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

The bill also introduces new responsibilities for physicians in diagnosing illnesses and for corrections personnel in assessing risk levels. If an extraordinary medical placement is denied, the department must provide a written explanation, and individuals can seek review from the office of corrections ombuds. Furthermore, the bill mandates electronic monitoring for those granted extraordinary medical placement, with exceptions for health-related reasons. It clarifies the definition of "basic medical care needs" and includes provisions for partial confinement and other forms of release under specific circumstances.