This bill aims to support caregivers who provide complex care services to children with heightened medical needs by establishing a new section within Washington state law. It mandates that by December 1, 2025, the health care authority must consult with the federal Centers for Medicare and Medicaid Services to seek approval for a state plan amendment. This amendment would allow payment to home health agencies for complex care services provided to children under 18 years old who are enrolled in a medical assistance program. The bill outlines specific criteria for caregivers, including being a close family relation, completing at least 75 hours of accredited training, receiving education from a registered nurse, and being employed by a licensed home health agency.

Additionally, the bill requires the health care authority to submit a status report by January 1, 2026, to the relevant legislative committees regarding the feasibility of the proposed state plan amendment. The provisions of this section are set to expire on December 31, 2026, ensuring that the initiative is time-bound and subject to review.