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WashingtonHB 17092025-2026 Regular SessionHouse

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

Sponsored By: Lisa Callan (Democratic)

Signed by Governor

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Bill Overview

Analyzed Economic Effects

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

School care expands for adrenal insufficiency

Starting in the 2025-26 school year, Washington districts must provide a health plan for each student with adrenal insufficiency. District policies must cover parent requests, health professional orders, medicine and equipment storage, needed supports, and emergency care. Plans must be shared with appropriate staff and updated annually; medicines must follow state school medication rules. Parents can name a volunteer adult, including a school employee, to provide care that follows the plan. Volunteers must complete parent-selected training, including emergency corticosteroid injections for an adrenal crisis. Unlicensed school employees must voluntarily file a current, unexpired letter of intent and cannot be punished for declining. Nurse delegation rules remain unchanged.

Legal protections expand for school caregivers

Beginning July 27, 2025, the law protects Washington school districts, their employees and agents, and parent-designated adults from liability. The protection covers care under the school laws for adrenal insufficiency, diabetes, and seizure disorders. They must act in good faith and substantially follow the student's health plan and licensed health professional's instructions. For covered care meeting these conditions, they are protected from criminal liability and civil damages. This protects caregivers but limits families' legal recourse.

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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