Washington SB 5981 — Protecting patient access to discounted medications and health care services through Washington's health care safety net by preventing manufacturer limitations on the 340B drug pricing program.
Washington, 2025-2026. SB 5981: Protecting patient access to discounted medications and health care services through Washington's health care safety net by preventing manufacturer
Latest action
March 25, 2026 — Effective date 6/11/2026.
Summary
No summary was supplied. Use the original legislative source for the bill text.
Sponsors
- Cleveland — primary sponsor
- Slatter
- Harris
- Bateman
- Alvarado
- Chapman
- Dhingra
- Frame
- Hasegawa
- Liias
- Pedersen
- Saldaña
- Valdez
Bill text
Substitute Bill Read version ↗ Read version ↗
Engrossed Second Substitute Bill Read version ↗ Read version ↗
Second Substitute Bill Read version ↗ Read version ↗
Bill Read version ↗ Read version ↗
Second Substitute Passed Legislature Read version ↗ Read version ↗
Recorded votes
3rd Reading & Final Passage (#21)
February 13, 2026 · Senate · pass
yes: 30 · no: 18 · other: 1
Official vote source ↗Individual member positions (49)
| Member | Vote |
|---|---|
| Wilson, J. | no |
| Wilson, C. | yes |
| Wellman | yes |
| Warnick | no |
| Wagoner | no |
| Valdez | yes |
| Trudeau | yes |
| Torres | no |
| Stanford | yes |
| Slatter | yes |
| Short | no |
| Shewmake | yes |
| Schoesler | no |
| Salomon | yes |
| Saldaña | yes |
| Robinson | yes |
| Riccelli | yes |
| Pedersen | yes |
| Orwall | yes |
| Nobles | yes |
| Muzzall | no |
| McCune | no |
| MacEwen | no |
| Lovick | yes |
| Lovelett | yes |
| Liias | yes |
| Krishnadasan | yes |
| King | no |
| Kauffman | yes |
| Hunt | yes |
| Holy | other |
| Hasegawa | yes |
| Harris | no |
| Hansen | yes |
| Goehner | no |
| Gildon | no |
| Frame | yes |
| Fortunato | no |
| Dozier | no |
| Dhingra | yes |
| Cortes | yes |
| Conway | yes |
| Cleveland | yes |
| Christian | no |
| Chapman | yes |
| Braun | no |
| Boehnke | no |
| Bateman | yes |
| Alvarado | yes |
Final Passage as Amended by the House (#28)
March 9, 2026 · Senate · pass
yes: 30 · no: 19 · other: 0
Official vote source ↗Individual member positions (49)
| Member | Vote |
|---|---|
| Wilson, J. | no |
| Wilson, C. | yes |
| Wellman | yes |
| Warnick | no |
| Wagoner | no |
| Valdez | yes |
| Trudeau | yes |
| Torres | no |
| Stanford | yes |
| Slatter | yes |
| Short | no |
| Shewmake | yes |
| Schoesler | no |
| Salomon | yes |
| Saldaña | yes |
| Robinson | yes |
| Riccelli | yes |
| Pedersen | yes |
| Orwall | yes |
| Nobles | yes |
| Muzzall | no |
| McCune | no |
| MacEwen | no |
| Lovick | yes |
| Lovelett | yes |
| Liias | yes |
| Krishnadasan | yes |
| King | no |
| Kauffman | yes |
| Hunt | yes |
| Holy | no |
| Hasegawa | yes |
| Harris | no |
| Hansen | yes |
| Goehner | no |
| Gildon | no |
| Frame | yes |
| Fortunato | no |
| Dozier | no |
| Dhingra | yes |
| Cortes | yes |
| Conway | yes |
| Cleveland | yes |
| Christian | no |
