Washington 2017-2018 Regular Session Status: Enacted Bipartisan · 1 D · 1 R cosponsors

SB 5518 — Requiring fair reimbursement for chiropractic services.

Last action — Effective date 6/7/2018*.

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  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 26, 2017. Enacted.

Prognosis

Likely to advance 96% · 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.

  • 5 sponsors

    1 primary, 4 co-sponsors signed on.

  • Bipartisan support

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

  • Cleared a recorded vote

    Passed 3 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

1 added · 1 removed

Plain-language change summary

The revised version of SB 5518 adds specific language that ensures chiropractors are reimbursed fairly for their services, stating that they cannot be paid less than other licensed healthcare providers for similar procedures. It clarifies that health carriers (insurance companies) cannot use special codes for chiropractors to lower payments. Additionally, the effective date for the law has been shifted to January 1, 2019, instead of the previous January 1, 2018. These changes are important because they strengthen protections for chiropractors, promoting equitable pay in the healthcare system.

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S-0654.1SENATE BILL 5518State of Washington65th Legislature2017 Regular SessionBy Senators Miloscia, Cleveland, Keiser, O'Ban, and FortunatoRead first time 01/26/17.
ENGROSSED SENATE BILL 5518State of Washington65th Legislature2017 Regular SessionBy Senators Miloscia, Cleveland, Keiser, O'Ban, and FortunatoRead first time 01/26/17.
and providing an effective date.BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF WASHINGTON:Sec. 1.  RCW 48.43.190 and 2008 c 304 s 1 are each amended to read as follows:(1)(a) A health carrier may not pay a chiropractor less for a service or procedure identified under a particular physical medicine and rehabilitation code ((or)), evaluation and management code, or spinal manipulation code, as listed in a nationally recognized services and procedures code book such as the American medical association current procedural terminology code book, than it pays any other type of provider licensed under Title 18 RCW for a service or procedure under the same code, except as provided in (b) of this subsection.
and providing an effective date.BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF WASHINGTON:Sec. 1.  RCW 48.43.190 and 2008 c 304 s 1 are each amended to read as follows:(1)(a) A health carrier may not pay a chiropractor less for a service or procedure identified under a particular physical medicine and rehabilitation code ((or)), evaluation and management code, or spinal manipulation code, as listed in a nationally recognized services and procedures code book such as the American medical association current procedural terminology code book, than it pays any other type of provider licensed under Title 18 RCW for a service or procedure under the same or substantially similar code, except as provided in (b) of this subsection.
or(iii) Expand the scope of practice for any health care provider.(2) This section applies only to payments made on or after January 1, 2009.NEW SECTION.  Sec. 2.  The office of the insurance commissioner may adopt any rules necessary to implement section 1 of this act.NEW SECTION.  Sec. 3.  Section 1 of this act takes effect January 1, 2018.--- END ---
or(iii) Expand the scope of practice for any health care provider.(2) This section applies only to payments made on or after January 1, 2009.NEW SECTION.  Sec. 2.  The office of the insurance commissioner may adopt any rules necessary to implement section 1 of this act.NEW SECTION.  Sec. 3.  Section 1 of this act takes effect January 1, 2019.--- END ---
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Action History

  1. Effective date 6/7/2018*.

  2. Chapter 181, 2018 Laws.

  3. Governor signed.

  4. Delivered to Governor.

  5. Speaker signed.

  6. President signed.

  7. Passed final passage; yeas, 49; nays, 0; absent, 0; excused, 0.

  8. Senate concurred in House amendments.

  9. Third reading, passed; yeas, 86; nays, 12; absent, 0; excused, 0.

  10. Rules suspended. Placed on Third Reading.

  11. Committee amendment(s) adopted with no other amendments.

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

  13. Referred to Rules 2 Review.

  14. Minority; without recommendation.

  15. Minority; do not pass.

  16. HCW - Majority; do pass with amendment(s).

  17. First reading, referred to Health Care & Wellness (Not Officially read and referred until adoption of Introduction report).

