reglab/housing_qa huggingface dataset:
WA Rev Code § 74.48.030 (2021)
2021 Revised Code of Washington|Title 74 - Public Assistance|Chapter 74.48 - Skilled Nursing Facility Safety Net Assessments.|74.48.030 - Assessments.

RCW 74.48.030 Assessments.(1) In accordance with the redistribution method set forth in 42 C.F.R. Sec. 433.68(e)(1) and (2), the department shall seek a waiver of the broad-based and uniform provider assessment requirements of federal law to exclude certain nursing facilities from the skilled nursing facility safety net assessment and to permit certain high volume medicaid nursing facilities or facilities with a high number of total annual resident days to pay the skilled nursing facility safety net assessment at a lesser amount per nonmedicare patient day.(2) The skilled nursing facility safety net assessment shall, at no time, be greater than the maximum percentage of the nursing facility industry reported net patient service revenues allowed under federal law or regulation.(3) All skilled nursing facility safety net assessments collected pursuant to this section by the department shall be transmitted to the state treasurer who shall credit all such amounts to the skilled nursing facility safety net trust fund.[ 2011 1st sp.s. c 7 § 15.]
WA Rev Code § 74.48.050 (2021)
2021 Revised Code of Washington|Title 74 - Public Assistance|Chapter 74.48 - Skilled Nursing Facility Safety Net Assessments.|74.48.050 - Exceptions.

RCW 74.48.050 Exceptions.(1) Subject to subsection (4) of this section the department shall exempt the following nursing facility providers from the skilled nursing facility safety net assessment subject to federal approval under 42 C.F.R. Sec. 433.68(e)(2):(a) Continuing care retirement communities;(b) Nursing facilities with thirty-five or fewer licensed beds;(c) State, tribal, and county operated nursing facilities; and(d) Any nursing facility operated by a public hospital district and nursing facilities that are hospital-based.(2) The department shall lower the skilled nursing facility safety net assessment for either certain high volume medicaid nursing facilities or certain facilities with high resident volumes to meet the redistributive tests of 42 C.F.R. Sec. 433.68(e)(2).(3) The department shall lower the skilled nursing facility safety net assessment for any skilled nursing facility with a licensed bed capacity in excess of two hundred three beds to the same level described in subsection (2) of this section.(4) To the extent necessary to obtain federal approval under 42 C.F.R. Sec. 433.68(e)(2), the exemptions prescribed in subsections (1), (2), and (3) of this section may be amended by the department.(5) The per resident day assessment rate shall be the same amount for each affected facility except as prescribed in subsections (1), (2), and (3) of this section.(6) The department shall notify the nursing facility operators of any skilled nursing facilities that would be exempted from the skilled nursing facility safety net assessment pursuant to the waiver request submitted to the United States department of health and human services under this section.[ 2011 1st sp.s. c 7 § 17.]
WA Rev Code § 74.48.060 (2021)
2021 Revised Code of Washington|Title 74 - Public Assistance|Chapter 74.48 - Skilled Nursing Facility Safety Net Assessments.|74.48.060 - Conditions.

RCW 74.48.060 Conditions.(1) If the centers for medicare and medicaid services fail to approve any state plan amendments or waiver requests that are necessary in order to implement the applicable sections of this chapter then the assessment authorized in RCW 74.48.040 shall cease to be imposed.(2) Nothing in subsection (1) of this section prohibits the department from working cooperatively with the centers for medicare and medicaid services to secure approval of any needed state plan amendments or waiver requests. As provided in RCW 74.48.030 and 74.48.050, the department shall adjust any submitted state plan amendments or waiver requests as necessary to achieve approval.(3) If this chapter does not take effect or ceases to be imposed, any moneys remaining in the fund shall be refunded to skilled nursing facilities in proportion to the amounts paid by such facilities.[ 2011 1st sp.s. c 7 § 18.]
WA Rev Code § 74.48.070 (2021)
2021 Revised Code of Washington|Title 74 - Public Assistance|Chapter 74.48 - Skilled Nursing Facility Safety Net Assessments.|74.48.070 - Assessment part of operating overhead.

