Increasing access to respite care for those with intellectual or developmental disabilities and their caregivers.

HB 1344 adds respite care to Washington's "basic plus waiver" program, allowing people with intellectual or developmental disabilities and their primary caregivers to access respite care funding more easily. The bill requires the state to seek federal approval to include respite care as an "aggregate service" (meaning funds can be used flexibly without extra approval after annual hours are exhausted), with respite care limited to 30% of the waiver's aggregate budget. It directly affects individuals relying on waiver services for community living and their unpaid caregivers, who often need breaks to maintain their own well-being. The state must submit a federal waiver amendment by September 1, 2025, and update the program upon federal approval. This changes how existing waiver funds can be used for respite care, not creating new funding.