HB 2425 Washington House · 2025-2026 Regular Session

Concerning nursing delegation.

HB 2425 clarifies when registered nurses in Washington can delegate tasks to certified nursing assistants or home care aides. It allows delegation of "simple care tasks" like blood pressure monitoring or insulin device setup in community-based or in-home settings, but prohibits delegation of medication administration (except specific insulin monitoring), sterile procedures, or tasks requiring nursing judgment. Nurses must verify staff competency, evaluate patient stability, and supervise delegated tasks, with strict limits on what can be delegated based on patient condition. The bill applies directly to nurses, nursing assistants under Chapter 18.88A, and home care aides under Chapter 18.88B in non-acute care settings.

Issues: ✓ Healthcare

Bill status in committee 1 of 4 stages cleared

Introduction

Jan 2026

Committee Review

Floor Vote

Governor

Introduced Jan 13, 2026 Last action Feb 3, 2026

Maddy AI version diff · 1 comparison

What changed between versions

Bill → Substitute Bill · 10 edits

MAJOR

This bill updates nursing delegation rules to expand who can receive delegated tasks, clarify prohibited procedures, and adjust implementation timelines. It adds medical assistants as eligible recipients of delegated tasks, explicitly bans intramuscular and intravenous injections by non-nurses, and shifts the effective date of most provisions to January 1, 2028, to allow time for rulemaking.

Scope change

The bill expands the scope of delegation by adding medical assistants as eligible recipients and clarifying that home care aides and nursing assistants cannot perform intramuscular or intravenous injections. It also reorganizes the bill's sections and changes the effective dates for implementation.

ELIGIBILITY

Added medical assistants credentialed under chapter 18.360 RCW as eligible recipients of delegated nursing tasks.

REQUIREMENT

Added a specific prohibition stating that delegated tasks may never include the administration of medication intramuscularly or intravenously.

Updated the rulemaking deadline for the board of nursing from July 1, 2028, to January 1, 2028.

TIMELINE

Changed the effective date for most sections of the act from June 30, 2027, to January 1, 2028, likely to allow time for the board to adopt necessary rules.

Adjusted the expiration date for Section 1 from July 1, 2026, to June 30, 2027.

Adjusted the effective date for Section 2 from July 1, 2026, to January 1, 2028.

Adjusted the effective date for Section 4 from July 1, 2026, to January 1, 2028.

Adjusted the effective date for Section 6 from July 1, 2028, to January 1, 2028.

TECHNICAL

Removed references to 2025 c 58 s 5019 and 2025 c 58 s 5041 from the list of amended statutes, indicating those specific legislative acts are no longer being amended by this bill.

Reorganized the bill's structure, moving the new section regarding medical assistants and adjusting the numbering of subsequent sections.

Floor votes

How they voted

No floor votes recorded yet.

Full legislative history

Actions timeline

Total actions

Key actions

Committee

Feb 3, 2026

Committee

Referred to Rules 2 Review.

lower

Jan 30, 2026

Lower · Passed

Executive action taken in the House Committee on Health Care & Wellness at 8:00 AM.

lower

Jan 21, 2026

Lower · Passed

Public hearing in the House Committee on Health Care & Wellness at 1:30 PM.

lower

1 primary · 5 co-sponsors