reglab/statecodes huggingface dataset:
2023 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.]
2023 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.]
2023 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.
2023 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.]
2023 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.]
2023 Revised Code of Washington › Title 74 - Public Assistance › Chapter 74.60 - Hospital Safety Net Assessment. › 74.60.040 - Exemptions.

RCW 74.60.040
Exemptions. (Contingent expiration date.)
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.]
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, state, or county government, including but not limited to western state hospital and eastern state hospital;
(2) Designated public hospitals;
(3) Hospitals owned or operated by health maintenance organizations under chapter 48.46 RCW; and
(4) Long-term acute care hospitals.
[ 2023 c 430 § 5; 2010 1st sp.s. c 30 § 5.]
NOTES:
Contingent effective date—2023 c 430: See note following RCW 74.60.005.
2023 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.
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.]
2023 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.
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.
2023 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. (Contingent expiration date.)
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.
In each calendar year and upon satisfaction of the conditions in RCW 74.60.150(1), and so long as none of the conditions in RCW 74.60.150(2) occur, after deducting or reserving amounts authorized to be disbursed under RCW 74.60.020(4) (d), (e), (f), and (g), disbursements from the fund must be made as follows:
(1) $10,000,000 for payments to financially distressed hospitals in accordance with RCW 74.60.100;
(2) For payments to small rural disproportionate share hospitals payments in accordance with RCW 74.60.110;
(3) For payments to hospitals under RCW 74.60.120;
(4) For payments to managed care organizations under RCW 74.60.130 for the provision of hospital services; and
(5) For support of payments under RCW 74.09.611 for medicaid prospective payment hospitals and designated public hospitals.
[ 2023 c 430 § 7; 2013 2nd sp.s. c 17 § 7; 2010 1st sp.s. c 30 § 9.]
NOTES:
Contingent effective date—2023 c 430: See note following RCW 74.60.005.
Effective date—2013 2nd sp.s. c 17: See note following RCW 74.60.005.
2023 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. (Contingent expiration date.)
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.
In each fiscal year commencing upon satisfaction of the applicable conditions in RCW 74.60.150(1), $2,040,000 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 30 calendar days after payments are made. Any unused funds remaining under this section shall be retained in the fund described under RCW 74.60.020 and used to reduce future assessments.
[ 2023 c 430 § 10; 2013 2nd sp.s. c 17 § 10; 2010 1st sp.s. c 30 § 12.]
NOTES:
Contingent effective date—2023 c 430: See note following RCW 74.60.005.
Effective date—2013 2nd sp.s. c 17: See note following RCW 74.60.005.
2023 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.
(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.
2023 Revised Code of Washington › Title 74 - Public Assistance › Chapter 74.60 - Hospital Safety Net Assessment. › 74.60.900 - Severability—2010 1st sp.s. c 30.

RCW 74.60.900
Severability—2010 1st sp.s. c 30. (Contingent expiration date.)
(1) The provisions of this chapter are not severable: If the conditions in RCW 74.60.150(1) are not satisfied or if any of the circumstances in RCW 74.60.150(2) should occur, this entire chapter shall have no effect from that point forward.
(2) In the event that any portion of this chapter shall have been validly implemented and the entire chapter is later rendered ineffective under this section, prior assessments and payments under the validly implemented portions shall not be affected.
[ 2013 2nd sp.s. c 17 § 16; 2010 1st sp.s. c 30 § 18.]
NOTES:
Effective date—2013 2nd sp.s. c 17: See note following RCW 74.60.005.
(1) The provisions of RCW 74.60.090 is [are] severable from the remainder of this chapter, unless the condition stated in RCW 74.60.150(3)(c) occurs. The other provisions of this chapter are not severable; if the conditions set forth in RCW 74.60.150(1) cannot be satisfied or if the conditions set forth in RCW 74.60.150 (2) or (3) occur, this chapter, except for RCW 74.60.090, shall have no effect from that point forward.
(2) In the event that any portion of this chapter shall have been validly implemented and the entire chapter is later rendered ineffective under this section, prior assessments and payments under the validly implemented portions shall not be affected.
[ 2023 c 430 § 16; 2013 2nd sp.s. c 17 § 16; 2010 1st sp.s. c 30 § 18.]
NOTES:
Contingent effective date—2023 c 430: See note following RCW 74.60.005.
Effective date—2013 2nd sp.s. c 17: See note following RCW 74.60.005.
2023 Revised Code of Washington › Title 74 - Public Assistance › Chapter 74.60 - Hospital Safety Net Assessment. › 74.60.902 - Expiration of chapter—2010 1st sp.s. c 30.

