SB 5361 Washington Senate · 2025-2026 Regular Session

Delaying the use of the ASAM 4 criteria, treatment criteria for addictive, substance related, and co-occurring conditions.

SB 5361 delays the required implementation of the ASAM Criteria, 4th edition, which provides treatment guidelines for addictive, substance-related, and co-occurring conditions. The bill changes the deadline for Medicaid managed care organizations, insurance carriers, and other relevant entities to begin using these updated criteria from January 1, 2026, to no later than January 1, 2028. While the Health Care Authority and the Office of the Insurance Commissioner retain joint authority to determine the use of future updated ASAM Criteria versions, this bill specifically adjusts the latest adoption date for the 4th edition.

Bill status signed all 5 stages cleared

Introduction

Jan 2025

Committee Review

Apr 2025

Senate Passage

Apr 2025

House Passage

Apr 2025

Signed into Law

May 2025

Introduced Jan 20, 2025 Signed May 17, 2025

Maddy AI version diff · 1 comparison

What changed between versions

Bill → Passed Legislature · 3 edits

MINOR

The document has been converted from a draft bill text to an official certification of enrollment, confirming that Senate Bill 5361 was passed by both the Senate and the House of Representatives in the 2025 Regular Session. This change signifies the bill's transition from a proposed law to an enacted statute, adding official signatures, vote counts, and filing details while removing the original bill content.

ENFORCEMENT

Added official certification text confirming the bill was passed by both chambers with specific vote counts and dates.

TECHNICAL

Included signatures and titles for the President of the Senate, Speaker of the House, and Secretary of the Senate.

Removed the original draft bill text and header indicating it was a draft version.

Floor votes · Senate Mar 4, 2025 · House Apr 15, 2025

How they voted

49–2

Passed

Total votes 51

Mar 4, 2025

D Democratic31

31 Yea

100% Yea

R Republican20

18 Yea 2 Nay

90% Yea

Vote distribution

All Yea All Nay Mixed No data

Full legislative history

Actions timeline

Total actions

Key actions

Committee

May 17, 2025

Signed into law

Governor signed.

executive

Apr 18, 2025

Lower · Passed

Speaker signed.

lower

Apr 18, 2025

Upper · Passed

President signed.

upper

Apr 15, 2025

House · Passed

House Vote: pass (98-0-2)

house

Apr 8, 2025

Committee

Referred to Rules 2 Review.

lower

Apr 8, 2025

Lower · Passed

APP - Majority; do pass.

lower

Apr 8, 2025

Lower · Passed

Executive action taken in the House Committee on Appropriations at 10:30 AM.

lower

Apr 4, 2025

Lower · Passed

Public hearing in the House Committee on Appropriations at 1:30 PM.

lower

Mar 27, 2025

Committee

Referred to Appropriations.

lower

Mar 25, 2025

Lower · Passed

HCW - Majority; do pass.

lower

Mar 25, 2025

Lower · Passed

Executive action taken in the House Committee on Health Care & Wellness at 1:30 PM.

lower

Mar 18, 2025

Lower · Passed

Public hearing in the House Committee on Health Care & Wellness at 1:30 PM.

lower

Mar 4, 2025

Senate · Passed

Senate Vote: pass (49-2)

senate

Feb 18, 2025

Upper · Passed

WM - Majority; do pass.

upper

Feb 18, 2025

Upper · Passed

Executive action taken in the Senate Committee on Ways & Means at 4:00 PM.

upper

Feb 10, 2025

Upper · Passed

Public hearing in the Senate Committee on Ways & Means at 4:00 PM.

upper

Jan 31, 2025

Committee

Referred to Ways & Means.

upper

Jan 30, 2025

Upper · Passed

Minority; without recommendation.

upper

Jan 30, 2025

Committee

And refer to Ways & Means.

upper

Jan 30, 2025

Upper · Passed

HLTC - Majority; do pass.

upper

Jan 30, 2025

Upper · Passed

Executive action taken in the Senate Committee on Health & Long-Term Care at 8:00 AM.

upper

Jan 28, 2025

Upper · Passed

Public hearing in the Senate Committee on Health & Long-Term Care at 10:30 AM.

upper

1 primary · 2 co-sponsors