RCW 74.09.180 — Washington Code / Title 74 / Chapter 09 / Section 180
RCW 74.09.180: Chapter does not apply if another party is liable—Exception—Subrogation—Lien—Reimbursement—Delegation of lien and subrogation rights.
Status: in_force

(1) The provisions of this chapter shall not apply to recipients whose personal injuries are occasioned by negligence or wrong of another: PROVIDED, HOWEVER, That the director may furnish assistance, under the provisions of this chapter, for the results of injuries to or illness of a recipient, and the authority shall thereby be subrogated to the recipient's rights against the recovery had from any tort feasor or the tort feasor's insurer, or both, and shall have a lien thereupon to the extent of the value of the assistance furnished by the authority. To secure reimbursement for assistance provided under this section, the authority may pursue its remedies under RCW 41.05A.070 . (2) The rights and remedies provided to the authority in this section to secure reimbursement for assistance, including the authority's lien and subrogation rights, may be delegated to a *managed health care system by contract entered into pursuant to RCW 74.09.522 . A *managed health care system may enforce all rights and remedies delegated to it by the authority to secure and recover assistance provided under a *managed health care system consistent with its agreement with the authority.
RCW 74.08A.110 — Washington Code / Title 74 / Chapter 08A / Section 110
RCW 74.08A.110: Immigrants—Sponsor deeming.
Status: in_force

(1) Except as provided in subsection (4) of this section, qualified aliens and aliens permanently residing under color of law shall have their eligibility for assistance redetermined. (2) In determining the eligibility and the amount of benefits of a qualified alien or an alien permanently residing under color of law for public assistance under this title, the income and resources of the alien shall be deemed to include the income and resources of any person and his or her spouse who executed an affidavit of support pursuant to section 213A of the federal immigration and naturalization [nationality] act on behalf of the alien for a period of five years following the execution of that affidavit of support. The deeming provisions of this subsection shall be waived if the sponsor dies or is permanently incapacitated during the period the affidavit of support is valid. (3) As used in this section, "qualified alien" has the meaning provided it in P.L. 104-183. (4)(a) Qualified aliens specified under sections 403, 412, and 552 (e) and (f), subtitle B, Title IV, of P.L. 104-193 and in P.L. 104-208, are exempt from this section. (b) Qualified aliens who served in the armed forces of an allied country, or were employed by an agency of the federal government, during a military conflict between the United States of America and a military adversary are exempt from the provisions of this section. (c) Qualified aliens who are victims of domestic violence and petition for legal status under the federal violence against women act are exempt from the provisions of this section.
RCW 74.09A.005 — Washington Code / Title 74 / Chapter 09A / Section 005
RCW 74.09A.005: Findings.
Status: in_force

The legislature finds that: (1) Simplification in the administration of payment of health benefits is important for the state, providers, and health insurers; (2) The state, providers, and health insurers should take advantage of all opportunities to streamline operations through automation and the use of common computer standards; (3) It is in the best interests of the state, providers, and health insurers to identify all third parties that are obligated to cover the cost of health care coverage of joint beneficiaries; and (4) Health insurers, as a condition of doing business in Washington, must increase their effort to share information with the authority and accept the authority's timely claims consistent with 42 U.S.C. 1396a(a)(25). Therefore, the legislature declares that to improve the coordination of benefits between the health care authority and health insurers to ensure that medical insurance benefits are properly utilized, a transfer of information between the authority and health insurers should be instituted, and the process for submitting requests for information and claims should be simplified.
RCW 74.09.7585 — Washington Code / Title 74 / Chapter 09 / Section 7585
RCW 74.09.7585: Changes in services—Adjustments to medicaid managed care rates.
Status: in_force

(1) The authority shall consult with the department of commerce and the department of health quarterly for all agencies to plan and prepare for new or expanded services in each regional service area, which must include, but are not limited to, incorporating regional capacity changes reported to the authority by managed care organizations, behavioral health administrative services organizations, providers including Indian health services providers, Indian health care providers, urban Indian health organizations, or provider networks. When programs or facilities including, but not limited to, those programs and facilities described in RCW 71.24.045 (1)(e) are newly established or closed or existing services are expanded or reduced in a region the authority shall direct the state's medicaid contractor for actuarial services to promptly and prospectively adjust medicaid managed care rates to include a programmatic adjustment related to the new or expanded service prior to the facility opening or the service expansion, consistent with the rate-setting cycles directed by the authority. If a facility closes or services are reduced, managed care and fee-for-service rates must be adjusted accordingly in the rate-setting cycle following the facility closure. (2) Within existing funds, the authority's preparation for the reprocurement of services to enrollees of medical assistance programs authorized under this chapter shall include the opportunity for comment by key stakeholders, to the extent allowed by applicable state and federal procurement standards, including tribes, patient groups, health care providers and facilities, counties, and behavioral health administrative services organizations. Preparation for the reprocurement of services must also include: (a) Methodologies for measuring network access and adequacy for each provider type subject to network access and adequacy standards and tailored to the particular needs of the regional service areas, to be implemented in the reprocurement to assure access to appropriate and timely behavioral health services in each region; and (b) Opportunities to amend managed care contract requirements to further streamline and standardize processes to reduce administrative burden for providers.
RCW 74.41.010 — Washington Code / Title 74 / Chapter 41 / Section 010
RCW 74.41.010: Legislative findings.
Status: in_force

The legislature recognizes that: (1) Most care provided for functionally disabled adults is delivered by family members or friends who are not compensated for their services. Family involvement is a crucial element for avoiding or postponing institutionalization of the disabled adult. (2) Family or other caregivers who provide continuous care in the home are frequently under substantial stress, physical, psychological, and financial. The stress, if unrelieved by family or community support to the caregiver, may lead to premature or unnecessary nursing home placement. (3) Respite care and other community-based supportive services for the caregiver and for the disabled adult could relieve some of the stresses, maintain and strengthen the family structure, and postpone or prevent institutionalization. (4) With family and friends providing the primary care for the disabled adult, supplemented by community health and social services, long-term care may be less costly than if the individual were institutionalized.
RCW 74.41.900 — Washington Code / Title 74 / Chapter 41 / Section 900
RCW 74.41.900: Construction—Chapter applicable to state registered domestic partnerships—2009 c 521.
Status: in_force

