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BILL · 2025–26 SESSION · LATEST VERSION E2SSB 5395

SB 5395: Prior authorization/health

Making improvements to transparency and accountability in the prior authorization determination process.

Summary

  • Modifies requirements related to determination notifications and the use of artificial intelligence as part of the prior authorization process for private health insurance and health plans offered to public or school employees.

From the Engrossed Second Substitute House Bill Report (E2SSB 5395), written by the Legislature's nonpartisan staff. Read the full report ↗

Enacted Enacted · Chapter 157, Laws of 2026
  1. IntroducedJan 21, 2025
  2. Out of committeeJan 29, 2026
  3. Passed SenateFeb 11, 2026
  4. Passed HouseMar 4, 2026
  5. GovernorMar 23, 2026
  6. LawMar 23, 2026
Prime sponsor
Tina Orwall (D-33)
Introduced
January 21, 2025 in the Senate
Last action
March 23, 2026
Session law
Chapter 157, Laws of 2026
Companion bill
HB 1566
Budget
Has a fiscal note
Versions
SB 5395, SSB 5395, 2SSB 5395, E2SSB 5395

AN ACT Relating to making improvements to transparency and accountability in the prior authorization determination process;

Sponsors

Prime sponsor: Tina Orwall (D-33)

5 co-sponsors (4 Democrats, 1 Republican)

Ron Muzzall R-10Bob Hasegawa D-11Liz Lovelett D-40T'wina Nobles D-28Vandana Slatter D-48

Votes

Senate · 3rd Reading & Final Passage

Passed February 11, 2026
Version voted on: E2SSB 5395
48 Yea 1 Nay 0 Absent 0 Excused
PartyYeaNayAbsentExcused
Democrat30000
Republican18100
How each member voted

Yea (48)

Nay (1)

Permalink to this vote

House · Final Passage as Amended by the House

Passed March 4, 2026
Version voted on: E2SSB 5395
94 Yea 0 Nay 0 Absent 4 Excused
PartyYeaNayAbsentExcused
Democrat56003
Republican38001
How each member voted

Yea (94)

Excused (4)

Permalink to this vote

Senate · Final Passage as Amended by the House

Passed March 9, 2026
Version voted on: E2SSB 5395
49 Yea 0 Nay 0 Absent 0 Excused
PartyYeaNayAbsentExcused
Democrat30000
Republican19000
How each member voted

Yea (49)

Permalink to this vote

History

  1. Effective date 6/11/2026*. (E2SSB 5395)
  2. Chapter 157, 2026 Laws. (E2SSB 5395)
  3. Governor signed. (E2SSB 5395)
  4. Delivered to Governor. (E2SSB 5395)
  5. Speaker signed. (E2SSB 5395)
  6. President signed. (E2SSB 5395)
  7. Passed final passage; yeas, 49; nays, 0; absent, 0; excused, 0. (E2SSB 5395)
  8. Senate concurred in House amendments. (E2SSB 5395)
  9. Rules suspended. Placed on Third Reading. (E2SSB 5395)
  10. Committee amendment(s) adopted with no other amendments. (E2SSB 5395)
  11. Third reading, passed; yeas, 94; nays, 0; absent, 0; excused, 4. (E2SSB 5395)
  12. Rules Committee relieved of further consideration. Placed on second reading. (E2SSB 5395)
  13. Referred to Rules 2 Review. (E2SSB 5395)
  14. APP - Executive action taken by committee. (E2SSB 5395)
  15. APP - Majority; do pass with amendment(s) but without amendment(s) by Health Care & Wellness. (E2SSB 5395)
  16. HCW - Executive action taken by committee. (E2SSB 5395)
  17. Referred to Appropriations. (E2SSB 5395)
  18. Minority; without recommendation. (E2SSB 5395)
  19. HCW - Majority; do pass with amendment(s). (E2SSB 5395)
  20. First reading, referred to Health Care & Wellness. (E2SSB 5395)
  21. Third reading, passed; yeas, 48; nays, 1; absent, 0; excused, 0. (E2SSB 5395)
  22. Rules suspended. Placed on Third Reading. (E2SSB 5395)
  23. Floor amendment(s) adopted. (E2SSB 5395)
  24. 2nd substitute bill substituted. (E2SSB 5395)
  25. 2nd substitute bill substituted. (SSB 5395)
  26. 2nd substitute bill substituted.
  27. Placed on second reading by Rules Committee. (E2SSB 5395)
  28. Placed on second reading by Rules Committee. (SSB 5395)
  29. Placed on second reading by Rules Committee.
  30. Passed to Rules Committee for second reading. (E2SSB 5395)
  31. Passed to Rules Committee for second reading. (SSB 5395)
  32. Passed to Rules Committee for second reading.
  33. Minority; without recommendation. (E2SSB 5395)
  34. WM - Majority; 2nd substitute bill be substituted, do pass. (E2SSB 5395)
  35. WM - Majority; 2nd substitute bill be substituted, do pass. (SSB 5395)
  36. Minority; without recommendation. (SSB 5395)
  37. Minority; without recommendation.
  38. WM - Majority; 2nd substitute bill be substituted, do pass.
  39. By resolution, reintroduced and retained in present status. (SSB 5395)
  40. By resolution, reintroduced and retained in present status.
  41. Minority; without recommendation. (SSB 5395)
  42. HLTC - Majority; 1st substitute bill be substituted, do pass. (SSB 5395)
  43. And refer to Ways & Means. (SSB 5395)
  44. Referred to Ways & Means. (SSB 5395)
  45. Referred to Ways & Means.
  46. And refer to Ways & Means.
  47. HLTC - Majority; 1st substitute bill be substituted, do pass.
  48. Minority; without recommendation.
  49. First reading, referred to Health & Long-Term Care.

SB 5395 in other sessions

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

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