This bill would create a new chapter in Title 28B RCW (sections 1–3) that requires public institutions of higher education in Washington to provide access to medication abortion through their student health centers by the start of the 2026–27 academic year. Institutions that do not operate a student health center must, by the same date, provide information and referrals for medication abortion that include contact information for at least two qualified health care organizations, one of which may be a telehealth organization. The bill also requires institutions to offer, on student request, a private and accessible on‑campus space for telehealth appointments, necessary technical support including reliable internet, and electronic devices to access telehealth services. All public institutions must maintain a comprehensive health services website with clear information and resources on reproductive health services (including prenatal care and options for pregnancy termination), instructions for scheduling appointments with contact information for pregnancy‑related and behavioral health services, and links or contact information for campus resources that help students request academic accommodations related to pregnancy, recovery from medical treatment, or related conditions. The bill refers to several defined terms and existing statutes: "Council" means the Washington student achievement council as defined in RCW 28B.77.010; "medication abortion" has the same meaning as "abortion medications" in RCW 69.41.050; "public institution of higher education" is as defined in RCW 28B.10.016; and "student health center" is defined as a clinic or health center providing physical health care services to students operated by public institutions of higher education. Affected parties named in the text include the Washington student achievement council, public institutions of higher education, student health centers, qualified health care providers and organizations (including telehealth), public programs that connect patients to reproductive health services, and campus resources that assist with academic accommodations. This is a procedural and access‑focused legal change creating new statutory obligations for public colleges and universities rather than creating new crimes or changing penalties. The text supplied does not define "qualified health care provider," "public program(s) that connect patients," or how "utmost privacy and discretion" will be operationalized, and it contains no funding, implementation details, enforcement mechanisms, or a specific new chapter number.

If enacted, Washington’s public colleges and universities will have to take concrete steps before the 2026–27 school year to make medication abortion reasonably available to students or to provide clear referrals and support to reach providers. That will likely require campuses to add or expand services at student health centers, create private on‑campus telehealth spaces with reliable internet and devices, train staff to provide referrals to at least two qualified providers (including telehealth organizations), and maintain more detailed reproductive health webpages. These changes will raise ongoing workload and operating costs for institutions and student health centers and will probably increase referral volume and revenue for telehealth and other abortion providers; students will likely have easier and more private access to medication abortion and related appointment information. The people and budgets most directly affected are public institutions of higher education, their student health centers, and the telehealth and clinical providers they refer to; campuses will face new responsibilities and operational costs, while providers may see more patients. Key details that would affect actual costs and risks — such as a clear definition of “qualified health care provider,” what precisely “access” requires, how privacy must be implemented, and whether the state will provide funding or enforcement mechanisms — are not included in the extracted text, so the scale of the burden on campus budgets and the timeline for implementation remain uncertain.