| Chapman | yes |
| Braun | no |
| Boehnke | no |
| Bateman | yes |
| Alvarado | yes |
2434 Engell Pg 2 Ln 26 (#18)
March 6, 2026 · House · fail
yes: 40 · no: 56 · other: 2
Official vote source ↗Individual member positions (98)
| Member | Vote |
|---|---|
| Schmick | yes |
| Santos | no |
| Salahuddin | no |
| Ryu | no |
| Rule | yes |
| Rude | yes |
| Richards | yes |
| Reeves | no |
| Reed | no |
| Ramel | no |
| Pollet | no |
| Peterson | no |
| Penner | yes |
| Paul | no |
| Parshley | no |
| Ortiz-Self | no |
| Ormsby | no |
| Orcutt | yes |
| Obras | no |
| Nance | no |
| Morgan | no |
| Mendoza | yes |
| Mena | no |
| McEntire | yes |
| McClintock | yes |
| Marshall | yes |
| Manjarrez | yes |
| Macri | no |
| Low | yes |
| Ley | yes |
| Lekanoff | no |
| Leavitt | no |
| Kloba | no |
| Klicker | yes |
| Keaton | yes |
| Jinkins | no |
| Jacobsen | yes |
| Hill | no |
| Hall | no |
| Hackney | no |
| Griffey | yes |
| Gregerson | no |
| Graham | yes |
| Goodman | no |
| Fosse | no |
| Fitzgibbon | no |
| Fey | no |
| Farivar | no |
| Eslick | other |
| Entenman | no |
| Engell | yes |
| Dye | yes |
| Dufault | yes |
| Duerr | no |
| Donaghy | no |
| Doglio | no |
| Dent | yes |
| Davis | no |
| Couture | yes |
| Cortes | no |
| Corry | yes |
| Connors | yes |
| Chase | yes |
| Callan | no |
| Burnett | yes |
| Bronoske | no |
| Berry | no |
| Bernbaum | no |
| Bergquist | no |
| Berg | no |
| Barnard | yes |
| Barkis | yes |
| Abell | yes |
| Abbarno | yes |
| Zahn | no |
| Ybarra | yes |
| Wylie | no |
| Waters | yes |
| Walsh | yes |
| Walen | no |
| Volz | yes |
| Valdez | yes |
| Timmons | no |
| Thomas | no |
| Tharinger | other |
| Thai | no |
| Taylor | no |
| Stuebe | yes |
| Street | no |
| Stonier | no |
| Stokesbary | yes |
| Steele | yes |
| Stearns | no |
| Springer | no |
| Simmons | no |
| Shavers | no |
| Scott | no |
| Schmidt | yes |
2468 Marshall Pg 3 Ln 7 (#21)
March 6, 2026 · House · fail
yes: 43 · no: 53 · other: 2
Official vote source ↗Individual member positions (98)
| Member | Vote |
|---|---|
| Reed | no |
| Ramel | no |
| Pollet | no |
| Peterson | no |
| Penner | yes |
| Paul | no |
| Parshley | no |
| Ortiz-Self | no |
| Ormsby | no |
| Orcutt | yes |
| Obras | no |
| Nance | no |
| Morgan | no |
| Mendoza | yes |
| Mena | no |
| McEntire | yes |
| McClintock | yes |
| Marshall | yes |
| Manjarrez | yes |
| Macri | no |
| Low | yes |
| Ley | yes |
| Lekanoff | no |
| Leavitt | yes |
| Kloba | no |
| Klicker | yes |
| Keaton | yes |
| Jinkins | no |
| Jacobsen | yes |
| Hill | no |
| Hall | no |
| Hackney | yes |
| Griffey | yes |
| Gregerson | no |
| Graham | yes |
| Goodman | no |
| Fosse | no |
| Fitzgibbon | no |
| Fey | no |
| Farivar | no |
| Eslick | other |
| Entenman | no |
| Engell | yes |
| Dye | yes |
| Dufault | yes |
| Duerr | no |
| Donaghy | no |
| Doglio | no |
| Dent | yes |
| Davis | no |
| Couture | yes |
| Cortes | no |
| Corry | yes |
| Connors | yes |
| Chase | yes |
| Callan | no |
