About the Washington Death with Dignity Act

Washington is the second jurisdiction in the U.S. to authorize medical aid in dying. The Death with Dignity Act allows a mentally capable, terminally ill adult with six months or less to live to request medical aid-in-dying medication from their healthcare provider which they choose to self-administer, if their suffering becomes unbearable, to bring about a peaceful death. The law went into effect on March 9, 2009. It was amended with the passage of ESSB 5179, signed into law by Gov. Jay Inslee on April 6th, 2023.

Who is Eligible for Medical Aid in Dying?

To be eligible for medical aid in dying under the Death with Dignity Act, a person must be:

1. An adult
2. Terminally ill
3. Given a prognosis of six months or less to live
4. Mentally capable of making their own healthcare decisions.

In addition, a person must meet the following requirements:

• A resident of Washington
• Acting voluntarily
• Capable of self-administering the medical aid-in-dying drug.

Steps for Using the Law to Access Medical Aid in Dying

In addition to meeting the requirements, there is a process that must be followed in order to qualify for a prescription for medical aid-in-dying medication.

• A person must make a total of three (3) voluntary requests —two oral requests at least 7 days apart directly to their provider and one written request using the statutory form and signed by two witnesses. These requests cannot be made by a designee or third party (including relatives or anyone with power of attorney), and the requests cannot be made via an advance healthcare directive.
• Two Washington healthcare providers must agree that the requestor is eligible to use the Death with Dignity Act. A healthcare provider may be a physician, an advanced practice registered nurse, or a physician assistant. One provider prescribes the medication, and the other provides a consulting opinion.
• A person may prove residency in the state of Washington by one of the following means:
  • Possession of a driver’s license or other identification issued by the state of Washington
  • Registration to vote in Washington
  • Evidence of ownership or leasing of property in Washington, or

  Rules Regarding Witnesses to Medical Aid-in-Dying Requests

  Two witnesses must sign the statutory written request form in the presence of the person requesting medical aid-in-dying medication. This form is available on the State Department of Health website.

  The law requires that:

  • The form be signed and dated by the patient and witnessed by at least two individuals who, in the presence of the patient, attest that to the best of their knowledge and belief the patient is:
    • Competent
    • Acting voluntarily
    • Is not being coerced to sign the request

    No Adverse Effect on a Person’s Will or Insurance

    The law specifically mandates that wills, insurance, contracts and annuities are not affected if a qualified individual requests or ingests medical aid-in-dying medication. The underlying illness is listed as the cause of death on the death certificate.

    Talking to Your Doctor About Medical Aid in Dying

    Ask your providers now whether they will support your end-of-life choices, including medical aid in dying. This will encourage them to listen to your priorities and become prepared to provide you with the care you may want in the future. If your medical providers are unable or unwilling to support your end-of-life choices, you have the option to change your care to a healthcare team that puts your wishes first.