Nursing delegation

AN ACT Relating to nursing delegation; amending RCW 18.79.260, 1
18.79.260, 18.88A.210, 18.88A.210, 18.88A.230, 18.88B.070, and 2
70.127.010; providing effective dates; and providing expiration 3
dates. 4
BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF WASHINGTON:5
Sec. 1. RCW 18.79.260 and 2025 c 58 s 5019 are each amended to 6
read as follows: 7
(1) A registered nurse under his or her license may perform for 8
compensation nursing care, as that term is usually understood, to 9
individuals with illnesses, injuries, or disabilities.10
(2) A registered nurse may, at or under the general direction of 11
a licensed physician and surgeon, dentist, osteopathic physician and 12
surgeon, naturopathic physician, optometrist, podiatric physician and 13
surgeon, physician assistant, advanced registered nurse practitioner, 14
or midwife acting within the scope of his or her license, administer 15
medications, treatments, tests, and inoculations, whether or not the 16
severing or penetrating of tissues is involved and whether or not a 17
degree of independent judgment and skill is required. Such direction 18
must be for acts which are within the scope of registered nursing 19
practice. 20
Z-0600.1
SENATE BILL 6107
State of Washington 69th Legislature 2026 Regular Session
By Senators Cleveland, Holy, and Nobles; by request of Washington
State Board of Nursing
Read first time 01/14/26. Referred to Committee on Health & Long-
Term Care.
p. 1 SB 6107
(3) A registered nurse may delegate tasks ((of nursing care )) to 1
other individuals in any setting where the registered nurse 2
determines that it is in the best interest of the patient and within 3
the nurse's scope of practice. 4
(((a))) The delegating nurse shall: 5
(((i))) (a) Determine the competency of the individual to perform 6
the tasks , including verifying certification or documentation where 7
required by rule or law; 8
(((ii))) (b) Evaluate the stability of the patient and the 9
appropriateness of the delegation; and10
(((iii))) (c) Supervise the actions of the person performing the 11
delegated task((; and12
(iv) Delegate only those tasks that are within the registered 13
nurse's scope of practice.14
(b) A registered nurse, working for a home health or hospice 15
agency regulated under chapter 70.127 RCW, may delegate the 16
application, instillation, or insertion of medications to a 17
registered or certified nursing assistant under a plan of care.18
(c) Except as authorized in (b) or (e) of this subsection, a 19
registered nurse may not delegate the administration of medications. 20
Except as authorized in (e) or (f) of this subsection, a registered 21
nurse may not delegate acts requiring substantial skill, and may not 22
delegate piercing or severing of tissues. Acts that require nursing 23
judgment shall not be delegated.24
(d))).25
(4) Except as authorized in subsection (7) of this section, a 26
registered nurse may not delegate the administration of medications, 27
tasks involving piercing or severing of tissues, or acts that require 28
substantial skill. Acts that require nursing judgment may not be 29
delegated.30
(5) No person may coerce a nurse into compromising patient safety 31
by requiring the nurse to delegate if the nurse determines that it is 32
inappropriate to do so. Nurses shall not be subject to any employer 33
reprisal or disciplinary action by the board for refusing to delegate 34
tasks or refusing to provide the required training for delegation if 35
the nurse determines delegation may compromise patient safety.36
(((e) For delegation in community-based care settings or in-home 37
care settings, a registered nurse may delegate nursing care tasks 38
only to registered or certified nursing assistants under chapter 39
18.88A RCW or home care aides certified under chapter 18.88B RCW. 40
p. 2 SB 6107
Simple care tasks such as blood pressure monitoring, personal care 1
service, diabetic insulin device set up, verbal verification of 2
insulin dosage for sight-impaired individuals, or other tasks as 3
defined by the board are exempted from this requirement.4
(i) "Community-based care settings" includes: Community 5
residential programs for people with developmental disabilities, 6
certified by the department of social and health services under 7
chapter 71A.12 RCW; adult family homes licensed under chapter 70.128 8
RCW; and assisted living facilities licensed under chapter 18.20 RCW. 9
Community-based care settings do not include acute care or skilled 10
