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.

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."

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.

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.

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

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.

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.

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.

Funds fund access to mental health professionals for rural students via free telemed at school and trains school employees to identify students “in need of services.” OSPI may bill the child’s insurance. In light of existing minor consent laws; the bill would expand the potential for school kids to be subject to an intervention without parental knowledge or consent. Different parents would have different criteria, such as ideology, when selecting a counselor for their child.

Prohibits state Medicaid from paying for certain sex-denying medical interventions for minors. We support this bill because minors are not capable of providing informed consent to such procedures.

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.