Creates a guardianship pilot program for people who are gravely disabled to provide them individualized treatment, supervision, and appropriate placement to support successful transition to the community.

Addresses the authority of guardians to involuntarily commit incapacitated persons.

Provides that this act applies to the most populous county east of the crest of the Cascade mountains and to any county west of the crest of the Cascade mountains with a population between seven hundred fifty thousand and one million.

Requires the administrative office of the courts, in collaboration with the counties described above, to establish a work group to conduct an evaluation of the effectiveness of the implementation of this act in addressing the needs of people who are gravely disabled.

Provides a January 1, 2025, expiration date for the work group.