SB 5546 — Concerning insulin affordability.
Last action — Prefiled for introduction.
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✓Introduced
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✓In Committee
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✓Passed Senate
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✓Passed House
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✓To Executive
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6Enacted
This bill has been enacted into law. Introduced January 10, 2022. Enacted.
Odds of enactment
High chanceBased on the sponsor, cosponsors, and committee posture, this bill has a high chance of becoming law.
Upgrade to see the exact probability and what's driving it.
A statistical estimate from our own model of past outcomes — an insight, not a guarantee. Policymaking is volatile.
Prognosis
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Enacted
Current position in the legislative process.
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13 sponsors
1 primary, 12 co-sponsors signed on.
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Single-party support
Sponsorship is currently within one party (9 D).
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Cleared a recorded vote
Passed 2 recorded votes so far.
Based on stage, sponsorship breadth, committee status, recorded votes, and cross-state momentum — a description of the observable signals, not a prediction.
Bill Text
What changed in the latest version
68 added · 13 removedPlain-language change summary
The latest version of Senate Bill 5546 adds a new work group focused on insulin affordability, which will include representatives from various health-related organizations and insurers. This change aims to create a more collaborative approach to tackle the rising costs of insulin by involving multiple stakeholders in the decision-making process. It matters because it emphasizes a coordinated effort to address this critical issue, potentially leading to more effective solutions for people who rely on insulin.
S-3843.1S-3314.1 SUBSTITUTE SENATE BILL 5546 State of Washington 67th Legislature 2022 Regular Session By Senate Health & Long Term Care (originally sponsored by Senators Keiser, Van De Wege, Cleveland, Conway, Frockt, Hasegawa, Hunt, Lovick, Nguyen, Pedersen, Randall, Stanford, and C.
Wilson)Wilson READPrefiled FIRST12/16/21. TIME 01/25/22.
Read first time 01/10/22.
Referred to Committee on Health & Long Term Care.
amending RCW 41.05.017;41.05.017 and 70.14.160;
and providing an expiration date.dates.
1 SSBSB 5546 carrier must establish the plan's cost sharing for the coverage of prescription insulin for diabetes at the minimum level necessary to preserve the enrollee's ability to claim tax exempt contributions from his or her health savings account under internal revenue service laws and regulations.
NEW SECTION.
RCW 70.14.160 and 2020 c 346 s 2 are each amended to read as follows:
(1) The total cost of insulin work group is established.
The work group membership must consist of the insurance commissioner or designee and the following members appointed by the governor:
(a) A representative from the prescription drug purchasing consortium described in RCW 70.14.060;
(b) A representative from the pharmacy quality assurance commission;
(c) A representative from an association representing independent pharmacies;
(d) A representative from an association representing chain pharmacies;
(e) A representative from each health carrier offering at least one health plan in a commercial market in the state;
(f) A representative from each health carrier offering at least one health plan to state or public school employees in the state;
(g) A representative from an association representing health carriers;
p.
2 SB 5546 (h) A representative from the public employees' benefits board or the school employees' benefits board;
(i) A representative from the health care authority;
(j) A representative from a pharmacy benefit manager that contracts with state purchasers;
(k) A representative from a drug distributor or wholesaler that distributes or sells insulin in the state;
(l) A representative from a state agency that purchases health care services and drugs for a selected population;
(m) A representative from the attorney general's office with expertise in prescription drug purchasing;
and (n) A representative from an organization representing diabetes patients who is living with diabetes.
(2) The work group must review and design strategies to ((reduce)):
(a) Reduce the cost of and total expenditures on insulin in this state.
Strategies the work group must consider include, but are not limited to, a state agency becoming a licensed drug wholesaler, a state agency becoming a registered pharmacy benefit manager, and a state agency purchasing prescription drugs on behalf of the state directly from other states or in coordination with other states;
and (b) Provide a once yearly 30-day supply of insulin to individuals on an emergency basis.
