reglab/housing_qa huggingface dataset:
WA Rev Code § 74.39.005 (2021)
2021 Revised Code of Washington|Title 74 - Public Assistance|Chapter 74.39 - Long-Term Care Service Options.|74.39.005 - Purpose.

RCW 74.39.005 Purpose.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.[ 2020 c 76 § 21; 1995 1st sp.s. c 18 § 10; 1989 c 427 § 2.]NOTES:Conflict with federal requirements—Severability—Effective date—1995 1st sp.s. c 18: See notes following RCW 74.39A.030.
WA Rev Code § 74.39.007 (2021)
2021 Revised Code of Washington|Title 74 - Public Assistance|Chapter 74.39 - Long-Term Care Service Options.|74.39.007 - Definitions.

RCW 74.39.007 Definitions.The definitions in this section apply throughout RCW 74.39.007, 74.39.050, 74.39.060, 74.39.070, 43.190.060, and section 1, chapter 336, Laws of 1999 unless the context clearly requires otherwise.(1) "Self-directed care" means the process in which an adult person, who is prevented by a functional disability from performing a manual function related to health care that an individual would otherwise perform for himself or herself, chooses to direct and supervise a paid personal aide to perform those tasks.(2) "Personal aide" means an individual, working privately or as an individual provider under contract or agreement with the department of social and health services, who acts at the direction of an adult person with a functional disability living in his or her own home and provides that person with health care services that a person without a functional disability can perform.[ 1999 c 336 § 2.]NOTES:Finding—Intent—1999 c 336: "(1) The legislature finds that certain aspects of health licensure laws have the unintended consequence of limiting the right of persons with functional disabilities to care for themselves in their own home, and of securing assistance from other persons in performing routine health-related tasks that persons without these disabilities customarily perform.(2) It is the intent of the legislature to clarify the right of adults with functional disabilities to choose to self-direct their own health-related tasks through personal aides, and to describe the circumstances under which self-directed care may take place in the home setting. The legislature declares that it is in the public interest to preserve the autonomy and dignity of persons with functional disabilities to care for themselves in their own homes, among the continuum of options for health care services where the judgment and control over the care rests with the individual." [ 1999 c 336 § 1.]
WA Rev Code § 74.39.010 (2021)
2021 Revised Code of Washington|Title 74 - Public Assistance|Chapter 74.39 - Long-Term Care Service Options.|74.39.010 - Option—Flexibility—Title XIX of the federal social security act.

RCW 74.39.010 Option—Flexibility—Title XIX of the federal social security act.A valuable option available to Washington state to achieve the goals of RCW 74.39.001 and 74.39.005 is the flexibility in personal care and other long-term care services encouraged by the federal government under Title XIX of the federal social security act. These services include options to expand community-based long-term care services, such as adult family homes, congregate care facilities, respite, chore services, hospice, and case management.[ 1989 c 427 § 3.]
WA Rev Code § 74.39.020 (2021)
2021 Revised Code of Washington|Title 74 - Public Assistance|Chapter 74.39 - Long-Term Care Service Options.|74.39.020 - Opportunities—Increase of federal funds—Title XIX of the federal social security act.

RCW 74.39.020 Opportunities—Increase of federal funds—Title XIX of the federal social security act.Title XIX of the federal social security act offers valuable opportunities to increase federal funds available to provide community-based long-term care services to functionally disabled persons in their homes, and in noninstitutional residential facilities, such as adult family homes and congregate care facilities.[ 1989 c 427 § 9.]
WA Rev Code § 74.39.030 (2021)
2021 Revised Code of Washington|Title 74 - Public Assistance|Chapter 74.39 - Long-Term Care Service Options.|74.39.030 - Community options program entry system—Waiver—Respite services.

RCW 74.39.030 Community options program entry system—Waiver—Respite services.The department shall request an amendment to its community options program entry system waiver under section 1905(c) of the federal social security act to include respite services as a service available under the waiver.[ 1989 c 427 § 11.]
WA Rev Code § 74.39.041 (2021)
2021 Revised Code of Washington|Title 74 - Public Assistance|Chapter 74.39 - Long-Term Care Service Options.|74.39.041 - Community residential options—Nursing facility eligible clients.

