Bill > HB1200

This bill aims to authorize payment for parents who provide personal care services to their minor children with developmental disabilities. Specifically, the bill requires the state administration to request amendments to home and community-based services waivers from the Centers for Medicare and Medicaid Services (CMS) by January 31, 2026, to allow parents to receive payment for providing "extraordinary care" to their minor children. "Extraordinary care" is defined as care beyond typical parental responsibilities for a child with significant disabilities, as assessed by a comprehensive evaluation. If approved by CMS, parents would be able to become individual providers, subject to the same training and oversight as other care providers. The bill is motivated by findings that families of children with disabilities often face challenges in finding appropriate care, and that allowing parent caregivers can lead to better outcomes and potentially lower costs. The legislation emphasizes supporting children with developmental disabilities and their families through fair labor practices and comprehensive support systems, while ensuring that the payment option would only be available as a waiver service and would not affect existing personal care service options for other populations.

Budget and Finance, Education

https://app.leg.wa.gov/billsummary?BillNumber=1200&Year=2025&Initiative=false