Bills › 2009–10 › SB 5436
BILL · 2009–10 SESSION · LATEST VERSION SSB 5436
SB 5436: Direct practices payment
Concerning direct patient-provider primary care practice arrangements.
Summary
Removes restrictions on direct patient-provider primary care practices related to lab and imaging services, accepting payments from insurers, self-insured plans, and employer third parties.
From the Substitute House Bill Report (SSB 5436), written by the Legislature's nonpartisan staff. Read the full report ↗
Enacted (partial veto) Enacted with partial veto · Chapter 552, Laws of 2009
IntroducedJan 22, 2009
Out of committeeFeb 13, 2009
Passed SenateMar 3, 2009
Passed HouseApr 8, 2009
Partly vetoedMay 19, 2009
LawMay 19, 2009
Introduced January 22, 2009 in the Senate
Last action May 19, 2009
Session law Chapter 552, Laws of 2009
Versions SB 5436, SSB 5436
Sponsors (7)
Votes (5)
History (35)
Official bill page & text ↗
AN ACT Relating to payment arrangements involving direct practices;
Votes
Senate · 3rd Reading & Final Passage
Passed March 3, 2009
Version voted on: SSB 5436
47 Yea
0 Nay
0 Absent
2 Excused
Party Yea Nay Absent Excused
Democrat 29 0 0 2
Republican 18 0 0 0
How each member voted
House · Final Passage as Amended by the House
Passed April 8, 2009
Version voted on: SSB 5436
62 Yea
36 Nay
0 Absent
0 Excused
Party Yea Nay Absent Excused
Democrat 60 2 0 0
Republican 2 34 0 0
How each member voted
House · Final Passage as Amended by the House
Passed April 24, 2009
Version voted on: SSB 5436
57 Yea
36 Nay
0 Absent
5 Excused
Party Yea Nay Absent Excused
Democrat 56 3 0 3
Republican 1 33 0 2
How each member voted
Senate · Final Passage as Amended by the House
Passed April 25, 2009
Version voted on: SSB 5436
29 Yea
18 Nay
0 Absent
2 Excused
Party Yea Nay Absent Excused
Democrat 29 1 0 1
Republican 0 17 0 1
How each member voted
1 other recorded vote (amendments, procedural motions)
House · Com Health Care & Wel Striker
April 8, 2009
Version voted on: SSB 5436
55 Yea
42 Nay
0 Absent
1 Excused
Party Yea Nay Absent Excused
Democrat 55 6 0 1
Republican 0 36 0 0
How each member voted
History
May 19, 2009 Effective date 7/26/2009. (SSB 5436)
May 19, 2009 Chapter 552, 2009 Laws PV. (SSB 5436)
May 19, 2009 Governor partially vetoed. (SSB 5436)
Apr 26, 2009 President signed. (SSB 5436)
Apr 26, 2009 Speaker signed. (SSB 5436)
Apr 26, 2009 Delivered to Governor. (SSB 5436)
Apr 25, 2009 Passed final passage; yeas, 29; nays, 18; absent, 0; excused, 2. (SSB 5436)
Apr 25, 2009 Senate concurred in House amendments. (SSB 5436)
Apr 24, 2009 Third reading, passed; yeas, 57; nays, 36; absent, 0; excused, 5. (SSB 5436)
Apr 24, 2009 Rules suspended. Placed on Third Reading. (SSB 5436)
Apr 24, 2009 Floor amendment(s) adopted. (SSB 5436)
Apr 24, 2009 Returned to second reading for amendment. (SSB 5436)
Apr 24, 2009 Rules suspended. (SSB 5436)
Apr 24, 2009 House receded from amendments. (SSB 5436)
Apr 20, 2009 Senate refuses to concur in House amendments. Asks House to recede from amendments. (SSB 5436)
Apr 8, 2009 Third reading, passed; yeas, 62; nays, 36; absent, 0; excused, 0. (SSB 5436)
Apr 8, 2009 Rules suspended. Placed on Third Reading. (SSB 5436)
Apr 8, 2009 Committee amendment adopted with no other amendments. (SSB 5436)
Apr 6, 2009 Placed on second reading by Rules Committee. (SSB 5436)
Mar 30, 2009 Passed to Rules Committee for second reading. (SSB 5436)
Mar 26, 2009 HCW - Executive action taken by committee. (SSB 5436)
Mar 26, 2009 Minority; do not pass. (SSB 5436)
Mar 26, 2009 HCW - Majority; do pass with amendment(s). (SSB 5436)
Mar 5, 2009 First reading, referred to Health Care & Wellness. (SSB 5436)
Mar 3, 2009 Third reading, passed; yeas, 47; nays, 0; absent, 0; excused, 2. (SSB 5436)
Mar 3, 2009 Rules suspended. Placed on Third Reading. (SSB 5436)
Mar 3, 2009 1st substitute bill substituted. (SSB 5436)
Mar 3, 2009 1st substitute bill substituted.
Feb 17, 2009 Placed on second reading by Rules Committee. (SSB 5436)
Feb 17, 2009 Placed on second reading by Rules Committee.
Feb 13, 2009 HEA - Majority; 1st substitute bill be substituted, do pass. (SSB 5436)
Feb 13, 2009 Passed to Rules Committee for second reading. (SSB 5436)
Feb 13, 2009 Passed to Rules Committee for second reading.
Feb 13, 2009 HEA - Majority; 1st substitute bill be substituted, do pass.
Jan 22, 2009 First reading, referred to Health & Long-Term Care.
SB 5436 in other sessions
Bill numbers restart every two years, so the same number is a different bill in each session.
SB 5436 (2025–26) Worship/access interference · Did not pass · passed Senate, stalled in House SB 5436 (2023–24) Firearm transfers to museums · Enacted · Chapter 403, Laws of 2023 SB 5436 (2021–22) Law enf. ombuds/bargaining · Did not pass · stalled on the Senate floor SB 5436 (2019–20) Child care access work group · Did not pass · died in committee SB 5436 (2017–18) Telemedicine locations · Enacted · Chapter 219, Laws of 2017 SB 5436 (2015–16) Aging & disability jnt comm. · Did not pass · passed Senate, stalled in House SB 5436 (2013–14) Defense & prosec. documents · Did not pass · died in committee SB 5436 (2011–12) Vessel antifouling paints · Enacted · Chapter 248, Laws of 2011
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