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WashingtonHB 17092025-2026 Regular SessionHouseWALLET

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

Sponsored By: Lisa Callan (Democratic)

Became Law

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Bill Overview

Analyzed Economic Effects

2 provisions identified: 1 benefits, 0 costs, 1 mixed.

School care for students with adrenal insufficiency

Beginning with the 2025–26 school year, school districts must create an individual health plan (IHP) for any student with adrenal insufficiency. The plan follows parent requests and a licensed health professional’s orders. The school stores parent‑provided medicine and equipment, makes needed exceptions to school rules, and shares the emergency plan with staff. Plans are reviewed and updated at least once a year. Medicine is given under existing state school medication rules. Parents may name a trained parent‑designated adult to give care under the IHP, including emergency steroid shots. A non‑nurse school employee can serve only by choice and after filing a current, voluntary letter of intent; they cannot be forced or punished for refusing.

Liability shield and nurse rules at school

School districts, staff, and parent‑designated adults get legal protection when they act in good faith and follow a student’s IHP and the licensed health professional’s instructions. This immunity covers care provided under the new adrenal insufficiency rules and related school health laws. The law does not change nurse delegation rules; when those rules apply, they still control.

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Sponsors & Cosponsors

Sponsor

  • Lisa Callan

    Democratic • House

Cosponsors

  • Julia Reed

    Democratic • House

  • Mike Steele

    Republican • House

  • Natasha Hill

    Democratic • House

  • Roger Goodman

    Democratic • House

Roll Call Votes

All Roll Calls

Yes: 242 • No: 0

House vote • 4/22/2025

Final Passage as Amended by the Senate

Yes: 97 • No: 0 • Other: 1

Senate vote • 4/16/2025

3rd Reading & Final Passage as Amended by the Senate

Yes: 49 • No: 0

House vote • 3/11/2025

3rd Reading & Final Passage

Yes: 96 • No: 0 • Other: 2

Actions Timeline

  1. Effective date 7/27/2025.

    5/19/2025House

  2. Chapter 356, 2025 Laws.

    5/19/2025House

  3. Governor signed.

    5/19/2025legislature

  4. Delivered to Governor.

    4/25/2025legislature

  5. President signed.

    4/24/2025legislature

  6. Speaker signed.

    4/23/2025legislature

  7. Passed final passage; yeas, 97; nays, 0; absent, 0; excused, 1.

    4/22/2025House

  8. House concurred in Senate amendments.

    4/22/2025House

  9. Third reading, passed; yeas, 49; nays, 0; absent, 0; excused, 0.

    4/16/2025House

  10. Rules suspended. Placed on Third Reading.

    4/16/2025House

  11. Committee amendment(s) adopted with no other amendments.

    4/16/2025House

  12. Placed on second reading by Rules Committee.

    4/15/2025House

  13. Passed to Rules Committee for second reading.

    3/28/2025House

  14. EDU - Majority; do pass with amendment(s).

    3/27/2025House

  15. First reading, referred to Early Learning & K-12 Education.

    3/13/2025House

  16. Third reading, passed; yeas, 96; nays, 0; absent, 0; excused, 2.

    3/11/2025House

  17. Rules suspended. Placed on Third Reading.

    3/11/2025House

  18. 1st substitute bill substituted.

    3/11/2025House

  19. Rules Committee relieved of further consideration. Placed on second reading.

    3/10/2025House

  20. Referred to Rules 2 Review.

    2/21/2025House

  21. ED - Executive action taken by committee.

    2/18/2025House

  22. ED - Majority; 1st substitute bill be substituted, do pass.

    2/18/2025House

  23. First reading, referred to Education.

    1/29/2025House

  24. Introduced

    1/29/2025House

Bill Text

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