nursing facilities.11
(ii) "In-home care settings" include an individual's place of 12
temporary or permanent residence, but does not include acute care or 13
skilled nursing facilities, and does not include community-based care 14
settings as defined in (e)(i) of this subsection.15
(iii) Delegation of nursing care tasks in community-based care 16
settings and in-home care settings is only allowed for individuals 17
who have a stable and predictable condition. "Stable and predictable 18
condition" means a situation in which the individual's clinical and 19
behavioral status is known and does not require the frequent presence 20
and evaluation of a registered nurse.21
(iv) The determination of the appropriateness of delegation of a 22
nursing task is at the discretion of the registered nurse. Other than 23
delegation of the administration of insulin by injection for the 24
purpose of caring for individuals with diabetes, the administration 25
of medications by injection, sterile procedures, and central line 26
maintenance may never be delegated.27
(v) When delegating insulin injections under this section, the 28
registered nurse delegator must instruct the individual regarding 29
proper injection procedures and the use of insulin, demonstrate 30
proper injection procedures, and must supervise and evaluate the 31
individual performing the delegated task as required by the board by 32
rule. If the registered nurse delegator determines that the 33
individual is competent to perform the injection properly and safely, 34
supervision and evaluation shall occur at an interval determined by 35
the board by rule.36
(vi)(A) The registered nurse shall verify that the nursing 37
assistant or home care aide, as the case may be, has completed the 38
required core nurse delegation training required in chapter 18.88A or 39
18.88B RCW prior to authorizing delegation.40
p. 3 SB 6107
(B) Before commencing any specific nursing tasks authorized to be 1
delegated in this section, a home care aide must be certified 2
pursuant to chapter 18.88B RCW and must comply with RCW 18.88B.070.3
(vii))) (6) The nurse is accountable for his or her own 4
individual actions in the delegation process. Nurses acting within 5
((the protocols of )) their delegation authority are immune from 6
liability for any action performed in the course of their delegation 7
duties. 8
(((viii))) (7) If trained and delegated the task by a nurse, a 9
nursing assistant-certified or home care aide, licensed under chapter 10
18.88A or 18.88B RCW, respectively, may administer medications, 11
including those that pierce the skin through subcutaneous injections, 12
and may perform capillary blood sticks.13
(8) Nursing task delegation protocols are not intended to 14
regulate the settings in which delegation may occur, but are intended 15
to ensure that nursing care services have a consistent standard of 16
practice upon which the public and the profession may rely, and to 17
safeguard the authority of the nurse to make independent professional 18
decisions regarding the delegation of a task. 19
(((f) The delegation of nursing care tasks only to registered or 20
certified nursing assistants under chapter 18.88A RCW or to home care 21
aides certified under chapter 18.88B RCW may include glucose 22
monitoring and testing.23
(g))) (9) Education and training provided by a registered nurse 24
to a caregiver who is a parent, guardian, or family member who is 25
designated to provide care for a patient is not considered delegation 26
of nursing care tasks, regardless of whether the caregiver is paid to 27
complete the task.28
(10)(a) The board may adopt rules to implement this section.29
(((4) Only a person licensed as a registered nurse may instruct 30
nurses in technical subjects pertaining to nursing.31
(5) Only a person licensed as a registered nurse may hold herself 32
or himself out to the public or designate herself or himself as a 33
registered nurse.)) (b) By July 1, 2028, the board shall adopt rules 34
to address appropriate delegation parameters.35
Sec. 2. RCW 18.79.260 and 2024 c 239 s 15 are each amended to 36
read as follows: 37
p. 4 SB 6107
(1) A registered nurse under his or her license may perform for 1
compensation nursing care, as that term is usually understood, to 2
individuals with illnesses, injuries, or disabilities.3
(2) A registered nurse may, at or under the general direction of 4
a licensed physician and surgeon, dentist, osteopathic physician and 5
