Concerning midwife supervision of medical assistants and lactation consultants.
HB 2329 amends Washington state law to clarify that licensed midwives may delegate certain midwifery tasks to medical assistants and coordinate with international board-certified lactation consultants. The bill specifically updates statutes to allow midwives to authorize medical assistants to perform tasks within the assistants' training and scope of practice, while maintaining required supervision standards. It also explicitly confirms that midwives may work with lactation consultants without restrictions. This directly affects midwives, medical assistants, and lactation consultants by expanding midwives' ability to delegate routine care tasks under supervision. The policy change streamlines midwifery practice without altering core supervision requirements.
Bill status
in committee
1 of 4 stages cleared
Introduction
Jan 2026
Committee Review
Floor Vote
Governor
Introduced Jan 8, 2026
Last action Feb 19, 2026
Maddy AI version diff · 1 comparison
What changed between versions
Bill
→
Substitute Bill
·
4 edits
MODERATE
The bill was renumbered from H-2786.1 to H-3168.1 and updated with new committee referral and reading dates. The core policy regarding midwife supervision of medical assistants and lactation consultants remains substantively unchanged, though the formatting of the text was adjusted to reflect the substitute version.
TECHNICAL
Bill number changed from H-2786.1 to H-3168.1.
Sponsorship attribution updated to indicate the bill originated with the House Health Care & Wellness committee.
Procedural dates updated to reflect the substitute bill's timeline (Read first time 01/27/26).
Text formatting and line breaks were adjusted to match the substitute bill's layout.
Floor votes
How they voted
No floor votes recorded yet.
Full legislative history
Actions timeline
Total actions
9
Key actions
2
Committee
3
Jan 27, 2026
Committee
Referred to Rules 2 Review.
lower
Jan 23, 2026
Lower · Passed
Executive action taken in the House Committee on Health Care & Wellness at 8:00 AM.
lower
Jan 14, 2026
Lower · Passed
Public hearing in the House Committee on Health Care & Wellness at 1:30 PM.
lower
1 primary · 3 co-sponsors
Sponsors
Role
Legislator
Party
State
District
P
Stephanie Barnard
RRepublican
Co
Alex Ramel
DDemocratic
Co
Matt Marshall
RRepublican
Co
Timm Ormsby
DDemocratic
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