This bill amends various sections of the Revised Code of Washington (RCW) to update terminology and clarify the roles and responsibilities of healthcare professionals, particularly focusing on nursing and mental health services. Notably, the term "advanced registered nurse practitioner" is replaced with "advanced practice registered nurse" throughout the text. The bill also introduces provisions for the treatment and management of minors with behavioral health disorders, establishing less restrictive alternative treatment options and outlining the criteria for assisted outpatient treatment. Additionally, it specifies the roles of various professionals in the commitment process for minors, ensuring that their rights are protected and that they receive appropriate care.

Furthermore, the bill enhances the regulatory framework for primary care providers and optometrists, clarifying that prior authorization from a primary care provider is not required for patients seeking treatment from licensed optometrists. It expands the definition of primary care health home services to include comprehensive care management and emphasizes the importance of using technology for service coordination. The legislation aims to improve the clarity and effectiveness of healthcare regulations in Washington State while ensuring that individuals, particularly minors, receive the necessary support and treatment for their mental health needs.

Statutes affected:
Original Bill: 1.16.050, 9.94A.507, 9.95.425, 23B.13.200, 23B.13.210, 23B.13.220, 66.04.021, 6.15.060, 9.94A.840, 9.94B.020, 9.95.040, 9A.56.120, 12.36.020, 18.73.270, 18.71.200, 19.116.040, 19.182.040, 28A.600.385, 28B.10.016, 28B.76.730, 28A.600.310, 35.82.285, 36.32.440, 38.52.020, 38.52.390, 41.32.345, 41.56.465, 41.56.492, 43.20B.670, 43.21A.662, 43.70.670, 43.216.152, 43.330.430, 43.330.435, 46.18.205, 46.61.100, 48.20.555, 48.21.375, 51.14.150, 59.22.020, 64.34.216, 64.34.316, 64.34.324, 64.34.400, 69.25.030, 70.14.050, 70.122.020, 71.09.098, 71.09.090, 71A.12.220, 74.04.00511, 74.04.300, 74.04.670, 79A.05.065, 80.70.020, 88.02.610, 18.20.230, 18.50.032, 18.79.010, 18.79.040, 18.79.050, 18.79.070, 18.79.080, 18.79.090, 43.03.050, 18.79.110, 18.79.150, 18.79.160, 18.79.170, 18.79.180, 18.79.190, 18.79.230, 18.79.240, 18.79.250, 18.79.260, 18.79.290, 18.79.310, 18.79.340, 18.79.390, 18.79.400, 18.79.410, 18.79.430, 18.79.435, 18.79.440, 18.79.800, 18.79.810, 18.88A.020, 18.88A.030, 18.88A.060, 18.88A.080, 18.88A.082, 18.88A.085, 18.88A.087, 18.88A.088, 18.88A.090, 18.88A.100, 18.88A.210, 18.88B.070, 28A.210.275, 28A.210.280, 28A.210.290, 28B.115.020, 41.05.180, 48.20.393, 