RCW 74.48.070 Assessment part of operating overhead.The incidence and burden of assessments imposed under this chapter shall be on skilled nursing facilities and the expense associated with the assessments shall constitute a part of the operating overhead of the facilities. Skilled nursing facilities shall not itemize the safety net assessment on billings to residents or third-party payers.[ 2011 1st sp.s. c 7 § 19.]
WA Rev Code § 74.48.080 (2021)
2021 Revised Code of Washington|Title 74 - Public Assistance|Chapter 74.48 - Skilled Nursing Facility Safety Net Assessments.|74.48.080 - Enforcement.

RCW 74.48.080 Enforcement.If a nursing facility fails to make timely payment of the safety net assessment, the department may seek a remedy provided by law, including, but not limited to:(1) Withholding any medical assistance reimbursement payments until such time as the assessment amount is recovered;(2) Suspension or revocation of the nursing facility license; or(3) Imposition of a civil fine up to one thousand dollars per day for each delinquent payment, not to exceed the amount of the assessment.[ 2011 1st sp.s. c 7 § 20.]
WA Rev Code § 74.48.090 (2021)
2021 Revised Code of Washington|Title 74 - Public Assistance|Chapter 74.48 - Skilled Nursing Facility Safety Net Assessments.|74.48.090 - Quality incentive payments.

RCW 74.48.090 Quality incentive payments.(1) The department and the department of health, in consultation with the Washington state health care association, and aging services of Washington, shall design a system of skilled nursing facility quality incentive payments. The design of the system shall be submitted to the relevant policy and fiscal committees of the legislature by January 1, 2013. For the 2011-2013 fiscal biennial budget period, the department shall not implement a system of skilled nursing facility quality incentive payments designed pursuant to this section. The system shall be based upon the following principles:(a) Evidence-based treatment and processes shall be used to improve health care outcomes for skilled nursing facility residents;(b) Effective purchasing strategies to improve the quality of health care services should involve the use of common quality improvement measures, while recognizing that some measures may not be appropriate for application to facilities with high bariatric, behaviorally challenged, or rehabilitation populations;(c) Quality measures chosen for the system should be consistent with the standards that have been developed by national quality improvement organizations, such as the national quality forum, the federal centers for medicare and medicaid services, or the federal agency for healthcare research and quality. New reporting burdens to skilled nursing facilities should be minimized by giving priority to measures skilled nursing facilities that are currently required to report to governmental agencies, such as the nursing home compare measures collected by the federal centers for medicare and medicaid services;(d) Benchmarks for each quality improvement measure should be set at levels that are feasible for skilled nursing facilities to achieve, yet represent real improvements in quality and performance for a majority of skilled nursing facilities in Washington state; and(e) Skilled nursing facilities performance and incentive payments should be designed in a manner such that all facilities in Washington are able to receive the incentive payments if performance is at or above the benchmark score set in the system established under this section.(2) Pursuant to an appropriation by the legislature, for state fiscal year 2014 and each fiscal year thereafter, assessments may be increased to support an additional one percent increase in skilled nursing facility reimbursement rates for facilities that meet the quality incentive benchmarks established under this section.[ 2012 2nd sp.s. c 7 § 921; 2011 1st sp.s. c 7 § 21.]NOTES:Effective date—2012 2nd sp.s. c 7: See note following RCW 2.68.020.
WA Rev Code § 74.48.900 (2021)
2021 Revised Code of Washington|Title 74 - Public Assistance|Chapter 74.48 - Skilled Nursing Facility Safety Net Assessments.|74.48.900 - Severability—2011 1st sp.s. c 7.