RCW 74.39.041 Community residential options—Nursing facility eligible clients.(1) To the extent of available funds and subject to any conditions placed on appropriations for this purpose, the department may provide one or more home and community-based waiver programs in accordance with section 1915(c) of the federal social security act for Washington residents who have a gross income in excess of three hundred percent of the federal supplemental security income benefit level. The waiver services provided in accordance with this section may differ from, and shall operate with a separate limit or limits on total enrollment than, those provided for persons who are categorically needy as defined in Title XIX of the federal social security act. The department shall adopt rules to establish eligibility criteria, applicable income standards, and the specific waiver services to be provided. Total annual enrollment levels and the services to be provided shall be as specified in the waiver agreement or agreements with the federal government, subject to any conditions on appropriations for this purpose.(2) If a nursing facility resident becomes eligible for home and community-based waiver service alternatives to nursing facility care, but chooses to continue to reside in a nursing facility, the department must allow that choice. However, if the resident is a medicaid recipient, the resident must require a nursing facility level of care.(3) If a recipient of home and community-based waiver services may continue to receive home and community-based waiver services, despite an otherwise disqualifying level of income, but chooses to seek admission to a nursing facility, the department must allow that choice. However, if the resident is a medicaid recipient, the resident must require a nursing facility level of care.(4) The department will fully disclose to all individuals eligible for waiver services under this section the services available in different long-term care settings.[ 2001 c 269 § 2.]
WA Rev Code § 74.39.050 (2021)
2021 Revised Code of Washington|Title 74 - Public Assistance|Chapter 74.39 - Long-Term Care Service Options.|74.39.050 - Individuals with functional disabilities—Self-directed care.

RCW 74.39.050 Individuals with functional disabilities—Self-directed care.(1) An adult person with a functional disability living in his or her own home may direct and supervise a paid personal aide in the performance of a health care task.(2) The following requirements shall guide the provision of self-directed care under chapter 336, Laws of 1999:(a) Health care tasks are those medical, nursing, or home health services that enable the person to maintain independence, personal hygiene, and safety in his or her own home, and that are services that a person without a functional disability would customarily and personally perform without the assistance of a licensed health care provider.(b) The individual who chooses to self-direct a health care task is responsible for initiating self-direction by informing the health care professional who has ordered the treatment which involves that task of the individual's intent to perform that task through self-direction.(c) When state funds are used to pay for self-directed tasks, a description of those tasks will be included in the client's comprehensive assessment, and subject to review with each annual reassessment.(d) When a licensed health care provider orders treatment involving a health care task to be performed through self-directed care, the responsibility to ascertain that the patient understands the treatment and will be able to follow through on the self-directed care task is the same as it would be for a patient who performs the health care task for himself or herself, and the licensed health care provider incurs no additional liability when ordering a health care task which is to be performed through self-directed care.(e) The role of the personal aide in self-directed care is limited to performing the physical aspect of health care tasks under the direction of the person for whom the tasks are being done. This shall not affect the ability of a personal aide to provide other home care services, such as personal care or homemaker services, which enable the client to remain at home.(f) The responsibility to initiate self-directed health care tasks, to possess the necessary knowledge and training for those tasks, and to exercise judgment regarding the manner of their performance rests and remains with the person who has chosen to self-direct those tasks, including the decision to employ and dismiss a personal aide.[ 1999 c 336 § 3.]NOTES:Finding—Intent—1999 c 336: See note following RCW 74.39.007.
WA Rev Code § 74.39.060 (2021)
2021 Revised Code of Washington|Title 74 - Public Assistance|Chapter 74.39 - Long-Term Care Service Options.|74.39.060 - Personal aide providers—Registration.

RCW 74.39.060 Personal aide providers—Registration.Any individual who, for compensation, serves as a personal aide provider under contract or agreement with the department of social and health services, to a person who self-directs his or her own care in his or her own home, shall register with the department of social and health services.[ 1999 c 336 § 4.]NOTES:Finding—Intent—1999 c 336: See note following RCW 74.39.007.
WA Rev Code § 74.39.070 (2021)
2021 Revised Code of Washington|Title 74 - Public Assistance|Chapter 74.39 - Long-Term Care Service Options.|74.39.070 - Personal aide—Qualification exemptions.

