Washington 2025-2026 Regular Session Status: Enacted Bipartisan · 3 D · 1 R cosponsors

SB 5923 — Concerning critical access hospital designations in Skagit county.

Last action — Effective date 6/11/2026.

  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 December 22, 2025. Enacted.

Signed by Governor Bob Ferguson (Democratic) on March 17, 2026.

Prognosis

Likely to advance 94% · high confidence

Where this bill stands today.

Odds of enactment

High

How often bills like it became law.

  • Enacted

    Current position in the legislative process.

  • 4 sponsors

    1 primary, 3 co-sponsors signed on.

  • Bipartisan support

    Sponsored across 2 parties (3 D · 1 R) — cross-party backing.

  • Cleared a recorded vote

    Passed 2 recorded votes so far.

Prognosis reads this bill's own signals — stage, sponsorship breadth, committee status, recorded votes and cross-state momentum. Odds come from a model trained on which bills have become law.

Bill Text

What changed in the latest version

82 added · 81 removed

Plain-language change summary

The revised version of Bill SB 5923 now specifies that a hospital must be certified as a critical access hospital on or after January 1, 2026, to qualify for payment, highlighting a starting date for eligibility. This change reflects an effort to ensure that only newer facilities are included in the program, which is aimed at supporting rural communities. Additionally, while the overall purpose of the Washington rural health access preservation pilot remains unchanged, this amendment provides clearer criteria for hospital participation, which could help strengthen health services in rural areas.

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S-4250.1 SUBSTITUTE SENATE BILL 5923 State of Washington 69th Legislature 2026 Regular Session By Senate Ways & Means (originally sponsored by Senators Muzzall, Lovelett, Nobles, and Shewmake) READ FIRST TIME 02/06/26.
S-3614.3 SENATE BILL 5923 State of Washington 69th Legislature 2026 Regular Session By Senators Muzzall, Lovelett, Nobles, and Shewmake Prefiled 12/22/25.
Read first time 01/12/26.
Referred to Committee on Ways & Means.
1 SSB 5923 to the centers for medicare and medicaid services prior to January 1, 2005, but have not yet completed the process or have not yet been approved for certification, remain eligible for medical assistance payments under this section.
1 SB 5923 to the centers for medicare and medicaid services prior to January 1, 2005, but have not yet completed the process or have not yet been approved for certification, remain eligible for medical assistance payments under this section.
(b) A critical access hospital designated by the centers for medicare and medicaid services is eligible for payment under subsection (1) of this section if the hospital is located on an island operating within a public hospital district in Skagit county.
(b) A hospital is eligible for payment under subsection (1) of this section if the hospital:
(i) Has been certified by the centers for medicare and medicaid services as a critical access hospital on or after January 1, 2026;
and (ii) is located on an island operating within a public hospital district in Skagit county.
Subject to the availability of amounts appropriated for this specific purpose, the payment methodology must provide sufficient funding to sustain p.
Subject to the availability of amounts appropriated for this specific purpose, p.
2 SSB 5923 essential services in the areas served, including but not limited to emergency and primary care services.
2 SB 5923 the payment methodology must provide sufficient funding to sustain essential services in the areas served, including but not limited to emergency and primary care services.
3 SSB 5923 (c) Hospitals participating in the certified public expenditures program may not receive the increased reimbursement rates provided in this subsection (3) for inpatient services.
3 SB 5923 (c) Hospitals participating in the certified public expenditures program may not receive the increased reimbursement rates provided in this subsection (3) for inpatient services.
4 SSB 5923
4 SB 5923
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View plain text versions (3)

Action History

  1. Effective date 6/11/2026.

  2. Chapter 84, 2026 Laws.

  3. Governor signed.

  4. Delivered to Governor.

  5. Speaker signed.

  6. President signed.

  7. Third reading, passed; yeas, 96; nays, 0; absent, 0; excused, 2.

  8. Rules suspended. Placed on Third Reading.

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

  10. Referred to Rules 2 Review.

  11. APP - Majority; do pass.

  12. Executive action taken in the House Committee on Appropriations at 10:30 AM.

  13. Public hearing in the House Committee on Appropriations at 1:30 PM.

  14. Referred to Appropriations.

  15. Committee relieved of further consideration.

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

  17. Third reading, passed; yeas, 49; nays, 0; absent, 0; excused, 0.

  18. Rules suspended. Placed on Third Reading.

  19. 1st substitute bill substituted (WM 26).

