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E2SSB 5395: Prior authorization/health

Data last updated: bill actions through Aug 23, 2026 · lobbyist reports through Sep 30, 2026 (read Oct 14, 2026)

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

Prime sponsor
Tina Orwall
Introduced
Jan 27, 2026
Status
Law (C 157 L 26) (Mar 23, 2026)
The Legislature's page
E2SSB 5395 on leg.wa.gov

Floor votes

Senate · 3rd Reading & Final Passage · Feb 11, 2026 · 48–1 (D 30–0, R 18–1)

Nay (1): Matt Boehnke R-8

Yea (48): Adrian Cortes D-18, Annette Cleveland D-49, Bob Hasegawa D-11, Chris Gildon R-25, Claire Wilson D-30, Claudia Kauffman D-47, Curtis King R-14, Deborah Krishnadasan D-26, Derek Stanford D-1, Drew Hansen D-23, Drew MacEwen R-35, Emily Alvarado D-34, Jamie Pedersen D-43, Javier Valdez D-46, Jeff Holy R-6, Jeff Wilson R-19, Jesse Salomon D-32, Jessica Bateman D-22, Jim McCune R-2, John Braun R-20, John Lovick D-44, Judy Warnick R-13, June Robinson D-38, Keith Goehner R-12, Keith Wagoner R-39, Leonard Christian R-4, Lisa Wellman D-41, Liz Lovelett D-40, Manka Dhingra D-45, Marcus Riccelli D-3, Mark Schoesler R-9, Marko Liias D-21, Mike Chapman D-24, Nikki Torres R-15, Noel Frame D-36, Paul Harris R-17, Perry Dozier R-16, Phil Fortunato R-31, Rebecca Saldaña D-37, Ron Muzzall R-10, Sharon Shewmake D-42, Shelly Short R-7, Steve Conway D-29, T'wina Nobles D-28, Tina Orwall D-33, Vandana Slatter D-48, Victoria Hunt D-5, Yasmin Trudeau D-27

House · Final Passage as Amended by the House · Mar 4, 2026 · 94–0 (D 56–0, R 38–0; 4 absent or excused)

Yea (94): Adam Bernbaum D-24, Adison Richards D-26, Alex Ramel D-40, Alex Ybarra R-13, Alicia Rule D-42, Andrew Barkis R-2, Andrew Engell R-7, April Berg D-44, April Connors R-8, Beth Doglio D-22, Brandy Donaghy D-44, Brian Burnett R-12, Brianna Thomas D-34, Carolyn Eslick R-39, Chipalo Street D-37, Chris Corry R-15, Chris Stearns D-47, Cindy Ryu D-32, Clyde Shavers D-10, Cyndy Jacobsen R-25, Dan Bronoske D-28, Dan Griffey R-35, Darya Farivar D-46, David Hackney D-11, David Stuebe R-17, Davina Duerr D-1, Deb Manjarrez R-14, Debra Entenman D-47, Debra Lekanoff D-40, Drew Stokesbary R-31, Edwin Obras D-33, Gerry Pollet D-46, Gloria Mendoza R-14, Greg Nance D-23, Hunter Abell R-7, Jake Fey D-27, Jamila Taylor D-30, Janice Zahn D-41, Jenny Graham R-6, Jeremie Dufault R-15, Jim Walsh R-19, Joe Fitzgibbon D-34, Joe Schmick R-9, Joe Timmons D-42, Joel McEntire R-19, John Ley R-18, Joshua Penner R-31, Julia Reed D-36, Julio Cortes D-38, Kevin Waters R-17, Kristine Reeves D-30, Larry Springer D-45, Lauren Davis D-32, Laurie Jinkins D-27, Lillian Ortiz-Self D-21, Lisa Callan D-5, Lisa Parshley D-22, Liz Berry D-36, Mari Leavitt D-28, Mark Klicker R-16, Mary Dye R-9, Mary Fosse D-38, Matt Marshall R-2, Melanie Morgan D-29, Mia Gregerson D-33, Michael Keaton R-25, Michelle Valdez R-26, Mike Steele R-12, Mike Volz R-6, Monica Jurado Stonier D-49, My-Linh Thai D-41, Natasha Hill D-3, Nicole Macri D-43, Osman Salahuddin D-48, Peter Abbarno R-20, Rob Chase R-4, Roger Goodman D-45, Sam Low R-39, Sharlett Mena D-29, Sharon Tomiko Santos D-37, Sharon Wylie D-49, Shaun Scott D-43, Shelley Kloba D-1, Skyler Rude R-16, Stephanie Barnard R-8, Stephanie McClintock R-18, Steve Bergquist D-11, Strom Peterson D-21, Suzanne Schmidt R-4, Tarra Simmons D-23, Timm Ormsby D-3, Tom Dent R-13, Travis Couture R-35, Zach Hall D-5

Excused (4): Amy Walen D-48, Dave Paul D-10, Ed Orcutt R-20, Steve Tharinger D-24

Senate · Final Passage as Amended by the House · Mar 9, 2026 · 49–0 (D 30–0, R 19–0)

Yea (49): Adrian Cortes D-18, Annette Cleveland D-49, Bob Hasegawa D-11, Chris Gildon R-25, Claire Wilson D-30, Claudia Kauffman D-47, Curtis King R-14, Deborah Krishnadasan D-26, Derek Stanford D-1, Drew Hansen D-23, Drew MacEwen R-35, Emily Alvarado D-34, Jamie Pedersen D-43, Javier Valdez D-46, Jeff Holy R-6, Jeff Wilson R-19, Jesse Salomon D-32, Jessica Bateman D-22, Jim McCune R-2, John Braun R-20, John Lovick D-44, Judy Warnick R-13, June Robinson D-38, Keith Goehner R-12, Keith Wagoner R-39, Leonard Christian R-4, Lisa Wellman D-41, Liz Lovelett D-40, Manka Dhingra D-45, Marcus Riccelli D-3, Mark Schoesler R-9, Marko Liias D-21, Matt Boehnke R-8, Mike Chapman D-24, Nikki Torres R-15, Noel Frame D-36, Paul Harris R-17, Perry Dozier R-16, Phil Fortunato R-31, Rebecca Saldaña D-37, Ron Muzzall R-10, Sharon Shewmake D-42, Shelly Short R-7, Steve Conway D-29, T'wina Nobles D-28, Tina Orwall D-33, Vandana Slatter D-48, Victoria Hunt D-5, Yasmin Trudeau D-27

Who lobbied on it 14

Those of them who gave to 2026 campaigns gave $34,800 to the members who cast its final floor votes, most from Elevance Health Inc ($24,200), Genentech ($10,600).

EmployerLobbyistsTo 2026 candidates
Elevance Health, and its Affiliates2$26,400
Northwest Health Law Advocates2—
WA ST HOSPITAL ASSN2—
AIDS Healthcare Foundation1—
Association of Washington Healthcare Plans1—
GENENTECH1$13,000
GENENTECH (contracted through KATHRYN KOLAN)1—
KITSAP CO1—
NATL FEDERATION OF INDEPENDENT BUSINESS1—
WA ST CHIROPRACTIC ASSN1—
WA ST PHARMACY ASSN1—
WA ST PSYCHIATRIC ASSN1—
Washington State Medical Oncology Society1—
Washington State Medical Oncology Society (contracted through KATHRYN KOLAN)1—

Lobbying reports name a bill number, not a position on it or a version of it. Money: what each employer (as a donor to two or more 2026 candidates) gave to the 2026 campaigns of the members who voted yea or nay on the bill's latest final passage in each chamber.