---
type: "Bill"
title: "Concerning insulin affordability."
description: "Concerning insulin affordability."
jurisdiction: "us/states/wa"
legislature: "Washington Legislature"
session: "2021-2022"
identifier: "SB 5546"
citation: "Washington SB 5546 (2021-2022)"
classification: ["bill"]
subjects: ["DRUGS", "HEALTH AND SAFETY", "PUBLIC", "HEALTH CARE AUTHORITY", "INSURANCE"]
status: "enacted"
primary_sponsors: ["Keiser"]
version_count: 2
action_count: 32
vote_count: 2
first_action: "2022-01-10T05:00:00+00:00"
last_action: "2022-12-16T05:00:00+00:00"
source: "openstates"
source_identifier: "ocd-bill/432f28e1-1f27-4b14-b677-80357f75032b"
source_url: "http://apps.leg.wa.gov/billinfo/summary.aspx?bill=5546&year=2021"
source_hash: "66e19817437aae6a3eeb03fe0c1eb83994d0c29c374d6d8dbe94188eb00167d3"
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 5546 (2021-2022) — Concerning insulin affordability.

## 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/2021-22/Htm/Bills/Senate%20Bills/5546.htm)
2. **Substitute Bill** (committee substitute) — [source](http://lawfilesext.leg.wa.gov/Biennium/2021-22/Htm/Bills/Senate%20Bills/5546-S.htm)

## Votes

- 3rd Reading & Final Passage (#6) — **85–10** (pass) · lower
- 3rd Reading & Final Passage (#17) — **48–1** (pass) · upper

## Sponsors

- Keiser — primary (person)
- C. Wilson — cosponsor (person)
- Cleveland — cosponsor (person)
- Conway — cosponsor (person)
- Frockt — cosponsor (person)
- Hasegawa — cosponsor (person)
- Hunt — cosponsor (person)
- Lovick — cosponsor (person)
- Nguyen — cosponsor (person)
- Pedersen — cosponsor (person)
- Randall — cosponsor (person)
- Stanford — cosponsor (person)
- Van De Wege — cosponsor (person)

## Timeline

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

- **2022-12-16T05:00:00+00:00** Prefiled for introduction. `filing`
- **2022-01-10T05:00:00+00:00** First reading, referred to Health & Long Term Care. `reading-1`
- **2022-01-19T05:00:00+00:00** Public hearing in the Senate Committee on Health & Long Term Care at 8:00 AM.
- **2022-01-21T05:00:00+00:00** Executive session scheduled, but no action was taken in the Senate Committee on Health & Long Term Care at 8:00 AM.
- **2022-01-24T05:00:00+00:00** Executive action taken in the Senate Committee on Health & Long Term Care at 1:30 PM.
- **2022-01-24T05:00:00+00:00** HLTC - Majority; 1st substitute bill be substituted, do pass. `passage`
- **2022-01-24T05:00:00+00:00** Minority; do not pass. `committee-passage-unfavorable`
- **2022-01-24T05:00:00+00:00** Minority; without recommendation. `committee-passage-unfavorable`
- **2022-01-24T05:00:00+00:00** And refer to Ways & Means. `referral-committee`
- **2022-01-25T05:00:00+00:00** On motion, referred to Rules Committee for second reading.
- **2022-02-03T05:00:00+00:00** Placed on second reading by Rules Committee. `reading-2`
- **2022-02-08T05:00:00+00:00** 1st substitute bill substituted (HLTC 22). `substitution`
- **2022-02-08T05:00:00+00:00** Rules suspended. Placed on Third Reading. `reading-3`
- **2022-02-08T05:00:00+00:00** Third reading, passed; yeas, 48; nays, 1; absent, 0; excused, 0. `reading-3`
- **2022-02-11T05:00:00+00:00** First reading, referred to Health Care & Wellness. `reading-1`
- **2022-02-17T05:00:00+00:00** Public hearing in the House Committee on Health Care & Wellness at 10:00 AM.
- **2022-02-23T05:00:00+00:00** Executive action taken in the House Committee on Health Care & Wellness at 8:00 AM.
- **2022-02-23T05:00:00+00:00** HCW - Majority; do pass. `committee-passage-favorable`
- **2022-02-24T05:00:00+00:00** Referred to Rules 2 Review. `referral-committee`
- **2022-02-25T05:00:00+00:00** Rules Committee relieved of further consideration. Placed on second reading. `reading-2`
- **2022-02-26T05:00:00+00:00** Rules suspended. Placed on Third Reading. `reading-3`
- **2022-02-26T05:00:00+00:00** Third reading, passed; yeas, 85; nays, 10; absent, 0; excused, 3. `reading-3`
- **2022-03-01T05:00:00+00:00** President signed. `passage`
- **2022-03-01T05:00:00+00:00** Speaker signed. `passage`
- **2022-03-02T05:00:00+00:00** Delivered to Governor. `executive-receipt`
- **2022-03-04T05:00:00+00:00** Governor signed. `executive-signature`
- **2022-03-04T05:00:00+00:00** Chapter 10, 2022 Laws. `became-law`
- **2022-03-04T05:00:00+00:00** Effective date 6/9/2022*. `became-law`
- **2022-01-19T13:00:00+00:00** Scheduled for public hearing in the Senate Committee on Health & Long Term Care at 08:00 AM
- **2022-01-24T18:30:00+00:00** Scheduled for public hearing in the Senate Committee on Health & Long Term Care at 01:30 PM
- **2022-02-17T15:00:00+00:00** Scheduled for public hearing in the House Committee on Health Care & Wellness at 10:00 AM
- **2022-02-23T13:00:00+00:00** Scheduled for public hearing in the House Committee on Health Care & Wellness at 08:00 AM

## Source

OpenStates / OpenCivicData bulk snapshot [2026-07-01](https://data.openstates.org/daily/2026-07-01/public.pgdump); origin `ocd-bill/432f28e1-1f27-4b14-b677-80357f75032b`. Confidence: reported (aggregated from official Washington legislature records).