The bill amends RCW 9.94A.728 to provide an alternative condition for extraordinary medical placement for incarcerated individuals. It specifies that an incarcerated individual may be eligible for such placement if they are assessed by two physicians and found to have a serious and chronic medical condition that significantly limits their ability to care for themselves, or if they are in ill health and expected to die within approximately 18 months. The bill also establishes that the individual must be assessed as low risk to the community and that granting the placement should result in cost savings to the state. Additionally, it clarifies that individuals sentenced to death, life imprisonment without parole, or as persistent offenders are not eligible for extraordinary medical placement.

The bill introduces several new provisions, including the requirement for electronic monitoring of individuals granted extraordinary medical placement, unless it is detrimental to their health or medical equipment. It also mandates that if an individual's request for extraordinary medical placement is denied, they must receive a written explanation and have the right to seek review from the office of corrections ombuds. Other amendments include the specification of risk assessment responsibilities and the conditions under which the secretary may revoke an extraordinary medical placement. Overall, the bill aims to enhance the criteria and process for extraordinary medical placements while ensuring public safety and potential cost savings for the state.