The bill seeks to consolidate and enhance the regulatory framework for nursing assistants in Washington State by establishing a new "board of nursing" with 17 members appointed by the governor, replacing the previous "nursing care quality assurance commission." The board's composition will include a diverse group of professionals, such as registered nurses, licensed practical nurses, certified nursing assistants, and public members, with specified qualifications for each role. The bill introduces new definitions and roles for nursing assistants and medication assistants, emphasizing the importance of competency evaluations and clarifying the board's authority in setting certification fees, approving training programs, and maintaining official records.

Additionally, the bill amends various sections of RCW 18.88A, creating a medication assistant endorsement for nursing assistants who meet specific training and competency requirements. It updates terminology throughout the text to reflect the shift in authority from "secretary" and "commission" to "board." The bill also outlines the criteria for applicants seeking nursing assistant certificates and medication assistant endorsements, ensuring that they complete approved training programs and competency evaluations. Furthermore, it includes provisions for the repeal of certain outdated regulations and establishes a timeline for implementation, with most sections taking effect on July 1, 2026, and one section on June 30, 2027.

Statutes affected:
Original Bill: 18.79.070, 18.88A.020, 18.88A.030, 18.88A.040, 18.88A.082, 18.88A.060, 18.88A.080, 18.88A.085, 18.88A.087, 18.88A.088, 18.88A.090, 18.88A.110, 18.88A.120, 43.70.250, 18.88A.210, 18.88B.060, 18.88A.100
Bill as Passed Legislature: 18.79.070, 18.88A.020, 18.88A.030, 18.88A.040, 18.88A.082, 18.88A.060, 18.88A.080, 18.88A.085, 18.88A.087, 18.88A.088, 18.88A.090, 18.88A.110, 18.88A.120, 43.70.250, 18.88A.210, 18.88B.060, 18.88A.100
Session Law: 18.79.070, 18.88A.020, 18.88A.030, 18.88A.040, 18.88A.082, 18.88A.060, 18.88A.080, 18.88A.085, 18.88A.087, 18.88A.088, 18.88A.090, 18.88A.110, 18.88A.120, 43.70.250, 18.88A.210, 18.88B.060, 18.88A.100