HB 2152, titled "Ryan's law," allows terminally ill patients with a qualifying medical condition to use cannabis in hospitals, nursing homes (excluding some residential facilities), and hospice care centers starting January 1, 2027. Facilities must establish written policies prohibiting smoking/vaping, requiring secure storage, documenting use in medical records, and having patients or their designated providers manage cannabis. Patients must provide valid authorization, and staff cannot administer or retrieve cannabis. The law excludes emergency departments and does not require facilities to comply if federal agencies block it, though it clarifies federal scheduling alone cannot override the policy.
HB 2113 updates Washington State's supervision rules for diagnostic radiologic technologists, therapeutic radiologic technologists, and magnetic resonance imaging (MRI) technologists. It allows these professionals to perform certain injections (like IV contrast) under virtual supervision via real-time video (excluding audio-only) or direct supervision by physicians, advanced nurses, or physician assistants. The bill also requires trained clinical staff to be present during IV contrast administration to handle potential adverse reactions. These changes specifically affect technologists working under physician oversight in medical settings.
This bill restricts the use of specific nursing titles in Washington State to only licensed professionals. It prohibits anyone without a valid license from using titles like "registered nurse" (R.N.), "nurse practitioner" (N.P.), or "licensed practical nurse" (L.P.N.), including nonhuman entities like businesses. Christian Science nurses listed in their official journal may still use "Christian Science nurse" if they don’t claim other nursing credentials. The law expires June 30, 2027, after taking effect on the same date.
HB 2168 creates a real-time overdose mapping system to help prevent opioid overdoses in Washington. It requires emergency medical services (like ambulances and aid services) to submit anonymized data - such as location, time, whether reversal medication was used, and fatality status - within 24 hours of treating an overdose to a centralized program. This data helps health and public safety agencies quickly identify overdose hotspots and deploy targeted prevention efforts, like public education or treatment resources, without using the information for law enforcement. The bill explicitly prohibits using the data for criminal investigations or identifying individuals, ensuring privacy protections for those seeking care.
House Bill 1230 requires experience-rated group disability income insurers in Washington state to include all applicable rating factors and credibility formulas when they file their rate manuals with the Insurance Commissioner. These filings must be detailed enough to allow the Commissioner to confirm if a group is credible and to replicate the premium rates for that group based on its experience and demographics. This bill aims to provide greater transparency and oversight for how these specific disability insurance rates are calculated.
House Bill 1394 modifies the requirements for how long hospitals in Washington State must retain medical records. It mandates that hospitals preserve all medical records for a minimum of 26 years from the date the record was created, replacing the prior 10-year retention period. This new rule applies to both existing records currently held by hospitals and all future medical records, allowing for retention in paper, electronic, or other formats. It also clarifies that all information from each unique patient visit is considered a medical record under this section.
SB 5291 strengthens the WA Cares long-term care program by implementing recommendations from the long-term services and supports trust commission. The bill allows individuals who have paid into the program for at least three years while working in Washington to continue their participation and eligibility for benefits even if they move out of state. It also establishes a clear process for how the program's benefit unit, currently up to $100, will be adjusted annually for inflation using a specific consumer price index. Additionally, the bill expands the definition of approved services to explicitly include long-term services and supports provided in nursing homes.
SB 5579 prohibits health carriers, facilities, and providers from making public statements about potential or planned contract terminations until 45 days before the termination date, unless legally required. This aims to provide consistent policies for communicating with health plan enrollees and affected communities during contract negotiations. The bill directs the Insurance Commissioner to develop standard templates for patient notices, which must include information on affected facilities, appointment guidance, and continuity of care rights. Violations by carriers can result in monetary penalties, while violations by providers or facilities can be referred to relevant licensing or disciplinary authorities.
HB 1468 repeals numerous existing state accounts across various sectors, such as the Juvenile Accountability Incentive Account and the Washington State Flag Account. Simultaneously, it establishes an annual eight-dollar surcharge on licenses for registered nurses and licensed practical nurses. These surcharge funds will be deposited into a new Nursing Resource Center Account. This account will provide grants to a central nursing resource center. The center's mission is to strengthen Washington's nursing workforce through activities like data collection, trend monitoring, and promoting nursing careers to ensure adequate healthcare staffing.
HB 1709 authorizes trained, parent-designated adults to provide care, including administering emergency medication, to students with adrenal insufficiency in Washington public schools. The bill requires school districts to develop individual health plans for these students and adopt policies for their care, such as medication storage and emergency procedures. Parent-designated adults must volunteer, be authorized by the student's parents, and complete specific training. This legislation also extends liability protection to school districts, employees, and these designated adults who act in good faith according to the student's health plan. This measure aims to ensure students with adrenal insufficiency receive necessary medical support when a school nurse is not available.