reglab/statecodes huggingface dataset:
2023 Revised Code of Washington › Title 74 - Public Assistance › Chapter 74.08A - Washington Workfirst Temporary Assistance for Needy Families. › 74.08A.270 - Good cause.

RCW 74.08A.270
Good cause.
(1) Good cause reasons for failure to participate in WorkFirst program components include situations where: (a) The recipient is a parent or other relative personally providing care for a child under the age of six years, and formal or informal child care, or day care for an incapacitated individual living in the same home as a dependent child, is necessary for an individual to participate or continue participation in the program or accept employment, and such care is not available, and the department fails to provide such care; (b) the recipient is a parent with a child under the age of two years; or (c) the recipient is experiencing a hardship as defined by the department in rule.
(2) A parent claiming a good cause exemption from WorkFirst participation under subsection (1)(b) of this section may be required to participate in one or more of the following, up to a maximum total of twenty hours per week, if such treatment, services, or training is indicated by the comprehensive evaluation or other assessment:
(a) Mental health treatment;
(b) Alcohol or drug treatment;
(c) Domestic violence services; or
(d) Parenting education or parenting skills training, if available.
(3) The department shall: (a) Work with a parent claiming a good cause exemption under subsection (1)(b) of this section to identify and access programs and services designed to improve parenting skills and promote child well-being, including but not limited to home visitation programs and services; and (b) provide information on the availability of home visitation services to temporary assistance for needy families caseworkers, who shall inform clients of the availability of the services. If desired by the client, the caseworker shall facilitate appropriate referrals to providers of home visitation services.
(4) Nothing in this section shall prevent a recipient from participating in the WorkFirst program on a voluntary basis.
(5) A parent is eligible for a good cause exemption under subsection (1)(b) of this section for a maximum total of 24 months over the parent's lifetime.
[ 2023 c 418 § 7; 2017 3rd sp.s. c 21 § 2; 2007 c 289 § 1; 2002 c 89 § 1; 1997 c 58 § 314.]
2023 Revised Code of Washington › Title 74 - Public Assistance › Chapter 74.08A - Washington Workfirst Temporary Assistance for Needy Families. › 74.08A.275 - Employability screening.

RCW 74.08A.275
Employability screening.
Each recipient approved to receive temporary assistance for needy families shall be subject to an employability screening under RCW 74.08A.260 after determination of program eligibility and before referral to job search. If the employability screening determines the recipient is not employable, or meets the criteria specified in RCW 74.08A.270 for a good cause exemption to work requirements, the department shall defer the job search requirement under RCW 74.08A.285.
[ 2003 c 383 § 2; 1999 c 340 § 1.]
2023 Revised Code of Washington › Title 74 - Public Assistance › Chapter 74.08A - Washington Workfirst Temporary Assistance for Needy Families. › 74.08A.285 - Job search instruction and assistance.

RCW 74.08A.285
Job search instruction and assistance.
The WorkFirst program operated by the department to meet the federal work requirements specified in P.L. 104-193 shall contain a job search component. The component shall consist of instruction on how to secure a job and assisted job search activities to locate and retain employment. Nonexempt recipients of temporary assistance for needy families shall participate in an initial job search for no more than twelve consecutive weeks. Each recipient shall receive a work skills assessment upon referral to the job search program. The work skills assessment shall include but not be limited to education, employment history, employment strengths, and job skills. The recipient's ability to obtain employment will be reviewed periodically thereafter and, if it is clear at any time that further participation in a job search will not be productive, the department shall assess the recipient pursuant to RCW 74.08A.260. The department shall refer recipients unable to find employment through the initial job search period to work activities that will develop their skills or knowledge to make them more employable, including additional job search and job readiness assistance.
[ 2003 c 383 § 3; 1998 c 89 § 1.]
2023 Revised Code of Washington › Title 74 - Public Assistance › Chapter 74.08A - Washington Workfirst Temporary Assistance for Needy Families. › 74.08A.290 - Competitive performance-based contracting—Evaluation of contracting practices—Contracting strategies.