| Burnett | yes |
| Bronoske | no |
| Berry | no |
| Bernbaum | no |
| Bergquist | no |
| Berg | no |
| Barnard | yes |
| Barkis | yes |
| Abell | yes |
| Abbarno | yes |
| Zahn | no |
| Ybarra | yes |
| Wylie | no |
| Waters | yes |
| Walsh | yes |
| Walen | no |
| Volz | yes |
| Valdez | yes |
| Timmons | yes |
| Thomas | no |
| Tharinger | other |
| Thai | no |
| Taylor | no |
| Stuebe | yes |
| Street | no |
| Stonier | no |
| Stokesbary | yes |
| Steele | yes |
| Stearns | no |
| Springer | no |
| Simmons | no |
| Shavers | yes |
| Scott | no |
| Schmidt | yes |
| Schmick | yes |
| Santos | no |
| Salahuddin | no |
| Ryu | no |
| Rule | no |
| Rude | yes |
| Richards | yes |
| Reeves | no |
2435 Abell Pg 3 Ln 7 (#20)
March 6, 2026 · House · fail
yes: 43 · no: 53 · other: 2
Official vote source ↗Individual member positions (98)
| Member | Vote |
|---|---|
| Zahn | no |
| Ybarra | yes |
| Wylie | no |
| Waters | yes |
| Macri | no |
| Low | yes |
| Ley | yes |
| Lekanoff | no |
| Leavitt | yes |
| Kloba | no |
| Klicker | yes |
| Keaton | yes |
| Jinkins | no |
| Jacobsen | yes |
| Hill | no |
| Hall | no |
| Hackney | no |
| Griffey | yes |
| Gregerson | no |
| Graham | yes |
| Goodman | no |
| Fosse | no |
| Fitzgibbon | no |
| Fey | no |
| Farivar | no |
| Eslick | other |
| Entenman | no |
| Engell | no |
| Dye | yes |
| Dufault | yes |
| Duerr | no |
| Donaghy | no |
| Doglio | no |
| Dent | yes |
| Davis | no |
| Couture | yes |
| Cortes | no |
| Corry | yes |
| Connors | yes |
| Chase | yes |
| Callan | no |
| Burnett | yes |
| Bronoske | no |
| Berry | no |
| Bernbaum | no |
| Bergquist | no |
| Berg | no |
| Barnard | yes |
| Barkis | yes |
| Abell | yes |
| Abbarno | yes |
| Walsh | yes |
| Walen | no |
| Volz | yes |
| Valdez | yes |
| Timmons | yes |
| Thomas | no |
| Tharinger | other |
| Thai | no |
| Taylor | no |
| Stuebe | yes |
| Street | no |
| Stonier | no |
| Stokesbary | yes |
| Steele | yes |
| Stearns | no |
| Springer | yes |
| Simmons | no |
| Shavers | yes |
| Scott | no |
| Schmidt | yes |
| Schmick | yes |
| Santos | no |
| Salahuddin | no |
| Ryu | no |
| Rule | no |
| Rude | yes |
| Richards | yes |
| Reeves | yes |
| Reed | no |
| Ramel | no |
| Pollet | no |
| Peterson | no |
| Penner | yes |
| Paul | no |
| Parshley | no |
| Ortiz-Self | no |
| Ormsby | no |
| Orcutt | yes |
| Obras | no |
| Nance | no |
| Morgan | no |
| Mendoza | yes |
| Mena | no |
| McEntire | yes |
| McClintock | yes |
| Marshall | yes |
| Manjarrez | yes |
2457 Marshall Pg 3 Ln 29 (#23)
March 6, 2026 · House · fail
yes: 46 · no: 50 · other: 2
Official vote source ↗Individual member positions (98)
| Member | Vote |
|---|---|
| Peterson | no |
| Penner | yes |
| Paul | no |
| Parshley | no |
| Ortiz-Self | no |
| Ormsby | no |
| Orcutt | yes |
| Obras | no |
| Nance | no |
| Morgan | no |
| Mendoza | yes |
| Mena | no |
| McEntire | yes |
| McClintock | yes |
| Marshall | yes |
| Manjarrez | yes |
| Macri | no |
| Low | yes |
