This bill amends the Washington Death with Dignity Act by changing portions of RCW 70.245.010, 70.245.090, and 70.245.230. It changes the procedure for obtaining a prescription for self-administered life-ending medication by requiring a qualified patient to make both an oral request and a written request and to reiterate the oral request to the attending qualified medical provider at least seven days after the initial oral request. The bill creates an exemption from that seven-day waiting period if, at the time of the initial oral request, the attending provider determines the patient is not expected to survive seven days, will not retain the ability to self-administer for seven days, or is experiencing irremediable pain or suffering. At the time of the second oral request the attending provider must offer the patient an opportunity to rescind the request. The bill also clarifies that transfer of care or medical records does not restart any waiting period. The bill modifies who may serve as attending and consulting qualified medical providers and places limits on those choices. A qualified patient may select attending and consulting providers of the patient’s choosing subject to statutory limits: if the attending provider is not a physician the patient must select a physician as the consulting provider; a consulting provider who is not a physician may be selected only if the attending provider is a physician; and if either selected provider is a physician assistant the other provider may not have a direct supervisory relationship with that physician assistant. Key definitions are amended or restated, including adult (18+), competent, consulting and attending qualified medical provider, qualified patient, self-administer, irremediable pain or suffering, medically confirmed, health care provider, and terminal disease (defined as likely to produce death within six months). This is a procedural amendment to existing law rather than creation of a new crime or change in criminal penalties. It changes eligibility, waiting-period, provider-selection, and informed-decision procedures under the Death with Dignity Act and affects physicians, physician assistants, advanced practice registered nurses, and specified state-licensed mental health professionals. The extracted material shows deletion notation around the word "practitioner" in some definitions and does not include an effective date or the bill’s final legislative status, so those details are unclear from the provided text.

If enacted, the bill makes most patients seeking a prescription to end their life wait at least seven days between an initial oral request and a second oral request, plus a written request, but allows the attending provider at the first visit to waive that wait if the patient likely will die within seven days, will lose the ability to self-administer within seven days, or is in irremediable pain. Practically this means more scheduled follow‑up and a required offer to rescind at the second visit for most patients, but faster access in clearly terminal or urgent cases; transfers of care or medical records will not restart the waiting clock, preserving continuity rather than creating new delays. The people most affected are attending and consulting medical providers (physicians, physician assistants, and advanced practice nurses), plus state‑licensed mental health professionals who do required counseling. Providers will face new responsibilities to assess eligibility for the exemption at the first request, to document and offer a rescind opportunity at the second request, and to follow the new limits on which combinations of attending and consulting clinicians patients may choose—changes that can increase scheduling, coordination, and documentation time and related costs. The text leaves out the bill’s effective date and some prior-law comparisons (deletion marks appear), so timing and certain implementation details are unclear.