RCW 74.08A.290
Competitive performance-based contracting—Evaluation of contracting practices—Contracting strategies.
(1) It is the intent of the legislature that the department is authorized to engage in competitive contracting using performance-based contracts to provide all work activities authorized in chapter 58, Laws of 1997, including the job search component authorized in *section 312 of this act.
(2) The department may use competitive performance-based contracting to select which vendors will participate in the WorkFirst program. Performance-based contracts shall be awarded based on factors that include but are not limited to the criteria listed in RCW 74.08A.410, past performance of the contractor, demonstrated ability to perform the contract effectively, financial strength of the contractor, and merits of the proposal for services submitted by the contractor. Contracts shall be made without regard to whether the contractor is a public or private entity.
(3) The department may contract for an evaluation of the competitive contracting practices and outcomes to be performed by an independent entity with expertise in government privatization and competitive strategies. The evaluation shall include quarterly progress reports to the fiscal committees of the legislature and to the governor, starting at the first quarter after the effective date of the first competitive contract and ending two years after the effective date of the first competitive contract.
(4) The department shall seek independent assistance in developing contracting strategies to implement this section. Assistance may include but is not limited to development of contract language, design of requests for proposal, developing full cost information on government services, evaluation of bids, and providing for equal competition between private and public entities.
[ 1997 c 58 § 316.]
NOTES:
*Reviser's note: Section 312 of this act was vetoed by the governor.
2023 Revised Code of Washington › Title 74 - Public Assistance › Chapter 74.08A - Washington Workfirst Temporary Assistance for Needy Families. › 74.08A.300 - Placement bonuses.

RCW 74.08A.300
Placement bonuses.
In the case of service providers that are not public agencies, initial placement bonuses of no greater than five hundred dollars may be provided by the department for service entities responsible for placing recipients in an unsubsidized job for a minimum of twelve weeks, and the following additional bonuses shall also be provided:
(1) A percent of the initial bonus if the job pays double the minimum wage;
(2) A percent of the initial bonus if the job provides health care;
(3) A percent of the initial bonus if the job includes employer-provided child care needed by the recipient; and
(4) A percent of the initial bonus if the recipient is continuously employed for two years.
[ 1997 c 58 § 317.]
2023 Revised Code of Washington › Title 74 - Public Assistance › Chapter 74.08A - Washington Workfirst Temporary Assistance for Needy Families. › 74.08A.310 - Self-employment assistance—Training and placement programs.

RCW 74.08A.310
Self-employment assistance—Training and placement programs.
The department shall:
(1) Notify recipients of temporary assistance for needy families that self-employment is one method of leaving state assistance. The department shall provide its regional offices, recipients of temporary assistance for needy families, and any contractors providing job search, training, or placement services notification of programs available in the state for entrepreneurial training, technical assistance, and loans available for start-up businesses;
(2) Provide recipients of temporary assistance for needy families and service providers assisting such recipients through training and placement programs with information it receives about the skills and training required by firms locating in the state;
(3) Encourage recipients of temporary assistance for needy families that are in need of basic skills to seek out programs that integrate basic skills training with occupational training and workplace experience.
[ 1997 c 58 § 324.]
2023 Revised Code of Washington › Title 74 - Public Assistance › Chapter 74.08A - Washington Workfirst Temporary Assistance for Needy Families. › 74.08A.320 - Wage subsidy program.