RCW 74.39.070 Personal aide—Qualification exemptions.A personal aide, in the performance of a health care task, who is directed and supervised by a person with a functional disability in his or her own home, is exempt from any legal requirement to qualify and be credentialed by the department of health as a health care provider under Title 18 RCW to the extent of the responsibilities provided and health care tasks performed under chapter 336, Laws of 1999.[ 1999 c 336 § 8.]NOTES:Finding—Intent—1999 c 336: See note following RCW 74.39.007.
WA Rev Code § 74.39A.005 (2021)
2021 Revised Code of Washington|Title 74 - Public Assistance|Chapter 74.39A - Long-Term Care Services Options—Expansion.|74.39A.005 - Findings.

RCW 74.39A.005 Findings.The legislature finds that the aging of the population and advanced medical technology have resulted in a growing number of persons who require assistance. The primary resource for long-term care continues to be family and friends. However, these traditional caregivers are increasingly employed outside the home. There is a growing demand for improvement and expansion of home and community-based long-term care services to support and complement the services provided by these informal caregivers.The legislature further finds that the public interest would best be served by a broad array of long-term care services that support persons who need such services at home or in the community whenever practicable and that promote individual autonomy, dignity, and choice.The legislature finds that as other long-term care options become more available, the relative need for nursing home beds is likely to decline. The legislature recognizes, however, that nursing home care will continue to be a critical part of the state's long-term care options, and that such services should promote individual dignity, autonomy, and a homelike environment.The legislature finds that many recipients of in-home services are vulnerable and their health and well-being are dependent on their caregivers. The quality, skills, and knowledge of their caregivers are often the key to good care. The legislature finds that the need for well-trained caregivers is growing as the state's population ages and clients' needs increase. The legislature intends that current training standards be enhanced.[ 2000 c 121 § 9; 1993 c 508 § 1.]
WA Rev Code § 74.39A.007 (2021)
2021 Revised Code of Washington|Title 74 - Public Assistance|Chapter 74.39A - Long-Term Care Services Options—Expansion.|74.39A.007 - Purpose and intent.

RCW 74.39A.007 Purpose and intent.It is the legislature's intent that:(1) Long-term care services administered by the department of social and health services include a balanced array of health, social, and supportive services that promote individual choice, dignity, and the highest practicable level of independence;(2) Home and community-based services be developed, expanded, or maintained in order to meet the needs of consumers and to maximize effective use of limited resources;(3) Long-term care services be responsive and appropriate to individual need and also cost-effective for the state;(4) Nursing home care is provided in such a manner and in such an environment as will promote maintenance or enhancement of the quality of life of each resident and timely discharge to a less restrictive care setting when appropriate; and(5) State health planning for nursing home bed supply take into account increased availability of other home and community-based service options.[ 1993 c 508 § 2.]
WA Rev Code § 74.39A.010 (2021)
2021 Revised Code of Washington|Title 74 - Public Assistance|Chapter 74.39A - Long-Term Care Services Options—Expansion.|74.39A.010 - Assisted living services and enhanced adult residential care—Contracts—Rules.