RCW 74.60.902
Expiration of chapter—2010 1st sp.s. c 30.
Upon expiration of chapter 74.60 RCW, inpatient and outpatient hospital reimbursement rates shall return to a funding level as if the four percent medicaid inpatient and outpatient rate reductions did not occur on July 1, 2009, using the rate structure in effect July 1, 2015, or as otherwise specified in the 2019-2021 biennial operating appropriations act.
[ 2017 c 228 § 13; 2010 1st sp.s. c 30 § 22.]
NOTES:
Effective date—2017 c 228: See note following RCW 74.60.005.
2023 Revised Code of Washington › Title 74 - Public Assistance › Chapter 74.62 - Aged, Blind, or Disabled Assistance Program—Pregnant Women Assistance Program—Essential Needs and Housing Support Program. › 74.62.005 - Findings—Intent—2011 1st sp.s. c 36.

RCW 74.62.005
Findings—Intent—2011 1st sp.s. c 36.
(1) The legislature finds that:
(a) Persons who have a long-term disability and apply for federal supplemental security income benefits should receive assistance while their application for federal benefits is pending;
(b) Persons who are incapacitated from gainful employment for an extended period, but who may not meet the level of severity of a long-term disability, are at increased risk of homelessness; and
(c) Persons who are homeless and suffering from significant medical impairments, mental illness, or substance use disorder face substantial barriers to successful participation in, and completion of, needed medical or behavioral health treatment services. Stable housing increases the likelihood of compliance with and completion of treatment.
(2) Through chapter 36, Laws of 2011 1st sp. sess., the legislature intends to:
(a) Terminate all components of the disability lifeline program created in 2010 and codified in *RCW 74.04.005 and create new programs: (i) To provide financial grants through the aged, blind, or disabled assistance program and the pregnant women assistance program; and (ii) to provide services through the essential needs and housing support program; and
(b) Increase opportunities to utilize limited public funding, combined with private charitable and volunteer efforts to serve persons who are recipients of the benefits provided by the new programs created under chapter 36, Laws of 2011 1st sp. sess.
[ 2023 c 289 § 2; 2011 1st sp.s. c 36 § 1.]
NOTES:
*Reviser's note: 2011 1st sp.s. c 36 § 8 deleted the definition of "disability lifeline program."
Effective date—2011 1st sp.s. c 36: "Except for sections 6 and 8 of this act, 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 immediately [June 15, 2011]." [ 2011 1st sp.s. c 36 § 38.]
2023 Revised Code of Washington › Title 74 - Public Assistance › Chapter 74.62 - Aged, Blind, or Disabled Assistance Program—Pregnant Women Assistance Program—Essential Needs and Housing Support Program. › 74.62.010 - Definitions.

RCW 74.62.010
Definitions.
For the purposes of this chapter, unless the context indicates otherwise, the following definitions shall apply:
(1) "Aged, blind, and [or] disabled assistance program" means the program established under RCW 74.62.030.
(2) "Department" means the department of social and health services.
(3) "Director" or "secretary" means the secretary of social and health services.
(4) "Essential needs and housing support program" means the program established under RCW 43.185C.220.
(5) "Essential needs support" means personal health and hygiene items, cleaning supplies, other necessary items and transportation passes or tokens provided through an essential needs support entity established under RCW 43.185C.220.
(6) "Housing support" means assistance provided by a designated housing support entity established under RCW 43.185C.220 to maintain existing housing when the client is at substantial risk of becoming homeless, to obtain housing, or to obtain heat, electricity, natural gas, sewer, garbage, and water services when the client is at substantial risk of losing these services.
(7) "Pregnant women assistance program" means the program established under RCW 74.62.030.
(8) In the construction of words and phrases used in this chapter, the singular number shall include the plural, the masculine gender shall include both the feminine and neuter genders, and the present tense shall include the past and future tenses, unless the context thereof shall clearly indicate to the contrary.
[ 2011 1st sp.s. c 36 § 7.]
NOTES:
Effective date—2011 1st sp.s. c 36: See note following RCW 74.62.005.
2023 Revised Code of Washington › Title 74 - Public Assistance › Chapter 74.62 - Aged, Blind, or Disabled Assistance Program—Pregnant Women Assistance Program—Essential Needs and Housing Support Program. › 74.62.020 - Termination of disability lifeline program.

