WA HB2425

Registered nurses may delegate tasks to other individuals in any setting where the nurse determines it is in the patient's best interest, expanding delegation authority beyond previously defined community-based and in-home care settings

Nursing assistants-certified and home care aides may administer medications including subcutaneous injections and perform capillary blood sticks when trained and delegated by a nurse

Nurses, nursing assistants, and home care aides are protected from employer reprisal or disciplinary action for refusing to delegate or accept delegation based on patient safety concerns

Removes previous restrictions that limited medication administration delegation to insulin injections only for diabetic patients, and eliminates requirements for setting-specific delegation training certificates

Washington State Board of Nursing must adopt rules addressing appropriate delegation parameters by July 1, 2028, with various sections taking effect between July 1, 2026 and July 1, 2028