Concerning emissions of greenhouse gases used for anesthetic purposes.
Washington's SB 5236 requires the Department of Ecology to study emissions from medical anesthetic gases like sevoflurane, desflurane, and nitrous oxide - potent greenhouse gases used in hospitals, dental offices, and veterinary practices - by July 2026. It mandates developing public guidance by April 2027, consulting health departments and medical groups, to help facilities reduce emissions without restricting clinical judgment for patient safety. Facilities must follow this guidance by January 2028, though the bill explicitly states no penalties will apply for non-compliance. The law focuses on voluntary adoption of best practices, referencing efforts in Scotland and medical associations, while ensuring medical professionals retain authority over patient care decisions.
Bill status
in committee
1 of 4 stages cleared
Introduction
Jan 2026
Committee Review
Floor Vote
Governor
Introduced Jan 12, 2026
Last action Jan 12, 2026
Maddy AI version diff · 1 comparison
What changed between versions
Bill
→
Substitute Bill
·
4 edits
MODERATE
The bill was amended to reflect its progression through the legislative process, including a change in the reading date and the addition of the committee that processed the bill. Substantively, the deadline for the Ecology Department to publish its guidance on reducing anesthetic gas emissions was moved up from January 1, 2027, to April 1, 2027, and the list of required stakeholders for public input was expanded to include nursing associations and nurse anesthetists.
Scope change
The bill's scope regarding which professionals must follow the new guidance was expanded to explicitly include nursing practitioners and nurse anesthetists, whereas the original version only mentioned medical, dental, and veterinary professionals.
TIMELINE
The deadline for the Ecology Department to develop and publish the anesthetic gas emissions guidance document was accelerated from January 1, 2027, to April 1, 2027.
ELIGIBILITY
The requirement to follow the new emissions guidance was expanded to include nursing practitioners and nurse anesthetists, in addition to medical, dental, and veterinary professionals.
REQUIREMENT
The list of organizations required to provide input on the guidance document was updated to include the Washington State Board of Nursing and associations representing nurse anesthetists.
SCOPE
The bill text was updated to reflect that it was read first time on February 10, 2025, instead of January 14, 2025, and was referred to the Senate Environment, Energy & Technology Committee.
Floor votes
How they voted
No floor votes recorded yet.
Full legislative history
Actions timeline
Total actions
8
Key actions
3
Committee
5
Jan 12, 2026
Introduced
By resolution, reintroduced and retained in present status.
upper
Feb 10, 2025
Committee
Referred to Ways & Means.
upper
Feb 7, 2025
Committee
And refer to Ways & Means.
upper
Feb 7, 2025
Upper · Passed
Minority; without recommendation.
upper
Feb 7, 2025
Upper · Passed
Executive action taken in the Senate Committee on Environment, Energy & Technology at 10:30 AM.
upper
Jan 24, 2025
Upper · Passed
Public hearing in the Senate Committee on Environment, Energy & Technology at 10:30 AM.
upper
1 primary · 3 co-sponsors
Sponsors
Role
Legislator
Party
State
District
P
Vandana Slatter
DDemocratic
Co
Paul Harris
RRepublican
Co
Sharon Shewmake
DDemocratic
Co
T'wina Nobles
DDemocratic
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