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SB 5811

Expanding the definition of family member for individual providers.

2023-2024 Regular Session Introduced by Annette Cleveland and 13 co-sponsors

Washington law now permits more distant relatives to serve as paid individual healthcare providers for in-home care under Medicaid, expanding family caregiver compensation options statewide.

Effective date 6/6/2024*.
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Bill Summary · SB 5811

Legislative bill overview

SB 5811 expands the definition of "family member" for individual healthcare providers in Washington State, allowing a broader range of relatives to provide in-home care services under Medicaid and state healthcare programs. The bill modifies eligibility criteria to include more distant family relationships than previously permitted, effective June 6, 2024.

Why is this important

This change directly affects access to affordable in-home care for elderly and disabled individuals by enabling more family members to be compensated as paid caregivers. It can reduce reliance on external care agencies, lower costs for state healthcare programs, and allow families greater flexibility in organizing care while generating income for family members providing services.

Potential points of contention

  • Cost implications: Expanded provider eligibility could increase Medicaid expenditures if more family member arrangements are utilized, requiring careful actuarial monitoring
  • Quality and oversight concerns: Broader family definitions may complicate oversight and quality assurance compared to professional care agencies, potentially raising accountability questions
  • Equity questions: The change may disproportionately benefit families with capacity to navigate healthcare systems, while those without family support remain dependent on institutional care arrangements

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

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