The proposed bill mandates that, by January 1, 2027, all licensed hospitals in Washington must employ a patient advocate who is available on-site 24/7 to assist patients in navigating the healthcare system. This requirement, however, does not apply to certain rural hospitals, including those certified as sole community hospitals or critical access hospitals, as well as specific hospitals located on islands in Skagit County and those on federally recognized tribal land that meet certain criteria. For hospitals exempt from the on-site advocate requirement, they must still provide patients with access to a patient advocacy service, ensuring that the service is familiar with Washington's health systems.

The role of the patient advocate includes helping patients access their medical records, schedule appointments, understand their medical conditions and treatment options, and communicate effectively with healthcare providers and insurance companies. The bill emphasizes the importance of patient advocacy in enhancing patient experience and ensuring that patients receive the necessary support throughout their healthcare journey.