--- type: "Bill" title: "Establishing network adequacy standards for skilled nursing facilities and rehabilitation hospitals." description: "Establishing network adequacy standards for skilled nursing facilities and rehabilitation hospitals." jurisdiction: "us/states/wa" legislature: "Washington Legislature" session: "2025-2026" identifier: "SB 5124" citation: "Washington SB 5124 (2025-2026)" classification: ["bill"] subjects: [] status: "enacted" primary_sponsors: ["Muzzall"] version_count: 4 action_count: 50 vote_count: 3 first_action: "2024-12-30" last_action: "2026-03-24" source: "openstates" source_identifier: "ocd-bill/f8334352-bc8a-4237-8cd4-ef495308275f" source_url: "https://app.leg.wa.gov/billsummary/?BillNumber=5124&Year=2025&Initiative=false" source_hash: "0b9f583fe9194903b886a077cb948ad91305e58d3e116e1f34d63b19f5f066fc" 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 5124 (2025-2026) — Establishing network adequacy standards for skilled nursing facilities and rehabilitation 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/2025-26/Htm/Bills/Senate%20Bills/5124.htm) 2. **Engrossed Substitute Bill** (committee substitute) — [source](http://lawfilesext.leg.wa.gov/Biennium/2025-26/Htm/Bills/Senate%20Bills/5124-S.E.htm) 3. **Substitute Bill** (committee substitute) — [source](http://lawfilesext.leg.wa.gov/Biennium/2025-26/Htm/Bills/Senate%20Bills/5124-S.htm) 4. **Substitute Passed Legislature** (committee substitute) — [source](http://lawfilesext.leg.wa.gov/Biennium/2025-26/Htm/Bills/Senate%20Passed%20Legislature/5124-S.PL.htm) ## Votes - 3rd Reading & Final Passage (#24) — **49–0** (pass) · upper - 3rd Reading & Final Passage (#8) — **49–0** (pass) · upper - 3rd Reading & Final Passage (#13) — **96–0** (pass) · lower ## Sponsors - Muzzall — primary (person) - Chapman — cosponsor (person) - Dozier — cosponsor (person) ## Timeline The legislative action history — every referral, reading, and vote. - **2024-12-30** Prefiled for introduction. `filing` - **2025-01-13** First reading, referred to Health & Long-Term Care. `reading-1` - **2025-01-28** Public hearing in the Senate Committee on Health & Long-Term Care at 10:30 AM. - **2025-02-06** Executive action taken in the Senate Committee on Health & Long-Term Care at 8:00 AM. - **2025-02-06** HLTC - Majority; 1st substitute bill be substituted, do pass. `substitution` - **2025-02-06** And refer to Ways & Means. `referral-committee` - **2025-02-10** Referred to Ways & Means. `referral-committee` - **2025-02-20** Executive action taken in the Senate Committee on Ways & Means at 4:00 PM. - **2025-02-20** WM - Majority; without recommendation. - **2025-02-21** Passed to Rules Committee for second reading. - **2025-02-26** Placed on second reading by Rules Committee. `reading-2` - **2025-03-03** 1st substitute bill substituted (HLTC 25). `substitution` - **2025-03-03** Rules suspended. Placed on Third Reading. `reading-3` - **2025-03-03** Third reading, passed; yeas, 49; nays, 0; absent, 0; excused, 0. `reading-3` - **2025-03-05** First reading, referred to Health Care & Wellness. `reading-1` - **2025-03-18** Public hearing in the House Committee on Health Care & Wellness at 1:30 PM. - **2025-03-25** Executive action taken in the House Committee on Health Care & Wellness at 1:30 PM. - **2025-03-25** HCW - Majority; do pass with amendment(s). `committee-passage-favorable` - **2025-03-27** Referred to Appropriations. `referral-committee` - **2025-04-03** Public hearing in the House Committee on Appropriations at 1:30 PM. - **2025-04-08** Executive action taken in the House Committee on Appropriations at 10:30 AM. - **2025-04-08** APP - Majority; do pass with amendment(s) by Health Care & Wellness. `committee-passage-favorable` - **2025-04-08** Referred to Rules 2 Review. `referral-committee` - **2025-04-10** Rules Committee relieved of further consideration. Placed on second reading. `reading-2` - **2025-04-27** By resolution, returned to Senate Rules Committee for third reading. - **2026-01-12** By resolution, reintroduced and retained in present status. - **2026-01-13** Placed on third reading by Rules Committee. `reading-3` - **2026-01-21** Rules suspended. - **2026-01-21** Returned to second reading for amendment. - **2026-01-21** Floor amendment(s) adopted. - **2026-01-21** Rules suspended. Placed on Third Reading. `reading-3` - **2026-01-21** Third reading, passed; yeas, 49; nays, 0; absent, 0; excused, 0. `reading-3` - **2026-01-26** First reading, referred to Health Care & Wellness. `reading-1` - **2026-02-10** Public hearing in the House Committee on Health Care & Wellness at 8:30 AM. - **2026-02-20** Executive action taken in the House Committee on Health Care & Wellness at 8:00 AM. - **2026-02-20** HCW - Majority; do pass. `committee-passage-favorable` - **2026-02-23** Referred to Appropriations. `referral-committee` - **2026-02-26** Public hearing in the House Committee on Appropriations at 1:30 PM. - **2026-02-27** Executive action taken in the House Committee on Appropriations at 10:30 AM. - **2026-02-27** APP - Majority; do pass. `committee-passage-favorable` - **2026-03-02** Referred to Rules 2 Review. `referral-committee` - **2026-03-04** Rules Committee relieved of further consideration. Placed on second reading. `reading-2` - **2026-03-06** Rules suspended. Placed on Third Reading. `reading-3` - **2026-03-06** Third reading, passed; yeas, 96; nays, 0; absent, 0; excused, 2. `reading-3` - **2026-03-09** President signed. `passage` - **2026-03-11** Speaker signed. `passage` - **2026-03-12** Delivered to Governor. `executive-receipt` - **2026-03-24** Governor signed. `executive-signature` - **2026-03-24** Chapter 206, 2026 Laws. `became-law` - **2026-03-24** Effective date 6/11/2026. `became-law` ## Source OpenStates / OpenCivicData bulk snapshot [2026-07-01](https://data.openstates.org/daily/2026-07-01/public.pgdump); origin `ocd-bill/f8334352-bc8a-4237-8cd4-ef495308275f`. Confidence: reported (aggregated from official Washington legislature records).