The bill proposes significant amendments to the Revised Code of Washington (RCW) to update the legal title for advanced practice nurses from "advanced practice registered nurse practitioner" to "advanced practice registered nurse," with this change reflected in multiple sections such as RCW 18.79.030, 18.79.040, and 18.79.050. Additionally, the term "commission" is replaced with "board" in various sections, including RCW 18.79.070 and 18.79.110, indicating a shift in oversight authority. The bill also outlines qualifications for licensing as a registered nurse, advanced practice registered nurse, and licensed practical nurse, emphasizing the board's authority to define nursing practices and establish educational standards.

Moreover, the bill introduces new requirements for public and private schools regarding the clean, intermittent bladder catheterization of students, necessitating written requests from parents and physicians, along with instructions from APRNs or registered nurses. It mandates the board to adopt new rules concerning chronic pain management and opioid prescribing, including guidelines for dosing and tracking clinical progress. The bill also requires APRNs who prescribe opioids to inform patients of their right to refuse such prescriptions. A deadline for correcting references to the new title is set for December 31, 2024, and the act is scheduled to take effect on June 30, 2027, with the exception of the technical corrections section.

Statutes affected:
Original Bill: 18.79.030, 18.79.040, 18.79.050, 18.79.060, 18.79.070, 18.79.110, 18.79.160, 18.79.170, 18.79.180, 18.79.200, 43.70.250, 18.79.240, 18.79.250, 18.79.256, 18.79.260, 18.79.270, 18.79.290, 18.79.400, 18.79.800, 18.79.810
Bill as Passed Legislature: 18.79.030, 18.79.040, 18.79.050, 18.79.060, 18.79.070, 18.79.110, 18.79.160, 18.79.170, 18.79.180, 18.79.200, 43.70.250, 18.79.240, 18.79.250, 18.79.256, 18.79.260, 18.79.270, 18.79.290, 18.79.400, 18.79.800, 18.79.810
Session Law: 18.79.030, 18.79.040, 18.79.050, 18.79.060, 18.79.070, 18.79.110, 18.79.160, 18.79.170, 18.79.180, 18.79.200, 43.70.250, 18.79.240, 18.79.250, 18.79.256, 18.79.260, 18.79.270, 18.79.290, 18.79.400, 18.79.800, 18.79.810