This bill amends RCW 74.09.520 to include coverage for massage therapy under medical assistance plans, effective January 1, 2027. The new provisions specify that massage therapy must be performed by a licensed massage therapist and deemed medically necessary as a nonpharmacological alternative for pain treatment or management. Additionally, a referral from an authorized provider is required for this coverage to be applicable.

The bill also reenacts and amends various sections of existing law related to medical assistance services, ensuring that personal care services are provided in accordance with federal regulations and that funding is allocated based on assessed levels of functional disability. The amendments aim to enhance the range of services covered under medical assistance, reflecting a broader approach to healthcare that includes alternative therapies like massage therapy for pain management.