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 from the Centers for Medicare and Medicaid Services (CMS) to allow parents to be compensated for providing "extraordinary care" to their minor children. This care is defined as exceeding typical household activities necessary for the child's health and welfare, thereby preventing institutionalization.

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. The bill also establishes expiration dates for certain sections, with Section 4 expiring on July 1, 2032, and Section 5 expiring on July 1, 2031. Overall, the legislation seeks to enhance support for families of children with developmental disabilities through fair compensation and improved access to necessary care services.