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 mandates that by January 31, 2026, the administration must request amendments to home and community-based services waivers from the Centers for Medicare and Medicaid Services (CMS) to allow parents to be compensated for providing "extraordinary care" to their children. The bill defines "extraordinary care" as care that exceeds typical household activities and is necessary for the child's health and welfare.

Additionally, the bill includes provisions for the administration to adopt rules for assessing personal care hours for minors with compensated parental caregivers and allows parental caregivers to be employed as individual providers under the same training and oversight requirements as other providers. It also clarifies that personal care service hours provided by parent caregivers will be offered as a waiver service, while hours provided by non-parent providers will remain under the community first choice option. The bill includes expiration dates for certain sections, with Section 4 expiring on July 1, 2032, and Section 5 expiring on July 1, 2031.