RCW 74.62.020
Termination of disability lifeline program.
Effective October 31, 2011, the disability lifeline program, as defined under chapter 74.04 RCW, is terminated and all benefits provided under that program shall expire and cease to exist.
[ 2011 1st sp.s. c 36 § 2.]
NOTES:
Effective date—2011 1st sp.s. c 36: See note following RCW 74.62.005.
2023 Revised Code of Washington › Title 74 - Public Assistance › Chapter 74.64 - Medical Services Program—Waste, Fraud, Abuse Detection, Prevention, and Recovery Solutions. › 74.64.005 - Intent.

RCW 74.64.005
Intent.
It is the intent of the legislature to:
(1) Implement waste, fraud, and abuse detection, prevention, and recovery solutions to improve program integrity for medical services programs in the state and create efficiency and cost savings through a shift from a retrospective "pay and chase" model to a prospective prepayment model; and
(2) Invest in the most cost-effective technologies or strategies that yield the highest return on investment.
[ 2012 c 234 § 1.]
2023 Revised Code of Washington › Title 74 - Public Assistance › Chapter 74.64 - Medical Services Program—Waste, Fraud, Abuse Detection, Prevention, and Recovery Solutions. › 74.64.010 - Definitions.

RCW 74.64.010
Definitions.
The definitions in this section apply throughout this chapter unless the context clearly requires otherwise.
(1) "Authority" means the Washington state health care authority.
(2) "Enrollee" means an individual who receives benefits through a medical services program.
(3) "Medical services programs" means those medical programs established under chapter 74.09 RCW or other applicable law, including medical assistance, the limited casualty program, children's health program, medical care services, and state children's health insurance program.
[ 2018 c 201 § 7022; 2012 c 234 § 2.]
NOTES:
Findings—Intent—Effective date—2018 c 201: See notes following RCW 41.05.018.
2023 Revised Code of Washington › Title 74 - Public Assistance › Chapter 74.64 - Medical Services Program—Waste, Fraud, Abuse Detection, Prevention, and Recovery Solutions. › 74.64.030 - Funding for chapter—Reimbursement methods.

RCW 74.64.030
Funding for chapter—Reimbursement methods.
It is the intent of the legislature that the savings achieved through this chapter shall more than cover the cost of implementation and administration. Therefore, to the extent possible, technology services used in carrying out this chapter must be secured using the savings generated by the program, whereby the state's only direct cost will be funded through the actual savings achieved. Further, to enable this model, reimbursement to the contractor may be contracted on the basis of a percentage of achieved savings model, a per beneficiary per month model, a per transaction model, a case-rate model, or any blended model of the aforementioned methodologies. Reimbursement models with the contractor may include performance guarantees of the contractor to ensure savings identified exceeds [exceed] program costs.
[ 2012 c 234 § 4.]
2023 Revised Code of Washington › Title 74 - Public Assistance › Chapter 74.64 - Medical Services Program—Waste, Fraud, Abuse Detection, Prevention, and Recovery Solutions. › 74.64.900 - Effective date—2012 c 234.

RCW 74.64.900
Effective date—2012 c 234.
This act takes effect July 1, 2012.
[ 2012 c 234 § 7.]
2023 Revised Code of Washington › Title 74 - Public Assistance › Chapter 74.66 - Medicaid Fraud False Claims Act. › 74.66.005 - Short title.

RCW 74.66.005
Short title.
This chapter may be known and cited as the medicaid fraud false claims act.
[ 2012 c 241 § 214.]
NOTES:
Intent—Finding—2012 c 241: See note following RCW 74.66.010.
2023 Revised Code of Washington › Title 74 - Public Assistance › Chapter 74.66 - Medicaid Fraud False Claims Act. › 74.66.030 - Public records exemption.

