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Washington State Institute for Public Policy

Evaluating Cost Savings of Paid Parental Caregiving for Developmentally Disabled Children

The 2025 Legislature passed a study to evaluate potential cost savings for the state of Washington if legally responsible individuals, such as parents, are allowed to serve as paid caregivers for their developmentally disabled children. The Washington State Institute for Public Policy will lead the study, with required cooperation from the Office of the State Actuary, the Department of Social and Health Services, the Health Care Authority, and the Department of Children, Youth, and Families to ensure access to necessary data and resources. The study will, to the extent possible, quantify cost savings from reduced reliance on entitlement programs, decreased use of hospitals, foster care, and residential facilities, and any likely additional savings related to this policy.

An initial report is due to the legislature by December 31, 2025, with a final report due by November 15, 2026.

Rebecca Goodvin, (360) 664-9077 View Legislation