The strategies identified by the work group must include recommendations on eligibility criteria, patient access, program monitoring, and pharmacy reimbursement, if applicable.
(3) Staff support for the work group shall be provided by the health care authority.
(4) By December 1, ((2020)) 2022, the work group must submit a preliminary report detailing strategies to reduce the cost of and total expenditures on insulin for patients, health carriers, payers, and the state.
The work group must submit a final report by July 1, ((2021)) 2023, to the governor and the legislature.
The final report must include any statutory changes necessary to implement the strategies.
(5) This section expires December 1, ((2022)) 2023.
NEW SECTION.
Sec.
4.
23 SSBSB 5546
View plain text versions (2)
- Bill View text Current pdf
- Substitute Substitute Bill pdf
Action History
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Prefiled for introduction.
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Effective date 6/9/2022*.
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Chapter 10, 2022 Laws.
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Governor signed.
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Delivered to Governor.
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Speaker signed.
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President signed.
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Third reading, passed; yeas, 85; nays, 10; absent, 0; excused, 3.
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Rules suspended. Placed on Third Reading.
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Rules Committee relieved of further consideration. Placed on second reading.
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Referred to Rules 2 Review.
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Scheduled for public hearing in the House Committee on Health Care & Wellness at 08:00 AM
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HCW - Majority; do pass.
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Executive action taken in the House Committee on Health Care & Wellness at 8:00 AM.
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Scheduled for public hearing in the House Committee on Health Care & Wellness at 10:00 AM
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Public hearing in the House Committee on Health Care & Wellness at 10:00 AM.
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First reading, referred to Health Care & Wellness.
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Third reading, passed; yeas, 48; nays, 1; absent, 0; excused, 0.
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Rules suspended. Placed on Third Reading.
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1st substitute bill substituted (HLTC 22).
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Placed on second reading by Rules Committee.
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On motion, referred to Rules Committee for second reading.
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Scheduled for public hearing in the Senate Committee on Health & Long Term Care at 01:30 PM
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And refer to Ways & Means.
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Minority; without recommendation.
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Minority; do not pass.
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HLTC - Majority; 1st substitute bill be substituted, do pass.
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Executive action taken in the Senate Committee on Health & Long Term Care at 1:30 PM.
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Executive session scheduled, but no action was taken in the Senate Committee on Health & Long Term Care at 8:00 AM.
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Scheduled for public hearing in the Senate Committee on Health & Long Term Care at 08:00 AM
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Public hearing in the Senate Committee on Health & Long Term Care at 8:00 AM.
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First reading, referred to Health & Long Term Care.
Sponsors
- Victoria Hunt · Cosponsor
- Joe Nguyen · Cosponsor
- Claire Wilson · Cosponsor
- Derek Stanford · Cosponsor
- Randall · Cosponsor
- Jamie Pedersen · Cosponsor
- John Lovick · Cosponsor
- Bob Hasegawa · Cosponsor
- Frockt · Cosponsor
- Steve Conway · Cosponsor
- Annette Cleveland · Cosponsor
- Keiser · Primary
- Van De Wege · Cosponsor
Sponsorship breakdown
Export CSV (upgrade) →1 sponsors · 12 co-sponsors · 138 not signed on · 6 voted No
Sponsors (1)
- Keiser
Co-sponsors (12)
- Victoria Hunt Democrat
- Joe Nguyen Democrat
- Claire Wilson Democrat
- Derek Stanford Democrat
- Randall
- Jamie Pedersen Democrat
- John Lovick Democrat
- Bob Hasegawa Democrat
- Frockt
- Steve Conway Democrat
- Annette Cleveland Democrat
- Van De Wege
Not signed on (138)
138 members have not signed on to this bill.
Show all 138 →"Not signed on" means a member has not sponsored or co-sponsored this bill — it does not imply opposition. Members flagged Voted No have a recorded No vote on this bill.
