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---
type: "Bill"
title: "Concerning fully implementing behavioral health integration for January 1, 2020, by removing behavioral health organizations from law; clarifying the roles and responsibilities among the health care authority, department of social and health services, and department of health, and the roles and responsibilities of behavioral health administrative services organizations and medicaid managed care organizations; and making technical corrections related to the behavioral health system."
description: "Concerning fully implementing behavioral health integration for January 1, 2020, by removing behavioral health organizations from law; clarifying the roles and responsibilities among the health care authority, department of social and health services, and department of health, and the roles and responsibilities of behavioral health administrative services organizations and medicaid managed care organizations; and making technical corrections related to the behavioral health system."
jurisdiction: "us/states/wa"
legislature: "Washington Legislature"
session: "2019-2020"
identifier: "SB 5432"
citation: "Washington SB 5432 (2019-2020)"
classification: ["bill"]
subjects: ["MENTAL HEALTH", "SUBSTANCE USE DISORDER", "HEALTH CARE AUTHORITY", "PUBLIC ASSISTANCE", "NAMED ACTS", "HEALTH", "DEPARTMENT", "SOCIAL AND HEALTH SERVICES", "DEPARTMENT"]
status: "enacted"
primary_sponsors: ["Dhingra"]
version_count: 4
action_count: 53
vote_count: 3
first_action: "2019-01-21"
last_action: "2019-05-09"
source: "openstates"
source_identifier: "ocd-bill/004d72fa-aa5f-4fc0-8bde-9739108e7d0f"
source_url: "http://apps.leg.wa.gov/billinfo/summary.aspx?bill=5432&year=2019"
source_hash: "b85014a8a1a78a225ca06a90d49add52d44c8aa270af310d2c06edc7dedc6c7b"
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 5432 (2019-2020) — Concerning fully implementing behavioral health integration for January 1, 2020, by removing behavioral health organizations from law; clarifying the roles and responsibilities among the health care authority, department of social and health services, and department of health, and the roles and responsibilities of behavioral health administrative services organizations and medicaid managed care organizations; and making technical corrections related to the behavioral health system.
## 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/5432.htm)
2. **Engrossed Second Substitute Bill** (committee substitute) — [source](http://lawfilesext.leg.wa.gov/Biennium/2019-20/Htm/Bills/Senate%20Bills/5432-S2.E.htm)
3. **Second Substitute Bill** (committee substitute) — [source](http://lawfilesext.leg.wa.gov/Biennium/2019-20/Htm/Bills/Senate%20Bills/5432-S2.htm)
4. **Substitute Bill** (committee substitute) — [source](http://lawfilesext.leg.wa.gov/Biennium/2019-20/Htm/Bills/Senate%20Bills/5432-S.htm)
## Votes
- 3rd Reading & Final Passage (#18) — **46–2** (pass) · upper
- Final Passage as Amended by the House (#4) — **49–0** (pass) · upper
- Final Passage as Amended by the House (#30) — **95–0** (pass) · lower
## Sponsors
- Dhingra — primary (person)
- Cleveland — cosponsor (person)
- Conway — cosponsor (person)
- Darneille — cosponsor (person)
- Das — cosponsor (person)
- Keiser — cosponsor (person)
- Kuderer — cosponsor (person)
- O'Ban — cosponsor (person)
- Rivers — cosponsor (person)
## Timeline
The legislative action history — every referral, reading, and vote.
- **2019-01-21** First reading, referred to Health & Long Term Care. `reading-1`
- **2019-01-21** Referred to Behavioral Health Subcommittee to Health & Long Term Care.
- **2019-02-14** BH - Majority; 1st substitute bill be substituted, do pass. `passage`
- **2019-02-14** And refer to Ways & Means. `referral-committee`
- **2019-02-15** Referred to Ways & Means.
- **2019-02-28** WM - Majority; 2nd substitute bill be substituted, do pass. `passage`
- **2019-02-28** Minority; without recommendation.
- **2019-03-01** Passed to Rules Committee for second reading.
- **2019-03-05** Placed on second reading by Rules Committee.
