The bill amends RCW 9.94A.728 to provide an alternative condition for extraordinary medical placement for incarcerated individuals. It allows the Secretary of the Department of Corrections to authorize such placements for individuals who are assessed by two physicians as having a serious medical condition that cannot be adequately addressed by the department, in addition to those who are permanently disabled or terminally ill. The bill specifies that individuals must be assessed as low risk to the community and that granting the placement should result in cost savings for the state. It also establishes that individuals sentenced to death or life without parole, as well as persistent offenders, are ineligible for this placement.

Additionally, the bill introduces a definition for "basic medical care needs," which encompasses health-related accommodations and treatments consistent with accepted standards of care. The Secretary is required to implement electronic monitoring for those granted extraordinary medical placement unless it is detrimental to their health or interferes with medical equipment. The bill retains existing provisions regarding early release, furloughs, and other forms of confinement while ensuring that individuals with certain felony convictions remain subject to mandatory minimum sentences.