---
type: "Bill"
title: "Establishing preceptorship and hardship pathways to medical practice for international medical graduates."
description: "Establishing preceptorship and hardship pathways to medical practice for international medical graduates."
jurisdiction: "us/states/wa"
legislature: "Washington Legislature"
session: "2025-2026"
identifier: "SB 5185"
citation: "Washington SB 5185 (2025-2026)"
classification: ["bill"]
subjects: []
status: "enacted"
primary_sponsors: ["Saldaña"]
version_count: 3
action_count: 32
vote_count: 3
first_action: "2025-01-08"
last_action: "2026-03-23"
source: "openstates"
source_identifier: "ocd-bill/89de7ccc-34b8-4ae4-b778-e329f2ff12f9"
source_url: "https://app.leg.wa.gov/billsummary/?BillNumber=5185&Year=2025&Initiative=false"
source_hash: "9b64415a0cd9a67ff581e3d6924206afbdc91277b9f65a31180a6faa8a4b28d0"
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 5185 (2025-2026) — Establishing preceptorship and hardship pathways to medical practice 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/5185.htm)
2. **Substitute Bill** (committee substitute) — [source](http://lawfilesext.leg.wa.gov/Biennium/2025-26/Htm/Bills/Senate%20Bills/5185-S.htm)
3. **Substitute Passed Legislature** (committee substitute) — [source](http://lawfilesext.leg.wa.gov/Biennium/2025-26/Htm/Bills/Senate%20Passed%20Legislature/5185-S.PL.htm)

## Votes

- 3rd Reading & Final Passage (#5) — **39–9** (pass) · upper
- Final Passage as Amended by the House (#13) — **41–8** (pass) · upper
- Final Passage as Amended by the House (#2) — **89–4** (pass) · lower

## Sponsors

- Saldaña — primary (person)
- Bateman — cosponsor (person)
- Chapman — cosponsor (person)
- Cleveland — cosponsor (person)
- Cortes — cosponsor (person)
- Dhingra — cosponsor (person)
- Hasegawa — cosponsor (person)
- Nguyen — cosponsor (person)
- Nobles — cosponsor (person)
- Orwall — cosponsor (person)
- Riccelli — cosponsor (person)
- Stanford — cosponsor (person)
- Valdez — cosponsor (person)
- Wellman — cosponsor (person)

## Timeline

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

- **2025-01-08** 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.
- **2025-02-14** Executive session scheduled, but no action was taken in the Senate Committee on Health & Long-Term Care at 8:00 AM.
- **2025-02-18** Executive session scheduled, but no action was taken in the Senate Committee on Health & Long-Term Care at 10:30 AM.
- **2026-01-12** By resolution, reintroduced and retained in present status.
- **2026-01-27** Public hearing in the Senate Committee on Health & Long-Term Care at 10:30 AM.
- **2026-01-30** Executive action taken in the Senate Committee on Health & Long-Term Care at 8:00 AM.
- **2026-01-30** HLTC - Majority; 1st substitute bill be substituted, do pass. `substitution`
- **2026-01-30** Minority; without recommendation. `committee-passage-unfavorable`
- **2026-02-02** Passed to Rules Committee for second reading.
- **2026-02-04** Placed on second reading by Rules Committee. `reading-2`
- **2026-02-06** 1st substitute bill substituted (HLTC 26). `substitution`
- **2026-02-06** Rules suspended. Placed on Third Reading. `reading-3`
- **2026-02-06** Third reading, passed; yeas, 39; nays, 9; absent, 0; excused, 1. `reading-3`
- **2026-02-10** First reading, referred to Health Care & Wellness. `reading-1`
- **2026-02-20** Public hearing in the House Committee on Health Care & Wellness at 8:00 AM.
- **2026-02-24** Executive action taken in the House Committee on Health Care & Wellness at 1:30 PM.
- **2026-02-24** HCW - Majority; do pass with amendment(s). `committee-passage-favorable`
- **2026-02-25** Referred to Rules 2 Review. `referral-committee`
- **2026-03-02** Rules Committee relieved of further consideration. Placed on second reading. `reading-2`
- **2026-03-03** Committee amendment(s) adopted with no other amendments.
- **2026-03-03** Rules suspended. Placed on Third Reading. `reading-3`
- **2026-03-03** Third reading, passed; yeas, 89; nays, 4; absent, 0; excused, 5. `reading-3`
- **2026-03-09** Senate concurred in House amendments.
- **2026-03-09** Passed final passage; yeas, 41; nays, 8; absent, 0; excused, 0. `passage`
- **2026-03-10** President signed. `passage`
- **2026-03-11** Speaker signed. `passage`
- **2026-03-12** Delivered to Governor. `executive-receipt`
- **2026-03-23** Governor signed. `executive-signature`
- **2026-03-23** Chapter 154, 2026 Laws. `became-law`
- **2026-03-23** 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/89de7ccc-34b8-4ae4-b778-e329f2ff12f9`. Confidence: reported (aggregated from official Washington legislature records).