For the purposes of this chapter, the terms spouse, marriage, marital, husband, wife, widow, widower, next of kin, and family shall be interpreted as applying equally to state registered domestic partnerships or individuals in state registered domestic partnerships as well as to marital relationships and married persons, and references to dissolution of marriage shall apply equally to state registered domestic partnerships that have been terminated, dissolved, or invalidated, to the extent that such interpretation does not conflict with federal law. Where necessary to implement chapter 521, Laws of 2009, gender-specific terms such as husband and wife used in any statute, rule, or other law shall be construed to be gender neutral, and applicable to individuals in state registered domestic partnerships.
RCW 74.08.580 — Washington Code / Title 74 / Chapter 08 / Section 580
RCW 74.08.580: Electronic benefit cards—Prohibited uses—Violations.
Status: in_force

(1) Any person receiving public assistance is prohibited from using electronic benefit cards or cash obtained with electronic benefit cards: (a) For the purpose of participating in any of the activities authorized under chapter 9.46 RCW; (b) For the purpose of parimutuel wagering authorized under chapter 67.16 RCW; (c) To purchase lottery tickets or shares authorized under chapter 67.70 RCW; (d) For the purpose of participating in or purchasing any activities located in a tattoo, body piercing, or body art shop licensed under chapter 18.300 RCW; (e) To purchase cigarettes as defined in RCW 82.24.010 or tobacco products as defined in RCW 82.26.010 ; (f) To purchase any items regulated under Title 66 RCW; or (g) For the purpose of purchasing or participating in any activities in any location listed in subsection (2) of this section. (2) The following businesses must disable the ability of ATM and point-of-sale machines located on their business premises to accept the electronic benefit card: (a) Taverns licensed under RCW 66.24.330 ; (b) Beer/wine specialty stores licensed under RCW 66.24.371 except if the licensee is an authorized supplemental nutrition assistance program or women, infants, and children retailer; (c) Nightclubs licensed under RCW 66.24.600 ; (d) Bail bond agencies regulated under chapter 18.185 RCW; (e) Gambling establishments licensed under chapter 9.46 RCW; (f) Tattoo, body piercing, or body art shops regulated under chapter 18.300 RCW; (g) Adult entertainment venues with performances that contain erotic material where minors under the age of eighteen are prohibited under RCW 9.68A.150 ; and (h) Any establishments where persons under the age of eighteen are not permitted. (3) The department must notify the licensing authority of any business listed in subsection (2) of this section that such business has continued to allow the use of the electronic benefit card in violation of subsection (2) of this section. (4) Only the recipient, an eligible member of the household, or the recipient's authorized representative may use an electronic benefit card or the benefit and such use shall only be for the respective benefit program purposes. Unless a recipient's family member is an eligible member of the household, the recipient's authorized representative, an alternative cardholder, or has been assigned as a protective payee, no family member may use the benefit card. The recipient shall not sell, or attempt to sell, exchange, or donate an electronic benefit card or any benefits to any other person or entity. (5) The first violation of subsection (1) of this section by a recipient constitutes a class 4 civil infraction under RCW 7.80.120 . Second and subsequent violations of subsection (1) of this section constitute a class 3 civil infraction under RCW 7.80.120 . (a) The department shall notify, in writing, all recipients of electronic benefit cards that any violation of subsection (1) of this section could result in legal proceedings and forfeiture of all cash public assistance. (b) Whenever the department receives notice that a person has violated subsection (1) of this section, the department shall notify the person in writing that the violation could result in legal proceedings and forfeiture of all cash public assistance. (c) The department shall assign a protective payee to the person receiving public assistance who violates subsection (1) of this section two or more times. (6) In assigning a personal identification number to an electronic benefit card, the department shall not routinely use any sequence of numbers that appear on the card except in circumstances resulting from in-state or national disasters. Personal identification numbers assigned to electronic benefit cards issued to support the distribution of benefits when there is a disaster may include a sequence of numbers that appears on the card.
RCW 74.42.320 — Washington Code / Title 74 / Chapter 42 / Section 320
RCW 74.42.320: Sanitary procedures for food preparation.
Status: in_force

Facilities shall have effective sanitary procedures for the food preparation staff including procedures for cleaning food preparation equipment and food preparation areas.
RCW 74.14C.005 — Washington Code / Title 74 / Chapter 14C / Section 005
RCW 74.14C.005: Findings and intent.
Status: in_force

(1) The legislature believes that protecting the health and safety of children is paramount. The legislature recognizes that the number of children entering out-of-home care is increasing and that a number of children receive long-term foster care protection. Reasonable efforts by the department to shorten out-of-home placement or avoid it altogether should be a major focus of the child welfare system. It is intended that providing up-front services decrease the number of children entering out-of-home care and have the effect of eventually lowering foster care expenditures and strengthening the family unit. Within available funds, the legislature directs the department to focus child welfare services on protecting the child, strengthening families and, to the extent possible, providing necessary services in the family setting, while drawing upon the strengths of the family. The legislature intends services be locally based and offered as early as possible to avoid disruption to the family, out-of-home placement of the child, and entry into the dependency system. The legislature also intends that these services be used for those families whose children are returning to the home from out-of-home care. These services are known as family preservation services and intensive family preservation services and are characterized by the following values, beliefs, and goals: (a) Safety of the child is always the first concern; (b) Children need their families and should be raised by their own families whenever possible; (c) Interventions should focus on family strengths and be responsive to the individual family's cultural values and needs; (d) Participation should be voluntary; and (e) Improvement of family functioning is essential in order to promote the child's health, safety, and welfare and thereby allow the family to remain intact and allow children to remain at home. (2) Subject to the availability of funds for such purposes, the legislature intends for these services to be made available to all eligible families on a statewide basis through a phased-in process. Except as otherwise specified by statute, the department shall have the authority and discretion to implement and expand these services as provided in RCW 74.14C.010 through 74.14C.100 . The department shall consult with the community public health and safety networks when assessing a community's resources and need for services. (3) It is the legislature's intent that, within available funds, the department develop services in accordance with RCW 74.14C.010 through 74.14C.100 . (4) Nothing in RCW 74.14C.010 through 74.14C.100 shall be construed to create an entitlement to services nor to create judicial authority to order the provision of preservation services to any person or family if the services are unavailable or unsuitable or that the child or family are not eligible for such services.
RCW 74.04.080 — Washington Code / Title 74 / Chapter 04 / Section 080
RCW 74.04.080: County administrator—Personnel—Bond.
Status: in_force

