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. The caregivers eligible for this payment must be parents, guardians, family members, or close associates of the child, have completed at least 75 hours of accredited training, and be employed by a licensed home health agency. The bill also stipulates that the authority will recognize specific 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 all 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. The definition of "complex care services" is also provided, detailing the types of care that may be included under this designation.