| Ley | yes |
| Lekanoff | no |
| Leavitt | yes |
| Kloba | no |
| Klicker | yes |
| Keaton | yes |
| Jinkins | no |
| Jacobsen | yes |
| Hill | no |
| Hall | no |
| Hackney | yes |
| Griffey | yes |
| Gregerson | no |
| Graham | yes |
| Goodman | no |
| Fosse | no |
| Fitzgibbon | no |
| Fey | no |
| Farivar | no |
| Eslick | other |
| Entenman | no |
| Engell | no |
| Dye | yes |
| Dufault | yes |
| Duerr | no |
| Donaghy | no |
| Doglio | no |
| Dent | yes |
| Davis | no |
| Couture | yes |
| Cortes | no |
| Corry | yes |
| Connors | yes |
| Chase | yes |
| Callan | no |
| Burnett | yes |
| Bronoske | no |
| Berry | no |
| Bernbaum | no |
| Bergquist | no |
| Berg | no |
| Barnard | yes |
| Barkis | yes |
| Abell | yes |
| Abbarno | yes |
| Zahn | no |
| Ybarra | yes |
| Wylie | no |
| Waters | yes |
| Walsh | yes |
| Walen | yes |
| Volz | yes |
| Valdez | yes |
| Timmons | yes |
| Thomas | no |
| Tharinger | other |
| Thai | no |
| Taylor | no |
| Stuebe | yes |
| Street | no |
| Stonier | no |
| Stokesbary | yes |
| Steele | yes |
| Stearns | no |
| Springer | yes |
| Simmons | no |
| Shavers | yes |
| Scott | no |
| Schmidt | yes |
| Schmick | yes |
| Santos | no |
| Salahuddin | no |
| Ryu | no |
| Rule | yes |
| Rude | yes |
| Richards | yes |
| Reeves | yes |
| Reed | no |
| Ramel | no |
| Pollet | no |
Final Passage as Amended by the House (#24)
March 6, 2026 · House · pass
yes: 67 · no: 30 · other: 1
Official vote source ↗Individual member positions (98)
| Member | Vote |
|---|---|
| Rude | no |
| Richards | yes |
| Reeves | yes |
| Reed | yes |
| Ramel | yes |
| Pollet | yes |
| Peterson | yes |
| Penner | no |
| Paul | yes |
| Parshley | yes |
| Ortiz-Self | yes |
| Ormsby | yes |
| Orcutt | no |
| Obras | yes |
| Nance | yes |
| Morgan | yes |
| Mendoza | no |
| Mena | yes |
| McEntire | yes |
| McClintock | yes |
| Marshall | no |
| Manjarrez | no |
| Macri | yes |
| Low | no |
| Ley | no |
| Lekanoff | yes |
| Leavitt | yes |
| Kloba | yes |
| Klicker | no |
| Keaton | no |
| Jinkins | yes |
| Jacobsen | no |
| Hill | yes |
| Hall | yes |
| Hackney | yes |
| Griffey | no |
| Gregerson | yes |
| Graham | yes |
| Goodman | yes |
| Fosse | yes |
| Fitzgibbon | yes |
| Fey | yes |
| Farivar | yes |
| Eslick | no |
| Entenman | yes |
| Engell | no |
| Dye | no |
| Dufault | no |
| Duerr | yes |
| Donaghy | yes |
| Doglio | yes |
| Dent | yes |
| Davis | yes |
| Couture | no |
| Cortes | yes |
| Corry | no |
| Connors | no |
| Chase | yes |
| Callan | yes |
| Burnett | no |
| Bronoske | yes |
| Berry | yes |
| Bernbaum | yes |
| Bergquist | yes |
| Berg | yes |
| Barnard | no |
| Barkis | no |
| Abell | no |
| Abbarno | no |
| Zahn | yes |
| Ybarra | no |
| Wylie | yes |
| Waters | yes |
| Walsh | yes |
| Walen | no |
| Volz | yes |
| Valdez | no |
| Timmons | yes |
| Thomas | yes |
| Tharinger | other |
| Thai | yes |
| Taylor | yes |
| Stuebe | yes |
| Street | yes |
| Stonier | yes |
| Stokesbary | no |
| Steele | yes |