Votes
| Party | Yea | Nay | Present | Not Voting |
|---|---|---|---|---|
| Republican | 20 | 6 | 0 | 0 |
| Democrat | 47 | 0 | 0 | 1 |
| Unaffiliated | 18 | 4 | 0 | 2 |
| Total | 85 | 10 | 0 | 3 |
| % of votes cast | 87% | 10% | 0% | 3% |
How each member voted (98)
| Member | Party | Vote |
|---|---|---|
| Chambers | — | Yea |
| Chandler | — | Nay |
| Chopp | — | Yea |
| Cody | — | Yea |
| Dolan | — | Yea |
| Gilday | — | Yea |
| Harris-Talley | — | Yea |
| Hoff | — | Yea |
| Kirby | — | Yea |
| Klippert | — | Not Voting |
| Kraft | — | Nay |
| Kretz | — | Yea |
| Maycumber | — | Yea |
| McCaslin | — | Yea |
| Mosbrucker | — | Yea |
| Robertson | — | Not Voting |
| Sells | — | Yea |
| Sullivan | — | Yea |
| Sutherland | — | Yea |
| Vick | — | Nay |
| Wicks | — | Yea |
| Wilcox | — | Nay |
| Young | — | Yea |
| Johnson, J. | — | Yea |
| Alex Ramel | Democrat | Yea |
| Alicia Rule | Democrat | Yea |
| Amy Walen | Democrat | Yea |
| April Berg | Democrat | Yea |
| Bill Ramos | Democrat | Yea |
| Brandy Donaghy | Democrat | Yea |
| Cindy Ryu | Democrat | Yea |
| Dan Bronoske | Democrat | Yea |
| Dave Paul | Democrat | Yea |
| David Hackney | Democrat | Yea |
| Davina Duerr | Democrat | Yea |
| Debra Entenman | Democrat | Yea |
| Debra Lekanoff | Democrat | Yea |
| Drew Hansen | Democrat | Yea |
| Gerry Pollet | Democrat | Yea |
| Jake Fey | Democrat | Yea |
| Jamila Taylor | Democrat | Yea |
| Javier Valdez | Democrat | Yea |
| Jessica Bateman | Democrat | Yea |
| Joe Fitzgibbon | Democrat | Yea |
| Larry Springer | Democrat | Yea |
| Lauren Davis | Democrat | Yea |
| Laurie Jinkins | Democrat | Yea |
| Lillian Ortiz-Self | Democrat | Yea |
| Lisa Callan | Democrat | Yea |
| Liz Berry | Democrat | Yea |
| Marcus Riccelli | Democrat | Yea |
| Mari Leavitt | Democrat | Yea |
| Melanie Morgan | Democrat | Yea |
| Mia Gregerson | Democrat | Yea |
| Mike Chapman | Democrat | Yea |
| Monica Jurado Stonier | Democrat | Yea |
| My-Linh Thai | Democrat | Yea |
| Nicole Macri | Democrat | Yea |
| Noel Frame | Democrat | Yea |
| Roger Goodman | Democrat | Yea |
| Sharon Shewmake | Democrat | Yea |
| Sharon Tomiko Santos | Democrat | Yea |
| Sharon Wylie | Democrat | Yea |
| Shelley Kloba | Democrat | Yea |
| Steve Bergquist | Democrat | Yea |
| Steve Tharinger | Democrat | Yea |
| Strom Peterson | Democrat | Not Voting |
| Tana Senn | Democrat | Yea |
| Tarra Simmons | Democrat | Yea |
| Timm Ormsby | Democrat | Yea |
| Tina Orwall | Democrat | Yea |
| Vandana Slatter | Democrat | Yea |
| Alex Ybarra | Republican | Yea |
| Andrew Barkis | Republican | Yea |
| Carolyn Eslick | Republican | Yea |
| Chris Corry | Republican | Nay |
| Cyndy Jacobsen | Republican | Yea |
| Dan Griffey | Republican | Yea |
| Drew MacEwen | Republican | Nay |
| Drew Stokesbary | Republican | Nay |
| Ed Orcutt | Republican | Yea |
| Jenny Graham | Republican | Yea |
| Jeremie Dufault | Republican | Yea |