RCW 74.48.900 Severability—2011 1st sp.s. c 7.Except as provided in RCW 74.48.060, if any provision of this act or its application to any person or circumstance is held invalid, the remainder of the act or the application of the provision to other persons or circumstances is not affected.[ 2011 1st sp.s. c 7 § 24.]
WA Rev Code § 74.48.901 (2021)
2021 Revised Code of Washington|Title 74 - Public Assistance|Chapter 74.48 - Skilled Nursing Facility Safety Net Assessments.|74.48.901 - Effective date—2011 1st sp.s. c 7.

RCW 74.48.901 Effective date—2011 1st sp.s. c 7.This act is necessary for the immediate preservation of the public peace, health, or safety, or support of the state government and its existing public institutions, and takes effect July 1, 2011.[ 2011 1st sp.s. c 7 § 26.]
WA Rev Code § 74.55.010 (2021)
2021 Revised Code of Washington|Title 74 - Public Assistance|Chapter 74.55 - Children's System of Care.|74.55.010 - Demonstration sites—Selection criteria—Definition.

RCW 74.55.010 Demonstration sites—Selection criteria—Definition.(1) The secretary shall establish demonstration sites for statewide implementation of a children's system of care. The demonstration sites shall be selected using the following criteria:(a) The system administrator must be the recipient of funding by the federal center for mental health services for the purpose of developing a system of care for children with emotional and behavioral disorders;(b) The system administrator must have established a process for ongoing input and coordination from the public health and safety network or networks established in the catchment area of the project; and(c) The system administrator may be a project site under a Title IV-E waiver.(2) For the purposes of this section, "children's system of care" means a centralized community care coordination system representing a philosophy about the way services should be delivered to children and their families, using existing resources of various child-serving agencies addressing the problems of children with emotional and behavioral disorders. The agencies represented may include providers of mental health services, drug and alcohol services, services for the developmentally disabled, county juvenile justice and state juvenile rehabilitation, child welfare, and special education.[ 2002 c 309 § 1.]
WA Rev Code § 74.55.020 (2021)
2021 Revised Code of Washington|Title 74 - Public Assistance|Chapter 74.55 - Children's System of Care.|74.55.020 - Goals.

RCW 74.55.020 Goals.The goals of the children's system of care are to:(1) Maintain a multiagency collaborative planning and system management mechanism at the state and local levels through the establishment of an oversight committee at the local level in accordance with the principles and program requirements associated with the federal center for children's mental health services;(2) Recommend and make necessary financing changes to support individualized and flexible home and community-based services and supports that are child centered, family driven, strength based, and culturally competent;(3) Support a common screening tool and integrated care coordination system;(4) Recommend and make necessary changes in contracting to support integrated service delivery;(5) Promote and increase the expansion of system capacity for children and their families in each demonstration site community;(6) Develop the capacity of family members to provide support for one another and to strengthen the family voice in system implementation through the utilization of a citizens' advisory board as described in *RCW 74.55.040 and through other outreach activities;(7) Conduct research and draw on outside consultation to identify best practices to inform system development and refinement; and(8) Demonstrate cost-effectiveness by creating system efficiencies that generate savings from the current level of expenditures for children being served by the participating agencies. These savings must be used to provide more services to the children involved in the project, or to serve more children.[ 2002 c 309 § 2.]NOTES:*Reviser's note: RCW 74.55.040 expired January 1, 2004.
WA Rev Code § 74.55.030 (2021)
2021 Revised Code of Washington|Title 74 - Public Assistance|Chapter 74.55 - Children's System of Care.|74.55.030 - Collaboration contract or memorandum of understanding.

RCW 74.55.030 Collaboration contract or memorandum of understanding.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.[ 2002 c 309 § 3.]
WA Rev Code § 74.55.050 (2021)
2021 Revised Code of Washington|Title 74 - Public Assistance|Chapter 74.55 - Children's System of Care.|74.55.050 - Funding—Report.