RCW 74.66.030
Public records exemption.
Any information furnished pursuant to this chapter is exempt from disclosure under the public records act, chapter 42.56 RCW, until final disposition and all court-ordered seals are lifted.
[ 2012 c 241 § 203.]
NOTES:
Intent—Finding—2012 c 241: See note following RCW 74.66.010.
2023 Revised Code of Washington › Title 74 - Public Assistance › Chapter 74.66 - Medicaid Fraud False Claims Act. › 74.66.040 - Attorney general—Investigation—Civil action.

RCW 74.66.040
Attorney general—Investigation—Civil action.
The attorney general must diligently investigate a violation under RCW 74.66.020. If the attorney general finds that a person has violated or is violating RCW 74.66.020, the attorney general may bring a civil action under this section against the person.
[ 2012 c 241 § 204.]
NOTES:
Intent—Finding—2012 c 241: See note following RCW 74.66.010.
2023 Revised Code of Washington › Title 74 - Public Assistance › Chapter 74.66 - Medicaid Fraud False Claims Act. › 74.66.050 - Qui tam action—Relator rights and duties.

RCW 74.66.050
Qui tam action—Relator rights and duties.
(1) A person may bring a civil action for a violation of RCW 74.66.020 for the person and for the government entity. The action may be known as a qui tam action and the person bringing the action as a qui tam relator. The action must be brought in the name of the government entity. The action may be dismissed only if the court , and the attorney general give written consent to the dismissal and their reason for consenting.
(2) A relator filing an action under this chapter must serve a copy of the complaint and written disclosure of substantially all material evidence and information the person possesses on the attorney general in electronic format. The relator must file the complaint in camera. The complaint must remain under seal for at least sixty days, and may not be served on the defendant until the court so orders. The attorney general may elect to intervene and proceed with the action within sixty days after it receives both the complaint and the material evidence and information.
(3) The attorney general may, for good cause shown, move the court for extensions of the time during which the complaint remains under seal under subsection (2) of this section. The motions may be supported by affidavits or other submissions in camera. The defendant may not be required to respond to any complaint filed under this section until twenty days after the complaint is unsealed and served upon the defendant.
(4) If the attorney general does not proceed with the action prior to the expiration of the sixty-day period or any extensions obtained under subsection (3) of this section, then the relator has the right to conduct the action.
(5) When a person brings an action under this section, no person other than the attorney general may intervene or bring a related action based on the facts underlying the pending action.
[ 2012 c 241 § 205.]
NOTES:
Intent—Finding—2012 c 241: See note following RCW 74.66.010.
2023 Revised Code of Washington › Title 74 - Public Assistance › Chapter 74.66 - Medicaid Fraud False Claims Act. › 74.66.080 - Qui tam action—Restrictions—Dismissal.

RCW 74.66.080
Qui tam action—Restrictions—Dismissal.
(1) In no event may a person bring a qui tam action which is based upon allegations or transactions which are the subject of a civil suit or an administrative civil money penalty proceeding in which the state is already a party.
(2)(a) The court must dismiss an action or claim under this section, unless opposed by the attorney general, if substantially the same allegations or transactions as alleged in the action or claim were publicly disclosed:
(i) In a state criminal, civil, or administrative hearing in which the attorney general or other governmental [government] entity is a party;
(ii) In a legislative report, or other state report, hearing, audit, or investigation; or
(iii) By the news media;
unless the action is brought by the attorney general or the relator is an original source of the information.
(b) For purposes of this section, "original source" means an individual who either (i) prior to a public disclosure under (a) of this subsection, has voluntarily disclosed to the attorney general the information on which allegations or transactions in a claim are based, or (ii) has knowledge that is independent of, and materially adds to, the publicly disclosed allegations or transactions, and who has voluntarily provided the information to the attorney general before filing an action under this section.
[ 2012 c 241 § 208.]
NOTES:
Intent—Finding—2012 c 241: See note following RCW 74.66.010.
2023 Revised Code of Washington › Title 74 - Public Assistance › Chapter 74.66 - Medicaid Fraud False Claims Act. › 74.66.090 - Whistleblower relief.