surgeon, naturopathic physician, optometrist, podiatric physician and 6
surgeon, physician assistant, advanced practice registered nurse, or 7
midwife acting within the scope of his or her license, administer 8
medications, treatments, tests, and inoculations, whether or not the 9
severing or penetrating of tissues is involved and whether or not a 10
degree of independent judgment and skill is required. Such direction 11
must be for acts which are within the scope of registered nursing 12
practice. 13
(3) A registered nurse may delegate tasks ((of nursing care )) to 14
other individuals in any setting where the registered nurse 15
determines that it is in the best interest of the patient and within 16
the nurse's scope of practice. 17
(((a))) The delegating nurse shall: 18
(((i))) (a) Determine the competency of the individual to perform 19
the tasks , including verifying certification or documentation where 20
required by rule or law; 21
(((ii))) (b) Evaluate the stability of the patient and the 22
appropriateness of the delegation; and23
(((iii))) (c) Supervise the actions of the person performing the 24
delegated task((; and25
(iv) Delegate only those tasks that are within the registered 26
nurse's scope of practice.27
(b) A registered nurse, working for a home health or hospice 28
agency regulated under chapter 70.127 RCW, may delegate the 29
application, instillation, or insertion of medications to a 30
registered or certified nursing assistant under a plan of care.31
(c) Except as authorized in (b) or (e) of this subsection, a 32
registered nurse may not delegate the administration of medications. 33
Except as authorized in (e) or (f) of this subsection, a registered 34
nurse may not delegate acts requiring substantial skill, and may not 35
delegate piercing or severing of tissues. Acts that require nursing 36
judgment shall not be delegated.37
(d))).38
(4) Except as authorized in subsection (7) of this section, a 39
registered nurse may not delegate the administration of medications, 40
p. 5 SB 6107
tasks involving piercing or severing of tissues, or acts that require 1
substantial skill. Acts that require nursing judgment may not be 2
delegated. 3
(5) No person may coerce a nurse into compromising patient safety 4
by requiring the nurse to delegate if the nurse determines that it is 5
inappropriate to do so. Nurses shall not be subject to any employer 6
reprisal or disciplinary action by the board for refusing to delegate 7
tasks or refusing to provide the required training for delegation if 8
the nurse determines delegation may compromise patient safety.9
(((e) For delegation in community-based care settings or in-home 10
care settings, a registered nurse may delegate nursing care tasks 11
only to registered or certified nursing assistants under chapter 12
18.88A RCW or home care aides certified under chapter 18.88B RCW. 13
Simple care tasks such as blood pressure monitoring, personal care 14
service, diabetic insulin device set up, verbal verification of 15
insulin dosage for sight-impaired individuals, or other tasks as 16
defined by the board are exempted from this requirement.17
(i) "Community-based care settings" includes: Community 18
residential programs for people with developmental disabilities, 19
certified by the department of social and health services under 20
chapter 71A.12 RCW; adult family homes licensed under chapter 70.128 21
RCW; and assisted living facilities licensed under chapter 18.20 RCW. 22
Community-based care settings do not include acute care or skilled 23
nursing facilities.24
(ii) "In-home care settings" include an individual's place of 25
temporary or permanent residence, but does not include acute care or 26
skilled nursing facilities, and does not include community-based care 27
settings as defined in (e)(i) of this subsection.28
(iii) Delegation of nursing care tasks in community-based care 29
settings and in-home care settings is only allowed for individuals 30
who have a stable and predictable condition. "Stable and predictable 31
condition" means a situation in which the individual's clinical and 32
behavioral status is known and does not require the frequent presence 33
and evaluation of a registered nurse.34
(iv) The determination of the appropriateness of delegation of a 35
nursing task is at the discretion of the registered nurse. Other than 36
delegation of the administration of insulin by injection for the 37
purpose of caring for individuals with diabetes, the administration 38