The county administrator shall have the power to, and shall, employ such personnel as may be necessary to carry out the provisions of this title, which employment shall be in accordance with the rules and regulations of the state merit system, and in accordance with personnel and administrative standards established by the department. The county administrator before qualifying shall furnish a surety bond in such amount as may be fixed by the secretary, but not less than five thousand dollars, conditioned that the administrator will faithfully account for all money and property that may come into his or her possession or control. The cost of such bond shall be an administrative expense and shall be paid by the department.
RCW 74.39A.078 — Washington Code / Title 74 / Chapter 39A / Section 078
RCW 74.39A.078: Rules for the approval of curricula for facility-based caregivers serving persons with behavioral health needs and geriatric behavioral health workers—Curricula requirements.
Status: in_force

The department shall adopt rules to establish minimum competencies and standards for the approval of curricula for facility-based caregivers serving persons with behavioral health needs and geriatric behavioral health workers. The curricula must include at least thirty hours of training specific to the diagnosis, care, and crisis management of residents with a mental health disorder, traumatic brain injury, or dementia. The curricula must be outcome-based, and the effectiveness measured by demonstrated competency in the core specialty areas through the use of a competency test.
RCW 74.39.005 — Washington Code / Title 74 / Chapter 39 / Section 005
RCW 74.39.005: Purpose.
Status: in_force

The purpose of this chapter is to: (1) Establish a balanced range of health, social, and supportive services that deliver long-term care services to persons with chronic functional disabilities of all ages; (2) Ensure that functional ability shall be the determining factor in defining long-term care service needs and that these needs will be determined by a uniform system for comprehensively assessing functional disability; (3) Ensure that services are provided in the most independent living situation consistent with individual needs; (4) Ensure that long-term care service options shall be developed and made available that enable persons with functional disabilities to continue to live in their homes or other community residential facilities while in the care of their families or other volunteer support persons; (5) Ensure that long-term care services are coordinated in a way that minimizes administrative cost, eliminates unnecessarily complex organization, minimizes program and service duplication, and maximizes the use of financial resources in directly meeting the needs of persons with functional limitations; (6) Develop a systematic plan for the coordination, planning, budgeting, and administration of long-term care services now fragmented between the division of developmental disabilities, division of mental health, aging and adult services administration, division of children and family services, division of vocational rehabilitation, division of health, bureau of alcohol and substance abuse, and the department of health; (7) Encourage the development of a statewide long-term care case management system that effectively coordinates the plan of care and services provided to eligible clients; (8) Ensure that individuals and organizations affected by or interested in long-term care programs have an opportunity to participate in identification of needs and priorities, policy development, planning, and development, implementation, and monitoring of state-supported long-term care programs; (9) Support educational institutions in Washington state to assist in the procurement of federal support for expanded research and training in long-term care; and (10) Facilitate the development of a coordinated system of long-term care education that is clearly articulated between all levels of higher education and reflective of both in-home care needs and institutional care needs of persons with functional disabilities.
RCW 74.39A.550 — Washington Code / Title 74 / Chapter 39A / Section 550
RCW 74.39A.550: Long-term care industry data—Annual report.
Status: in_force

Subject to the availability of amounts appropriated for this specific purpose, beginning June 1, 2025, the department shall annually report on the status of: (1) The long-term care worker supply; (2) The average wages of long-term care workers compared to entry-level positions in other industries; (3) Projections of service demands; (4) Geographic disparities in the supply of long-term care workers; and (5) Any race, gender, or other worker demographic data available through preexisting administrative data sources.
RCW 74.42.630 — Washington Code / Title 74 / Chapter 42 / Section 630
RCW 74.42.630: Conflict with federal requirements.
Status: in_force

If any part of chapter 184, Laws of 1980 shall be found to be in conflict with federal requirements which are a prescribed condition to the allocation of federal funds to the state, such conflicting part of this act is hereby declared to be inoperative solely to the extent of such conflict, and such finding or determination shall not affect the operation of the remainder of this act; the rules and regulations under this act shall meet federal requirements which are a necessary condition to the receipt of federal funds by the state.
RCW 74.20.060 — Washington Code / Title 74 / Chapter 20 / Section 060
RCW 74.20.060: Cooperation by person having custody of child—Penalty.
Status: in_force

Any person having the care, custody or control of any dependent child or children who shall fail or refuse to cooperate with the department of social and health services, any prosecuting attorney or the attorney general in the course of administration of provisions of this chapter shall be guilty of a misdemeanor.
RCW 74.36.130 — Washington Code / Title 74 / Chapter 36 / Section 130
RCW 74.36.130: Community programs and projects for the aging—State funding, limitations—Payments, type.
Status: in_force

(1) State funds made available under RCW 74.36.110 through 74.36.130 for any project shall not exceed fifty per centum of the nonfederal share of the costs. To the extent that federal law permits, and the secretary or his or her designee deems appropriate, the local community share and/or the state share may be in the form of cash or in-kind resources. (2) Payments made under RCW 74.36.110 through 74.36.130 may be made in advance or by way of reimbursement, and in such installments and on such conditions as the secretary or his or her designee may determine, including provisions for adequate accounting systems, reasonable record retention periods, and financial audits.
RCW 74.15.210 — Washington Code / Title 74 / Chapter 15 / Section 210
RCW 74.15.210: Community facility—Service provider must report juvenile infractions or violations—Violations by service provider—Secretary's duties—Rules.
Status: in_force