RCW 74.66.090
Whistleblower relief.
(1) Any employee, contractor, or agent is entitled to all relief necessary to make that employee, contractor, or agent whole, if that employee, contractor, or agent , is discharged, demoted, suspended, threatened, harassed, or in any other manner discriminated against in the terms and conditions of employment because of lawful acts done by the employee, contractor, agent, or associated others in furtherance of an action under this chapter or other efforts to stop one or more violations of this chapter.
(2) Relief under subsection (1) of this section must include reinstatement with the same seniority status that employee, contractor, or agent would have had but for the discrimination, two times the amount of back pay, interest on the back pay, and compensation for any special damages sustained as a result of the discrimination, including litigation costs and reasonable attorneys' fees, and any and all relief available under RCW 49.60.030(2). An action under this subsection may be brought in the appropriate superior court of the state of Washington for the relief provided in this subsection.
(3) A civil action under this section may not be brought more than three years after the date when the retaliation occurred.
[ 2012 c 241 § 209.]
NOTES:
Intent—Finding—2012 c 241: See note following RCW 74.66.010.
2023 Revised Code of Washington › Title 74 - Public Assistance › Chapter 74.66 - Medicaid Fraud False Claims Act. › 74.66.100 - Procedure for civil actions.

RCW 74.66.100
Procedure for civil actions.
(1) A subpoena requiring the attendance of a witness at a trial or hearing conducted under RCW 74.66.040 or 74.66.050 may be served at any place in the state of Washington.
(2) A civil action under RCW 74.66.040 or 74.66.050 may be brought at any time, without limitation after the date on which the violation of RCW 74.66.020 is committed.
(3) If the attorney general elects to intervene and proceed with a qui tam action, the attorney general may file its own complaint or amend the complaint of a relator to clarify or add detail to the claims in which the attorney general is intervening and to add any additional claims with respect to which the attorney general contends it is entitled to relief.
(4) In any action brought under RCW 74.66.040 or 74.66.050, the attorney general is required to prove all essential elements of the cause of action, including damages, by a preponderance of the evidence.
(5) Notwithstanding any other provision of law or the rules for superior court, a final judgment rendered in favor of the government entity in any criminal proceeding charging fraud or false statements, whether upon a verdict after trial or upon a plea of guilty or nolo contendere, estops the defendant from denying the essential elements of the offense in any action which involves the same transaction as in the criminal proceeding and which is brought under RCW 74.66.040 or 74.66.050.
[ 2012 c 241 § 210.]
NOTES:
Intent—Finding—2012 c 241: See note following RCW 74.66.010.
2023 Revised Code of Washington › Title 74 - Public Assistance › Chapter 74.66 - Medicaid Fraud False Claims Act. › 74.66.110 - Jurisdiction—Seal on action.

RCW 74.66.110
Jurisdiction—Seal on action.
(1) Any action under RCW 74.66.040 or 74.66.050 may be brought in the superior court in any county in which the defendant or, in the case of multiple defendants, any one defendant can be found, resides, transacts business, or in which any act proscribed by RCW 74.66.020 occurred. The appropriate court must issue a summons as required by the superior court civil rules and service must occur at any place within the state of Washington.
(2) The superior courts have jurisdiction over any action brought under the laws of any city or county for the recovery of funds paid by a government entity if the action arises from the same transaction or occurrence as an action brought under RCW 74.66.040 or 74.66.050.
(3) With respect to any local government that is named as a coplaintiff with the state in an action brought under RCW 74.66.050, a seal on the action ordered by the court under RCW 74.66.050 does not preclude the attorney general or the person bringing the action from serving the complaint, any other pleadings, or the written disclosure of substantially all material evidence and information possessed by the person bringing the action on the law enforcement authorities that are authorized under the law of the local government to investigate and prosecute the action on behalf of the local government, except that the seal applies to the law enforcement authorities so served to the same extent as the seal applies to other parties in the action.
[ 2012 c 241 § 211.]
NOTES:
Intent—Finding—2012 c 241: See note following RCW 74.66.010.
2023 Revised Code of Washington › Title 74 - Public Assistance › Chapter 74.66 - Medicaid Fraud False Claims Act. › 74.66.130 - Reporting.

