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Bill

Bill

SB 5389

Concerning the practice of optometry.

2023-2024 Regular Session Introduced by Annette Cleveland and 10 co-sponsors

Washington expands optometrists' scope of practice to perform additional diagnostic and therapeutic eye procedures, increasing care access while potentially reducing costs and creating professional competition with ophthalmologists.

Effective date 7/23/2023.
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Bill Summary · SB 5389

Legislative bill overview

SB 5389 expands the scope of practice for licensed optometrists in Washington State by authorizing them to perform additional diagnostic and therapeutic procedures previously restricted to ophthalmologists. The bill modifies optometry licensing requirements and permits optometrists to use certain pharmaceutical agents and perform specific eye procedures within defined parameters.

Why is this important

This legislation affects healthcare access and affordability by potentially increasing the availability of eye care services through optometrists, who typically charge less than ophthalmologists. It also impacts the optometry and ophthalmology professions' competitive landscape and may influence patient choice regarding where to receive routine and intermediate eye care services.

Potential points of contention

  • Professional scope disputes: Ophthalmologists may oppose expansion of optometrist authority, arguing it risks patient safety by allowing less extensively trained practitioners to perform complex procedures
  • Training and liability concerns: Questions about whether optometric education adequately prepares practitioners for expanded procedures, and how liability is assigned for adverse outcomes
  • Consumer protection: Debate over whether patients clearly understand the differences in training between optometrists and ophthalmologists when choosing providers

Compiled from official sources — confirm details with the bill’s official record.

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