(1) Whenever the secretary contracts with a service provider to operate a community facility, the contract shall include a requirement that each service provider must report to the department any known infraction or violation of conditions committed by any juvenile under its supervision. The report must be made immediately upon learning of serious infractions or violations and within twenty-four hours for other infractions or violations. (2) The secretary shall adopt rules to implement and enforce the provisions of this section. The rules shall contain a schedule of monetary penalties not to exceed the total compensation set forth in the contract, and include provisions that allow the secretary to terminate all contracts with a service provider that has violations of this section and the rules adopted under this section. (3) The secretary shall document in writing all violations of this section and the rules adopted under this section, penalties, actions by the department to remove juveniles from a community facility, and contract terminations. The department shall give great weight to a service provider's record of violations, penalties, actions by the department to remove juveniles from a community facility, and contract terminations in determining to execute, renew, or renegotiate a contract with a service provider.
RCW 74.31.060 — Washington Code / Title 74 / Chapter 31 / Section 060
RCW 74.31.060: Traumatic brain injury account.
Status: in_force

(1) The traumatic brain injury account is created in the state treasury. The fee imposed under RCW 46.63.110 (7)(c) must be deposited into the account. Except for the 2025-2027 fiscal biennium, when the treasurer shall transfer $1,111,000 to the general fund — state, moneys in the account may be spent only after appropriation, and may be used only to support the activities in the statewide traumatic brain injury comprehensive plan, to provide a public awareness campaign and services relating to traumatic brain injury under RCW 74.31.040 and 74.31.050 , for information and referral services, and for costs of required department staff who are providing support for the council under RCW 74.31.020 and 74.31.030 . Additionally, at least 30 percent of the annual expenditures from the account must be for in-person support groups and community integration activities that promote social connections between individuals impacted by traumatic brain injury. The secretary of the department of social and health services shall administer the funds in alignment with the priorities outlined in this section and ensure compliance with all allocation requirements. The department must make every effort to disburse the incremental revenue that is the result of the fee increased under RCW 46.63.110 (7)(c) in a diverse manner to include rural areas of the state. (2) The department shall proactively seek, apply for, and secure federal funding opportunities, including but not limited to grants available through the administration for community living and other federal programs. These efforts must be conducted in coordination with the council and in alignment with the council's mission and priorities. Federal funds obtained pursuant to this subsection must supplement the fee amounts collected pursuant to RCW 46.63.110 (7)(c) and must be deposited into the traumatic brain injury account. The department shall ensure that any federal funds received enhance, rather than supplant, existing state funding dedicated to in-person support groups, community integration activities, and peer-to-peer recovery initiatives. (3) A minimum of 30 percent of the annual fee revenue collected under RCW 46.63.110 (7)(c) must be used exclusively for: (a) Establishing and maintaining peer led and community-based in-person support groups for individuals with a traumatic brain injury and their families; (b) Developing structured skills-building programs designed to promote social integration and functional recovery for individuals of all ages, including pediatric-focused initiatives; (c) Supporting initiatives that provide direct peer-to-peer mentoring and navigation assistance for newly injured individuals and their families, including hospital-to-community transition support; and (d) Ensuring equitable access to support groups and community-based programs across urban and rural regions.
RCW 74.42.480 — Washington Code / Title 74 / Chapter 42 / Section 480
RCW 74.42.480: Living areas.
Status: in_force

The facility shall design and equip the resident living areas for the comfort and privacy of each resident.
RCW 74.31.050 — Washington Code / Title 74 / Chapter 31 / Section 050
RCW 74.31.050: Support group programs—Funding—Recommendations.
Status: in_force

(1) The department shall provide funding from the traumatic brain injury account established by RCW 74.31.060 to programs that facilitate support groups to individuals with traumatic brain injuries and their families. (2) The department shall use a request for proposal process to select the programs to receive funding. The council shall provide recommendations to the department on the criteria to be used in selecting the programs. (3) At least 30 percent of the annual expenditures from the traumatic brain injury account must be allocated to in-person support groups and community integration activities. The department shall ensure that funds dedicated to in-person support groups, the expansion of structured programs that facilitate direct peer-to-peer connection for individuals and family members impacted by traumatic brain injuries, and community integration programs prioritize peer engagement and are not disproportionately allocated to virtual-only support structures or other department-affiliated programs that do not. The council shall review and approve annual funding proposals for in-person support and community integration programs to ensure transparency and adherence to legislative intent. The department shall make every effort to disburse the incremental revenue that is the result of the fee under RCW 46.63.110 (7)(c) or federal funds under RCW 74.31.060 (2) in a diverse manner to include rural areas of the state.
RCW 74.31.010 — Washington Code / Title 74 / Chapter 31 / Section 010
RCW 74.31.010: Definitions.
Status: in_force

The definitions in this section apply throughout this chapter unless the context clearly requires otherwise. (1) "Department" means the department of social and health services. (2) "Department of health" means the Washington state department of health created pursuant to RCW 43.70.020 . (3) "Secretary" means the secretary of social and health services. (4) "Traumatic brain injury" means injury to the brain caused by physical trauma resulting from, but not limited to, incidents involving motor vehicles, sporting events, falls, and physical assaults. Documentation of traumatic brain injury shall be based on adequate medical history, neurological examination, mental status testing, or neuropsychological evaluation. A traumatic brain injury shall be of sufficient severity to result in impairments in one or more of the following areas: Cognition; language memory; attention; reasoning; abstract thinking; judgment; problem solving; sensory, perceptual, and motor abilities; psychosocial behavior; physical functions; or information processing. The term does not apply to brain injuries that are congenital or degenerative, or to brain injuries induced by birth trauma. (5) "Traumatic brain injury account" means the account established under RCW 74.31.060 . (6) "Council" means the Washington traumatic brain injury strategic partnership advisory council created under RCW 74.31.020 .
RCW 74.34.040 — Washington Code / Title 74 / Chapter 34 / Section 040
RCW 74.34.040: Reports—Contents—Identity confidential.
Status: in_force