RCW 74.66.130
Reporting.
Beginning November 15, 2012, and annually thereafter, the attorney general in consultation with the health care authority must report results of implementing the medicaid fraud false claims act. This report must include:
(1) The number of attorneys assigned to qui tam initiated actions;
(2) The number of cases brought by qui tam actions and indicate how many cases are brought by the attorney general and how many by the qui tam relator without attorney general participation;
(3) The results of any actions brought under subsection (2) of this section, delineated by cases brought by the attorney general and cases brought by the qui tam relator without attorney general participation;
(4) The amount of recoveries attributable to the medicaid false claims; and
(5) Information on the costs, attorneys' fees, and any other expenses incurred by defendants in investigating and defending against qui tam actions, to the extent this information is provided to the attorney general or health care authority.
[ 2012 c 241 § 213.]
NOTES:
Intent—Finding—2012 c 241: See note following RCW 74.66.010.
2023 Revised Code of Washington › Title 74 - Public Assistance › Chapter 74.67 - Medicaid Fraud Control Unit. › 74.67.005 - Finding—Intent.

RCW 74.67.005
Finding—Intent.
The legislature finds that medicaid provider fraud and the abuse and neglect of persons in nursing facilities, adult family homes, and long-term care services present a serious risk of harm to the people of the state of Washington in general and to vulnerable adults in particular. The legislature intends with this chapter to enable the medicaid fraud control unit within the office of the attorney general to achieve its limited but vital mission to detect, deter, and prosecute the specialized areas of medicaid fraud, abuse, and neglect in Washington's medicaid system. This jurisdiction will also facilitate the medicaid fraud control unit's capacity to fulfill its investigative and prosecutorial obligations under the federal grant, 42 U.S.C. Sec. 1396b(q), to ensure that the federal grant funding requirements for Washington's medicaid program are met. Failure to meet these federal program integrity standards could jeopardize the federal funding for Washington's medicaid program. Furthermore, the legislature intends by this chapter that the medicaid fraud control unit will fully coordinate its efforts with county and local prosecutors and law enforcement to maximize effectiveness and promote efficiency.
[ 2018 c 238 § 1.]
2023 Revised Code of Washington › Title 74 - Public Assistance › Chapter 74.67 - Medicaid Fraud Control Unit. › 74.67.010 - Medicaid fraud control unit—Establishment—Authority and criminal jurisdiction—Duties.

RCW 74.67.010
Medicaid fraud control unit—Establishment—Authority and criminal jurisdiction—Duties.
(1) The attorney general shall establish and maintain within his or her office the medicaid fraud control unit.
(2) The attorney general shall employ and train personnel to achieve the purposes of this chapter, including attorneys, investigators, auditors, clerical support personnel, and other personnel as the attorney general determines necessary.
(3) The medicaid fraud control unit has the authority and criminal jurisdiction to investigate and prosecute medicaid provider fraud, abuse and neglect matters as enumerated in 42 U.S.C. Sec. 1396b(q)(4) where authority is granted by the federal government, and other federal health care program fraud as set forth in 42 U.S.C. Sec. 1396b(q).
(4) The medicaid fraud control unit shall cooperate with federal and local investigators and prosecutors in coordinating local, state, and federal investigations and prosecutions involving fraud in the provision or administration of medical assistance, goods or services pursuant to medicaid, medicaid managed care, abuse and neglect matters as enumerated in 42 U.S.C. Sec. 1396b(q)(4), or medicare where such authority is obtained from the federal government, and provide those federal officers with any information in its possession regarding such an investigation or prosecution.
(5) The medicaid fraud control unit shall protect the privacy of patients and establish procedures to ensure confidentiality for all records, in accordance with state and federal laws, including but not limited to chapter 70.02 RCW and the federal health insurance portability and accountability act.
(6) The attorney general may appoint medicaid fraud control investigators to detect, investigate, and apprehend when it appears that a violation of criminal law relating to medicaid fraud, medicaid managed care fraud, medicare fraud, or abuse and neglect matters as enumerated in 42 U.S.C. Sec. 1396b(q)(4) has been or is about to be committed and specify the extent and limitations of the investigators' duties and authority in carrying out the limited scope and purposes of this chapter.
(7) The department of social and health services or law enforcement agencies that receive mandatory reports under RCW 74.34.035 may share such reports in a timely manner with the medicaid fraud control unit within the office of the attorney general.
[ 2018 c 238 § 2.]
2023 Revised Code of Washington › Title 74 - Public Assistance › Chapter 74.70 - Ambulance Transport Fund. › 74.70.010 - Finding—Purpose.

