Senate Bill 5807 modifies the wellness programs offered through public and school employee health benefit plans. The bill discontinues the "smart health program," including its wellness incentive and online portal, for these employees, effective January 1, 2028. While employees who meet eligibility requirements for an incentive by December 31, 2027, will still receive it in the 2028 plan year, no new wellness incentives can be earned after that date. The legislation shifts the focus to broader wellness initiatives that emphasize preventative health strategies.
HB 1404 expands access to free school meals in Washington state by removing income-based eligibility requirements. It mandates that all public school students who request a meal receive it at no cost, regardless of family income, to address food insecurity and support academic success. The bill amends several education funding statutes (including RCW 28A.235.135 and 28A.235.160) to align meal access with this new policy. It directly affects every public school student in Washington, ensuring no child experiences hunger during the school day. The policy change replaces previous tiered eligibility systems with universal free meals for all requesting students.
SB 5704 requires health care entities in Washington to notify the attorney general and health care authority about major mergers, acquisitions, or contracting arrangements. This aims to prevent anticompetitive outcomes that could reduce access to affordable, quality care - particularly for reproductive, end-of-life, gender-affirming, and rural health services. The law mandates review of these transactions to ensure communities maintain or improve access to essential services, with specific protections for marginalized groups affected by past consolidation. It supplements federal antitrust rules by expanding reporting requirements for transactions below federal thresholds.
SB 5100 would require family members providing in-home long-term care for relatives (such as spouses, parents, siblings, or grandparents) to complete specific training hours before starting care. It sets different requirements: 12 hours for parents of developmentally disabled children, 15 hours for spouses/partners, and up to 35 hours for others, all within 120 days of hire. Training must include safety, orientation, and care-specific modules, with some hours needed before care begins. This applies to workers previously exempt from certification, while maintaining exemptions for professionals like nurses and certain respite caregivers. The bill is pending legislative action and would standardize training previously not required for these family caregivers.
HB 1238 creates a 12-member advisory council within the University of Washington School of Medicine to address rare disease challenges in Washington. The council advises the state health secretary on research, diagnosis, treatment, and education, directly impacting the estimated 30,000 Washington residents living with rare diseases (affecting fewer than 200,000 people nationally). Key provisions require balanced geographic representation (east/west Cascades), include patient advocates and medical experts, and mandate biennial reports starting in 2026 on improving care access, diagnosis, and public awareness. The council will develop strategies to coordinate disease prevalence studies, identify effective treatments, and recommend a centralized online resource for patients and caregivers, without overriding local health authority during outbreaks.
HB 1162 requires all health care settings in Washington to develop and implement a comprehensive workplace violence prevention plan to protect their employees. These plans must address factors such as physical security, staffing patterns, employee training, and procedures for reporting violent acts. The bill mandates annual reviews and updates of these plans and requires health care settings to conduct timely investigations into every workplace violence incident. Findings from these investigations, along with incident data, must be regularly summarized and submitted to a relevant workplace committee to identify systemic causes and recommend plan modifications.
HB 1578 repeals Washington State's long-term care services and supports trust program, removing specific exemptions that previously allowed certain family caregivers to avoid mandatory training requirements. The bill eliminates provisions that exempted caregivers such as spouses/partners providing care under the trust program, parents caring for children with disabilities, or family members providing limited care (under 20 hours/month or 300 hours/year). This change means these caregivers will now be subject to the same standard training requirements as other long-term care workers under RCW 74.39A.076, including 14-35 hours of approved training within 120 days of starting. The repeal applies to all affected caregivers, ending the special rules established by the repealed trust program.
House Bill 2078 seeks to expand access to medical cannabis and related services in Washington state. The bill allows licensed cannabis processors to obtain a medical cannabis endorsement, enabling them to sell Department of Health-compliant cannabis products directly to qualifying patients and their designated providers. This endorsement also permits both cannabis retailers and processors to provide cannabis at no charge to these individuals. Overall, the bill aims to increase the availability of medical cannabis options for registered patients.
SB 5504 would allow Washington Medicaid to pay family caregivers (parents, guardians, or close relatives) for providing complex medical care to children under 18 with high medical needs, as part of existing private duty nursing coverage. To qualify, caregivers must complete 75+ hours of training from an accredited home health agency, receive RN supervision, and work through a licensed home health agency. The bill requires the state health authority to seek federal approval for this payment change by December 2025 and report on feasibility by January 2026. It expires December 31, 2026, and directly affects families caring for medically fragile children covered by Medicaid.
Senate Bill 5240 allows public and private schools in Washington to maintain a supply of epinephrine, including autoinjectors, for use in emergencies. Licensed health professionals can prescribe this medication in the school's name, accompanied by a standing order for administration by school nurses or trained personnel. The bill clarifies that epinephrine can be administered to students experiencing anaphylaxis, even if they do not have a personal prescription on file, and extends its use to field trips and school buses. It also provides liability protection for those involved in prescribing and administering the medication.