RCW 74.08A.320
Wage subsidy program.
The department shall establish a wage subsidy program to be known as the community jobs program for recipients of temporary assistance for needy families who have barriers to employment, lack experience and attachment to the job force, or have been unsuccessful in securing employment leading to family self-sufficiency. The department shall give preference in job placements to private sector employers that have agreed to participate in the wage subsidy program. The department shall identify characteristics of employers who can meet the employment goals stated in RCW 74.08A.410. The department shall use these characteristics in identifying which employers may participate in the program. The department shall adopt rules for the participation of recipients of temporary assistance for needy families in the wage subsidy program. Participants in the program established under this section may not be employed if: (1) The employer has terminated the employment of any current employee or otherwise caused an involuntary reduction of its workforce in order to fill the vacancy so created with the participant; or (2) the participant displaces or partially displaces current employees. Employers providing positions created under this section shall meet the requirements of chapter 49.46 RCW. This section shall not diminish or result in the infringement of obligations or rights under chapters 41.06, 41.56, and 49.36 RCW and the national labor relations act, 29 U.S.C. Ch. 7. The department shall establish such local and statewide advisory boards, including business and labor representatives, as it deems appropriate to assist in the implementation of the wage subsidy program. Once the recipient is hired, the wage subsidy shall be authorized for up to nine months.
[ 2010 c 273 § 5; 1997 c 58 § 325.]
2023 Revised Code of Washington › Title 74 - Public Assistance › Chapter 74.08A - Washington Workfirst Temporary Assistance for Needy Families. › 74.08A.330 - Community service program.

RCW 74.08A.330
Community service program.
The department shall establish the community service program to provide the experience of work for recipients of public assistance. The program is intended to promote a strong work ethic for participating public assistance recipients. Under this program, public assistance recipients are required to volunteer to work for charitable nonprofit organizations and public agencies, or engage in another activity designed to benefit the recipient, the recipient's family, or the recipient's community, as determined by the department on a case-by-case basis. Participants in a community service or work experience program established by this chapter are deemed employees for the purpose of chapter 49.17 RCW. The cost of premiums under Title 51 RCW shall be paid for by the department for participants in a community service or work experience program. Participants in a community service or work experience program may not be placed if: (1) An employer has terminated the employment of any current employee or otherwise caused an involuntary reduction of its workforce in order to fill the vacancy so created with the participant; or (2) the participant displaces or partially displaces current employees.
[ 1997 c 58 § 326.]
2023 Revised Code of Washington › Title 74 - Public Assistance › Chapter 74.08A - Washington Workfirst Temporary Assistance for Needy Families. › 74.08A.350 - Questionnaires—Job opportunities for welfare recipients.

RCW 74.08A.350
Questionnaires—Job opportunities for welfare recipients.
The department of social and health services shall create a questionnaire, asking businesses for information regarding available and upcoming job opportunities for welfare recipients. The department of revenue shall include the questionnaire in a regular quarterly mailing. The department of social and health services shall receive responses and use the information to develop work activities in the areas where jobs will be available.
[ 1997 c 58 § 1007.]
2023 Revised Code of Washington › Title 74 - Public Assistance › Chapter 74.08A - Washington Workfirst Temporary Assistance for Needy Families. › 74.08A.380 - Teen parents—Education requirements.

RCW 74.08A.380
Teen parents—Education requirements.
All applicants under the age of eighteen years who are approved for assistance and, within one hundred eighty days after the date of federal certification of the Washington temporary assistance for needy families program, all unmarried minor parents or pregnant minor applicants shall, as a condition of receiving benefits, actively progress toward the completion of a high school diploma or a high school equivalency certificate as provided in RCW 28B.50.536.
[ 2013 c 39 § 28; 1997 c 58 § 503.]
2023 Revised Code of Washington › Title 74 - Public Assistance › Chapter 74.08A - Washington Workfirst Temporary Assistance for Needy Families. › 74.08A.400 - Outcome measures—Intent.

RCW 74.08A.400
Outcome measures—Intent.
It is the intent of the legislature that the Washington WorkFirst program focus on work and on personal responsibility for recipients. The program shall be evaluated among other evaluations, through a limited number of outcome measures designed to hold each community service office and economic services region accountable for program success.
[ 1997 c 58 § 701.]
NOTES:
Effective dates—1997 c 58: See note following RCW 74.20A.320.
2023 Revised Code of Washington › Title 74 - Public Assistance › Chapter 74.08A - Washington Workfirst Temporary Assistance for Needy Families. › 74.08A.410 - Outcome measures—Development—Benchmarks.