RCW 74.70.010
Finding—Purpose. (Contingent expiration date; expires July 1, 2028.)
The legislature finds that the payments to private emergency ambulance service providers for transports for medicaid recipients have not been increased since 2004, resulting in a loss for carriers who provide this service. This has resulted in the shifting of cost of medicaid transports to other payers.
The purpose of this chapter is to provide for a quality assurance fee for specified providers of emergency ambulance services as referenced in 42 C.F.R. Sec. 433.56, which will be used to add on to base funding from all other sources, thereby supporting additional medicaid payments to nonpublic and nonfederal providers of emergency ambulance services as specified in this chapter.
[ 2020 c 354 § 1.]
NOTES:
Contingent expiration date—2020 c 354: See RCW 74.70.100(4)(b).
2023 Revised Code of Washington › Title 74 - Public Assistance › Chapter 74.70 - Ambulance Transport Fund. › 74.70.030 - Ambulance transport fund—Sources—Use.

RCW 74.70.030
Ambulance transport fund—Sources—Use. (Contingent expiration date; expires July 1, 2028.)
(1) A dedicated fund is hereby established within the state treasury to be known as the ambulance transport fund. The purpose and use of the fund shall be to receive and disburse funds, together with accrued interest, in accordance with this chapter. Moneys in the fund, including interest earned, shall not be used or disbursed for any purposes other than those specified in this chapter. Any amounts expended from the fund that are later recouped by the authority on audit or otherwise shall be returned to the fund. Moneys in the account may be spent only after appropriation.
(2) The quality assurance fees collected by the authority pursuant to RCW 74.70.050 must be deposited in the ambulance transport fund.
(3) The moneys in the ambulance transport fund, including any interest and dividends earned on money in the fund, shall be available exclusively for the following purposes in the following order of priority:
(a) To provide funding in an amount not to exceed ten percent of the annual quality assurance fee rate collection amount, exclusive of any federal matching funds, for health care coverage for Washingtonians and for the authority's staffing and administrative costs directly attributable to administering this chapter; and
(b) To make increased payments to ambulance transport providers pursuant to RCW 74.70.060.
[ 2020 c 354 § 3.]
NOTES:
Contingent expiration date—2020 c 354: See RCW 74.70.100(4)(b).
2023 Revised Code of Washington › Title 74 - Public Assistance › Chapter 74.70 - Ambulance Transport Fund. › 74.70.040 - Report to authority.

RCW 74.70.040
Report to authority. (Contingent expiration date; expires July 1, 2028.)
(1) Each ambulance transport provider must report to the authority the number of emergency ambulance transports by payer type and the annual gross receipts for the state fiscal year ending June 30, 2020, pursuant to form and timing required by the authority. The authority shall establish the timing for such reporting to occur on or after August 15, 2020.
(2) Each ambulance transport provider must report to the authority the number of emergency ambulance transports by payer type for each state fiscal quarter commencing with the state fiscal quarter ending September 30, 2020, pursuant to form and timing required by the authority. The authority shall establish the timing for such reporting to occur on or after the forty-fifth day after the end of each applicable state fiscal quarter.
(3) Each ambulance transport provider must report to the authority the annual gross receipts for each state fiscal year commencing with the state fiscal year ending June 30, 2021, pursuant to form and timing required by the authority. The authority shall establish the timing for such reporting to occur on or after the forty-fifth day after the end of each applicable state fiscal year.
(4) The authority may require a certification by each ambulance transport provider under penalty of perjury of the truth of the reports required under this section. Upon written notice to an ambulance transport provider, the authority may impose a civil penalty of one hundred dollars per day against an ambulance transport provider for every day that an ambulance transport provider fails to make a report required by this section within five days of the date upon which the report was due. Any funds resulting from a penalty imposed pursuant to this subsection shall be deposited in the ambulance transport fund established in RCW 74.70.030.
[ 2020 c 354 § 4.]
NOTES:
Contingent expiration date—2020 c 354: See RCW 74.70.100(4)(b).
2023 Revised Code of Washington › Title 74 - Public Assistance › Chapter 74.70 - Ambulance Transport Fund. › 74.70.060 - Add-on increase—Funding.