| Stearns | yes |
| Springer | no |
| Simmons | yes |
| Shavers | yes |
| Scott | yes |
| Schmidt | yes |
| Schmick | no |
| Santos | yes |
| Salahuddin | yes |
| Ryu | yes |
| Rule | yes |
2432 Dufault Pg 2 Ln 30 (#19)
March 6, 2026 · House · fail
yes: 38 · no: 58 · other: 2
Official vote source ↗Individual member positions (98)
| Member | Vote |
|---|---|
| Zahn | no |
| Ybarra | yes |
| Wylie | no |
| Waters | yes |
| Walsh | yes |
| Walen | no |
| Volz | yes |
| Valdez | yes |
| Timmons | no |
| Thomas | no |
| Tharinger | other |
| Thai | no |
| Taylor | no |
| Stuebe | yes |
| Street | no |
| Stonier | no |
| Stokesbary | yes |
| Steele | yes |
| Stearns | no |
| Springer | no |
| Simmons | no |
| Shavers | no |
| Scott | no |
| Schmidt | yes |
| Schmick | yes |
| Santos | no |
| Salahuddin | no |
| Ryu | no |
| Rule | yes |
| Rude | yes |
| Richards | no |
| Reeves | no |
| Reed | no |
| Ramel | no |
| Pollet | no |
| Peterson | no |
| Penner | yes |
| Paul | no |
| Parshley | no |
| Ortiz-Self | no |
| Ormsby | no |
| Orcutt | yes |
| Obras | no |
| Nance | no |
| Morgan | no |
| Mendoza | yes |
| Mena | no |
| McEntire | yes |
| McClintock | yes |
| Marshall | yes |
| Manjarrez | yes |
| Macri | no |
| Low | yes |
| Ley | yes |
| Lekanoff | no |
| Leavitt | no |
| Kloba | no |
| Klicker | yes |
| Keaton | yes |
| Jinkins | no |
| Jacobsen | yes |
| Hill | no |
| Hall | no |
| Hackney | no |
| Griffey | yes |
| Gregerson | no |
| Graham | yes |
| Goodman | no |
| Fosse | no |
| Fitzgibbon | no |
| Fey | no |
| Farivar | no |
| Eslick | other |
| Entenman | no |
| Engell | no |
| Dye | yes |
| Dufault | yes |
| Duerr | no |
| Donaghy | no |
| Doglio | no |
| Dent | yes |
| Davis | no |
| Couture | yes |
| Cortes | no |
| Corry | yes |
| Connors | yes |
| Chase | yes |
| Callan | no |
| Burnett | yes |
| Bronoske | no |
| Berry | no |
| Bernbaum | no |
| Bergquist | no |
| Berg | no |
| Barnard | yes |
| Barkis | yes |
| Abell | yes |
| Abbarno | yes |
2433 Manjarrez Pg 3 Ln 29 (#22)
March 6, 2026 · House · fail
yes: 39 · no: 57 · other: 2
Official vote source ↗Individual member positions (98)
| Member | Vote |
|---|---|
| Zahn | no |
| Ybarra | yes |
| Wylie | no |
| Waters | yes |
| Walsh | yes |
| Walen | no |
| Volz | yes |
| Valdez | yes |
| Timmons | no |
| Thomas | no |
| Tharinger | other |
| Thai | no |
| Taylor | no |
| Stuebe | yes |
| Street | no |
| Stonier | no |
| Stokesbary | yes |
| Steele | yes |
| Stearns | no |
| Springer | no |
| Simmons | no |
| Shavers | no |
| Richards | no |
| Reeves | no |
| Reed | no |
| Ramel | no |
| Pollet | no |
| Peterson | no |
| Penner | yes |
| Paul | no |
| Parshley | no |
| Ortiz-Self | no |
| Ormsby | no |
| Orcutt | yes |
| Obras | no |
| Nance | no |
| Morgan | no |
| Mendoza | yes |
| Mena | no |
| McEntire | yes |
| McClintock | yes |
| Marshall | yes |
| Manjarrez | yes |
| Macri | no |
| Low | yes |
| Ley | yes |
| Lekanoff | no |
| Leavitt | no |
| Kloba | no |
