The bill amends RCW 18.79.440 (and 2025 c 58 s 5028) to limit public posting of enforcement action information by the department or board. Under the amendment the department or board may not post information about an enforcement action on any public website when three conditions are met: the person was required by order or agreement to contact a board-approved substance use disorder monitoring program authorized by RCW 18.130.175 and participate if recommended; the board has found the person substantially complied with the terms of the order or agreement; and, if the website is a third-party site, the department or board has the ability to prevent the information from being posted there. This is a procedural privacy restriction rather than a change to penalties. The bill also requires the board, subject to amounts appropriated for this specific purpose, to establish a stipend program to defray up to 80 percent of eligible out-of-pocket expenses for participation in the board-approved substance use disorder monitoring program. Eligible applicants must be actively participating in the monitoring program or have completed it within six months of applying; a person who previously applied for and participated in the stipend program is ineligible. The stipend may cover specified costs such as evaluations, treatment, testing, peer support, and other expenses the board deems appropriate; participants must document expenses as the board specifies. The board must post updated program information on its website about participation numbers, average amount defrayed per participant, total defrayed, and funds available, and may adopt rules to implement the section. The act takes effect July 1, 2026. Affected parties include credentialed persons under the amended chapter and chapter 18.88A RCW (including nursing assistants as noted in the bill title), the responsible department or board, board-approved monitoring programs, and third-party websites. The extract does not specify which board or department is meant by “the board” or “the department,” the exact chapter referenced as “this chapter,” or any appropriation amounts.

If enacted, people credentialed under the referenced chapters (including nursing assistants) who are ordered into and substantially comply with a board-approved substance use disorder monitoring program could avoid having that enforcement action posted on the department or board’s public website, and possibly kept off third-party sites if the board or department can stop those postings. The bill also creates a stipend program, subject to legislative funding, that can cover up to 80 percent of documented out-of-pocket costs for the required monitoring (evaluation, treatment, drug testing, peer support, etc.), but only for people actively participating or who finished the program within six months, and only once per person; the board must report aggregated participation and spending and may adopt rules to run the program. The biggest practical effects fall on credentialed individuals (less public exposure and potential financial relief) and on the relevant board or department (new duties to suppress postings when conditions are met, to set up and administer a funded stipend program, and to publish program data). Whether people actually get cost help depends on whether the legislature provides money; the text here does not name the specific board or department, does not state appropriation amounts, and leaves unclear what happens if a third-party site cannot be prevented from posting.