  20. Placed on second reading by Rules Committee.

  21. Passed to Rules Committee for second reading.

  22. WM - Majority; 1st substitute bill be substituted, do pass.

  23. Executive action taken in the Senate Committee on Ways & Means at 1:30 PM.

  24. Public hearing in the Senate Committee on Ways & Means at 4:00 PM.

  25. First reading, referred to Ways & Means.

  26. Prefiled for introduction.

Sponsors

Sponsorship breakdown

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1 sponsors · 3 co-sponsors · 147 not signed on

Sponsors (1)

Co-sponsors (3)

Not signed on (147)

147 members have not signed on to this bill.

Show all 147 →

"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

3rd Reading & Final Passage (#12)

Passed 96 Yea · 0 Nay · 2 Other
Party YeaNayPresentNot Voting
Republican 38000
Democrat 58002
Total 96002
% of votes cast 98%0%0%2%
How each member voted (98)
Member Party Vote
Adam Bernbaum Democrat Yea
Adison Richards Democrat Yea
Adrian Cortes Democrat Yea
Alex Ramel Democrat Yea
Alicia Rule Democrat Yea
Amy Walen Democrat Yea
April Berg Democrat Yea
Beth Doglio Democrat Yea
Brandy Donaghy Democrat Yea
Brianna Thomas Democrat Yea
Chipalo Street Democrat Yea
Chris Stearns Democrat Yea
Cindy Ryu Democrat Yea
Clyde Shavers Democrat Yea
Dan Bronoske Democrat Yea
Darya Farivar Democrat Yea
Dave Paul Democrat Yea
David Hackney Democrat Yea
Davina Duerr Democrat Yea
Debra Entenman Democrat Yea
Debra Lekanoff Democrat Yea
Edwin Obras Democrat Yea
Gerry Pollet Democrat Yea
Greg Nance Democrat Not Voting
Jake Fey Democrat Yea
Jamila Taylor Democrat Yea
Janice Zahn Democrat Yea
Javier Valdez Democrat Yea
Joe Fitzgibbon Democrat Yea
Joe Timmons Democrat Yea
Julia Reed Democrat Yea
Kristine Reeves Democrat Yea
Larry Springer Democrat Yea
Lauren Davis Democrat Yea
Laurie Jinkins Democrat Yea
Lillian Ortiz-Self Democrat Yea
Lisa Callan Democrat Yea
Lisa Parshley Democrat Yea
Liz Berry Democrat Yea
Mari Leavitt Democrat Yea
Mary Fosse Democrat Yea
Melanie Morgan Democrat Yea
Mia Gregerson Democrat Yea
Monica Jurado Stonier Democrat Yea
My-Linh Thai Democrat Yea
Natasha Hill Democrat Yea
Nicole Macri Democrat Yea
Osman Salahuddin Democrat Yea
Roger Goodman Democrat Yea
Sharlett Mena Democrat Yea
Sharon Tomiko Santos Democrat Yea
Sharon Wylie Democrat Yea
Shaun Scott Democrat Yea
Shelley Kloba Democrat Yea
Steve Bergquist Democrat Yea
Steve Tharinger Democrat Not Voting
Strom Peterson Democrat Yea
Tarra Simmons Democrat Yea
Timm Ormsby Democrat Yea
Zach Hall Democrat Yea
Alex Ybarra Republican Yea
Andrew Barkis Republican Yea
Andrew Engell Republican Yea
April Connors Republican Yea
Brian Burnett Republican Yea
Carolyn Eslick Republican Yea
Chris Corry Republican Yea
Cyndy Jacobsen Republican Yea
Dan Griffey Republican Yea
David Stuebe Republican Yea
Deb Manjarrez Republican Yea
Drew Stokesbary Republican Yea
Ed Orcutt Republican Yea
Gloria Mendoza Republican Yea
Hunter Abell Republican Yea
Jenny Graham Republican Yea
Jeremie Dufault Republican Yea
Jim Walsh Republican Yea
Joe Schmick Republican Yea
Joel McEntire Republican Yea
John Ley Republican Yea
Joshua Penner Republican Yea
Kevin Waters Republican Yea
Mark Klicker Republican Yea
Mary Dye Republican Yea
Matt Marshall Republican Yea
Michael Keaton Republican Yea
Mike Steele Republican Yea
Mike Volz Republican Yea
Peter Abbarno Republican Yea
Rob Chase Republican Yea
Sam Low Republican Yea
Skyler Rude Republican Yea
Stephanie Barnard Republican Yea
Stephanie McClintock Republican Yea
Suzanne Schmidt Republican Yea
Tom Dent Republican Yea
Travis Couture Republican Yea

