2024-03-04** Senate concurred in House amendments.
- **2024-03-04** Passed final passage; yeas, 48; nays, 0; absent, 0; excused, 1. `passage`
- **2024-03-06** 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 213, 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/a0f80738-ef82-4277-8ac5-a353dc6cc081`. Confidence: reported (aggregated from official Washington legislature records).