48.21.225, 48.43.087, 48.44.325, 48.46.275, 69.45.010, 69.51A.300, 70.128.210, 74.42.230, 7.68.030, 7.68.063, 7.68.080, 9.02.110, 9.02.130, 9A.04.110, 11.130.290, 11.130.390, 11.130.615, 18.16.260, 18.50.005, 18.50.115, 18.57.040, 18.59.100, 18.64.253, 18.64.560, 18.71.030, 18.89.020, 18.130.410, 18.134.010, 18.225.010, 18.250.010, 19.410.010, 28A.210.090, 28A.210.305, 41.05.177, 41.24.155, 43.70.470, 46.19.010, 46.61.506, 46.61.508, 48.20.392, 48.21.227, 48.42.100, 48.43.094, 48.43.045, 48.44.327, 48.46.277, 48.125.200, 50A.05.010, 50A.10.010, 51.28.010, 51.28.020, 51.28.025, 51.28.055, 51.36.010, 51.48.060, 51.52.010, 68.50.105, 69.41.010, 69.41.030, 69.43.135, 69.50.101, 71.24.025, 70.02.170, 70.30.061, 70.41.410, 70.47.210, 70.48.135, 70.48.490, 70.54.400, 70.58A.010, 70.122.051, 70.122.130, 70.128.120, 70.180.020, 70.180.040, 70.245.010, 71.05.148, 71.05.154, 71.05.210, 71.05.215, 71.05.310, 71.05.290, 71.05.300, 71.05.585, 71.12.540, 71.32.110, 71.32.140, 71.32.250, 71.34.720, 71.34.750, 71.34.755, 71.34.770, 71.34.815, 72.09.588, 74.09.010, 74.09.725, 74.42.010, 18.51.010
Substitute Bill: 1.16.050, 9.94A.507, 9.95.425, 23B.13.200, 23B.13.210, 23B.13.220, 66.04.021, 6.15.060, 9.94A.840, 9.94B.020, 9.95.040, 9A.56.120, 12.36.020, 18.73.270, 18.71.200, 19.116.040, 19.182.040, 28A.600.385, 28B.10.016, 28B.76.730, 28A.600.310, 35.82.285, 36.32.440, 38.52.020, 38.52.390, 41.32.345, 41.56.465, 41.56.492, 43.20B.670, 43.21A.662, 43.70.670, 43.216.152, 43.330.430, 43.330.435, 46.18.205, 46.61.100, 48.20.555, 48.21.375, 51.14.150, 59.22.020, 64.34.216, 64.34.316, 64.34.324, 64.34.400, 69.25.030, 70.14.050, 70.122.020, 71.09.098, 71.09.090, 71A.12.220, 74.04.00511, 74.04.300, 74.04.670, 79A.05.065, 80.70.020, 88.02.610, 18.20.230, 18.50.032, 18.79.010, 18.79.040, 18.79.050, 18.79.070, 18.79.080, 18.79.090, 43.03.050, 18.79.110, 18.79.150, 18.79.160, 18.79.170, 18.79.180, 18.79.190, 18.79.230, 18.79.240, 18.79.250, 18.79.260, 18.79.290, 18.79.310, 18.79.340, 18.79.390, 18.79.400, 18.79.410, 18.79.430, 18.79.435, 18.79.440, 18.79.800, 18.79.810, 18.88A.020, 18.88A.030, 18.88A.060, 18.88A.080, 18.88A.082, 18.88A.085, 18.88A.087, 18.88A.088, 18.88A.090, 18.88A.100, 18.88A.210, 18.88B.070, 28A.210.275, 28A.210.280, 28A.210.290, 28B.115.020, 41.05.180, 48.20.393, 48.21.225, 48.43.087, 48.44.325, 48.46.275, 69.45.010, 69.51A.300, 70.128.210, 74.42.230, 7.68.030, 7.68.063, 7.68.080, 9.02.110, 9.02.130, 9A.04.110, 11.130.290, 11.130.390, 11.130.615, 18.16.260, 18.50.005, 18.50.115, 18.57.040, 18.59.100, 18.64.253, 18.64.560, 18.71.030, 18.89.020, 18.130.410, 18.134.010, 18.225.010, 18.250.010, 19.410.010, 28A.210.090, 28A.210.305, 