Washington — RCW 74.39.007

The definitions in this section apply throughout RCW 74.39.007 , 74.39.050 , 74.39.070 , 43.190.060 , and section 1, chapter 336, Laws of 1999 unless the context clearly requires otherwise.

(1)"Self-directed care" means the process in which an adult person, who is prevented by a functional disability from performing a manual function related to health care that an individual would otherwise perform for himself or herself, chooses to direct and supervise a paid personal aide to perform those tasks.

(2)"Personal aide" means an individual, working privately or as an individual provider as defined in RCW 74.39A.240 , who acts at the direction of an adult person with a functional disability living in his or her own home to assist with the physical performance of a health care task, as described in RCW 74.39.050 , that persons without a functional disability can perform themselves.

[ 2022 c 86 s 1 ; 1999 c 336 s 2 .]

Notes:

Finding — Intent — 1999 c 336: "(1) The legislature finds that certain aspects of health licensure laws have the unintended consequence of limiting the right of persons with functional disabilities to care for themselves in their own home, and of securing assistance from other persons in performing routine health-related tasks that persons without these disabilities customarily perform.

(2)It is the intent of the legislature to clarify the right of adults with functional disabilities to choose to self-direct their own health-related tasks through personal aides, and to describe the circumstances under which self-directed care may take place in the home setting. The legislature declares that it is in the public interest to preserve the autonomy and dignity of persons with functional disabilities to care for themselves in their own homes, among the continuum of options for health care services where the judgment and control over the care rests with the individual." [ 1999 c 336 s 1 .]

RCW 74.39.007

Definitions. (Effective January 1, 2026.)

The definitions in this section apply throughout this section, RCW 74.39.050 , 74.39.070 , 43.190.060 , and section 1, chapter 336, Laws of 1999 unless the context clearly requires otherwise.

(1)"Self-directed care" means the process in which an adult person, who is prevented by a functional disability from performing a manual function related to health care that an individual would otherwise perform for himself or herself, chooses to direct and supervise a paid personal aide to perform those tasks.

(2)"Personal aide" means an individual, working privately, as an individual provider as defined in RCW 74.39A.240 , or as a qualified family member paid through the long-term services and supports trust as described in RCW 50B.04.010 , who acts at the direction of an adult person with a functional disability living in his or her own home to assist with the physical performance of a health care task, as described in RCW 74.39.050 , that persons without a functional disability can perform themselves.

[ 2025 c 380 s 45 ; 2022 c 86 s 1 ; 1999 c 336 s 2 .]

Notes:

Effective date — 2025 c 380 ss 1-11, 15, 16, and 40-46: See note following RCW 50B.04.180 .

Finding — Intent — 1999 c 336: "(1) The legislature finds that certain aspects of health licensure laws have the unintended consequence of limiting the right of persons with functional disabilities to care for themselves in their own home, and of securing assistance from other persons in performing routine health-related tasks that persons without these disabilities customarily perform.

(2)It is the intent of the legislature to clarify the right of adults with functional disabilities to choose to self-direct their own health-related tasks through personal aides, and to describe the circumstances under which self-directed care may take place in the home setting. The legislature declares that it is in the public interest to preserve the autonomy and dignity of persons with functional disabilities to care for themselves in their own homes, among the continuum of options for health care services where the judgment and control over the care rests with the individual." [ 1999 c 336 s 1 .]