The reports made under *RCW 74.34.030 shall contain the following information if known: (1) Identification of the vulnerable adult; (2) The nature and extent of the suspected abuse, neglect, exploitation, or abandonment; (3) Evidence of previous abuse, neglect, exploitation, or abandonment; (4) The name and address of the person making the report; and (5) Any other helpful information. Unless there is a judicial proceeding or the person consents, the identity of the person making the report is confidential.
RCW 74.39A.020 — Washington Code / Title 74 / Chapter 39A / Section 020
RCW 74.39A.020: Adult residential care—Contracts—Rules.
Status: in_force

(1) To the extent of available funding, the department of social and health services may contract for adult residential care. (2) The department shall, by rule, develop terms and conditions for facilities that contract with the department for adult residential care to establish: (a) Facility service standards consistent with the principles in RCW 74.39A.051 and consistent with chapter 70.129 RCW; and (b) Training requirements for providers and their staff. (3) The department shall, by rule, provide that services in adult residential care facilities: (a) Recognize individual needs, privacy, and autonomy; (b) Include personal care and other services that promote independence and self-sufficiency and aging in place; (c) Are directed first to those persons most likely, in the absence of adult residential care services, to need hospital, nursing facility, or other out-of-home placement; and (d) Are provided in compliance with applicable facility and professional licensing laws and rules. (4) When a facility contracts with the department for adult residential care, only services and facility standards that are provided to or in behalf of the adult residential care client shall be subject to the adult residential care rules. (5) To the extent of available funding, the department may also contract under this section with a tribally licensed assisted living facility for the provision of services of the same nature as the services provided by adult residential care facilities. The provisions of subsections (2)(a) and (b) and (3)(a) through (d) of this section apply to such a contract.
RCW 74.20.160 — Washington Code / Title 74 / Chapter 20 / Section 160
RCW 74.20.160: Department may disclose information to internal revenue department.
Status: in_force

Notwithstanding the provisions of RCW 74.04.060 , upon approval of the department of health, education and welfare of the federal government, the department of social and health services may disclose to and keep the internal revenue department of the treasury of the United States advised of the names of all persons who are under legal obligation to support any dependent child or children and who are not doing so, to the end that the internal revenue department may have available to it the names of such persons for review in connection with income tax returns and claims of dependencies made by persons filing income tax returns.
RCW 74.04.006 — Washington Code / Title 74 / Chapter 04 / Section 006
RCW 74.04.006: Contract of sale of property—Availability as a resource or income—Establishment.
Status: in_force

The department may establish, by rule and regulation, the availability of a contract of sale of real or personal property as a resource or income as defined in RCW 74.04.005 .
RCW 74.39A.100 — Washington Code / Title 74 / Chapter 39A / Section 100
RCW 74.39A.100: Chore services—Legislative finding, intent.
Status: in_force

The legislature finds that it is desirable to provide a coordinated and comprehensive program of in-home services for certain citizens in order that such persons may remain in their own homes, obtain employment if possible, and maintain a closer contact with the community. Such a program will seek to prevent mental and psychological deterioration which our citizens might otherwise experience. The legislature intends that the services will be provided in a fashion which promotes independent living.
RCW 74.20A.090 — Washington Code / Title 74 / Chapter 20A / Section 090
RCW 74.20A.090: Certain amount of earnings exempt from lien or order—"Earnings" and "disposable earnings" defined.
Status: in_force

Whenever a support lien or order to withhold and deliver is served upon any person, firm, corporation, association, political subdivision, or department of the state asserting a support debt against earnings and there is in the possession of such person, firm, corporation, association, political subdivision, or department of the state, any such earnings, RCW 6.27.150 shall not apply, but fifty percent of the disposable earnings shall be exempt and may be disbursed to the debtor whether such earnings are paid, or to be paid weekly, monthly, or at other intervals and whether there be due the debtor earnings for one week or for a longer period. The lien or order to withhold and deliver shall continue to operate and require said person, firm, corporation, association, political subdivision, or department of the state to withhold the nonexempt portion of earnings at each succeeding earnings disbursement interval until the entire amount of the support debt stated in the lien or order to withhold and deliver has been withheld. As used in this chapter, the term "earnings" means compensation paid or payable for personal services, whether denominated as wages, salary, commission, bonus, or otherwise, and, notwithstanding any other provision of law making such payments exempt from garnishment, attachment, or other process to satisfy support obligation, specifically includes periodic payments pursuant to pension or retirement programs, or insurance policies of any type, but does not include payments made under Title 50 RCW, except as provided in RCW 50.40.020 and 50.40.050 or Title 74 RCW. Earnings shall specifically include all gain derived from capital, from labor, or from both combined, not including profit gained through sale or conversion of capital assets. The term "disposable earnings" means that part of the earnings of any individual remaining after the deduction from those earnings of any amount required by law to be withheld.
RCW 74.34.310 — Washington Code / Title 74 / Chapter 34 / Section 310
RCW 74.34.310: Service of process or filing fees prohibited—Certified copies.
Status: in_force

A public agency may not charge a fee for filing or service of process to petitioners seeking relief under this chapter. Petitioners must be provided the necessary number of certified copies at no cost.
RCW 74.42.130 — Washington Code / Title 74 / Chapter 42 / Section 130
RCW 74.42.130: Individual financial records.
Status: in_force

The facility shall keep a current, written financial record for each resident. The record shall include written receipts for all personal possessions and funds received by or deposited with the facility and for all disbursements made to or for the resident. The resident or guardian and the resident's family shall have access to the financial record.
RCW 74.09.837 — Washington Code / Title 74 / Chapter 09 / Section 837
RCW 74.09.837: Maternity support services program—Updates—Rule making.
Status: in_force