RCW 74.08A.410
Outcome measures—Development—Benchmarks.
(1) The WorkFirst program shall develop outcome measures for use in evaluating the WorkFirst program authorized in chapter 58, Laws of 1997, which may include but are not limited to:
(a) Caseload reduction, including data for participants who exit: (i) Due to increased income; (ii) to employment; (iii) at the participant's request; or (iv) for other reasons;
(b) Recidivism to caseload after two years;
(c) Employment;
(d) Job retention;
(e) Earnings;
(f) Wage progression;
(g) Reduction in average grant through increased recipient earnings;
(h) Placement of recipients into private sector, unsubsidized jobs; and
(i) Outcomes for sanctioned and time-limited families.
(2) The department shall require that contractors for WorkFirst services collect outcome measure information and report outcome measures to the department regularly. The department shall develop benchmarks that compare outcome measure information from all contractors to provide a clear indication of the most effective contractors. Benchmark information shall be published quarterly and provided to the legislature, the governor, the legislative-executive WorkFirst poverty reduction oversight task force, and all contractors for WorkFirst services.
[ 2019 c 343 § 3; 1997 c 58 § 702.]
NOTES:
Prospective application—2019 c 343: See note following RCW 74.08.025.
Effective dates—1997 c 58: See note following RCW 74.20A.320.
2023 Revised Code of Washington › Title 74 - Public Assistance › Chapter 74.08A - Washington Workfirst Temporary Assistance for Needy Families. › 74.08A.411 - Outcome measures—Data—Report to the legislature and the legislative-executive WorkFirst poverty reduction oversight task force.

RCW 74.08A.411
Outcome measures—Data—Report to the legislature and the legislative-executive WorkFirst poverty reduction oversight task force.
The department shall continue to implement WorkFirst program improvements that are designed to achieve progress against outcome measures specified in RCW 74.08A.410. Outcome data regarding job retention and wage progression shall be reported quarterly to the appropriate fiscal and policy committees of the legislature and to the legislative-executive WorkFirst poverty reduction oversight task force for families who leave assistance for any reason, measured after twelve months, twenty-four months, and thirty-six months. The department shall also report the percentage of families who have returned to temporary assistance for needy families after twelve months, twenty-four months, and thirty-six months. The department shall make every effort to maximize vocational training, as allowed by federal and state requirements.
[ 2019 c 343 § 4; 2009 c 85 § 3.]
NOTES:
Prospective application—2019 c 343: See note following RCW 74.08.025.
2023 Revised Code of Washington › Title 74 - Public Assistance › Chapter 74.08A - Washington Workfirst Temporary Assistance for Needy Families. › 74.08A.420 - Outcome measures—Evaluations—Awarding contracts—Bonuses.

RCW 74.08A.420
Outcome measures—Evaluations—Awarding contracts—Bonuses.
Every WorkFirst office, region, contract, employee, and contractor shall be evaluated using the criteria in RCW 74.08A.410. The department shall award contracts to the highest performing entities according to the criteria in RCW 74.08A.410. The department may provide for bonuses to offices, regions, and employees with the best outcomes according to measures in RCW 74.08A.410.
[ 1997 c 58 § 703.]
NOTES:
Effective dates—1997 c 58: See note following RCW 74.20A.320.
2023 Revised Code of Washington › Title 74 - Public Assistance › Chapter 74.08A - Washington Workfirst Temporary Assistance for Needy Families. › 74.08A.440 - Recipients exempted from active work search—Benefits eligibility.

RCW 74.08A.440
Recipients exempted from active work search—Benefits eligibility.
Recipients exempted from active work search activities due to incapacity or a disability shall receive services for which they are eligible, including aged, blind, or disabled assistance benefits as they relate to the facilitation of enrollment in the federal supplemental security income program, referrals to essential needs and housing support benefits, access to chemical dependency treatment, referrals to vocational rehabilitation, and other services needed to assist the recipient in becoming employable. Aged, blind, or disabled assistance and essential needs and housing support benefits shall not supplant cash assistance and other services provided through the temporary assistance for needy families program. To the greatest extent possible, services shall be funded through the temporary assistance for needy families appropriations.
[ 2011 1st sp.s. c 36 § 31; 2010 1st sp.s. c 8 § 32.]
NOTES:
Findings—Intent—2011 1st sp.s. c 36: See RCW 74.62.005.
Effective date—2011 1st sp.s. c 36: See note following RCW 74.62.005.
Findings—Intent—Short title—Effective date—2010 1st sp.s. c 8: See notes following RCW 74.04.225.
2023 Revised Code of Washington › Title 74 - Public Assistance › Chapter 74.08A - Washington Workfirst Temporary Assistance for Needy Families. › 74.08A.500 - Legislative-executive WorkFirst poverty reduction oversight task force—Definitions.