of medications by injection, sterile procedures, and central line 39
maintenance may never be delegated.40
p. 6 SB 6107
(v) When delegating insulin injections under this section, the 1
registered nurse delegator must instruct the individual regarding 2
proper injection procedures and the use of insulin, demonstrate 3
proper injection procedures, and must supervise and evaluate the 4
individual performing the delegated task as required by the board by 5
rule. If the registered nurse delegator determines that the 6
individual is competent to perform the injection properly and safely, 7
supervision and evaluation shall occur at an interval determined by 8
the board by rule.9
(vi)(A) The registered nurse shall verify that the nursing 10
assistant or home care aide, as the case may be, has completed the 11
required core nurse delegation training required in chapter 18.88A or 12
18.88B RCW prior to authorizing delegation.13
(B) Before commencing any specific nursing tasks authorized to be 14
delegated in this section, a home care aide must be certified 15
pursuant to chapter 18.88B RCW and must comply with RCW 18.88B.070.16
(vii))) (6) The nurse is accountable for his or her own 17
individual actions in the delegation process. Nurses acting within 18
((the protocols of )) their delegation authority are immune from 19
liability for any action performed in the course of their delegation 20
duties. 21
(((viii))) (7) If trained and delegated the task by a nurse, a 22
nursing assistant-certified or home care aide, licensed under chapter 23
18.88A or 18.88B RCW, respectively, may administer medications, 24
including those that pierce the skin through subcutaneous injections, 25
and may perform capillary blood sticks.26
(8) Nursing task delegation protocols are not intended to 27
regulate the settings in which delegation may occur, but are intended 28
to ensure that nursing care services have a consistent standard of 29
practice upon which the public and the profession may rely, and to 30
safeguard the authority of the nurse to make independent professional 31
decisions regarding the delegation of a task. 32
(((f) The delegation of nursing care tasks only to registered or 33
certified nursing assistants under chapter 18.88A RCW or to home care 34
aides certified under chapter 18.88B RCW may include glucose 35
monitoring and testing.36
(g))) (9) Education and training provided by a registered nurse 37
to a caregiver who is a parent, guardian, or family member who is 38
designated to provide care for a patient is not considered delegation 39
p. 7 SB 6107
of nursing care tasks, regardless of whether the caregiver is paid to 1
complete the task. 2
(10)(a) The board may adopt rules to implement this section.3
(((4) Only a person licensed as a registered nurse may instruct 4
nurses in technical subjects pertaining to nursing.5
(5) Only a person licensed as a registered nurse may hold herself 6
or himself out to the public or designate herself or himself as a 7
registered nurse.)) (b) By July 1, 2028, the board shall adopt rules 8
to address appropriate delegation parameters.9
Sec. 3. RCW 18.88A.210 and 2025 c 58 s 5041 are each amended to 10
read as follows: 11
(1) A nursing assistant ((meeting the requirements of this 12
section who provides care to individuals in community-based care 13
settings or in-home care settings, as defined in RCW 18.79.260(3),)) 14
may accept delegation of nursing care tasks by a ((registered)) nurse 15
as provided in RCW 18.79.260(((3))). 16
(2) ((For the purposes of this section, "nursing assistant" means 17
a nursing assistant-registered or a nursing assistant-certified. 18
Nothing in this section may be construed to affect the authority of 19
nurses to delegate nursing tasks to other persons, including licensed 20
practical nurses, as authorized by law.21
(3)(a) Before commencing any specific nursing care tasks 22
authorized under this chapter, the nursing assistant must (i) provide 23
to the delegating nurse a certificate of completion issued by the 24
department of social and health services indicating the completion of 25
basic core nurse delegation training, (ii) be regulated by the 26
department of health pursuant to this chapter, subject to the uniform 27
disciplinary act under chapter 18.130 RCW, and (iii) meet any 28
additional training requirements identified by the board. Exceptions 29
to these training requirements must adhere to RCW 30
18.79.260(3)(e)(vi).31
(b) In addition to meeting the requirements of (a) of this 32