(1) Subject to the amounts appropriated for this specific purpose, the authority shall update the maternity support services program to address perinatal outcomes and increase equity and healthier birth outcomes. By January 1, 2026, the authority shall: (a) Update current screening tools to be culturally relevant, include current risk factors, ensure the tools address health equity, and include questions identifying various social determinants of health that impact a healthy birth outcome and improve health equity; (b) Ensure care coordination, including sharing screening tools with the patient's health care providers as necessary; (c) Develop a mechanism to collect the results of the maternity support services screenings and evaluate the outcomes of the program. At minimum, the program evaluation shall: (i) Identify gaps, strengths, and weaknesses of the program; and (ii) Make recommendations for how the program may improve to better align with the authority's maternal and infant health initiatives; and (d) Increase the allowable benefit and reimbursement rates with the goal of increasing utilization of services to all eligible maternity support services clients who choose to receive the services. (2) The authority shall adopt rules to implement this section.
RCW 74.08A.900 — Washington Code / Title 74 / Chapter 08A / Section 900
RCW 74.08A.900: Short title—1997 c 58.
Status: in_force

This act may be known and cited as the Washington WorkFirst temporary assistance for needy families act.
RCW 74.20A.070 — Washington Code / Title 74 / Chapter 20A / Section 070
RCW 74.20A.070: Service of lien.
Status: in_force

(1) The secretary may at any time after filing of a support lien serve a copy of the lien upon any person, firm, corporation, association, political subdivision, or department of the state in possession of earnings, or deposits or balances held in any bank account of any nature which are due, owing, or belonging to said debtor. (2) The support lien shall be served upon the person, firm, corporation, association, political subdivision, or department of the state: (a) In the manner prescribed for the service of summons in a civil action; (b) By certified mail, return receipt requested; or (c) By electronic means if there is an agreement between the secretary and the person, firm, corporation, association, political subdivision, or department of the state to accept service by electronic means. (3) No lien filed under RCW 74.20A.060 shall have any effect against earnings or bank deposits or balances unless it states the amount of the support debt accrued and unless service upon the person, firm, corporation, association, political subdivision, or department of the state in possession of earnings or bank accounts, deposits or balances is accomplished pursuant to this section.
RCW 74.42.160 — Washington Code / Title 74 / Chapter 42 / Section 160
RCW 74.42.160: Nursing care.
Status: in_force

The facility shall provide the nursing care required for the classification given each resident. The nursing care shall help each resident to achieve and maintain the highest possible degree of function, self-care, and independence to the extent medically possible.
RCW 74.15.050 — Washington Code / Title 74 / Chapter 15 / Section 050
RCW 74.15.050: Fire protection—Powers and duties of chief of the Washington state patrol.
Status: in_force

The chief of the Washington state patrol, through the director of fire protection, shall have the power and it shall be his or her duty: (1) In consultation with the children's services advisory committee and with the advice and assistance of persons representative of the various type agencies to be licensed, to adopt recognized minimum standard requirements pertaining to each category of agency established pursuant to chapter 74.15 RCW and RCW 74.13.031 , except foster family homes and child-placing agencies, necessary to protect all persons residing therein from fire hazards; (2) To make or cause to be made such inspections and investigations of agencies, other than foster family homes or child-placing agencies, as he or she deems necessary; (3) To make a periodic review of requirements under RCW 74.15.030 (7) and to adopt necessary changes after consultation as required in subsection (1) of this section; (4) To issue to applicants for licenses hereunder, other than foster family homes or child-placing agencies, who comply with the requirements, a certificate of compliance, a copy of which shall be presented to the department before a license shall be issued, except that an initial license may be issued as provided in RCW 74.15.120 .
RCW 74.09.660 — Washington Code / Title 74 / Chapter 09 / Section 660
RCW 74.09.660: Prescription drug education for seniors—Grant qualifications.
Status: in_force

Each of the state's area agencies on aging shall implement a program intended to inform and train persons sixty-five years of age and older in the safe and appropriate use of prescription and nonprescription medications. To further this purpose, the department shall award development grants averaging up to twenty-five thousand dollars to each of the agencies upon a showing that: (1) The agency has the ability to effectively administer such a program, including an understanding of the relevant issues and appropriate outreach and follow-up; (2) The agency can bring resources to the program in addition to those funded by the grant; and (3) The program will be a collaborative effort between the agency and other health care programs and providers in the location to be served, including doctors, pharmacists, and long-term care providers.
RCW 74.42.580 — Washington Code / Title 74 / Chapter 42 / Section 580
RCW 74.42.580: Penalties for violation of standards.
Status: in_force

The department may deny, suspend, revoke, or refuse to renew a license or provisional license, assess monetary penalties of a civil nature, deny payment, seek receivership, order stop placement, appoint temporary management, order emergency closure, or order emergency transfer as provided in RCW 18.51.054 and 18.51.060 for violations of requirements of this chapter or, in the case of medicaid contractors, the requirements of Title XIX of the social security act, as amended, or rules adopted thereunder. Chapter 34.05 RCW shall apply to any such actions, except for receivership, and except that stop placement, appointment of temporary management, emergency closure, emergency transfer, and summary license suspension shall be effective pending any hearing, and except that denial of payment shall be effective pending any hearing when the department determines deficiencies jeopardize the health and safety of the residents or seriously limit the nursing home's capacity to provide adequate care.
RCW 74.13A.045 — Washington Code / Title 74 / Chapter 13A / Section 045
RCW 74.13A.045: Adoptive parent's financial information.
Status: in_force

