---
type: "Bill"
title: "Adjusting the medicaid payment methodology for skilled nursing facilities."
description: "Adjusting the medicaid payment methodology for skilled nursing facilities."
jurisdiction: "us/states/wa"
legislature: "Washington Legislature"
session: "2019-2020"
identifier: "SB 6515"
citation: "Washington SB 6515 (2019-2020)"
classification: ["bill"]
subjects: ["LONG-TERM CARE"]
status: "enacted"
primary_sponsors: ["Van De Wege"]
version_count: 4
action_count: 48
vote_count: 3
first_action: "2020-01-20"
last_action: "2020-03-31"
source: "openstates"
source_identifier: "ocd-bill/88795d41-e3b8-4415-a8d5-5d2071e3f056"
source_url: "http://apps.leg.wa.gov/billinfo/summary.aspx?bill=6515&year=2019"
source_hash: "d1be684ae60d2caa767ac743c92b1f7b24eda5c2380b6e5d3ff9c0c73d71ab9e"
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 6515 (2019-2020) — Adjusting the medicaid payment methodology for skilled nursing facilities.

## 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/2019-20/Htm/Bills/Senate%20Bills/6515.htm)
2. **Engrossed Second Substitute Bill** (committee substitute) — [source](http://lawfilesext.leg.wa.gov/Biennium/2019-20/Htm/Bills/Senate%20Bills/6515-S2.E.htm)
3. **Second Substitute Bill** (committee substitute) — [source](http://lawfilesext.leg.wa.gov/Biennium/2019-20/Htm/Bills/Senate%20Bills/6515-S2.htm)
4. **Substitute Bill** (committee substitute) — [source](http://lawfilesext.leg.wa.gov/Biennium/2019-20/Htm/Bills/Senate%20Bills/6515-S.htm)

## Votes

- Final Passage as Amended by the House (#7) — **97–0** (pass) · lower
- 3rd Reading & Final Passage (#18) — **46–0** (pass) · upper
- Final Passage as Amended by the House (#19) — **48–0** (pass) · upper

## Sponsors

- Van De Wege — primary (person)
- Conway — cosponsor (person)
- Hasegawa — cosponsor (person)
- Liias — cosponsor (person)
- Lovelett — cosponsor (person)
- Mullet — cosponsor (person)
- Randall — cosponsor (person)
- Takko — cosponsor (person)
- Wilson, C. — cosponsor (person)

## Timeline

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

- **2020-01-20** First reading, referred to Health & Long Term Care. `reading-1`
- **2020-02-03** HLTC - Majority; 1st substitute bill be substituted, do pass. `passage`
- **2020-02-03** And refer to Ways & Means. `referral-committee`
- **2020-02-05** Referred to Ways & Means.
- **2020-02-11** WM - Majority; 2nd substitute bill be substituted, do pass. `passage`
- **2020-02-11** Minority; do not pass.
- **2020-02-11** Minority; without recommendation.
- **2020-02-11** Passed to Rules Committee for second reading.
- **2020-02-13** Placed on second reading by Rules Committee.
- **2020-02-17** Held on calendar.
- **2020-03-04** 2nd substitute bill substituted. `substitution`
- **2020-02-03** HLTC - Majority; 1st substitute bill be substituted, do pass. `passage`
- **2020-02-03** And refer to Ways & Means. `referral-committee`
- **2020-02-05** Referred to Ways & Means.
- **2020-02-11** WM - Majority; 2nd substitute bill be substituted, do pass. `passage`
- **2020-02-11** Minority; do not pass.
- **2020-02-11** Minority; without recommendation.
- **2020-02-11** Passed to Rules Committee for second reading.
- **2020-02-13** Placed on second reading by Rules Committee.
- **2020-02-17** Held on calendar.
- **2020-03-04** 2nd substitute bill substituted. `substitution`
- **2020-02-11** WM - Majority; 2nd substitute bill be substituted, do pass. `passage`
- **2020-02-11** Minority; do not pass.
- **2020-02-11** Minority; without recommendation.
- **2020-02-11** Passed to Rules Committee for second reading.
- **2020-02-13** Placed on second reading by Rules Committee.
- **2020-02-17** Held on calendar.
- **2020-03-04** 2nd substitute bill substituted. `substitution`
- **2020-03-04** Floor amendment(s) adopted.
- **2020-03-04** Rules suspended. Placed on Third Reading.
- **2020-03-04** Third reading, passed; yeas, 46; nays, 0; absent, 0; excused, 3. `reading-3`
- **2020-03-06** First reading, referred to Rules. `reading-1`
- **2020-03-11** Rules Committee relieved of further consideration. Placed on second reading.
- **2020-03-12** Floor amendment(s) adopted.
- **2020-03-12** Rules suspended. Placed on Third Reading.
- **2020-03-12** Third reading, passed; yeas, 97; nays, 0; absent, 0; excused, 1. `reading-3`
- **2020-03-12** Senate concurred in House amendments.
- **2020-03-12** Passed final passage; yeas, 48; nays, 0; absent, 0; excused, 1. `passage`
- **2020-03-12** President signed. `passage`
- **2020-03-12** Speaker signed. `passage`
- **2020-03-12** Delivered to Governor.
- **2020-03-31** Governor signed. `executive-signature`
- **2020-03-31** Chapter 263, 2020 Laws. `became-law`
- **2020-03-31** Effective date 6/11/2020. `became-law`
- **2020-01-27T18:30:00+00:00** Scheduled for public hearing in the Senate Committee on Health & Long Term Care at 01:30 PM
- **2020-02-03T18:30:00+00:00** Scheduled for public hearing in the Senate Committee on Health & Long Term Care at 01:30 PM
- **2020-02-06T20:30:00+00:00** Scheduled for public hearing in the Senate Committee on Ways & Means at 03:30 PM
- **2020-02-11T15:00:00+00:00** Scheduled for public hearing in the Senate Committee on Ways & Means at 10:00 AM

## Source

OpenStates / OpenCivicData bulk snapshot [2026-07-01](https://data.openstates.org/daily/2026-07-01/public.pgdump); origin `ocd-bill/88795d41-e3b8-4415-a8d5-5d2071e3f056`. Confidence: reported (aggregated from official Washington legislature records).