  18. Third reading, passed; yeas, 45; nays, 3; absent, 0; excused, 1.

  19. Rules suspended. Placed on Third Reading.

  20. Floor amendment(s) adopted.

  21. Placed on second reading by Rules Committee.

  22. Passed to Rules Committee for second reading.

  23. WM - Majority; without recommendation.

  24. By resolution, reintroduced and retained in present status.

  25. By resolution, reintroduced and retained in present status.

  26. By resolution, reintroduced and retained in present status.

  27. By resolution, reintroduced and retained in present status.

  28. Referred to Ways & Means.

  29. Minority; without recommendation.

  30. And refer to Ways & Means.

  31. HLTH - Majority; do pass.

  32. First reading, referred to Health Care.

Sponsors

Sponsorship breakdown

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1 sponsors · 4 co-sponsors · 146 not signed on · 5 voted No

Sponsors (1)

  • Miloscia

Co-sponsors (4)

Not signed on (146)

146 members have not signed on to this bill.

Show all 146 →

"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

Final Passage as Amended by the House (#18)

Passed 49 Yea · 0 Nay
Party YeaNayPresentNot Voting
Unaffiliated 31000
Republican 9000
Democrat 9000
Total 49000
% of votes cast 100%0%0%0%
How each member voted (49)
Member Party Vote
Angel — Yea
Baumgartner — Yea
Becker — Yea
Frockt — Yea
Hawkins — Yea
Hobbs — Yea
Palumbo — Yea
Rivers — Yea
Rolfes — Yea
Sheldon — Yea
Brown — Yea
Wilson — Yea
Bailey — Yea
Billig — Yea
Carlyle — Yea
Darneille — Yea
Ericksen — Yea
Fain — Yea
Honeyford — Yea
Keiser — Yea
Kuderer — Yea
McCoy — Yea
Miloscia — Yea
Mullet — Yea
Nelson — Yea
O'Ban — Yea
Padden — Yea
Ranker — Yea
Takko — Yea
Zeiger — Yea
Van De Wege — Yea
Annette Cleveland Democrat Yea
Bob Hasegawa Democrat Yea
Jamie Pedersen Democrat Yea
Lisa Wellman Democrat Yea
Manka Dhingra Democrat Yea
Marko Liias Democrat Yea
Rebecca Saldaña Democrat Yea
Steve Conway Democrat Yea
Victoria Hunt Democrat Yea
Curtis King Republican Yea
Jim Walsh Republican Yea
John Braun Republican Yea
Judy Warnick Republican Yea
Keith Wagoner Republican Yea
Mark Schoesler Republican Yea
Phil Fortunato Republican Yea
Rob Chase Republican Yea
Shelly Short Republican Yea

Official roll call →

Final Passage as Amended by the House (#4)