RCW 74.70.060
Add-on increase—Funding. (Contingent expiration date; expires July 1, 2028.)
(1) Beginning July 1, 2021, and for each state fiscal year thereafter, reimbursement for emergency ambulance transports provided by ambulance transport providers shall be increased by application of an add-on to the associated medicaid fee-for-service payment schedule. The add-on increase to the fee-for-service payment schedule under this section shall be calculated by June 15, 2021, and shall remain the same for later state fiscal years, to the extent the authority determines federal financial participation is available. The authority shall calculate the projections required by this subsection based on the number of emergency ambulance transports and gross revenue data submitted pursuant to RCW 74.70.040. The fee-for-service add-on shall be equal to the quotient of the available fee amount projected by the authority on or before June 15, 2021, for the 2021–22 state fiscal year, divided by the total medicaid emergency ambulance transports, projected by the authority on or before June 15, 2021, for the 2021–22 state fiscal year. The resulting fee-for-service payment schedule amounts after the application of this section shall be equal to the sum of the medicaid fee-for-service payment schedule amount and the add-on increase.
(2) The increased payments required by this section shall be funded solely from the following:
(a) The quality assurance fee set forth in RCW 74.70.050, along with any interest or other investment income earned on those funds; and
(b) Federal reimbursement and any other related federal funds.
(3) The proceeds of the quality assurance fee set forth in RCW 74.70.050, the matching amount provided by the federal government, and any interest earned on those proceeds shall be used to supplement, and not to supplant, existing funding for emergency ambulance transports provided by ambulance transport providers.
(4) Notwithstanding any provision of this chapter, the authority may seek federal approval to implement any add-on increase to the fee-for-service payment schedule pursuant to this section for any state fiscal year or years, as applicable, on a time-limited basis for a fixed program period, as determined by the authority.
[ 2020 c 354 § 6.]
NOTES:
Contingent expiration date—2020 c 354: See RCW 74.70.100(4)(b).
2023 Revised Code of Washington › Title 74 - Public Assistance › Chapter 74.70 - Ambulance Transport Fund. › 74.70.070 - Rules.

RCW 74.70.070
Rules. (Contingent expiration date; expires July 1, 2028.)
The authority may adopt rules to implement this chapter.
[ 2020 c 354 § 7.]
NOTES:
Contingent expiration date—2020 c 354: See RCW 74.70.100(4)(b).
2023 Revised Code of Washington › Title 74 - Public Assistance › Chapter 74.70 - Ambulance Transport Fund. › 74.70.080 - Federal approval.

RCW 74.70.080
Federal approval. (Contingent expiration date; expires July 1, 2028.)
(1)(a) The authority shall request any approval from the federal centers for medicare and medicaid services it determines are necessary for the use of fees pursuant to this chapter and for the purpose of receiving associated federal matching funds.
(b) This chapter shall be implemented only to the extent that any necessary federal approvals are obtained and federal financial participation is available. The quality assurance fee pursuant to RCW 74.70.050 shall only be assessed and collected for quarters in which the add-on pursuant to RCW 74.70.060 is paid.
(2) The authority may modify or make adjustments to any methodology, fee amount, or other provision specified in this chapter to the minimum extent necessary to meet the requirements of federal law or regulations or to obtain federal approval. If the authority, after consulting with ambulance transport providers, determines that a modification is needed, the authority shall execute a declaration stating that this determination has been made and that the actual or projected available fee amount for a state fiscal year remains approximately equal to the actual or projected aggregate fee schedule amount for each applicable state fiscal year, as defined by RCW 74.70.050(2)(c). The authority shall retain the declaration and provide a copy, within ten working days of the execution of the declaration, to the appropriate fiscal and policy committees of the legislature.
[ 2020 c 354 § 8.]
NOTES:
Contingent expiration date—2020 c 354: See RCW 74.70.100(4)(b).