Official roll call →

3rd Reading & Final Passage (#23)

Passed 49 Yea · 0 Nay
Party YeaNayPresentNot Voting
Democrat 30000
Republican 19000
Total 49000
% of votes cast 100%0%0%0%
How each member voted (49)
Member Party Vote
Adrian Cortes Democrat Yea
Annette Cleveland Democrat Yea
Bob Hasegawa Democrat Yea
Claire Wilson Democrat Yea
Claudia Kauffman Democrat Yea
Deborah Krishnadasan Democrat Yea
Derek Stanford Democrat Yea
Drew Hansen Democrat Yea
Emily Alvarado Democrat Yea
Jamie Pedersen Democrat Yea
Javier Valdez Democrat Yea
Jesse Salomon Democrat Yea
Jessica Bateman Democrat Yea
John Lovick Democrat Yea
June Robinson Democrat Yea
Lisa Wellman Democrat Yea
Liz Lovelett Democrat Yea
Manka Dhingra Democrat Yea
Marcus Riccelli Democrat Yea
Marko Liias Democrat Yea
Mike Chapman Democrat Yea
Noel Frame Democrat Yea
Rebecca Saldaña Democrat Yea
Sharon Shewmake Democrat Yea
Steve Conway Democrat Yea
T'wina Nobles Democrat Yea
Tina Orwall Democrat Yea
Vandana Slatter Democrat Yea
Victoria Hunt Democrat Yea
Yasmin Trudeau Democrat Yea
Chris Gildon Republican Yea
Curtis King Republican Yea
Drew MacEwen Republican Yea
Jeff Holy Republican Yea
Jeff Wilson Republican Yea
Jim McCune Republican Yea
John Braun Republican Yea
Judy Warnick Republican Yea
Keith Goehner Republican Yea
Keith Wagoner Republican Yea
Leonard Christian Republican Yea
Mark Schoesler Republican Yea
Matt Boehnke Republican Yea
Nikki Torres Republican Yea
Paul Harris Republican Yea
Perry Dozier Republican Yea
Phil Fortunato Republican Yea
Ron Muzzall Republican Yea
Shelly Short Republican Yea

Official roll call →

Subjects

public-safety healthcare
Cross-referencing the record. Reading this bill against every other bill in the corpus by meaning, not keywords. Only the first open is slow. It’s instant for you after this. Matching · Ranking · Engrossing

Frequently asked questions

Who sponsors SB 5923?
SB 5923 is sponsored by Sharon Shewmake (Democrat), T'wina Nobles (Democrat), Liz Lovelett (Democrat), and Ron Muzzall (Republican).
What is the current status of SB 5923?
This bill has been enacted into law. Introduced December 22, 2025. Enacted.
Where can I track SB 5923?
Track SB 5923 free on One Click Politics — get push/email alerts when it moves.

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Last checked for changes 3 months ago · updated continuously

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