RCW 74.08A.500
Legislative-executive WorkFirst poverty reduction oversight task force—Definitions.
The definitions in this section apply throughout chapter 126, Laws of 2018 unless the context clearly requires otherwise.
(1) "Advisory committee" means the intergenerational poverty advisory committee.
(2) "Cycle of poverty" or "poverty cycle" means the set of factors or events by which the long-term poverty of a person is likely to continue and be experienced by each child of the person when the child becomes an adult unless there is outside intervention.
(3) "Department" means the department of social and health services.
(4) "Intergenerational poverty" means poverty in which two or more successive generations of a family continue in the cycle of poverty and governmental dependence, and is not situational poverty.
(5) "Partner agency" means an executive branch agency represented by a voting or nonvoting member of the task force.
(6) "Secretary" means the secretary of the department of social and health services.
(7) "Task force" means the legislative-executive WorkFirst poverty reduction oversight task force.
[ 2018 c 126 § 2.]
NOTES:
Findings—Intent—2018 c 126: See note following RCW 74.08A.505.
2023 Revised Code of Washington › Title 74 - Public Assistance › Chapter 74.08A - Washington Workfirst Temporary Assistance for Needy Families. › 74.08A.900 - Short title—1997 c 58.

RCW 74.08A.900
Short title—1997 c 58.
This act may be known and cited as the Washington WorkFirst temporary assistance for needy families act.
[ 1997 c 58 § 2.]
2023 Revised Code of Washington › Title 74 - Public Assistance › Chapter 74.08A - Washington Workfirst Temporary Assistance for Needy Families. › 74.08A.901 - Part headings, captions, table of contents not law—1997 c 58.

RCW 74.08A.901
Part headings, captions, table of contents not law—1997 c 58.
Part headings, captions, and the table of contents used in this act are not any part of the law.
[ 1997 c 58 § 1008.]
2023 Revised Code of Washington › Title 74 - Public Assistance › Chapter 74.08A - Washington Workfirst Temporary Assistance for Needy Families. › 74.08A.902 - Exemptions and waivers from federal law—1997 c 58.

RCW 74.08A.902
Exemptions and waivers from federal law—1997 c 58.
The governor and the department of social and health services shall seek all necessary exemptions and waivers from and amendments to federal statutes, rules, and regulations and shall report to the appropriate committees in the house of representatives and senate quarterly on the efforts to secure the federal changes to permit full implementation of this act at the earliest possible date.
[ 1997 c 58 § 1009.]
2023 Revised Code of Washington › Title 74 - Public Assistance › Chapter 74.08A - Washington Workfirst Temporary Assistance for Needy Families. › 74.08A.903 - Conflict with federal requirements—1997 c 58.

RCW 74.08A.903
Conflict with federal requirements—1997 c 58.
If any part of this act is found to be in conflict with federal requirements that are a prescribed condition to the allocation of federal funds to the state, the conflicting part of this act is inoperative solely to the extent of the conflict and with respect to the agencies directly affected, and this finding does not affect the operation of the remainder of this act in its application to the agencies concerned. The rules under this act shall meet federal requirements that are a necessary condition to the receipt of federal funds by the state. As used in this section, "allocation of federal funds to the state" means the allocation of federal funds that are appropriated by the legislature to the department of social and health services and on which the department depends for carrying out any provision of the operating budget applicable to it.
[ 1997 c 58 § 1011.]
2023 Revised Code of Washington › Title 74 - Public Assistance › Chapter 74.08A - Washington Workfirst Temporary Assistance for Needy Families. › 74.08A.904 - Severability—1997 c 58.

