SB 5823 Washington Senate · 2025-2026 Regular Session

Concerning patient advocates.

This bill requires most Washington hospitals to employ a full-time, on-site patient advocate starting January 1, 2027, to help patients navigate healthcare systems. It directly affects licensed hospitals, with exemptions for certain rural hospitals (critical access or sole community hospitals), Skagit County island hospitals, and tribal hospitals meeting specific criteria. Exempt hospitals must instead provide verified access to external advocacy services (like phone/video support) and ensure patients know how to connect with them. The advocate’s role includes assisting with medical records, scheduling, care coordination, and communication with providers or insurers.
Bill status in committee 1 of 4 stages cleared
Introduction
Dec 2025
Committee Review
Floor Vote
Governor
Introduced Dec 3, 2025 Last action Feb 4, 2026
Maddy AI version diff · 1 comparison

What changed between versions

Bill Substitute Bill · 3 edits
MINOR
The bill was updated to reflect its current status in the Senate Health & Long-Term Care committee, including a new reading date. The core policy requirements for patient advocates were modified to clarify that duties can be shared among multiple staff members and to specify that physical presence is required in the 'acute care setting' rather than the entire hospital.
Scope change
The applicability of the physical presence requirement was narrowed from the entire hospital to the 'acute care setting', and the ability for multiple staff members to share advocacy duties was added.
REQUIREMENT

Changed the physical presence requirement from 'every day throughout the 24-hour period' to 'every day in the acute care setting'.

Added a provision stating that patient advocacy services and duties may be provided by more than one person.

TECHNICAL

Updated the bill header to include the committee name and the new first reading date of 02/04/26.

Floor votes

How they voted

No floor votes recorded yet.
Full legislative history

Actions timeline

Total actions
9
Key actions
4
Committee
6
Feb 4, 2026
Committee
Referred to Ways & Means.
upper
Feb 3, 2026
Upper · Passed
Minority; without recommendation.
upper
Feb 3, 2026
Upper · Passed
Minority; do not pass.
upper
Feb 3, 2026
Committee
And refer to Ways & Means.
upper
Feb 3, 2026
Upper · Passed
Executive action taken in the Senate Committee on Health & Long-Term Care at 10:30 AM.
upper
Jan 29, 2026
Upper · Passed
Public hearing in the Senate Committee on Health & Long-Term Care at 8:00 AM.
upper
1 primary · 2 co-sponsors

Sponsors