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.

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