The bill establishes regulations for the medical use of cannabis by qualifying patients with terminal conditions in health care facilities such as hospitals, nursing homes, and hospice care centers in Washington State. It mandates that these facilities develop policies that allow for the medical use of cannabis, effective January 1, 2027. Key provisions include prohibiting smoking or vaping, requiring documentation in medical records, and ensuring that cannabis is securely stored. Additionally, it specifies that health care professionals and facility staff are not permitted to administer or retrieve cannabis, and any remaining cannabis must be removed upon patient discharge.

The bill also includes provisions that protect facilities from penalties related to compliance with federal regulations regarding cannabis use. Specifically, if federal agencies initiate enforcement actions or issue prohibitions against the medical use of cannabis, facilities may suspend compliance with the state law until notified otherwise. The act is officially titled "Ryan's Law" and aims to enhance the quality of life for terminally ill patients while maintaining safety and integrity within health care environments.