subsection, before commencing the care of individuals with diabetes 33
that involves administration of insulin by injection, the nursing 34
assistant must provide to the delegating nurse a certificate of 35
completion issued by the department of social and health services 36
indicating completion of specialized diabetes nurse delegation 37
training. The training must include, but is not limited to, 38
instruction regarding diabetes, insulin, sliding scale insulin 39
p. 8 SB 6107
orders, and proper injection procedures. )) Nursing assistants are 1
accountable for their own individual actions in the delegation 2
process. Nursing assistants accurately following delegation 3
instructions from a nurse are immune from liability regarding the 4
performance of the delegated duties.5
Sec. 4. RCW 18.88A.210 and 2025 c 58 s 5041 are each amended to 6
read as follows: 7
(1) A nursing assistant ((meeting the requirements of this 8
section who provides care to individuals in community-based care 9
settings or in-home care settings, as defined in RCW 18.79.260(3),)) 10
may accept delegation of nursing care tasks by a ((registered)) nurse 11
as provided in RCW 18.79.260(((3))). 12
(2) ((For the purposes of this section, "nursing assistant" means 13
a nursing assistant-registered or a nursing assistant-certified. 14
Nothing in this section may be construed to affect the authority of 15
nurses to delegate nursing tasks to other persons, including licensed 16
practical nurses, as authorized by law.17
(3)(a) Before commencing any specific nursing care tasks 18
authorized under this chapter, the nursing assistant must (i) provide 19
to the delegating nurse a certificate of completion issued by the 20
department of social and health services indicating the completion of 21
basic core nurse delegation training, (ii) be regulated by the 22
department of health pursuant to this chapter, subject to the uniform 23
disciplinary act under chapter 18.130 RCW, and (iii) meet any 24
additional training requirements identified by the board. Exceptions 25
to these training requirements must adhere to RCW 26
18.79.260(3)(e)(vi).27
(b) In addition to meeting the requirements of (a) of this 28
subsection, before commencing the care of individuals with diabetes 29
that involves administration of insulin by injection, the nursing 30
assistant must provide to the delegating nurse a certificate of 31
completion issued by the department of social and health services 32
indicating completion of specialized diabetes nurse delegation 33
training. The training must include, but is not limited to, 34
instruction regarding diabetes, insulin, sliding scale insulin 35
orders, and proper injection procedures. )) Nursing assistants are 36
accountable for their own individual actions in the delegation 37
process. Nursing assistants accurately following delegation 38
p. 9 SB 6107
instructions from a nurse are immune from liability regarding the 1
performance of the delegated duties. 2
Sec. 5. RCW 18.88A.230 and 2003 c 140 s 6 are each amended to 3
read as follows: 4
(1) ((The nursing assistant )) Nursing assistants shall be 5
accountable for their own individual actions in the delegation 6
process. Nursing assistants following ((written)) delegation 7
instructions from ((registered)) nurses performed in the course of 8
their accurately written, delegated duties shall be immune from 9
liability. 10
(2) Nursing assistants shall not be subject to ((any)):11
(a) Any employer reprisal or disciplinary action by the secretary 12
for refusing to accept delegation of a nursing task based on patient 13
safety issues. No ((community-based care setting as defined in RCW 14
18.79.260(3)(e), or in-home services agency as defined in RCW 15
70.127.010,)) facility or employer may discriminate or retaliate in 16
any manner against a person because the person made a complaint or 17
cooperated in the investigation of a complaint. 18
(b) Liability, reprisal, or disciplinary action when 19
administering medications in an emergency response situation if the 20
patient has a prescribed and available medication for that specific 21
type of emergency event.22
Sec. 6. RCW 18.88B.070 and 2025 c 58 s 5042 are each amended to 23
read as follows: 24
(1) The legislature recognizes that nurses have been successfully 25
delegating nursing care tasks to family members and others for many 26
years. The opportunity for a nurse to delegate nursing care tasks to 27
home care aides certified under this chapter may enhance the 28
