Concerning well-being programs for certain health care professionals.

Expanded the definition of 'physician well-being program' to include nurse practitioners licensed under chapter 18.71B RCW and nurse anesthetists licensed under chapters 18.71A and 18.71C RCW.

Clarified that well-being programs cannot be used for evaluating specific care, causing harm to specific patients, or disciplining specific providers.

Added a provision stating that reports made to the disciplining authority regarding provider incompetence or patient harm are no longer privileged or confidential and are subject to the public records act.

Expanded the definition of 'physician well-being program' to explicitly include physician assistants alongside physicians and osteopathic physicians.

Updated the exclusion clause to explicitly state that programs do not include monitoring of physician assistants who may be unable to practice safely.

Changed the requirement for program establishment from 'contracted for' to 'established in writing and contracted for' to ensure formal documentation exists before interactions begin.

Broadened the scope of permissible discussions in programs to include general career fatigue and well-being for both physicians and physician assistants, removing the specific limitation to 'physician's professional obligations'.

Added a new subsection stating that the confidentiality privilege does not apply to the organizing documents or contracts that establish the program itself.

Clarified reporting requirements to specify that reports must be made by the 'physician well-being program medical director' if a participant is incompetent or a patient is harmed.

Reorganized the structure of the new section regarding confidentiality, moving the exception for organizing documents to a separate subsection and renumbering subsequent clauses.