HB 1521 Washington House · 2025-2026 Regular Session

Supporting caregivers who provide complex care services to children with heightened medical needs.

This bill requires Washington's health authority to pay home health agencies for complex medical care provided by family caregivers to children under 18 with significant medical needs. It mandates that caregivers (parents, guardians, or close family) complete 75 hours of training from an accredited agency, receive care supervision from a registered nurse, and work for a licensed home health agency. The program, effective September 2026, limits eligibility to the child's income only (not household income), prohibits caregivers from repaying training costs, and requires a 2029 report on the program's effectiveness. It covers specific medical tasks like medication administration, tracheostomy care, and feeding support provided under nursing supervision.
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
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2
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Committee
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Jan 12, 2026
Introduced
By resolution, reintroduced and retained in present status.
lower
1 primary · 10 co-sponsors

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