viability and quality of health care services in community-based care 29
settings and in-home care settings to allow individuals to live as 30
independently as possible with maximum safeguards.31
(2)(((a))) A certified home care aide who wishes to perform a 32
nurse delegated task pursuant to RCW 18.79.260 must complete nurse 33
delegation core training under chapter 18.88A RCW before the home 34
care aide may be delegated a nursing care task by a registered nurse 35
delegator. ((Before administering insulin, a home care aide must also 36
complete the specialized diabetes nurse delegation training under 37
p. 10 SB 6107
chapter 18.88A RCW. Before commencing any specific nursing care tasks 1
authorized under RCW 18.79.260, the home care aide must:2
(i) Provide to the delegating nurse a transcript or certificate 3
of successful completion of training issued by an approved instructor 4
or approved training entity indicating the completion of basic core 5
nurse delegation training; and6
(ii) Meet any additional training requirements mandated by the 7
state board of nursing. Any exception to these training requirements 8
is subject to RCW 18.79.260(3)(e)(vi).9
(b) In addition to meeting the requirements of (a) of this 10
subsection, before providing delegated nursing care tasks that 11
involve administration of insulin by injection to individuals with 12
diabetes, the home care aide must provide to the delegating nurse a 13
transcript or certificate of successful completion of training issued 14
by an approved instructor or approved training entity indicating 15
completion of specialized diabetes nurse delegation training. The 16
training must include, but is not limited to, instruction regarding 17
diabetes, insulin, sliding scale insulin orders, and proper injection 18
procedures.))19
(3) ((The home)) Home care ((aide is)) aides are accountable for 20
((his or her )) their own individual actions in the delegation 21
process. Home care aides accurately following ((written)) delegation 22
instructions from a ((registered)) nurse are immune from liability 23
regarding the performance of the delegated duties.24
(4) Home care aides are not subject to ((any)):25
(a) Any employer reprisal or disciplinary action by the secretary 26
for refusing to accept delegation of a nursing care task based on his 27
or her concerns about patient safety issues. No ((provider of a 28
community-based care setting as defined in RCW 18.79.260, or in-home 29
services agency as defined in RCW 70.127.010,)) facility or employer 30
may discriminate or retaliate in any manner against a person because 31
the person made a complaint about the nurse delegation process or 32
cooperated in the investigation of the complaint. 33
(b) Liability, reprisal, or disciplinary action when 34
administering medications in an emergency response situation if the 35
patient has a prescribed and available medication for that specific 36
type of emergency event.37
Sec. 7. RCW 70.127.010 and 2024 c 121 s 10 are each amended to 38
read as follows: 39
p. 11 SB 6107
Unless the context clearly requires otherwise, the definitions in 1
this section apply throughout this chapter. 2
(1) "Administrator" means an individual responsible for managing 3
the operation of an agency. 4
(2) "Department" means the department of health.5
(3) "Director of clinical services" means an individual 6
responsible for nursing, therapy, nutritional, social, and related 7
services that support the plan of care provided by in-home health and 8
hospice agencies. 9
(4) "Family" means individuals who are important to, and 10
designated by, the patient or client and who need not be relatives.11
(5) "Home care agency" means a person administering or providing 12
home care services directly or through a contract arrangement to 13
individuals in places of temporary or permanent residence. A home 14
care agency ((that provides delegated )) where nurses delegate tasks 15
of nursing under RCW 18.79.260(((3)(e))) is not considered a home 16
health agency for the purposes of this chapter. 17
(6) "Home care services" means nonmedical services and assistance 18
provided to ill, disabled, or vulnerable individuals that enable them 19
to remain in their residences. Home care services include, but are 20
not limited to: Personal care such as assistance with dressing, 21
feeding, and personal hygiene to facilitate self-care; homemaker 22
assistance with household tasks, such as housekeeping, shopping, meal 23
planning and preparation, and transportation; respite care assistance 24
