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Bill

HB 1130

Concerning utilization of developmental disabilities waivers.

2025-2026 Regular Session Introduced by Lisa Callan and 13 co-sponsors

Washington HB 1130 modifies developmental disability waiver utilization policies to adjust how community-based long-term care services are accessed and administered for individuals with intellectual and developmental disabilities.

Effective date 7/27/2025.
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Bill Summary · HB 1130

Legislative bill overview

HB 1130 modifies how Washington State administers developmental disabilities (DD) waivers, which fund services and supports for individuals with intellectual and developmental disabilities living in community settings rather than institutions. The bill adjusts utilization policies and procedures for accessing these waivers, which serve as the primary mechanism for providing long-term care services to this population. It became law on May 12, 2025, with an effective date of July 27, 2025.

Why is this important

Developmental disabilities waivers directly impact thousands of Washingtonians with intellectual and developmental disabilities who depend on these programs for daily living assistance, employment support, and community integration. Changes to waiver utilization affect wait lists, service accessibility, and the ability of individuals to live independently in their communities. Policy shifts in this area have downstream effects on families, caregivers, service providers, and state budget allocation.

Potential points of contention

  • Specifics unclear from bill title alone: Without the full text, the exact nature of utilization changes is unclear—whether they expand access, restrict eligibility, adjust funding mechanisms, or reorganize service delivery structures
  • Budget and wait list implications: Any changes to waiver utilization could either relieve or exacerbate existing wait lists for DD services, or shift costs to other state programs or families
  • Provider impact: Service providers may face changes in billing, qualification standards, or service delivery models depending on the bill's provisions

Compiled from official sources — confirm details with the bill’s official record.

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