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WashingtonHB 23392025-2026 Regular SessionHouseWALLET

Concerning the regulation of nursing.

Sponsored By: Tarra Simmons (Democratic)

Became Law

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Bill Overview

Analyzed Economic Effects

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

Broader prescribing power for advanced nurses

Beginning June 30, 2027, advanced practice registered nurses can prescribe regular prescription drugs and Schedule V drugs. They may also prescribe Schedules II–IV as allowed by the Board’s scope and RCW 18.79.240(1)(r) or (s). Board‑approved nurse anesthetists without prescriptive authority before July 1, 2026, may select, order, or give Schedules II–IV. They must follow facility protocols and have a physician, osteopathic physician, dentist, or podiatrist request their anesthesia services. This is limited to drugs they directly give to patients who need anesthesia in hospitals, clinics, surgery centers, or certain offices.

Interim permits and nursing license steps

Beginning June 30, 2027, the Board may issue interim permits once it verifies you finished your nursing program. You can work as an RN, APRN, or LPN until you get exam results. If you pass and meet other rules, the Department of Health issues your license. If you fail, the interim permit ends and cannot be renewed. You must also submit a sworn Department form and any official records the Board requires to apply. LPN applicants must show they are over 18.

Delayed start and sunset dates set

Some parts of this law start later. Sections 2, 4, 6, 8, 10, and 12 take effect June 30, 2027. Sections 1, 3, 5, 7, 9, and 11 end on June 30, 2027. Changes in those sections only apply until that date.

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Sponsors & Cosponsors

Sponsor

  • Tarra Simmons

    Democratic • House

Cosponsors

  • Nicole Macri

    Democratic • House

Roll Call Votes

All Roll Calls

Yes: 143 • No: 3

Senate vote • 3/5/2026

3rd Reading & Final Passage

Yes: 49 • No: 0

House vote • 2/16/2026

3rd Reading & Final Passage

Yes: 94 • No: 3 • Other: 1

Actions Timeline

  1. Effective date 6/11/2026*.

    3/23/2026House

  2. Chapter 139, 2026 Laws.

    3/23/2026House

  3. Governor signed.

    3/23/2026legislature

  4. Delivered to Governor.

    3/10/2026legislature

  5. President signed.

    3/9/2026legislature

  6. Speaker signed.

    3/6/2026legislature

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

    3/5/2026House

  8. Rules suspended. Placed on Third Reading.

    3/5/2026House

  9. Placed on second reading by Rules Committee.

    3/3/2026House

  10. Passed to Rules Committee for second reading.

    2/25/2026House

  11. Minority; do not pass.

    2/24/2026House

  12. HLTC - Majority; do pass.

    2/24/2026House

  13. First reading, referred to Health & Long-Term Care.

    2/18/2026House

  14. Third reading, passed; yeas, 94; nays, 3; absent, 0; excused, 1.

    2/16/2026House

  15. Rules suspended. Placed on Third Reading.

    2/16/2026House

  16. 1st substitute bill substituted.

    2/16/2026House

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

    2/14/2026House

  18. Referred to Rules 2 Review.

    1/27/2026House

  19. HCW - Executive action taken by committee.

    1/23/2026House

  20. HCW - Majority; 1st substitute bill be substituted, do pass.

    1/23/2026House

  21. First reading, referred to Health Care & Wellness.

    1/12/2026House

  22. Prefiled for introduction.

    1/8/2026House

Bill Text

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