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.

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

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.

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.

Expands in-school social workers' numbers and roles and numbers and provides funding to help schools to bring them in from local mental health agencies. Given other laws and pending legislation that exclude parents from accessing their children's mental health records and from notification of counseling received, we are concerned about what might transpire if more social workers enter the schools.

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.

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.

"Reduces barriers to school-based behavioral health services," including through public/private partnerships. This includes provision of in-person and telehealth "behavioral health treatment services" to school children. It provides for classroom education and awareness campaigns, the subject matter of which may contravene parents' values. This bill could further extricate parents from their children's upbringing.

Expands in-school social workers' numbers and roles and numbers and provides funding to help schools to bring them in from local mental health agencies. Given other laws and pending legislation that exclude parents from accessing their children's mental health records and from notification of counseling received, we are concerned about what might transpire if more social workers enter the schools.

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.