and support provided to the family; or other nonmedical services or 25
delegated tasks of nursing under RCW 18.79.260(((3)(e))).26
(7) "Home health agency" means a person administering or 27
providing two or more home health services directly or through a 28
contract arrangement to individuals in places of temporary or 29
permanent residence. A person administering or providing nursing 30
services only may elect to be designated a home health agency for 31
purposes of licensure. 32
(8) "Home health services" means services provided to ill, 33
disabled, or vulnerable individuals. These services include but are 34
not limited to nursing services, home health aide services, physical 35
therapy services, occupational therapy services, speech therapy 36
services, respiratory therapy services, nutritional services, medical 37
social services, and home medical supplies or equipment services.38
(9) "Home health aide services" means services provided by a home 39
health agency or a hospice agency under the supervision of a 40
p. 12 SB 6107
registered nurse, physical therapist, occupational therapist, or 1
speech therapist who is employed by or under contract to a home 2
health or hospice agency. Such care includes ambulation and exercise, 3
assistance with self-administered medications, reporting changes in 4
patients' conditions and needs, completing appropriate records, and 5
personal care or homemaker services. 6
(10) "Home medical supplies" or "equipment services" means 7
diagnostic, treatment, and monitoring equipment and supplies provided 8
for the direct care of individuals within a plan of care.9
(11) "Hospice agency" means a person administering or providing 10
hospice services directly or through a contract arrangement to 11
individuals in places of temporary or permanent residence under the 12
direction of an interdisciplinary team composed of at least a nurse, 13
social worker, physician, spiritual counselor, and a volunteer.14
(12) "Hospice care center" means a homelike, noninstitutional 15
facility where hospice services are provided, and that meets the 16
requirements for operation under RCW 70.127.280. 17
(13) "Hospice services" means symptom and pain management 18
provided to a terminally ill individual, and emotional, spiritual, 19
and bereavement support for the individual and family in a place of 20
temporary or permanent residence, and may include the provision of 21
home health and home care services for the terminally ill individual.22
(14) "Immediate jeopardy" means a situation in which the in-home 23
services agency's noncompliance with one or more statutory or 24
regulatory requirements has placed the health and safety of patients 25
in its care at risk for serious injury, serious harm, serious 26
impairment, or death. 27
(15) "In-home services agency" means a person licensed to 28
administer or provide home health, home care, hospice services, or 29
hospice care center services directly or through a contract 30
arrangement to individuals in a place of temporary or permanent 31
residence. 32
(16) "Person" means any individual, business, firm, partnership, 33
corporation, company, association, joint stock association, public or 34
private agency or organization, or the legal successor thereof that 35
employs or contracts with two or more individuals.36
(17) "Plan of care" means a written document based on assessment 37
of individual needs that identifies services to meet these needs.38
p. 13 SB 6107
(18) "Quality improvement" means reviewing and evaluating 1
appropriateness and effectiveness of services provided under this 2
chapter. 3
(19) "Service area" means the geographic area in which the 4
department has given prior approval to a licensee to provide home 5
health, hospice, or home care services. 6
(20) "Social worker" means a person with a degree from a social 7
work educational program accredited and approved as provided in RCW 8
18.320.010 or who meets qualifications provided in 42 C.F.R. Sec. 9
418.114 as it existed on January 1, 2012. 10
(21) "Survey" means an inspection conducted by the department to 11
evaluate and monitor an agency's compliance with this chapter.12
NEW SECTION. Sec. 8. (1) Section 1 of this act expires June 30, 13
2027.14
(2) Section 3 of this act expires July 1, 2026.15
NEW SECTION. Sec. 9. (1) Section 2 of this act takes effect 16
June 30, 2027.17
(2) Section 4 of this act takes effect July 1, 2026.18
(3) Section 6 of this act takes effect July 1, 2028.19
--- END ---
p. 14 SB 6107