WA People
BILL · 2019–20 SESSION · LATEST VERSION E2SSB 5432

SB 5432: Behavioral health, integrate

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.

Summary

  • Removes behavioral health organizations from law.
  • Establishes managed care organizations and behavioral health administrative services organizations (BH-ASOs) to manage the community behavioral health system.
  • Establishes a work group led by the Health Care Authority to determine how to manage access to long-term, involuntary commitment resources in the community and state hospitals until such a time as the risk may be fully integrated into managed care and how to expand the availability and utilization of co-occurring disorder services and provide a report by December 15, 2019.
  • Prohibits BH-ASOs from contracting with themselves to provide services except that a county or group of counties may contract with a county-run BH-ASO to provide specified services if there is a clear separation of powers, duties, and finances from the BH-ASO.

From the Engrossed Second Substitute Senate Bill Report (E2SSB 5432), written by the Legislature's nonpartisan staff. Read the full report ↗

Enacted Enacted · Chapter 325, Laws of 2019
  1. IntroducedJan 21, 2019
  2. Out of committeeMar 1, 2019
  3. Passed SenateMar 7, 2019
  4. Passed HouseApr 12, 2019
  5. GovernorMay 9, 2019
  6. LawMay 9, 2019
Prime sponsor
Manka Dhingra (D-45)
Introduced
January 21, 2019 in the Senate
Last action
May 9, 2019
Session law
Chapter 325, Laws of 2019
Requested by
Governor
Companion bill
HB 1393
Budget
Has a fiscal note
Versions
SB 5432, SSB 5432, E2SSB 5432

AN ACT Relating to fully implementing behavioral health integration for January 1, 2020, by removing behavioral health organizations from law;

Sponsors

Prime sponsor: Manka Dhingra (D-45)

8 co-sponsors (6 Democrats, 2 Republicans)

Senator R-18Annette Cleveland D-49Jeannie Darneille D-27Steve O'Ban R-28Karen Keiser D-33Steve Conway D-29Senator D-47Patty Kuderer D-48

Votes

Senate · 3rd Reading & Final Passage

Passed March 7, 2019
Version voted on: E2SSB 5432
46 Yea 2 Nay 0 Absent 1 Excused
PartyYeaNayAbsentExcused
Democrat27200
Republican19001
How each member voted

Nay (2)

Excused (1)

Permalink to this vote

House · Final Passage as Amended by the House

Passed April 12, 2019
Version voted on: E2SSB 5432
95 Yea 0 Nay 0 Absent 3 Excused
PartyYeaNayAbsentExcused
Democrat54003
Republican41000
How each member voted

Yea (95)

Excused (3)

Permalink to this vote

Senate · Final Passage as Amended by the House

Passed April 18, 2019
Version voted on: E2SSB 5432
49 Yea 0 Nay 0 Absent 0 Excused
PartyYeaNayAbsentExcused
Democrat29000
Republican20000
How each member voted

Yea (49)

Permalink to this vote

History

  1. Effective date 1/1/2020*. (E2SSB 5432)
  2. Chapter 325, 2019 Laws. (E2SSB 5432)
  3. Governor signed. (E2SSB 5432)
  4. Delivered to Governor. (E2SSB 5432)
  5. Speaker signed. (E2SSB 5432)
  6. President signed. (E2SSB 5432)
  7. Senate concurred in House amendments. (E2SSB 5432)
  8. Passed final passage; yeas, 49; nays, 0; absent, 0; excused, 0. (E2SSB 5432)
  9. Third reading, passed; yeas, 95; nays, 0; absent, 0; excused, 3. (E2SSB 5432)
  10. Rules suspended. Placed on Third Reading. (E2SSB 5432)
  11. Committee recommendations adopted and the bill amended. (E2SSB 5432)
  12. Rules Committee relieved of further consideration. Placed on second reading. (E2SSB 5432)
  13. Referred to Rules 2 Review. (E2SSB 5432)
  14. APP - Majority; do pass with amendment(s) by Health Care & Wellness. (E2SSB 5432)
  15. Referred to Appropriations. (E2SSB 5432)
  16. Minority; without recommendation. (E2SSB 5432)
  17. HCW - Majority; do pass with amendment(s). (E2SSB 5432)
  18. First reading, referred to Health Care & Wellness. (E2SSB 5432)
  19. Third reading, passed; yeas, 46; nays, 2; absent, 0; excused, 1. (E2SSB 5432)
  20. Rules suspended. Placed on Third Reading. (E2SSB 5432)
  21. Floor amendment(s) adopted. (E2SSB 5432)
  22. 2nd substitute bill substituted. (E2SSB 5432)
  23. 2nd substitute bill substituted. (SSB 5432)
  24. 2nd substitute bill substituted.
  25. Placed on second reading by Rules Committee. (E2SSB 5432)
  26. Placed on second reading by Rules Committee. (SSB 5432)
  27. Placed on second reading by Rules Committee.
  28. Passed to Rules Committee for second reading. (E2SSB 5432)
  29. Passed to Rules Committee for second reading. (SSB 5432)
  30. Passed to Rules Committee for second reading.
  31. Minority; without recommendation. (E2SSB 5432)
  32. WM - Majority; 2nd substitute bill be substituted, do pass. (E2SSB 5432)
  33. WM - Majority; 2nd substitute bill be substituted, do pass. (SSB 5432)
  34. Minority; without recommendation. (SSB 5432)
  35. Minority; without recommendation.
  36. WM - Majority; 2nd substitute bill be substituted, do pass.
  37. Referred to Ways & Means. (SSB 5432)
  38. Referred to Ways & Means.
  39. BH - Majority; 1st substitute bill be substituted, do pass. (SSB 5432)
  40. And refer to Ways & Means. (SSB 5432)
  41. And refer to Ways & Means.
  42. BH - Majority; 1st substitute bill be substituted, do pass.
  43. First reading, referred to Health & Long Term Care.
  44. Referred to Behavioral Health Subcommittee to Health & Long Term Care.

SB 5432 in other sessions

Bill numbers restart every two years, so the same number is a different bill in each session.

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