Engrossed version. Adds "in whole or in substantial part" to the definition of hate crime, referring to the perpetrator's perception of the victim's race, color, religion, sexual orientation, gender expression, or disability, etc. when the accused assaults, damages property, or threatens to do so. This will result in the lowering of the threshold for a guilty verdict and subjecting the accused's life history (statements, social media posts, etc.) to scrutiny and potential distortion.

Filed at request of governor. Ends local public health districts in order to regionalize and centralize them (by 1.1.23) in response to "inequities and shortcomings made apparent in CV pandemic." Companion to SB5173.

Establishes school-based health centers under DOH, with funding, monitoring, partnering with NGOs.

Requires public water systems that intend to discontinue fluoridation notify DOH and receive DOH's info re public health impacts of fluoride, as well as provide this info to its customers 90 days before a vote regarding the discontinuation. Companion to SB5215.

The bill was amended several times. It strips many of the parental rights enacted via I-2081.

Monies collected under this new WA State Health Care Authority program (funds will come in the form of assessments on health insurance companies) may also be used "to pay for administrative and service-related costs to expand [M]edicaid access in schools by maximizing [M]edicaid funding opportunities to support the school-based health services program, school-based health clinics ["SBHCs"], and on-site behavioral health services." We do not support the expansion of SBHCs because they interfere

Establishes a medical reserve corps controlled solely by Secretary of Health (SOH). Corps members can be individuals or any sort of entity, government or private. Licensed practitioner members provide either human health or veterinary services, the latter of which include monitoring and treating animals for “diseases that have spread or demonstrate the potential to spread to humans.” SOH chooses compensation amounts for members. Licensed members are immune from liability for civil damages.

Requires state and local health officials to implement and promote "evidence-based, appropriate measures to control the spread of communicable diseases, including vaccines." Forbids the state and its political subdivisions from enacting statutes, ordinances, rules, or policies that prohibit the implementation and promotion of such measures. Removes local control of this portion of public health policy, ensuring that all officials across the state simply rubber-stamp CDC "recommendations."

Would amend statute to replenish funding to schools that was lost due to enrollment declines. The negative financial ramifications to schools due to student withdrawals will be ameliorated by the taxpayers. Companion to SB5563.

Implements a network of public + private orgs to coordinate mental health supports for K-12 students--training, assessments, more programs/policies, partnering with outside agencies/CBOs. While we recognize the need for some students to access mental health care, we are concerned that this bill expands the existing access to K-12 kids via school-based clinics for services provided by outside groups and that may not align with parents' values.

Would expand hospitals' responsibility to address not only MRSA but any pathogen "of epidemiological concern" with policies that may include mandatory testing, isolation of patients, mitigation of visitor and health care workers' susceptibility to contract and transmit these pathogens, and reporting to DOH. This could jeopardize patient rights, visitation rights, and patient privacy. It would create unnecessary and unfunded additional policy, oversight and regulatory burdens.

Increases public health's reach by adding to EMT job description the provision of NON-emergency medical evaluation, testing, and vaccines in response to a public health agency request to control and prevent the spread of communicable diseases. Companion to SB5754.

Codifies DOH authority to issue vaccine guidance without rulemaking, based on ACIP or any org it deems “science-based.” Redefines vaccines in WA’s purchase program to bypass ACIP. Emergency clause blocks referendum. Shifts power to the state, reduces transparency and accountability.

Would create “health equity zones” in geographical areas with health disparities, inviting partnerships between providers, public health, other agencies, and nonprofits to create and manage projects and apply for resources. Would require annual reporting from DOH to the legislature.

Lowers qualifications of declarant in support of a petition for a court to find that a person must involuntarily undergo a mental eval, including up to 24 hour detainment. Lowers burden of proof required for court order. Discusses orders "to receive" involuntary treatment, removing the inflammatory term "commitment." Increases the severity of consequences for a minor with deteriorating functioning or one who doesn't comply with court-imposed "less restrictive alternative treatments" for behavior

To address the "chronically underfunded public health system exposed during CV-19," collects $3.25 per member per month from health insurance companies, Medicare-managed care orgs, and TPAs as part of public/private partnership 'to increase PH capacity and capability,' including for childhood vaccination. The assessment will be $143 million for 2024 and $200 million for 2025 and beyond. Companion to HB1201.