41.05.177, 41.24.155, 43.70.470, 46.19.010, 46.61.506, 46.61.508, 48.20.392, 48.21.227, 48.42.100, 48.43.094, 48.43.045, 48.44.327, 48.46.277, 48.125.200, 50A.05.010, 50A.10.010, 51.28.010, 51.28.020, 51.28.025, 51.28.055, 51.36.010, 51.48.060, 51.52.010, 68.50.105, 69.41.010, 69.41.030, 69.43.135, 69.50.101, 71.24.025, 70.02.170, 70.30.061, 70.41.410, 70.47.210, 70.48.135, 70.48.490, 70.54.400, 70.58A.010, 70.122.051, 70.122.130, 70.128.120, 70.180.020, 70.180.040, 70.245.010, 71.05.148, 71.05.154, 71.05.210, 71.05.215, 71.05.310, 71.05.290, 71.05.300, 71.05.585, 71.12.540, 71.32.110, 71.32.140, 71.32.250, 71.34.720, 71.34.750, 71.34.755, 71.34.770, 71.34.815, 72.09.588, 74.09.010, 74.09.725, 74.42.010, 18.51.010
Bill as Passed Legislature: 1.16.050, 9.94A.507, 9.95.425, 23B.13.200, 23B.13.210, 23B.13.220, 66.04.021, 6.15.060, 9.94A.840, 9.94B.020, 9.95.040, 9A.56.120, 12.36.020, 18.73.270, 18.71.200, 19.116.040, 19.182.040, 28A.600.385, 28B.10.016, 28B.76.730, 28A.600.310, 35.82.285, 36.32.440, 38.52.020, 38.52.390, 41.32.345, 41.56.465, 41.56.492, 43.20B.670, 43.21A.662, 43.70.670, 43.216.152, 43.330.430, 43.330.435, 46.18.205, 46.61.100, 48.20.555, 48.21.375, 51.14.150, 59.22.020, 64.34.216, 64.34.316, 64.34.324, 64.34.400, 69.25.030, 70.14.050, 70.122.020, 71.09.098, 71.09.090, 71A.12.220, 74.04.00511, 74.04.300, 74.04.670, 79A.05.065, 80.70.020, 88.02.610, 18.20.230, 18.50.032, 18.79.010, 18.79.040, 18.79.050, 18.79.070, 18.79.080, 18.79.090, 43.03.050, 18.79.110, 18.79.150, 18.79.160, 18.79.170, 18.79.180, 18.79.190, 18.79.230, 18.79.240, 18.79.250, 18.79.260, 18.79.290, 18.79.310, 18.79.340, 18.79.390, 18.79.400, 18.79.410, 18.79.430, 18.79.435, 18.79.440, 18.79.800, 18.79.810, 18.88A.020, 18.88A.030, 18.88A.060, 18.88A.080, 18.88A.082, 18.88A.085, 18.88A.087, 18.88A.088, 18.88A.090, 18.88A.100, 18.88A.210, 18.88B.070, 28A.210.275, 28A.210.280, 28A.210.290, 28B.115.020, 41.05.180, 48.20.393, 48.21.225, 48.43.087, 48.44.325, 48.46.275, 69.45.010, 69.51A.300, 70.128.210, 74.42.230, 7.68.030, 7.68.063, 7.68.080, 9.02.110, 9.02.130, 9A.04.110, 11.130.290, 11.130.390, 11.130.615, 18.16.260, 18.50.005, 18.50.115, 18.57.040, 18.59.100, 18.64.253, 18.64.560, 18.71.030, 18.89.020, 18.130.410, 18.134.010, 18.225.010, 18.250.010, 19.410.010, 28A.210.090, 28A.210.305, 41.05.177, 41.24.155, 43.70.470, 46.19.010, 46.61.506, 46.61.508, 48.20.392, 48.21.227, 48.42.100, 48.43.094, 48.43.045, 48.44.327, 48.46.277, 48.125.200, 50A.05.010, 50A.10.010, 51.28.010, 51.28.020, 51.28.025, 51.28.055, 51.36.010, 51.48.060, 51.52.010, 68.50.105, 69.41.010, 69.41.030, 69.43.135, 69.50.101, 71.24.025, 70.02.170, 70.30.061, 70.41.410, 70.47.210, 70.48.135, 70.48.490, 70.54.400, 70.58A.010, 70.122.051, 70.122.130, 70.128.120, 70.180.020, 70.180.040, 70.245.010, 71.05.148, 71.05.154, 71.05.210, 71.05.215, 71.05.310, 71.05.290, 71.05.300, 71.05.585, 71.12.540, 71.32.110, 71.32.140, 71.32.250, 71.34.720, 71.34.750, 71.34.755, 71.34.770, 71.34.815, 72.09.588, 74.09.010, 74.09.725, 74.42.010, 18.51.010
