Expanding prescriptive authority for pharmacists.
SB 5924 would allow Washington pharmacists to prescribe medications and devices without needing separate collaborative agreements with doctors, expanding their current authority. This change directly affects pharmacists - particularly in rural and underserved communities - and patients who rely on access to care for chronic conditions like diabetes, cardiovascular disease, and behavioral health. The bill removes the administrative burden of maintaining collaborative agreements, which the legislature states has not improved patient safety or oversight, while recognizing pharmacists' existing 1,740+ hours of patient care training. The policy change aims to improve health outcomes by leveraging pharmacists' full scope of practice as highly trained providers.
Bill status
passed
3 of 5 stages cleared
Introduction
Dec 2025
Committee Review
Feb 2026
Senate Passage
Feb 2026
House Passage
Governor
Introduced Dec 22, 2025
Last action Mar 12, 2026
Maddy AI version diff · 1 comparison
What changed between versions
Bill
→
Substitute Bill
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5 edits
MODERATE
The bill was renumbered from S-3568.1 to S-4435.1 and updated with new sponsorship and reading dates. The core legislative text, including the intent to expand pharmacist prescribing authority and the specific definitions in RCW 18.64.011, remains substantively unchanged. Minor formatting adjustments were made to the act title and the introductory section.
TECHNICAL
Bill number changed from S-3568.1 to S-4435.1.
Sponsorship attribution updated to list the Senate Health & Long-Term Care committee and original sponsors.
First reading date updated from 01/12/26 to 02/04/26.
Minor rewording in the introductory section (Sec. 1) to improve flow, but the policy intent regarding pharmacist scope of practice remains identical.
Formatting and line breaks were adjusted throughout the document, including the act title and section headers.
Floor votes · Senate Feb 17, 2026
How they voted
39–12
Passed
Total votes 51
Feb 17, 2026
D
Democratic31
93% Yea
R
Republican20
50% Nay
Vote distribution
All Yea
All Nay
Mixed
No data
Full legislative history
Actions timeline
Total actions
15
Key actions
5
Committee
4
Feb 17, 2026
Senate · Passed
Senate Vote: pass (39-12)
senate
Feb 3, 2026
Upper · Passed
Minority; without recommendation.
upper
Feb 3, 2026
Upper · Passed
Minority; do not pass.
upper
Feb 3, 2026
Upper · Passed
Executive action taken in the Senate Committee on Health & Long-Term Care at 10:30 AM.
upper
Jan 30, 2026
Upper · Passed
Public hearing in the Senate Committee on Health & Long-Term Care at 8:00 AM.
upper
1 primary · 9 co-sponsors
Sponsors
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