HB 1000 amends Washington's sentencing law to expand the circumstances under which a drug trafficking offense may be treated as a "major violation" of the Uniform Controlled Substances Act, allowing courts to impose sentences above the standard range. The bill adds a new factor defining major VUCSA violations: the knowing delivery or distribution of fentanyl, precursor chemicals used to manufacture fentanyl, or counterfeit substances containing fentanyl that results in substantial bodily harm, permanent cognitive impairment, or death. This addition supplements existing factors that identify major drug violations, such as multiple transactions, large quantities, manufacturing for others, high position in distribution hierarchy, and sophistication or planning.