---
type: "Bill"
title: "Establishing a uniform standard for creating an established relationship for the purposes of coverage of audio-only telemedicine services."
description: "Establishing a uniform standard for creating an established relationship for the purposes of coverage of audio-only telemedicine services."
jurisdiction: "us/states/wa"
legislature: "Washington Legislature"
session: "2023-2024"
identifier: "SB 5821"
citation: "Washington SB 5821 (2023-2024)"
classification: ["bill"]
subjects: []
status: "enacted"
primary_sponsors: ["Muzzall"]
version_count: 2
action_count: 26
vote_count: 2
first_action: "2023-12-08"
last_action: "2024-03-19"
source: "openstates"
source_identifier: "ocd-bill/684d46e9-fb07-443b-8fe9-d2605b33a4fe"
source_url: "http://apps.leg.wa.gov/billinfo/summary.aspx?bill=5821&year=2023"
source_hash: "5e76ec60f645f8900ade3f4b7ebbeae3a97e2a1d181eec2a885765d93c17414b"
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 5821 (2023-2024) — Establishing a uniform standard for creating an established relationship for the purposes of coverage of audio-only telemedicine services.

## 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/5821.htm)
2. **Passed Legislature** (committee substitute) — [source](http://lawfilesext.leg.wa.gov/Biennium/2023-24/Htm/Bills/Senate%20Passed%20Legislature/5821.PL.htm)

## Votes

- 3rd Reading & Final Passage (#21) — **49–0** (pass) · upper
- 3rd Reading & Final Passage (#7) — **79–16** (pass) · lower

## Sponsors

- Muzzall — primary (person)
- Kuderer — cosponsor (person)
- Randall — cosponsor (person)
- Rivers — cosponsor (person)

## Timeline

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

- **2023-12-08** Prefiled for introduction. `filing`
- **2024-01-08** First reading, referred to Health & Long Term Care. `reading-1`
- **2024-01-11** Public hearing in the Senate Committee on Health & Long Term Care at 10:30 AM.
- **2024-01-18** Executive session scheduled, but no action was taken in the Senate Committee on Health & Long Term Care at 10:30 AM.
- **2024-01-23** Executive action taken in the Senate Committee on Health & Long Term Care at 8:00 AM.
- **2024-01-23** HLTC - Majority; do pass. `committee-passage-favorable`
- **2024-01-24** Passed to Rules Committee for second reading.
- **2024-01-30** Placed on second reading by Rules Committee. `reading-2`
- **2024-02-06** Rules suspended. Placed on Third Reading. `reading-3`
- **2024-02-06** Third reading, passed; yeas, 49; nays, 0; absent, 0; excused, 0. `reading-3`
- **2024-02-08** 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 action taken in the House Committee on Health Care & Wellness at 1:30 PM.
- **2024-02-20** HCW - Majority; do pass. `committee-passage-favorable`
- **2024-02-20** Minority; do not pass. `committee-passage-unfavorable`
- **2024-02-20** Minority; without recommendation. `committee-passage-unfavorable`
- **2024-02-21** Referred to Rules 2 Review. `referral-committee`
- **2024-02-24** Rules Committee relieved of further consideration. Placed on second reading. `reading-2`
- **2024-02-28** Rules suspended. Placed on Third Reading. `reading-3`
- **2024-02-28** Third reading, passed; yeas, 79; nays, 16; absent, 0; excused, 3. `reading-3`
- **2024-03-04** President signed. `passage`
- **2024-03-04** Speaker signed. `passage`
- **2024-03-06** Delivered to Governor. `executive-receipt`
- **2024-03-19** Governor signed. `executive-signature`
- **2024-03-19** Chapter 215, 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/684d46e9-fb07-443b-8fe9-d2605b33a4fe`. Confidence: reported (aggregated from official Washington legislature records).