The bill aims to authorize payment for parental caregivers of minor children with developmental disabilities in Washington State. It recognizes the challenges faced by families in securing adequate care for their children, particularly in light of a caregiver workforce shortage and the unique needs of children with disabilities. The legislation intends to support these families by allowing parents to be compensated for providing "extraordinary care" to their children, which exceeds typical household responsibilities. The bill mandates that the administration submit requests to the Centers for Medicare and Medicaid Services for necessary amendments to home and community-based services waivers to facilitate this payment structure.

Additionally, the bill outlines the implementation process for compensating parental caregivers, including the establishment of rules for assessing personal care hours and ensuring that parental caregivers meet the same training and oversight requirements as other individual providers. It specifies that payments for parental caregiving will be classified as a waiver service, distinct from other personal care services. The bill includes provisions for the expiration of certain sections, with Section 4 expiring on July 1, 2032, and Section 5 expiring on July 1, 2031, while Section 6 will take effect on July 1, 2031.