This bill establishes a new section in chapter 74.09 RCW aimed at supporting caregivers who provide complex care services to children under 18 with heightened medical needs. Starting September 1, 2026, the bill mandates that the authority must either require or provide payment to home health agencies for complex care services as part of the private duty nursing benefit. These services can be provided by caregivers who are parents, guardians, or family members, provided they have completed at least 75 hours of accredited training and are employed by a licensed home health agency. The bill also stipulates that the authority will recognize accrediting organizations for training standards and allows caregivers to change employers without repeating training.

Additionally, the bill outlines that the home health agency must cover the training costs for caregivers and cannot require reimbursement. When assessing eligibility for complex care services, only the child's income will be considered, excluding the income of other household members. The authority is tasked with seeking necessary federal approvals to implement the program and must submit a report by September 1, 2029, evaluating the program's effectiveness without imposing data submission requirements on home health agencies. The definition of "complex care services" is also provided, detailing the types of care that may be included under this program.