RCW 74.55.050 Funding—Report.Funding for children's system of care projects following the expiration of the federal grant shall be determined using the process established in RCW 74.14A.060 and funded children's system of care projects shall be included in the annual report required by that section.[ 2002 c 309 § 5.]
WA Rev Code § 74.60.040 (2021)
2021 Revised Code of Washington|Title 74 - Public Assistance|Chapter 74.60 - Hospital Safety Net Assessment.|74.60.040 - Exemptions.

RCW 74.60.040 Exemptions. (Expires July 1, 2025.)The following hospitals are exempt from any assessment under this chapter provided that if and to the extent any exemption is held invalid by a court of competent jurisdiction or by the centers for medicare and medicaid services, hospitals previously exempted shall be liable for assessments due after the date of final invalidation:(1) Hospitals owned or operated by an agency of federal or state government, including but not limited to western state hospital and eastern state hospital;(2) Washington public hospitals that participate in the certified public expenditure program;(3) Hospitals that do not charge directly or indirectly for hospital services; and(4) Long-term acute care hospitals.[ 2010 1st sp.s. c 30 § 5.]
WA Rev Code § 74.60.060 (2021)
2021 Revised Code of Washington|Title 74 - Public Assistance|Chapter 74.60 - Hospital Safety Net Assessment.|74.60.060 - Local assessments or taxes not authorized.

RCW 74.60.060 Local assessments or taxes not authorized. (Expires July 1, 2025.)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.[ 2010 1st sp.s. c 30 § 7.]
WA Rev Code § 74.60.070 (2021)
2021 Revised Code of Washington|Title 74 - Public Assistance|Chapter 74.60 - Hospital Safety Net Assessment.|74.60.070 - Assessment part of operating overhead.

RCW 74.60.070 Assessment part of operating overhead. (Expires July 1, 2025.)The incidence and burden of assessments imposed under this chapter shall be on hospitals and the expense associated with the assessments shall constitute a part of the operating overhead of hospitals. Hospitals shall not increase charges or billings to patients or third-party payers as a result of the assessments under this chapter. The authority may require hospitals to submit certified statements by their chief financial officers or equivalent officials attesting that they have not increased charges or billings as a result of the assessments. [ 2013 2nd sp.s. c 17 § 6; 2010 1st sp.s. c 30 § 8.]NOTES:Effective date—2013 2nd sp.s. c 17: See note following RCW 74.60.005.
WA Rev Code § 74.60.080 (2021)
2021 Revised Code of Washington|Title 74 - Public Assistance|Chapter 74.60 - Hospital Safety Net Assessment.|74.60.080 - Disbursements from hospital safety net assessment fund.

RCW 74.60.080 Disbursements from hospital safety net assessment fund. (Expires July 1, 2025.)In each fiscal year and upon satisfaction of the conditions in RCW 74.60.150(1), after deducting or reserving amounts authorized to be disbursed under RCW 74.60.020(4) (d), (e), and (f), disbursements from the fund must be made as follows:(1) For grants to certified public expenditure hospitals in accordance with RCW 74.60.090;(2) For payments to critical access hospitals in accordance with RCW 74.60.100;(3) For small rural disproportionate share payments in accordance with RCW 74.60.110;(4) For payments to hospitals under RCW 74.60.120; and(5) For payments to managed care organizations under RCW 74.60.130 for the provision of hospital services.[ 2013 2nd sp.s. c 17 § 7; 2010 1st sp.s. c 30 § 9.]NOTES:Effective date—2013 2nd sp.s. c 17: See note following RCW 74.60.005.
WA Rev Code § 74.60.100 (2021)
2021 Revised Code of Washington|Title 74 - Public Assistance|Chapter 74.60 - Hospital Safety Net Assessment.|74.60.100 - Critical access hospital payments.

