Establishes the Washington state resident medical education access act of 2018.

Requires at least ninety percent of the students admitted into the University of Washington medical education programs and the Washington State University medical education programs to be resident students.

Requires the total pool of admitted students, for purposes of calculating the percent of students admitted into the University of Washington medical education programs, to be calculated as the nonresident and resident students net the number of nonresident Washington, Wyoming, Alaska, Montana, and Idaho students.