Modernizing the child fatality statute.
Washington bill modernizes child fatality reviews: expands scope to age 19, broadens data access for reviews, keeps most info confidential, with limited use in criminal cases.
Washington bill modernizes child fatality reviews: expands scope to age 19, broadens data access for reviews, keeps most info confidential, with limited use in criminal cases.
Summary
SB 5163 updates Washington’s statute governing local child mortality reviews (renamed “child fatality reviews”) to broaden review scope, strengthen data access for reviews, clarify confidentiality rules, and provide limited pathways for certain review information to be used in criminal proceedings. The bill passed the Legislature in 2025 and is effective July 27, 2025.
Purpose and intent
- Encourage and support local child fatality review teams to identify preventable causes of child deaths and to improve public health and systems responses.
- Provide legal protections and clear authority for local health departments (LHDs), the Department of Health (DOH), participating professionals, and families while enabling LHDs to obtain necessary records for thorough reviews.
Key provisions
- Terminology and age scope
- Renames “child mortality review” to “child fatality review.”
- Expands the population reviewed from “children less than 18 years of age” to “children up to 19 years of age” (i.e., includes 18-year-olds).
Data access and mandatory production
Data retention and analysis
Confidentiality and limited legal use
DOH database and funding
Who is affected
- Local health departments and the Department of Health (administration, data custodians).
- Health care providers, hospitals, clinics, laboratories, schools, law enforcement, medical examiners/coroners, HCA, DSHS, DCYF, and their licensees/providers (obligated to provide records on request).
- Families of deceased children (strengthened confidentiality; potential for certain review-derived information to be used in criminal prosecutions).
- Prosecutors and defense in criminal cases concerning child deaths (narrow evidentiary pathways established).
Procedural status & effective date
- Introduced Jan 7, 2025; passed Senate March 12, 2025 (48–0); passed House April 10, 2025 (85–10).
- Governor signed April 22, 2025 — Chapter 123, 2025 Laws.
- Effective date: July 27, 2025.
Notes
- Several House amendments were proposed (including one to restore the prior age limit and one to include certain perinatal deaths), but they were not adopted.
- Fiscal note available; the bill contains no explicit appropriation.
Compiled from official sources — confirm details with the bill’s official record.
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