| Jim Walsh | Republican | Nay |
| Joe Schmick | Republican | Yea |
| Joel McEntire | Republican | Nay |
| Keith Goehner | Republican | Yea |
| Mark Klicker | Republican | Yea |
| Mary Dye | Republican | Yea |
| Matt Boehnke | Republican | Yea |
| Michelle Valdez | Republican | Yea |
| Mike Steele | Republican | Yea |
| Mike Volz | Republican | Yea |
| Paul Harris | Republican | Nay |
| Peter Abbarno | Republican | Yea |
| Rob Chase | Republican | Yea |
| Skyler Rude | Republican | Yea |
| Tom Dent | Republican | Yea |
| Party | Yea | Nay | Present | Not Voting |
|---|---|---|---|---|
| Unaffiliated | 17 | 1 | 0 | 0 |
| Republican | 13 | 0 | 0 | 0 |
| Democrat | 18 | 0 | 0 | 0 |
| Total | 48 | 1 | 0 | 0 |
| % of votes cast | 98% | 2% | 0% | 0% |
How each member voted (49)
| Member | Party | Vote |
|---|---|---|
| Billig | — | Yea |
| Brown | — | Yea |
| Carlyle | — | Yea |
| Das | — | Yea |
| Frockt | — | Yea |
| Hawkins | — | Yea |
| Honeyford | — | Yea |
| Keiser | — | Yea |
| Kuderer | — | Yea |
| Mullet | — | Yea |
| Padden | — | Nay |
| Randall | — | Yea |
| Rivers | — | Yea |
| Rolfes | — | Yea |
| Sefzik | — | Yea |
| Sheldon | — | Yea |
| Van De Wege | — | Yea |
| Wilson, L. | — | Yea |
| Annette Cleveland | Democrat | Yea |
| Bob Hasegawa | Democrat | Yea |
| Claire Wilson | Democrat | Yea |
| Derek Stanford | Democrat | Yea |
| Jamie Pedersen | Democrat | Yea |
| Jesse Salomon | Democrat | Yea |
| Joe Nguyen | Democrat | Yea |
| John Lovick | Democrat | Yea |
| June Robinson | Democrat | Yea |
| Lisa Wellman | Democrat | Yea |
| Liz Lovelett | Democrat | Yea |
| Manka Dhingra | Democrat | Yea |
| Marko Liias | Democrat | Yea |
| Rebecca Saldaña | Democrat | Yea |
| Steve Conway | Democrat | Yea |
| T'wina Nobles | Democrat | Yea |
| Victoria Hunt | Democrat | Yea |
| Yasmin Trudeau | Democrat | Yea |
| Chris Gildon | Republican | Yea |
| Curtis King | Republican | Yea |
| Jeff Holy | Republican | Yea |
| Jeff Wilson | Republican | Yea |
| Jim McCune | Republican | Yea |
| John Braun | Republican | Yea |
| Judy Warnick | Republican | Yea |
| Keith Wagoner | Republican | Yea |
| Mark Schoesler | Republican | Yea |
| Perry Dozier | Republican | Yea |
| Phil Fortunato | Republican | Yea |
| Ron Muzzall | Republican | Yea |
| Shelly Short | Republican | Yea |
Subjects
Frequently asked questions
- Who sponsors SB 5546?
- SB 5546 is sponsored by Victoria Hunt (Democrat), Joe Nguyen (Democrat), Claire Wilson (Democrat), Derek Stanford (Democrat), Randall, Jamie Pedersen (Democrat), John Lovick (Democrat), Bob Hasegawa (Democrat), Frockt, Steve Conway (Democrat), Annette Cleveland (Democrat), Keiser, and Van De Wege.
- What is the current status of SB 5546?
- This bill has been enacted into law. Introduced January 10, 2022. Enacted.
- Where can I track SB 5546?
- Track SB 5546 free on One Click Politics — get push/email alerts when it moves.
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