---
type: "Bill"
title: "Updating the requirements for the clinical experience license for international medical graduates."
description: "Updating the requirements for the clinical experience license for international medical graduates."
jurisdiction: "us/states/wa"
legislature: "Washington Legislature"
session: "2025-2026"
identifier: "SB 5118"
citation: "Washington SB 5118 (2025-2026)"
classification: ["bill"]
subjects: []
status: "enacted"
primary_sponsors: ["Valdez"]
version_count: 3
action_count: 26
vote_count: 2
first_action: "2024-12-27"
last_action: "2025-04-04"
source: "openstates"
source_identifier: "ocd-bill/8bc827cd-b2fa-4abc-9859-caaef87e8507"
source_url: "https://app.leg.wa.gov/billsummary/?BillNumber=5118&Year=2025&Initiative=false"
source_hash: "b51834ac9ca44eacdf18e207b2bf98d49b171d74d45638446942a30b31578fde"
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 5118 (2025-2026) — Updating the requirements for the clinical experience license for international medical graduates.

## 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/2025-26/Htm/Bills/Senate%20Bills/5118.htm)
2. **Substitute Bill** (committee substitute) — [source](http://lawfilesext.leg.wa.gov/Biennium/2025-26/Htm/Bills/Senate%20Bills/5118-S.htm)
3. **Substitute Passed Legislature** (committee substitute) — [source](http://lawfilesext.leg.wa.gov/Biennium/2025-26/Htm/Bills/Senate%20Passed%20Legislature/5118-S.PL.htm)

## Votes

- 3rd Reading & Final Passage (#5) — **98–0** (pass) · lower
- 3rd Reading & Final Passage (#7) — **47–0** (pass) · upper

## Sponsors

- Valdez — primary (person)
- Nobles — cosponsor (person)
- Orwall — cosponsor (person)
- Saldaña — cosponsor (person)
- Stanford — cosponsor (person)

## Timeline

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

- **2024-12-27** Prefiled for introduction. `filing`
- **2025-01-13** First reading, referred to Health & Long-Term Care. `reading-1`
- **2025-01-31** Public hearing in the Senate Committee on Health & Long-Term Care at 8:00 AM.
- **2025-02-06** Executive session scheduled, but no action was taken in the Senate Committee on Health & Long-Term Care at 8:00 AM.
- **2025-02-14** Executive action taken in the Senate Committee on Health & Long-Term Care at 8:00 AM.
- **2025-02-14** HLTC - Majority; 1st substitute bill be substituted, do pass. `substitution`
- **2025-02-18** Passed to Rules Committee for second reading.
- **2025-02-19** Placed on second reading by Rules Committee. `reading-2`
- **2025-02-26** 1st substitute bill substituted (HLTC 25). `substitution`
- **2025-02-26** Rules suspended. Placed on Third Reading. `reading-3`
- **2025-02-26** Third reading, passed; yeas, 47; nays, 0; absent, 0; excused, 2. `reading-3`
- **2025-02-28** First reading, referred to Health Care & Wellness. `reading-1`
- **2025-03-14** Public hearing in the House Committee on Health Care & Wellness at 8:00 AM.
- **2025-03-19** Executive action taken in the House Committee on Health Care & Wellness at 1:30 PM.
- **2025-03-19** HCW - Majority; do pass. `committee-passage-favorable`
- **2025-03-19** Minority; without recommendation. `committee-passage-unfavorable`
- **2025-03-21** Referred to Rules 2 Review. `referral-committee`
- **2025-03-25** Rules Committee relieved of further consideration. Placed on second reading. `reading-2`
- **2025-03-26** Rules suspended. Placed on Third Reading. `reading-3`
- **2025-03-26** Third reading, passed; yeas, 98; nays, 0; absent, 0; excused, 0. `reading-3`
- **2025-03-28** President signed. `passage`
- **2025-03-31** Speaker signed. `passage`
- **2025-04-01** Delivered to Governor. `executive-receipt`
- **2025-04-04** Governor signed. `executive-signature`
- **2025-04-04** Chapter 3, 2025 Laws. `became-law`
- **2025-04-04** Effective date 7/27/2025. `became-law`

## Source

OpenStates / OpenCivicData bulk snapshot [2026-07-01](https://data.openstates.org/daily/2026-07-01/public.pgdump); origin `ocd-bill/8bc827cd-b2fa-4abc-9859-caaef87e8507`. Confidence: reported (aggregated from official Washington legislature records).