This bill amends various sections of the Washington State nursing regulations, specifically RCW 18.79, to update definitions and licensing requirements for nursing professionals. Key insertions include the definitions of "advanced registered nurse practitioner," "certified nurse practitioner," "certified nurse midwife," "certified registered nurse anesthetist," and "certified clinical nurse specialist," which clarify the roles and certifications of advanced practice registered nurses. The bill also introduces the term "advanced practice registered nurse" in place of "advanced registered nurse practitioner" in certain contexts, ensuring consistency in terminology across the legislation. Additionally, it modifies the application process for nursing licenses, requiring applicants to submit an attested written application and official evidence of age, and allows the board to issue interim permits for applicants to practice while awaiting examination results.

The bill further clarifies the practice scope for advanced registered nurse practitioners (ARNPs), allowing those certified as registered nurse anesthetists to select, order, or administer controlled substances under specific conditions if they have not obtained prescriptive authority prior to July 1, 2026. It also updates the terminology for APRNs, replacing "nurse practitioner" with "certified nurse practitioner" and including additional titles. The bill emphasizes that nursing students may practice under supervision without compensation, provided they meet certain criteria. Finally, it establishes a timeline for implementation, with certain sections taking effect on June 30, 2027, while others will expire on the same date, ensuring that the changes to the nursing practice framework are clearly defined and time-bound.

Statutes affected:
Original bill: 18.79.020, 18.79.030, 18.79.160, 18.79.180, 18.79.240, 18.79.250
Substitute bill: 18.79.020, 18.79.030, 18.79.160, 18.79.180, 18.79.240, 18.79.250