Dismantles many provisions of I-2081. Ends requirement for prior notice to parents when students are offered or receive medical services, including those that the school arranges and may require follow-up care. Rather than immediate notice, allows schools up to 72 hours to give parents notice of removal of their child from campus. Removes rights of parents to review their child's mental health and medical records at school.

Establishes a universal health care commission to develop a plan to create a statewide universal health care system by 2026 so that "all residents of the state have comprehensive, equitable, and affordable health care coverage under a publicly financed and privately and publicly delivered health care system." Oppose because we have witnessed the dangers of public-private partnerships with the medical and drug industry that have not served the health interests of the public.

The 1st sub is less favorable than the original bill, whose score is recorded here. The leg or 4 leg leaders after 90 d. The orig bill would have limited govr's emergency *orders* (curfews, gathering, and other limits) to 30 d unless extended by the leg through resolution (or, if not in session, by the 4 leg leaders). However, the sub bill allows these orders to continue indefinitely, requiring action by the leg to end them.

A person who is sheltering a runaway or homeless youth is exempt from the requirement of reporting it to law enforcement and the parents in the event the child is seeking or receiving "gender-affirming" or "reproductive" care, including abortion, as defined in SB5489.

This bill may result in minors from other states coming to Washington and obtaining abortion/gender "treatment" without their parents' knowledge or consent.

A youth of any age who is homeless and "not in the physical custody of a parent or guardian" can consent to nonemergency outpatient primary care services, including vaccination. Excludes elective surgeries. The health care worker, who is not required to obtain documentation of the child's status, is shielded from civil liability and administrative sanctions for providing services.

Allows in certain cases for legislative leadership to end a state of emergency after 90 days. Creates legislative committee to make recommendations on governor's proposals on how to allocate unanticipated federal or other funds received, when they exceed $5 million per biennium. (Existing statute already provides for such a committee; this bill defines the members. Existing statute provides for a $5 million threshhold this biennium; this bill extends that indefinitely.)

Adds to Apple Health's duties AAP's Bright Futures Recommendations, which include all CDC schedule vaccines. https://downloads.aap.org/AAP/PDF/periodicity_schedule.pdf

This bill could be especially harmful in light of Washington's minor consent laws with respect to contraceptives, medical abortions, and vaccines.

Redefined "vaccine" to omit that it is "a preparation of killed or attenuated living microorganisms, or fraction thereof, that upon administration stimulates immunity that protects against diseases" and instead simply calls it an "immunization." Now allows WA Vaccine Assn to participate in funding all WA newborns <8 months in "their first RSV season" to be given the brand-new Beyfortis (nirsevimab) a monoclonal antibody (MA)--not a vaccine--injection for RSV, as well as all future pediatric MAs.

Gives Secretary of Health (SOH) authority to issue a prescriptive "standing order" for "tools" to control disease AND to control ANY threat to public health. This includes products to diagnose, cure, mitigate, treat, or prevent disease. The bill exempts SOH from all civil/criminal damage claims that arise from this law. DOH may acquire and deliver the subject products. Standing orders can compromise informed consent because providers use a presumptive approach with their patients.

Already adopted on January 18: serves to extend current gubernatorial emergency declaration indefinitely, given its reliance upon definition of "until order is restored" that is not already considered to have been met.

An agency may not adopt a rule to enforce a gubernatorial emergency order unless the agency first receives approval from the legislature via concurrent resolution.

School districts must post test scores, curricula, materials, contracts with curriculum providers, and info on teachers and guest presenters on their websites. WSSDA member districts must increase electronic meeting access and participation to public.

Limits gubernatorial emergency orders to 30 days absent the legislature's extension thereof.