- **2019-03-07** 2nd substitute bill substituted. `substitution`
- **2019-02-14** BH - Majority; 1st substitute bill be substituted, do pass. `passage`
- **2019-02-14** And refer to Ways & Means. `referral-committee`
- **2019-02-15** Referred to Ways & Means.
- **2019-02-28** WM - Majority; 2nd substitute bill be substituted, do pass. `passage`
- **2019-02-28** Minority; without recommendation.
- **2019-03-01** Passed to Rules Committee for second reading.
- **2019-03-05** Placed on second reading by Rules Committee.
- **2019-03-07** 2nd substitute bill substituted. `substitution`
- **2019-02-28** WM - Majority; 2nd substitute bill be substituted, do pass. `passage`
- **2019-02-28** Minority; without recommendation.
- **2019-03-01** Passed to Rules Committee for second reading.
- **2019-03-05** Placed on second reading by Rules Committee.
- **2019-03-07** 2nd substitute bill substituted. `substitution`
- **2019-03-07** Floor amendment(s) adopted.
- **2019-03-07** Rules suspended. Placed on Third Reading.
- **2019-03-07** Third reading, passed; yeas, 46; nays, 2; absent, 0; excused, 1. `reading-3`
- **2019-03-09** First reading, referred to Health Care & Wellness. `reading-1`
- **2019-03-27** HCW - Majority; do pass with amendment(s).
- **2019-03-27** Minority; without recommendation.
- **2019-04-01** Referred to Appropriations.
- **2019-04-08** APP - Majority; do pass with amendment(s) by Health Care & Wellness.
- **2019-04-09** Referred to Rules 2 Review.
- **2019-04-11** Rules Committee relieved of further consideration. Placed on second reading.
- **2019-04-12** Committee recommendations adopted and the bill amended.
- **2019-04-12** Rules suspended. Placed on Third Reading.
- **2019-04-12** Third reading, passed; yeas, 95; nays, 0; absent, 0; excused, 3. `reading-3`
- **2019-04-18** Senate concurred in House amendments.
- **2019-04-18** Passed final passage; yeas, 49; nays, 0; absent, 0; excused, 0. `passage`
- **2019-04-23** President signed. `passage`
- **2019-04-24** Speaker signed. `passage`
- **2019-04-25** Delivered to Governor.
- **2019-05-09** Governor signed. `executive-signature`
- **2019-05-09** Chapter 325, 2019 Laws. `became-law`
- **2019-05-09** Effective date 1/1/2020*. `became-law`
- **2019-01-21T18:30:00+00:00** Scheduled for public hearing in the Senate Committee on Health & Long Term Care at 01:30 PM
- **2019-01-25T18:30:00+00:00** Scheduled for public hearing in the Senate Committee on Behavioral Health Subcommittee to Health & Long Term Care at 01:30 PM
- **2019-02-14T13:00:00+00:00** Scheduled for public hearing in the Senate Committee on Behavioral Health Subcommittee to Health & Long Term Care at 08:00 AM
- **2019-02-26T18:30:00+00:00** Scheduled for public hearing in the Senate Committee on Ways & Means at 01:30 PM
- **2019-02-28T18:30:00+00:00** Scheduled for public hearing in the Senate Committee on Ways & Means at 01:30 PM
- **2019-03-19T17:30:00+00:00** Scheduled for public hearing in the House Committee on Health Care & Wellness at 01:30 PM
- **2019-03-27T17:30:00+00:00** Scheduled for public hearing in the House Committee on Health Care & Wellness at 01:30 PM
- **2019-04-06T13:00:00+00:00** Scheduled for public hearing in the House Committee on Appropriations at 09:00 AM
- **2019-04-08T13:00:00+00:00** Scheduled for public hearing in the House Committee on Appropriations at 09:00 AM
## Source
OpenStates / OpenCivicData bulk snapshot [2026-07-01](https://data.openstates.org/daily/2026-07-01/public.pgdump); origin `ocd-bill/004d72fa-aa5f-4fc0-8bde-9739108e7d0f`. Confidence: reported (aggregated from official Washington legislature records).