Washington 2021-2022 Regular Session Status: Enacted 9 D cosponsors

SB 5546 — Concerning insulin affordability.

Last action — Prefiled for introduction.

  1. ✓
    Introduced
  2. ✓
    In Committee
  3. ✓
    Passed Senate
  4. ✓
    Passed House
  5. ✓
    To Executive
  6. 6
    Enacted

This bill has been enacted into law. Introduced January 10, 2022. Enacted.

Odds of enactment

High chance

Based 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

Likely to advance 82% · moderate confidence
  • Enacted

    Current position in the legislative process.

  • 13 sponsors

    1 primary, 12 co-sponsors signed on.

  • Single-party support

    Sponsorship is currently within one party (9 D).

  • 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 removed

Plain-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.

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S-3843.1 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.
S-3314.1 SENATE BILL 5546 State of Washington 67th Legislature 2022 Regular Session By Senators Keiser, Van De Wege, Cleveland, Conway, Frockt, Hasegawa, Hunt, Lovick, Nguyen, Pedersen, Randall, Stanford, and C.
Wilson) READ FIRST TIME 01/25/22.
Wilson Prefiled 12/16/21.
Read first time 01/10/22.
Referred to Committee on Health & Long Term Care.
amending RCW 41.05.017;
amending RCW 41.05.017 and 70.14.160;
and providing an expiration date.
and providing expiration dates.
1 SSB 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.
1 SB 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.
2 SSB 5546
3 SB 5546
View plain text versions (2)

Action History

  1. Prefiled for introduction.

  2. Effective date 6/9/2022*.

  3. Chapter 10, 2022 Laws.

  4. Governor signed.

  5. Delivered to Governor.

  6. Speaker signed.

  7. President signed.

  8. Third reading, passed; yeas, 85; nays, 10; absent, 0; excused, 3.

  9. Rules suspended. Placed on Third Reading.

  10. Rules Committee relieved of further consideration. Placed on second reading.

  11. Referred to Rules 2 Review.

  12. Scheduled for public hearing in the House Committee on Health Care & Wellness at 08:00 AM

  13. HCW - Majority; do pass.

  14. Executive action taken in the House Committee on Health Care & Wellness at 8:00 AM.

  15. Scheduled for public hearing in the House Committee on Health Care & Wellness at 10:00 AM

  16. Public hearing in the House Committee on Health Care & Wellness at 10:00 AM.

  17. First reading, referred to Health Care & Wellness.

  18. Third reading, passed; yeas, 48; nays, 1; absent, 0; excused, 0.

  19. Rules suspended. Placed on Third Reading.

  20. 1st substitute bill substituted (HLTC 22).

  21. Placed on second reading by Rules Committee.

  22. On motion, referred to Rules Committee for second reading.

  23. Scheduled for public hearing in the Senate Committee on Health & Long Term Care at 01:30 PM

  24. And refer to Ways & Means.

  25. Minority; without recommendation.

  26. Minority; do not pass.

  27. HLTC - Majority; 1st substitute bill be substituted, do pass.

  28. Executive action taken in the Senate Committee on Health & Long Term Care at 1:30 PM.

  29. Executive session scheduled, but no action was taken in the Senate Committee on Health & Long Term Care at 8:00 AM.

  30. Scheduled for public hearing in the Senate Committee on Health & Long Term Care at 08:00 AM

  31. Public hearing in the Senate Committee on Health & Long Term Care at 8:00 AM.

  32. First reading, referred to Health & Long Term Care.

Sponsors

Sponsorship breakdown

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1 sponsors · 12 co-sponsors · 138 not signed on · 6 voted No

Sponsors (1)

  • Keiser

Co-sponsors (12)

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.

Whip count is in markup. Polling the chamber and every recorded vote this session. Only the first open is slow. It’s instant for you after this. Calling the roll · Tallying · Engrossing

Votes

Passed 85 Yea · 10 Nay · 3 Other
Party YeaNayPresentNot Voting
Republican 20600
Democrat 47001
Unaffiliated 18402
Total 851003
% 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

Official roll call →

Passed 48 Yea · 1 Nay
Party YeaNayPresentNot Voting
Unaffiliated 17100
Republican 13000
Democrat 18000
Total 48100
% 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

Official roll call →

Subjects

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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?
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