No employer, school, agency, transportation provider, place of public resort, assembly, or amusement may require CV-19 vaccine.

The 1st sub is less favorable than the original bill, whose score is recorded here. The leg or 4 leg leaders after 90 d. The orig bill would have limited govr's emergency *orders* (curfews, gathering, and other limits) to 30 d unless extended by the leg through resolution (or, if not in session, by the 4 leg leaders). However, the sub bill allows these orders to continue indefinitely, requiring action by the leg to end them.

Requires managed care orgs to pay for in-school counseling provided by agencies to that schools' Medicaid students. While we see the need for some students to access counseling, we do not support in-school clinics because they can be used to contravene parental consent to treatment and parental choice of provider. This bill will increase the number of school-based health clinics and their influence on children.

Increases state funding for school nurses, social workers, psychologists, and school counselors for the purpose of addressing the physical, social, and emotional needs of students. We oppose the bill because our schools are not medical clinics; they are intended for education. It’s exceedingly dangerous for schools to continue expanding into all these areas that extends the state’s power over children.

Requires agencies to comply with the same promotion laws that govern drug and medical device companies; prevents agencies from having membership in organizations that are sponsored by the industry whose products the agencies regulate or promote. Companion to bipartisan HB1610.

Requires employers to offer to restore (to the same positions) employees' and volunteers' positions if they were terminated or resigned due to proclamation 21-14. Recognizes individual rights to religious liberty and bodily integrity and that natural immunity is superior to vaccination for CV-19.

Requires COVID-19 test sites to provide free antibody testing for employees whose employers require proof of CV-19 vaccination. Requires employers to accept positive tests as an alternative to vaccination. While ICWA supports an employee's right to decline vaccination, our goal is to end all workplace requirements regarding anyone to submit health information as a condition of employment, service, education, or any other rights.

Government may not require proof of any vaccine for entry to public place or any sites accessible to the general public for business, entertainment, or another lawful purpose. A "public place" includes the front, immediate area, or parking lot of any store, restaurant, or other place of business; any public building, its grounds, or surrounding area; or any public parking lot, street, park. It is ambiguous as to whether this bill prevents a private entity from requiring such proof.

If BOH adds CV-19 shots to the "required for school" list, the shots will not actually be required unless the local school district affirmatively adopts the "requirement." While ICWA opposes any action by the BOH to add these experimental products to any school "requirements," it does not support giving a school board authority to require them, either. No one should have the power to coerce another into undergoing a medical procedure; it is a personal decision.

Filed at the request of ICWA. State agencies and WA executive branch must comply with FDA labeling rules/limitations when promoting vaccines, masks, and other FDA-regulated products/devices. The bill provides for compliance monitoring, correction of violations, and annual reporting to the state auditor, who shall investigate complaints of violations.

Filed at the request of ICWA. Prohibits the consideration of an individual's vaccination status as a factor in legal proceedings related to guardianship of minors and incapacitated adults, parenting plans, child support, adoption, and child abuse cases.

Requires disclosure of public schools' curriculum, materials, guest speakers, schools' contracts with vendors, and more upon request. WSSDA members must increase electronic meeting access and participation to public.

Ensures unemployment benefits for those who lost or left their jobs secondary to CV vaccine "requirements."

Gives in-session legislature the authority to end a gubernatorial state of emergency upon concurrent resolution. If not in session, legislature's 4 leaders may terminate it after 90 days. Limits governor's authority to impose curfew/gathering limits/street use/etc. to 30 days unless extended by legislators (concurrent resolution if in session; 3 of the 4 leaders if not).

Expands mental health services in schools and via school telehealth, including screening, assessing, intervention, referral. This bill increases the state’s access to children outside the parents’ presence. In light of Washington’s minor consent laws, this bill could increase the number of children who are prescribed psychoactive drugs and “gender-affirming care” without parental knowledge or consent.

Among other things, this bill allows school districts to choose whether to offer sex ed (current law mandates it). If schools do choose to offer it, they wouldn’t be required to meet the grade-by-grade schedule now in effect.