RCW 74.08A.904
Severability—1997 c 58.
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.
[ 1997 c 58 § 1012.]
2023 Revised Code of Washington › Title 74 - Public Assistance › Chapter 74.08A - Washington Workfirst Temporary Assistance for Needy Families. › 74.08A.905 - Construction—Chapter applicable to state registered domestic partnerships—2009 c 521.

RCW 74.08A.905
Construction—Chapter applicable to state registered domestic partnerships—2009 c 521.
For the purposes of this chapter, the terms spouse, marriage, marital, husband, wife, widow, widower, next of kin, and family shall be interpreted as applying equally to state registered domestic partnerships or individuals in state registered domestic partnerships as well as to marital relationships and married persons, and references to dissolution of marriage shall apply equally to state registered domestic partnerships that have been terminated, dissolved, or invalidated, to the extent that such interpretation does not conflict with federal law. Where necessary to implement chapter 521, Laws of 2009, gender-specific terms such as husband and wife used in any statute, rule, or other law shall be construed to be gender neutral, and applicable to individuals in state registered domestic partnerships.
[ 2009 c 521 § 174.]
NOTES:
Effective dates—2009 c 521 §§ 5-8, 79, 87-103, 107, 151, 165, 166, 173-175, and 190-192: See note following RCW 2.10.900.
2023 Revised Code of Washington › Title 74 - Public Assistance › Chapter 74.09 - Medical Care. › 74.09.015 - Nurse hotline, when funded.

RCW 74.09.015
Nurse hotline, when funded.
To the extent that sufficient funding is provided specifically for this purpose, the authority shall provide all persons receiving services under this chapter with access to a twenty-four hour, seven day a week nurse hotline. The authority shall determine the most appropriate way to provide the nurse hotline under RCW 41.05.037 and this section, which may include use of the 211 system established in chapter 43.211 RCW.
[ 2011 1st sp.s. c 15 § 122; 2007 c 259 § 16.]
NOTES:
Effective date—Findings—Intent—Report—Agency transfer—References to head of health care authority—Draft legislation—2011 1st sp.s. c 15: See notes following RCW 74.09.010.
Subheadings not law—2007 c 259: See note following RCW 7.70.060.
2023 Revised Code of Washington › Title 74 - Public Assistance › Chapter 74.09 - Medical Care. › 74.09.037 - Identification card—Social security number restriction.

RCW 74.09.037
Identification card—Social security number restriction.
Any card issued by the authority or a managed health care system to a person receiving services under this chapter, that must be presented to providers for purposes of claims processing, may not display an identification number that includes more than a four-digit portion of the person's complete social security number.
[ 2011 1st sp.s. c 15 § 4; 2004 c 115 § 3.]
NOTES:
Effective date—Findings—Intent—Report—Agency transfer—References to head of health care authority—Draft legislation—2011 1st sp.s. c 15: See notes following RCW 74.09.010.
2023 Revised Code of Washington › Title 74 - Public Assistance › Chapter 74.09 - Medical Care. › 74.09.050 - Director's powers and duties—Personnel—Medical screeners—Medical director.