So long as any adoptive parent is receiving support pursuant to RCW 26.33.320 and * 74.13.100 through 74.13.145 he or she shall, upon request, file with the secretary a copy of his or her federal income tax return. Such return and any information thereon shall be marked by the secretary "confidential", shall be used by the secretary solely for the purposes of RCW 26.33.320 and * 74.13.100 through 74.13.145 , and shall not be revealed to any other person, institution or agency, public or private, including agencies of the United States government, other than a superior court, judge or commissioner before whom a petition for adoption of a child being supported or to be supported pursuant to RCW 26.33.320 and * 74.13.100 through 74.13.145 is then pending. In carrying on the review process authorized by RCW 26.33.320 and * 74.13.100 through 74.13.145 the secretary may require the adoptive parent or parents to disclose such additional financial information, not privileged, as may enable him or her to make determinations and adjustments in support to the end that the purposes and policies of this state expressed in *RCW 74.13.100 may be carried out, provided that no adoptive parent or parents shall be obliged, by virtue of this section, to sign any agreement or other writing waiving any constitutional right or privilege nor to admit to his or her home any agent, employee, or official of any department of this state, or of the United States government. Such information shall be marked "confidential" by the secretary, shall be used by him or her solely for the purposes of RCW 26.33.320 and * 74.13.100 through 74.13.145 , and shall not be revealed to any other person, institution, or agency, public or private, including agencies of the United States government other than a superior court judge or commission before whom a petition for adoption of a child being supported or to be supported pursuant to RCW 26.33.320 and * 74.13.100 through 74.13.145 is then pending.
RCW 74.08A.400 — Washington Code / Title 74 / Chapter 08A / Section 400
RCW 74.08A.400: Outcome measures—Intent.
Status: in_force

It is the intent of the legislature that the Washington WorkFirst program focus on work and on personal responsibility for recipients. The program shall be evaluated among other evaluations, through a limited number of outcome measures designed to hold each community service office and economic services region accountable for program success.
RCW 74.13.580 — Washington Code / Title 74 / Chapter 13 / Section 580
RCW 74.13.580: Educational stability during shelter care hearing—Protocol development.
Status: in_force

The department shall work with the administrative office of the courts to develop protocols to ensure that educational stability is addressed during the shelter care hearing.
RCW 74.60.060 — Washington Code / Title 74 / Chapter 60 / Section 060
RCW 74.60.060: Local assessments or taxes not authorized.
Status: in_force

Nothing in this chapter shall be construed to authorize any unit of local government to impose a tax or assessment on hospitals, including but not limited to a tax or assessment measured by a hospital's income, earnings, bed days, or other similar measures.
RCW 74.55.030 — Washington Code / Title 74 / Chapter 55 / Section 030
RCW 74.55.030: Collaboration contract or memorandum of understanding.
Status: in_force

The secretary shall assure collaboration with each demonstration site by child-serving entities operated directly by the department or by departmental contractors. A collaboration contract or memorandum of understanding shall be developed by the demonstration site and the secretary for that purpose.
RCW 74.20.310 — Washington Code / Title 74 / Chapter 20 / Section 310
RCW 74.20.310: Guardian ad litem in actions brought to determine parent and child relationship—Notice.
Status: in_force

(1) The provisions of RCW 26.26A.485 requiring appointment of a guardian ad litem to represent the child in an action brought to determine the parent and child relationship do not apply to actions brought under chapter 26.26A or 26.26B RCW if: (a) The action is brought by the attorney general on behalf of the department of social and health services and the child; or (b) The action is brought by any prosecuting attorney on behalf of the state and the child when referral has been made to the prosecuting attorney by the department of social and health services requesting such action. (2) On the issue of parentage, the attorney general or prosecuting attorney functions as the child's guardian ad litem provided the interests of the state and the child are not in conflict. (3) The court, on its own motion or on motion of a party, may appoint a guardian ad litem when necessary. (4) The summons shall contain a notice to the parents that pursuant to RCW 26.26A.485 the parents have a right to move the court for a guardian ad litem for the child other than the prosecuting attorney or the attorney general subject to subsection (2) of this section.
RCW 74.15.311 — Washington Code / Title 74 / Chapter 15 / Section 311
RCW 74.15.311: Resource and assessment centers—License.
Status: in_force

(1) The secretary is authorized to license resource and assessment centers if the agency meets the following requirements: (a) There is a demonstrated need in the local community for a resource and assessment center; (b) The resource and assessment center will be primarily staffed by trained volunteers; and (c) The resource and assessment center demonstrates it is not financially dependent on reimbursement from the state to operate. (2) The department may adopt rules to specify licensing requirements for resource and assessment centers. Rules adopted by the department shall allow: (a) A sufficient number of trained volunteers to meet staffing requirements; (b) Flexibility in hours of operation and not require the resource and assessment center to be open if there are no children in its care; and (c) The ability to operate in a residential area. (3) Resource and assessment centers licensed under this section may: (a) Provide care for children ages birth through twelve, or for children ages thirteen through seventeen who have a sibling or siblings under thirteen years of age who are being admitted to the resource and assessment center; and (b) Operate up to twenty-four hours per day, and for up to seven days per week. (4) Resource and assessment centers may not be used to address placement disruptions for children who have been removed from a foster home because of behavior or safety concerns.
RCW 74.09.480 — Washington Code / Title 74 / Chapter 09 / Section 480
RCW 74.09.480: Performance measures—Provider rate increases—Report.
Status: in_force

(1) The authority, in collaboration with the department of health, department of social and health services, health carriers, local public health jurisdictions, children's health care providers including pediatricians, family practitioners, *advanced registered nurse practitioners, certified nurse midwives, and pediatric subspecialists, community and migrant health centers, parents, and other purchasers, shall establish a concise set of explicit performance measures that can indicate whether children enrolled in the program are receiving health care through an established and effective medical home, and whether the overall health of enrolled children is improving. Such indicators may include, but are not limited to: (a) Childhood immunization rates; (b) Well child care utilization rates, including the use of behavioral and oral health screening, and validated, structured developmental screens using tools, that are consistent with nationally accepted pediatric guidelines and recommended administration schedule, once funding is specifically appropriated for this purpose; (c) Care management for children with chronic illnesses; (d) Emergency room utilization; (e) Visual acuity and eye health; (f) Preventive oral health service utilization; and (g) Children's mental health status. In defining these measures the authority shall be guided by the measures provided in RCW 71.36.025 . Performance measures and targets for each performance measure must be established and monitored each biennium, with a goal of achieving measurable, improved health outcomes for the children of Washington state each biennium. (2) Beginning in calendar year 2009, targeted provider rate increases shall be linked to quality improvement measures established under this section. The authority, in conjunction with those groups identified in subsection (1) of this section, shall develop parameters for determining criteria for increased payment, alternative payment methodologies, or other incentives for those practices and health plans that incorporate evidence-based practice and achieve sustained improvement with respect to the measures. (3) The department shall provide a report to the governor and the legislature related to provider performance on these measures, as well as the information collected under RCW 74.09.475 , beginning in September 2010 for 2007 through 2009 and the authority shall provide the report biennially thereafter.
RCW 74.14C.100 — Washington Code / Title 74 / Chapter 14C / Section 100
RCW 74.14C.100: Training and consultation for department personnel—Training for judges and service providers.
Status: in_force