Passed 86 Yea · 12 Nay
Party YeaNayPresentNot Voting
Unaffiliated 41900
Republican 12300
Democrat 33000
Total 861200
% of votes cast 88%12%0%0%
How each member voted (98)
Member Party Vote
Appleton — Yea
Blake — Yea
DeBolt — Yea
Graves — Nay
Haler — Yea
Harmsworth — Yea
Hayes — Yea
Mosbrucker — Yea
Nealey — Nay
Pettigrew — Yea
Pike — Yea
Rodne — Nay
Sawyer — Yea
Sells — Yea
Shea — Yea
Wilcox — Nay
Buys — Yea
Chandler — Yea
Chopp — Yea
Clibborn — Yea
Cody — Yea
Hargrove — Yea
Condotta — Yea
Smith — Yea
Dolan — Yea
Hudgins — Yea
Irwin — Yea
Jenkin — Nay
Kagi — Yea
Kirby — Yea
Klippert — Nay
Kraft — Yea
Kretz — Nay
Kristiansen — Yea
Lytton — Yea
Manweller — Yea
Maycumber — Nay
McBride — Yea
McCaslin — Yea
McDonald — Yea
Morris — Yea
Muri — Yea
Pellicciotti — Yea
Stambaugh — Yea
Sullivan — Yea
Tarleton — Yea
Vick — Nay
Young — Yea
Johnson, J. — Yea
Van Werven — Yea
Beth Doglio Democrat Yea
Chris Kilduff Democrat Yea
Cindy Ryu Democrat Yea
Derek Stanford Democrat Yea
Drew Hansen Democrat Yea
Gerry Pollet Democrat Yea
Jake Fey Democrat Yea
Jamila Taylor Democrat Yea
Javier Valdez Democrat Yea
Joe Fitzgibbon Democrat Yea
John Lovick Democrat Yea
June Robinson Democrat Yea
Kristine Reeves Democrat Yea
Larry Springer Democrat Yea
Laurie Jinkins Democrat Yea
Lillian Ortiz-Self Democrat Yea
Marcus Riccelli Democrat Yea
Mia Gregerson Democrat Yea
Mike Chapman Democrat Yea
Monica Jurado Stonier Democrat Yea
Nicole Macri Democrat Yea
Noel Frame Democrat Yea
Roger Goodman 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 Yea
Tana Senn Democrat Yea
Timm Ormsby Democrat Yea
Tina Orwall Democrat Yea
Vandana Slatter Democrat Yea
Andrew Barkis Republican Nay
Carolyn Eslick Republican Yea
Dan Griffey Republican Yea
Drew MacEwen Republican Yea
Drew Stokesbary Republican Yea
Ed Orcutt Republican Yea
Jeff Holy Republican Yea
Jim Walsh Republican Yea
Joe Schmick Republican Nay
Mary Dye Republican Nay
Michelle Valdez Republican Yea
Mike Steele Republican Yea
Mike Volz Republican Yea
Paul Harris Republican Yea
Tom Dent Republican Yea

Official roll call →

3rd Reading & Final Passage (#32)

Passed 45 Yea · 3 Nay · 1 Other
Party YeaNayPresentNot Voting
Unaffiliated 30100
Republican 6201
Democrat 9000
Total 45301
% of votes cast 92%6%0%2%
How each member voted (49)
Member Party Vote
Angel — Yea
Baumgartner — Yea
Becker — Yea
Hawkins — Yea
Hobbs — Yea
O'Ban — Yea
Palumbo — Yea
Rivers — Yea
Rolfes — Yea
Sheldon — Yea
Brown — Yea
Wilson — Yea
Bailey — Yea
Billig — Yea
Carlyle — Yea
Darneille — Yea
Ericksen — Yea
Fain — Yea
Frockt — Yea
Honeyford — Yea
Keiser — Yea
Kuderer — Yea
McCoy — Yea
Miloscia — Yea
Mullet — Nay
Nelson — Yea
Padden — Yea
Ranker — Yea
Takko — Yea
Zeiger — Yea
Van De Wege — Yea
Annette Cleveland Democrat Yea
Bob Hasegawa Democrat Yea
Jamie Pedersen Democrat Yea
Lisa Wellman Democrat Yea
Manka Dhingra Democrat Yea
Marko Liias Democrat Yea
Rebecca Saldaña Democrat Yea
Steve Conway Democrat Yea
Victoria Hunt Democrat Yea
Curtis King Republican Nay
Jim Walsh Republican Not Voting
John Braun Republican Yea
Judy Warnick Republican Yea
Keith Wagoner Republican Yea
Mark Schoesler Republican Nay
Phil Fortunato Republican Yea
Rob Chase Republican Yea
Shelly Short Republican Yea

Official roll call →

Subjects

healthcare labor
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 5518?
SB 5518 is sponsored by Annette Cleveland (Democrat), Phil Fortunato (Republican), Miloscia, O'Ban, and Keiser.
What is the current status of SB 5518?
This bill has been enacted into law. Introduced January 26, 2017. Enacted.
Where can I track SB 5518?
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