WA SB5211

Allows parents to receive payment for providing personal care services to their minor children with developmental disabilities, requiring the Developmental Disabilities Administration to submit waiver amendment requests to the Centers for Medicare and Medicaid Services by January 31, 2026

Limits paid parental caregiving to "extraordinary care" for children assessed in E or B high classification categories, defined as care exceeding what parents would ordinarily provide to a child of the same age without disabilities

Requires parent caregivers to be employed as individual providers subject to the same training and oversight requirements as other individual providers who are parents of care recipients

Addresses a caregiver workforce shortage where 41 percent of authorized personal care hours systemwide currently go unused due to inability to find qualified providers

Initial eligibility criteria expire July 1, 2031, when expanded definitions of extraordinary care take effect; the waiver amendment authority expires July 1, 2032