(1) The department shall, within available funds, provide for ongoing training and consultation to department personnel to carry out their responsibilities effectively. Such training may: (a) Include the family unit as the primary focus of service; identifying family member strengths; empowering families; child, adult, and family development; stress management; and may include parent training and family therapy techniques; (b) Address intake and referral, assessment of risk, case assessment, matching clients to services, and service planning issues in the context of the home-delivered service model, including strategies for engaging family members, defusing violent situations, and communication and conflict resolution skills; (c) Cover methods of helping families acquire the skills they need, including home management skills, life skills, parenting, child development, and the use of community resources; (d) Address crisis intervention and other strategies for the management of depression, and suicidal, assaultive, and other high-risk behavior; and (e) Address skills in collaborating with other disciplines and services in promoting the safety of children and other family members and promoting the preservation of the family. (2) The department and the administrative office of the courts shall, within available funds, collaborate in providing training to judges, and others involved in the provision of services pursuant to this title, including service providers, on the function and use of preservation services.
RCW 74.74.050 — Washington Code / Title 74 / Chapter 74 / Section 050
RCW 74.74.050: Assistance and support services.
Status: in_force

(1) The department shall provide refugee cash assistance, refugee medical assistance, and refugee support services in accordance with the federal act and the state plan. (2) The refugee support services described in this section may include: (a) Employment services; (b) English language instruction; (c) Case management; and (d) Other services or assistance consistent with the federal act.
RCW 74.39A.090 — Washington Code / Title 74 / Chapter 39A / Section 090
RCW 74.39A.090: Discharge planning—Contracts for case management services and reassessment and reauthorization—Assessment of case management roles and quality of in-home care services—Plan of care model language.
Status: in_force

(1) Discharge planning, as directed in this section, is intended for residents and patients identified for discharge to long-term services under RCW 70.41.320 , 74.39A.040 , or 74.42.058 . The purpose of discharge planning is to protect residents and patients from the financial incentives inherent in keeping residents or patients in a more expensive higher level of care and shall focus on care options that are in the best interest of the patient or resident. (2) Except as provided in subsection (3) of this section, the department shall, consistent with the intent of this section, contract with area agencies on aging: (a) To provide case management services to consumers receiving home and community services in their own home; and (b) To reassess and reauthorize home and community services in home or in other settings for consumers: (i) Who have been initially authorized by the department to receive home and community services; and (ii) Who, at the time of reassessment and reauthorization, are receiving home and community services in their own home. (3) The department may contract with a federally recognized Indian tribe to determine eligibility, including assessments and reassessments, authorize and reauthorize services, and perform case management functions within its regional authority. (4) In the event that an area agency on aging is unwilling to enter into or satisfactorily fulfill a contract or an individual consumer's need for case management services will be met through an alternative delivery system, the department is authorized to: (a) Obtain the services through competitive bid; and (b) Provide the services directly until a qualified contractor can be found. (5)(a) The department shall assess the degree and quality of the case management performed by the contracted area agency on aging staff or federally recognized Indian tribe for elderly and persons with disabilities in the community. (b) The department shall incorporate the expected outcomes and criteria to measure the performance of service coordination organizations into contracts with area agencies on aging as provided in chapter 70.320 RCW. (6) The contracts must require area agencies on aging and federally recognized Indian tribes to assess the quality of the in-home care services provided to consumers who are receiving services under programs authorized through the medicaid state plan, medicaid waiver authorities, or similar state-funded in-home care programs through an individual provider or home care agency. Quality indicators may include, but are not limited to, home care consumers satisfaction surveys, how quickly home care consumers are linked with home care workers, and whether the plan of care under RCW 74.39A.095 has been honored by the agency or the individual provider. (7) The department shall develop model language for the plan of care established in RCW 74.39A.095 . The plan of care shall be in clear language, and written at a reading level that will ensure the ability of consumers to understand the rights and responsibilities expressed in the plan of care.
RCW 74.08A.015 — Washington Code / Title 74 / Chapter 08A / Section 015
RCW 74.08A.015: Time limits—State of emergency extension.
Status: in_force

All families who have received temporary assistance for needy families since March 1, 2020, are eligible for the extension under RCW 74.08A.010 (4)(a)(ii), regardless of whether they are current recipients. Eligible families shall only receive temporary assistance for needy families benefits that accrue after July 25, 2021.
RCW 74.15.070 — Washington Code / Title 74 / Chapter 15 / Section 070
RCW 74.15.070: Articles of incorporation and amendments—Copies to be furnished to department.
Status: in_force

A copy of the articles of incorporation of any agency or amendments to the articles of existing corporation agencies shall be sent by the secretary of state to the department at the time such articles or amendments are filed.
RCW 74.09.705 — Washington Code / Title 74 / Chapter 09 / Section 705
RCW 74.09.705: Family medicine workforce development account.
Status: in_force

The family medicine workforce development account is created in the state treasury. All receipts from funding available for the family medicine residency network pursuant to RCW 74.60.090 and 70.112.060 and any other funds collected for the medicaid direct payment program established in chapter 376, Laws of 2024 must be deposited into the account. Moneys in the account may be spent only after appropriation. Expenditures from the account may be used only to supplement primary care graduate medical education.