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L&I outlines PTSD pilot to test trauma-informed care, seeks WCAC subcommittee input

Workers' Compensation Advisory Committee, Washington State Department of Labor & Industries · June 23, 2026
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Summary

L&I described HB 2405, a two-part law authorizing workplace behavioral-health research and a PTSD pilot for injured workers that includes limited pre-claim treatment, provider agreements, and a reporting deadline; the pilot could begin Jan. 1, 2027 and expires Dec. 31, 2030.

Kirsten Glenn told the committee that substitute House Bill 2405 gives the department authority to pilot interventions to support workers with post-traumatic stress and to develop workplace behavioral-health programs for high-risk occupations. The law contains two pieces: (1) authority and funding to evaluate and develop workplace behavioral-health programs and (2) a pilot to try trauma-informed interventions for injured workers with PTSD or presumptive PTSD claims.

Glenn said the pilot is designed to improve access and speed to treatment by allowing limited pre-claim adjudication treatment, entering into agreements with health-care organizations to increase provider participation, and allowing limited ongoing treatment after claim closure when clinically warranted. She noted that a legislatively funded study (MadSign, 2025) informed the interventions selected for the pilot.

The agency plans to work closely with a PTSD subcommittee of the Workers' Comp Advisory Committee, hold the subcommittee's first meeting July 20, and aims to have the pilot ready by Jan. 1, 2027. The pilot authority expires Dec. 31, 2030; the director must recommend which parts to make permanent by July 1, 2030.

Committee discussion covered membership of the subcommittee, inclusion of self-insured employers, reporting cadence and coordination with existing wellness and first-responder groups. The agency encouraged participation from self-insured employers to ensure broad representation in the three-year evaluation.

Ending: Agency will convene the PTSD subcommittee and return with design details and materials for external review.