This bill creates a new state law by adding a section to chapter 28B.10 RCW that requires coursework in the curriculum for a medical degree or certificate at the University of Washington School of Medicine and the Washington State University School of Medicine to assess student performance either with a letter grade from A to F or with a tiered grading system that uses at least four designations. This is a procedural change specifying how student performance must be reported for those programs. The affected entities named are the University of Washington School of Medicine and the Washington State University School of Medicine and the students enrolled in their medical degree or certificate programs. The bill is identified as S-4033.1 / Senate Bill 6251 (69th Legislature, 2026 Regular Session) and adds a new section to chapter 28B.10 RCW while referencing chapters establishing the two schools (28B.20 and 28B.30 RCW). The text provided does not define key terms such as "letter grade from A to F," "tiered system," "coursework," or "curriculum," and it does not specify an effective date, implementation deadline, enforcement mechanisms, penalties, rulemaking authority, which specific courses are covered, or any transitional provisions. These omissions are not resolved in the extracted facts.

If enacted, the University of Washington and Washington State University medical schools would have to make sure coursework for medical degrees and certificates is graded either with traditional A–F letter grades or with a multi-level tiered system that has at least four designations. That will directly affect faculty and administrators who set grading policy, require them to revise or document assessment practices, update how grades are recorded and reported, and change the way students’ performance is communicated; students in those programs will see their work reported only under one of those two formats. The bill text does not include an effective date, definitions of what counts as a tiered system, which specific courses are covered, or any enforcement or funding provisions, so schools will face practical uncertainty about timing, scope, and needed implementation steps. Any administrative work, policy development, training, or recordkeeping costs would likely come out of existing program budgets unless further guidance or resources are provided.