HB1709 • 2026

Adrenal insufficiency care

Addressing the care of students with adrenal insufficiency by parent-designated adults.

Education Labor

Passed Legislature

This bill passed both chambers and reached final enrollment, even if later executive action is not shown here.

Sponsor: Representative Callan, Representative Steele, Representative Goodman, Representative Reed, Representative Hill
Last action: 2025-03-11
Official status: H subst for
Effective date: Not listed

Plain English Breakdown

Using official source text because the generated explanation was unavailable or could not be confirmed against the official bill text.

Adrenal insufficiency care

What This Bill Does

Adrenal insufficiency care

Limits and Unknowns

This entry is temporarily using official source text because the generated explanation could not be confirmed against the official bill text during the last sync.

Amendments

These notes stay tied to the official amendment files and metadata from the legislature.

1709-S AMS EDU S2396.1

0 • Early Learning & K-12 Education

ADOPTED

Plain English: 1709-S AMS EDU S2396.1 SHB 1709 - S COMM AMD By Committee on Early Learning & K-12 Education ADOPTED 04/16/2025 Strike everything after the enacting clause and insert the 1 following: 2 "NEW SECTION.

1709-S AMS EDU S2396.1 SHB 1709 - S COMM AMD By Committee on Early Learning & K-12 Education ADOPTED 04/16/2025 Strike everything after the enacting clause and insert the 1 following: 2 "NEW SECTION.
Sec.
1.
(1)(a) The legislature recognizes that 3 not every public school has a full-time school nurse and that there 4 are restrictions on who can provide nursing care, including 5 medication administration, to students.6 (b) The legislature further recognizes that parent-designated 7 adults are volunteers, who may be school employees, and who provide 8 care for the student consistent with the student's individual health 9 plan.

Bill History

2025-03-11 House
1st substitute bill substituted.

Official Summary Text

Adrenal insufficiency care

Current Bill Text

Read the full stored bill text

AN ACT Relating to the care of students with adrenal 1
insufficiency by parent-designated adults; adding a new section to 2
chapter 28A.210 RCW; and creating a new section. 3
BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF WASHINGTON:4
NEW SECTION. Sec. 1. (1)(a) The legislature recognizes that not 5
every public school has a full-time school nurse and that there are 6
restrictions on who can provide nursing care, including medication 7
administration, to students.8
(b) The legislature further recognizes that parent-designated 9
adults are volunteers, who may be school employees, and who provide 10
care for the student consistent with the student's individual health 11
plan. Legislation enacted in 2002 authorized parent-designated adults 12
to provide care for students with diabetes. Legislation enacted in 13
2013 authorized parent-designated adults to provide care for students 14
with seizure disorders, including epilepsy. 15
(2) The legislature finds that adrenal insufficiency is a rare 16
condition in which the adrenal glands do not produce enough cortisol. 17
If cortisol levels drop too low, which can happen when a person is 18
stressed, ill, or injured, a person will experience abdominal pain, 19
fatigue, dizziness, and ultimately go into shock. Acute severe 20
adrenal insufficiency is a life-threatening situation that requires 21
H-0271.2
HOUSE BILL 1709
State of Washington 69th Legislature 2025 Regular Session
By Representatives Callan, Steele, Goodman, Reed, and Hill
Read first time 01/29/25. Referred to Committee on Education.
p. 1 HB 1709
emergency treatment with cortisol or similar medication to prevent 1
shock or other severe complications. 2
(3) Therefore, the legislature intends to authorize parent-3
designated adults to provide care for students with adrenal 4
insufficiency. 5
NEW SECTION. Sec. 2. A new section is added to chapter 28A.210 6
RCW to read as follows: 7
A parent-designated adult may provide care for students with 8
adrenal insufficiency, if needed. Requirements for parent-designated 9
adult eligibility, limitations on supervision, and related provisions 10
are provided in RCW 28A.210.260(1)(h). 11
--- END ---
p. 2 HB 1709