Health equity education requirements for nurses in Washington state 

Nurses play a pivotal role in addressing health disparities and ensuring everyone has a fair chance at a healthy life. In recognition of this vital responsibility, the state of Washington enacted a new law that mandates health equity education for all registered nurses (RNs) and licensed practical nurses (LPNs).

Starting in 2026, nurses will be required to complete two hours of approved health equity continuing education to renew their licenses or apply for a new one.

This article explores the implications of this law, the concept of health equity, and the specific educational requirements that will shape nursing practices in the state.

 Understanding health equity

Health equity refers to the principle that everyone should have a fair and just opportunity to achieve their highest level of health, regardless of their background or circumstances. Unlike health equality, which assumes that everyone will benefit equally from the same resources, health equity acknowledges the reality that individuals have different needs and face diverse barriers to health. For instance, those with disabilities, chronic illnesses, or who live in medically underserved areas often require tailored support to maintain their health and well-being.

Health equity is a broader approach to healthcare, emphasizing the redistribution of resources based on need rather than a one-size-fits-all approach. By understanding health equity, nurses can identify systemic barriers to healthcare and advocate for changes that will allow all patients to achieve better health outcomes.

New continuing education law

Beginning with the 2026 licensure renewal period, licensed nurses in Washington state will be required to complete two hours of approved health equity continuing education annually, with every licensure renewal cycle. Nurses applying for a new license have until their second renewal date to complete approved health equity education. This means that nurses must be proactive in understanding and fulfilling this new requirement.

The completion of two hours of health equity continuing education will count toward the total eight hours of continuing education that RNs and LPNs must complete during each licensure renewal period.

Curriculum components

Health equity continuing education must include implicit bias training. Nurses will learn to recognize their own biases and develop strategies to reduce these biases during patient assessments and diagnoses. This training is critical for enhancing patient care and fostering trust between patients and healthcare providers.

In addition, a range of crucial topics may be incorporated into training to ensure nurses are well-prepared to handle the challenges of a diverse patient population. These topics may include, but are not limited to, understanding structural factors that contribute to health inequities, the development of individual and system-level interventions, skills necessary to care for diverse populations, and health assessment skills to support the delivery of culturally competent care.

Moving forward

The implementation of health equity continuing education for nurses in Washington state is a significant step towards creating a more equitable healthcare system. By mandating this education, the state acknowledges the importance of addressing health disparities and the role of nurses in this effort.

Tips to prepare for the new requirements

- Stay informed: Keep abreast of developments regarding the health equity training curriculum and options available for completion. Information is located on the Washington State Board of Nursing website, including a link to free trainings.

- Identify opportunities: Look for in-person or virtual continuing education offerings that meet the new requirements. In the coming months, the Washington State Nurses Association, the Washington Center for Nursing, healthcare organizations, and others will offer training opportunities tailored to these needs.

- Engage with peers: Collaborate with fellow nurses to discuss insights and strategies for integrating health equity principles into practice. Create a supportive network to enhance your learning experience and foster a culture of commitment to health equity.

Conclusion

The upcoming health equity education requirements represent an essential shift in nursing practice in Washington state. By completing two hours of approved training each year, RNs and LPNs will not only meet licensure requirements but also enhance their knowledge and ability to provide equitable care to their patients. This law will foster greater awareness, promote cultural competence, and lead to improved health outcomes for all individuals, regardless of their circumstances.

Embracing the principles of health equity is not just about compliance with new regulations, it is about recognizing the inherent dignity of every patient and ensuring they have the resources and support needed to achieve their healthiest selves.

As we approach 2026, let us all commit to making health equity a priority in our professional development and daily practice. Together, we can make a profound impact on the health of our communities and advocate for the fair and just healthcare system that every individual deserves.

Dr. Munanga is the chief executive officer of Serengeti Care Partners, a home care agency based in Renton, and clinical faculty at the University of Washington School of Nursing.