RCW 74.39A.010 Assisted living services and enhanced adult residential care—Contracts—Rules.(1) To the extent of available funding, the department of social and health services may contract with licensed assisted living facilities under chapter 18.20 RCW and tribally licensed assisted living facilities for assisted living services and enhanced adult residential care. The department shall develop rules for facilities that contract with the department for assisted living services or enhanced 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;(b) Standards for resident living areas consistent with RCW 74.39A.030;(c) Training requirements for providers and their staff.(2) The department's rules shall provide that services in assisted living and enhanced adult residential care:(a) Recognize individual needs, privacy, and autonomy;(b) Include, but not be limited to, personal care, nursing services, medication administration, and supportive services that promote independence and self-sufficiency;(c) Are of sufficient scope to assure that each resident who chooses to remain in the assisted living or enhanced adult residential care may do so, to the extent that the care provided continues to be cost-effective and safe and promote the most appropriate level of physical, mental, and psychosocial well-being consistent with client choice;(d) Are directed first to those persons most likely, in the absence of enhanced adult residential care or assisted living services, to need hospital, nursing facility, or other out-of-home placement; and(e) Are provided in compliance with applicable facility and professional licensing laws and rules.(3) When a facility contracts with the department for assisted living services or enhanced adult residential care, only services and facility standards that are provided to or in behalf of the assisted living services or enhanced adult residential care client shall be subject to the department's rules.[ 2012 c 164 § 706; 2012 c 10 § 64; 1995 1st sp.s. c 18 § 14; 1993 c 508 § 3.]NOTES:Reviser's note: This section was amended by 2012 c 10 § 64 and by 2012 c 164 § 706, each without reference to the other. Both amendments are incorporated in the publication of this section under RCW 1.12.025(2). For rule of construction, see RCW 1.12.025(1).Finding—Intent—Rules—Effective date—2012 c 164: See notes following RCW 18.88B.010.Application—2012 c 10: See note following RCW 18.20.010.Conflict with federal requirements—Severability—Effective date—1995 1st sp.s. c 18: See notes following RCW 74.39A.030.
WA Rev Code § 74.39A.020 (2021)
2021 Revised Code of Washington|Title 74 - Public Assistance|Chapter 74.39A - Long-Term Care Services Options—Expansion.|74.39A.020 - Adult residential care—Contracts—Rules.

RCW 74.39A.020 Adult residential care—Contracts—Rules.(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.[ 2012 c 164 § 707; 2012 c 10 § 65; 2004 c 142 § 15; 1995 1st sp.s. c 18 § 15.]NOTES:Reviser's note: This section was amended by 2012 c 10 § 65 and by 2012 c 164 § 707, each without reference to the other. Both amendments are incorporated in the publication of this section under RCW 1.12.025(2). For rule of construction, see RCW 1.12.025(1).Finding—Intent—Rules—Effective date—2012 c 164: See notes following RCW 18.88B.010.Application—2012 c 10: See note following RCW 18.20.010.Effective dates—2004 c 142: See note following RCW 18.20.020.Conflict with federal requirements—Severability—Effective date—1995 1st sp.s. c 18: See notes following RCW 74.39A.030.
WA Rev Code § 74.39A.035 (2021)
2021 Revised Code of Washington|Title 74 - Public Assistance|Chapter 74.39A - Long-Term Care Services Options—Expansion.|74.39A.035 - Expansion of nutrition services through the meals on wheels program.

RCW 74.39A.035 Expansion of nutrition services through the meals on wheels program.(1) Subject to the availability of amounts appropriated for this specific purpose, the department of social and health services must develop a program to expand nutrition services through the meals on wheels program.(a) At least sixty-five percent of the moneys may be distributed according to formulae to existing providers of meals on wheels programs to expand the number of people served.(b) Up to twenty-five percent of the moneys may be distributed by a competitive grant process to expand the meals on wheels program into areas not presently being served.(c) Up to five percent of the moneys may be used by the department administration, monitoring of the grants, and providing technical assistance to existing and new meals on wheels providers.(2) The department must develop criteria for awarding grants under subsection (1)(b) of this section. The criteria must include, but is not limited to:(a) Expanding service in areas with the greatest need to assist low-income homebound seniors who are unable to prepare food for themselves and lack a caregiver that prepares meals;(b) Expanding services in areas where senior citizens have limited access to community support services and facilities; and(c) Geographic diversity within the state and between rural and urban areas.(3) None of the grant moneys awarded under subsection (1)(b) of this section may be used to supplant existing funds the provider receives for the meals on wheels program.[ 2017 c 287 § 2.]NOTES:Findings—2017 c 287: "The legislature finds that:(1) Washingtonians sixty-five years of age and older will nearly double in the next twenty-five years, from twelve percent of our population in 2015 to almost twenty-two percent of our population in 2040. Younger people with disabilities will also require supportive long-term care services.(2) The long-term care system should support autonomy and self-determination. Furthermore, the long-term care system should promote personal planning and savings combined with public support, when needed.(3) Whenever possible, the long-term care system should utilize evidence-based practices to improve the general health of Washingtonians over their lifetime[s] and reduce related health care and long-term care costs.(4) Nutrition programs, such as the meals on wheels program, are a low-cost method of helping seniors remain independent." [ 2017 c 287 § 1.]