Session Law: 1.16.050, 9.94A.507, 9.95.425, 23B.13.200, 23B.13.210, 23B.13.220, 66.04.021, 6.15.060, 9.94A.840, 9.94B.020, 9.95.040, 9A.56.120, 12.36.020, 18.73.270, 18.71.200, 19.116.040, 19.182.040, 28A.600.385, 28B.10.016, 28B.76.730, 28A.600.310, 35.82.285, 36.32.440, 38.52.020, 38.52.390, 41.32.345, 41.56.465, 41.56.492, 43.20B.670, 43.21A.662, 43.70.670, 43.216.152, 43.330.430, 43.330.435, 46.18.205, 46.61.100, 48.20.555, 48.21.375, 51.14.150, 59.22.020, 64.34.216, 64.34.316, 64.34.324, 64.34.400, 69.25.030, 70.14.050, 70.122.020, 71.09.098, 71.09.090, 71A.12.220, 74.04.00511, 74.04.300, 74.04.670, 79A.05.065, 80.70.020, 88.02.610, 18.20.230, 18.50.032, 18.79.010, 18.79.040, 18.79.050, 18.79.070, 18.79.080, 18.79.090, 43.03.050, 18.79.110, 18.79.150, 18.79.160, 18.79.170, 18.79.180, 18.79.190, 18.79.230, 18.79.240, 18.79.250, 18.79.260, 18.79.290, 18.79.310, 18.79.340, 18.79.390, 18.79.400, 18.79.410, 18.79.430, 18.79.435, 18.79.440, 18.79.800, 18.79.810, 18.88A.020, 18.88A.030, 18.88A.060, 18.88A.080, 18.88A.082, 18.88A.085, 18.88A.087, 18.88A.088, 18.88A.090, 18.88A.100, 18.88A.210, 18.88B.070, 28A.210.275, 28A.210.280, 28A.210.290, 28B.115.020, 41.05.180, 48.20.393, 48.21.225, 48.43.087, 48.44.325, 48.46.275, 69.45.010, 69.51A.300, 70.128.210, 74.42.230, 7.68.030, 7.68.063, 7.68.080, 9.02.110, 9.02.130, 9A.04.110, 11.130.290, 11.130.390, 11.130.615, 18.16.260, 18.50.005, 18.50.115, 18.57.040, 18.59.100, 18.64.253, 18.64.560, 18.71.030, 18.89.020, 18.130.410, 18.134.010, 18.225.010, 18.250.010, 19.410.010, 28A.210.090, 28A.210.305, 41.05.177, 41.24.155, 43.70.470, 46.19.010, 46.61.506, 46.61.508, 48.20.392, 48.21.227, 48.42.100, 48.43.094, 48.43.045, 48.44.327, 48.46.277, 48.125.200, 50A.05.010, 50A.10.010, 51.28.010, 51.28.020, 51.28.025, 51.28.055, 51.36.010, 51.48.060, 51.52.010, 68.50.105, 69.41.010, 69.41.030, 69.43.135, 69.50.101, 71.24.025, 70.02.170, 70.30.061, 70.41.410, 70.47.210, 70.48.135, 70.48.490, 70.54.400, 70.58A.010, 70.122.051, 70.122.130, 70.128.120, 70.180.020, 70.180.040, 70.245.010, 71.05.148, 71.05.154, 71.05.210, 71.05.215, 71.05.310, 71.05.290, 71.05.300, 71.05.585, 71.12.540, 71.32.110, 71.32.140, 71.32.250, 71.34.720, 71.34.750, 71.34.755, 71.34.770, 71.34.815, 72.09.588, 74.09.010, 74.09.725, 74.42.010, 18.51.010