Provides that in community-based or in-home care settings, the tasks of diabetic insulin device set up and verbal verification of insulin dosage for sight-impaired individuals is not required to be delegated from a registered nurse to a registered or certified nursing assistant.

Declares that the administration of insulin by injection to certified nursing assistants for the purpose of caring for individuals with diabetes may be delegated. When delegating insulin injections, the registered nurse delegator must instruct the individual regarding proper injection procedures and the use of insulin, demonstrate proper injection procedures, and supervise and evaluate the individual performing the delegated task weekly during the first four weeks of delegation of insulin injections. If the registered nurse delegator determines that the individual is competent to perform the injection properly and safely, supervision and evaluation shall occur at least every ninety days thereafter.

Provides that before commencing the care of individuals with diabetes that involves administration of insulin by injection, the certified nursing assistant must provide to the delegating nurse a certificate of completion issued by the department of social and health services indicating completion of specialized diabetes nurse delegation training.

Requires the Washington state nursing care quality assurance commission, in cooperation with the department of social and health services to develop a monitoring system for insulin administered by injection by nursing assistants pursuant to a delegation from a registered nurse made in accordance with RCW 18.79.260(3)(e).