| Klicker | yes |
| Keaton | yes |
| Jinkins | no |
| Jacobsen | yes |
| Hill | no |
| Hall | no |
| Hackney | no |
| Griffey | yes |
| Gregerson | no |
| Graham | yes |
| Goodman | no |
| Fosse | no |
| Fitzgibbon | no |
| Fey | no |
| Farivar | no |
| Eslick | other |
| Entenman | no |
| Engell | yes |
| Dye | yes |
| Dufault | yes |
| Duerr | no |
| Donaghy | no |
| Doglio | no |
| Dent | yes |
| Davis | no |
| Couture | yes |
| Cortes | no |
| Corry | yes |
| Connors | yes |
| Chase | yes |
| Callan | no |
| Burnett | yes |
| Bronoske | no |
| Berry | no |
| Bernbaum | no |
| Bergquist | no |
| Berg | no |
| Barnard | yes |
| Barkis | yes |
| Abell | yes |
| Abbarno | yes |
| Scott | no |
| Schmidt | yes |
| Schmick | yes |
| Santos | no |
| Salahuddin | no |
| Ryu | no |
| Rule | yes |
| Rude | yes |
Legislative history
- Effective date 6/11/2026.
- Chapter 227, 2026 Laws.
- Governor signed.
- Delivered to Governor.
- Speaker signed.
- President signed.
- Passed final passage; yeas, 30; nays, 19; absent, 0; excused, 0.
- Senate concurred in House amendments.
- Third reading, passed; yeas, 67; nays, 30; absent, 0; excused, 1.
- Rules suspended. Placed on Third Reading.
- Committee amendment(s) adopted with no other amendments.
- Rules Committee relieved of further consideration. Placed on second reading.
- Referred to Rules 2 Review.
- Minority; without recommendation.
- Minority; do not pass.
- APP - Majority; do pass with amendment(s) by Health Care & Wellness.
- Executive action taken in the House Committee on Appropriations at 10:30 AM.
- Public hearing in the House Committee on Appropriations at 10:30 AM.
- Referred to Appropriations.
- Minority; without recommendation.
- Minority; do not pass.
- HCW - Majority; do pass with amendment(s).
- Executive action taken in the House Committee on Health Care & Wellness at 1:30 PM.
- Public hearing in the House Committee on Health Care & Wellness at 8:00 AM.
- First reading, referred to Health Care & Wellness.
- Third reading, passed; yeas, 30; nays, 18; absent, 0; excused, 1.
- Rules suspended. Placed on Third Reading.
- Floor amendment(s) adopted.
- 2nd substitute bill substituted (WM 26).
- Placed on second reading by Rules Committee.
- Passed to Rules Committee for second reading.
- Minority; without recommendation.
- Minority; do not pass.
- WM - Majority; 2nd substitute bill be substituted, do pass.
- Executive action taken in the Senate Committee on Ways & Means at 10:30 AM.
- Public hearing in the Senate Committee on Ways & Means at 1:30 PM.
- Referred to Ways & Means.
- Minority; do not pass.
- And refer to Ways & Means.
- HLTC - Majority; 1st substitute bill be substituted, do pass.
- Executive action taken in the Senate Committee on Health & Long-Term Care at 10:30 AM.
- Public hearing in the Senate Committee on Health & Long-Term Care at 8:00 AM.
- First reading, referred to Health & Long-Term Care.
- Prefiled for introduction.
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