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Bill

Bill

HB 1724

Improving access and practices relating to portable orders for life-sustaining treatment.

2025-2026 Regular Session Introduced by Dan Bronoske and 8 co-sponsors

Washington bill standardizing portable end-of-life medical directives to ensure patient treatment preferences are consistently recognized and followed across all healthcare settings.

Referred to Appropriations.
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Bill Summary · HB 1724

Legislative bill overview

HB 1724 modernizes Washington's approach to Portable Orders for Life-Sustaining Treatment (POLST), which are medical directives that follow patients across care settings. The bill aims to improve accessibility, standardization, and implementation of these end-of-life planning documents to ensure patient wishes are honored consistently in hospitals, nursing homes, and other healthcare facilities.

Why is this important

POLST forms serve critically ill or elderly patients by documenting their preferences for resuscitation, medical intervention, and palliative care. Without standardized, portable systems, patients' end-of-life wishes may be ignored or inconsistently applied, leading to unwanted aggressive treatment or delays in comfort care. This bill addresses implementation gaps that have left many patients' documented preferences unrecognized across different healthcare providers.

Potential points of contention

  • Provider compliance and enforcement: Healthcare facilities may resist requirements to recognize and follow POLST orders, citing workflow disruptions or liability concerns
  • Scope of authority over end-of-life decisions: Questions about who can initiate POLST forms and whether expanded access could lead to decisions made without adequate patient/family input
  • Implementation costs: Healthcare systems may face expenses updating documentation systems, staff training, and IT infrastructure to manage portable orders

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

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