RCW 74.60.100 Critical access hospital payments. (Expires July 1, 2025.)In each fiscal year commencing upon satisfaction of the conditions in RCW 74.60.150(1), the authority shall make access payments to critical access hospitals that do not qualify for or receive a small rural disproportionate share hospital payment in a given fiscal year in the total amount of two million thirty-eight thousand dollars from the fund. The amount of payments to individual hospitals under this section must be determined using a methodology that provides each hospital with a proportional allocation of the group's total amount of medicaid and state children's health insurance program payments determined from claims and encounter data using the same general methodology set forth in RCW 74.60.120 (3) and (4). Payments must be made after the authority determines a hospital's payments under RCW 74.60.110. These payments shall be in addition to any other amount payable with respect to services provided by critical access hospitals and shall not reduce any other payments to critical access hospitals. The authority shall provide a report of such payments to the Washington state hospital association within thirty days after payments are made.[ 2017 c 228 § 7; 2015 2nd sp.s. c 5 § 6; 2013 2nd sp.s. c 17 § 9; 2010 1st sp.s. c 30 § 11.]NOTES:Effective date—2017 c 228: See note following RCW 74.60.005.Effective date—2015 2nd sp.s. c 5: See note following RCW 74.60.005.Effective date—2013 2nd sp.s. c 17: See note following RCW 74.60.005.
WA Rev Code § 74.60.110 (2021)
2021 Revised Code of Washington|Title 74 - Public Assistance|Chapter 74.60 - Hospital Safety Net Assessment.|74.60.110 - Small rural disproportionate share hospital payments.

RCW 74.60.110 Small rural disproportionate share hospital payments. (Expires July 1, 2025.)In each fiscal year commencing upon satisfaction of the applicable conditions in RCW 74.60.150(1), one million nine hundred nine thousand dollars must be distributed from the fund and, with available federal matching funds, paid to hospitals eligible for small rural disproportionate share payments under WAC 182-550-4900 or successor rule. Payments must be made directly to hospitals by the authority in accordance with that regulation. The authority shall provide a report of such payments to the Washington state hospital association within thirty days after payments are made.[ 2013 2nd sp.s. c 17 § 10; 2010 1st sp.s. c 30 § 12.]NOTES:Effective date—2013 2nd sp.s. c 17: See note following RCW 74.60.005.
WA Rev Code § 74.60.140 (2021)
2021 Revised Code of Washington|Title 74 - Public Assistance|Chapter 74.60 - Hospital Safety Net Assessment.|74.60.140 - Multihospital locations, new hospitals, and changes in ownership.

RCW 74.60.140 Multihospital locations, new hospitals, and changes in ownership. (Expires July 1, 2025.)(1) If an entity owns or operates more than one hospital subject to assessment under this chapter, the entity shall pay the assessment for each hospital separately. However, if the entity operates multiple hospitals under a single medicaid provider number, it may pay the assessment for the hospitals in the aggregate.(2) Notwithstanding any other provision of this chapter, if a hospital subject to the assessment imposed under this chapter ceases to conduct hospital operations throughout a state fiscal year, the assessment for the quarter in which the cessation occurs shall be adjusted by multiplying the assessment computed under RCW 74.60.030 by a fraction, the numerator of which is the number of days during the year which the hospital conducts, operates, or maintains the hospital and the denominator of which is three hundred sixty-five. Immediately prior to ceasing to conduct, operate, or maintain a hospital, the hospital shall pay the adjusted assessment for the fiscal year to the extent not previously paid.(3) Notwithstanding any other provision of this chapter, if a hospital previously subject to assessment is sold or transferred to another entity and remains subject to assessment, the assessment for that hospital shall be computed based upon the cost report data previously submitted by that hospital. The assessment shall be allocated between the transferor and transferee based on the number of days within the assessment period that each owned, operated, or maintained the hospital.[ 2013 2nd sp.s. c 17 § 14; 2010 1st sp.s. c 30 § 16.]NOTES:Effective date—2013 2nd sp.s. c 17: See note following RCW 74.60.005.