RCW 74.09.050
Director's powers and duties—Personnel—Medical screeners—Medical director.
(1) The director shall appoint such professional personnel and other assistants and employees, including professional medical screeners, as may be reasonably necessary to carry out the provisions of this chapter or other applicable law. The medical screeners shall be supervised by one or more physicians who shall be appointed by the director or his or her designee. The director shall appoint a medical director who is licensed under chapter 18.57 or 18.71 RCW.
(2) Whenever the director's authority is not specifically limited by law, he or she has complete charge and supervisory powers over the authority. The director is authorized to create such administrative structures as deemed appropriate, except as otherwise specified by law. The director has the power to employ such assistants and personnel as may be necessary for the general administration of the authority. Except as elsewhere specified, such employment must be in accordance with the rules of the state civil service law, chapter 41.06 RCW.
[ 2018 c 201 § 7004; 2011 1st sp.s. c 15 § 5; 2000 c 5 § 15; 1979 c 141 § 335; 1959 c 26 § 74.09.050. Prior: 1955 c 273 § 6.]
NOTES:
Findings—Intent—Effective date—2018 c 201: See notes following RCW 41.05.018.
Effective date—Findings—Intent—Report—Agency transfer—References to head of health care authority—Draft legislation—2011 1st sp.s. c 15: See notes following RCW 74.09.010.
Intent—Purpose—2000 c 5: See RCW 48.43.500.
Application—Short title—Captions not law—Construction—Severability—Application to contracts—Effective dates—2000 c 5: See notes following RCW 48.43.500.
2023 Revised Code of Washington › Title 74 - Public Assistance › Chapter 74.09 - Medical Care. › 74.09.053 - Annual reporting requirement.

RCW 74.09.053
Annual reporting requirement.
(1) Beginning in November 2012, the department of social and health services, in coordination with the health care authority, shall by November 15th of each year report to the legislature:
(a) The number of medical assistance recipients who: (i) Upon enrollment or recertification had reported being employed, and beginning with the 2008 report, the month and year they reported being hired; or (ii) upon enrollment or recertification had reported being the dependent of someone who was employed, and beginning with the 2008 report, the month and year they reported the employed person was hired. For recipients identified under (a)(i) and (ii) of this subsection, the department shall report the basis for their medical assistance eligibility, including but not limited to family medical coverage, transitional medical assistance, children's medical coverage, aged coverage, or coverage for individuals with disabilities; member months; and the total cost to the state for these recipients, expressed as general fund-state and general fund-federal dollars. The information shall be reported by employer size for employers having more than fifty employees as recipients or with dependents as recipients. This information shall be provided for the preceding January and June of that year.
(b) The following aggregated information: (i) The number of employees who are recipients or with dependents as recipients by private and governmental employers; (ii) the number of employees who are recipients or with dependents as recipients by employer size for employers with fifty or fewer employees, fifty-one to one hundred employees, one hundred one to one thousand employees, one thousand one to five thousand employees and more than five thousand employees; and (iii) the number of employees who are recipients or with dependents as recipients by industry type.
(2) For each aggregated classification, the report will include the number of hours worked, the number of department of social and health services covered lives, and the total cost to the state for these recipients. This information shall be for each quarter of the preceding year.
[ 2023 c 51 § 34. Prior: 2009 c 568 § 6; 2009 c 479 § 62; 2006 c 264 § 2.]
NOTES:
Effective date—2009 c 479: See note following RCW 2.56.030.
2023 Revised Code of Washington › Title 74 - Public Assistance › Chapter 74.09 - Medical Care. › 74.09.055 - Copayment, deductible, coinsurance, other cost-sharing requirements authorized.

RCW 74.09.055
Copayment, deductible, coinsurance, other cost-sharing requirements authorized.
The authority is authorized to establish copayment, deductible, or coinsurance, or other cost-sharing requirements for recipients of any medical programs defined in RCW 74.09.010 or other applicable law, except that premiums shall not be imposed on children in households at or below two hundred percent of the federal poverty level.
[ 2018 c 201 § 7005; 2011 1st sp.s. c 15 § 6; 2006 c 24 § 1; 2003 1st sp.s. c 14 § 1; 1993 c 492 § 231; 1982 c 201 § 19.]
NOTES:
Findings—Intent—Effective date—2018 c 201: See notes following RCW 41.05.018.
Effective date—Findings—Intent—Report—Agency transfer—References to head of health care authority—Draft legislation—2011 1st sp.s. c 15: See notes following RCW 74.09.010.
Effective date—2003 1st sp.s. c 14: "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, 2003." [ 2003 1st sp.s. c 14 § 2.]
Findings—Intent—1993 c 492: See notes following RCW 43.20.050.
Short title—Savings—Reservation of legislative power—Effective dates—1993 c 492: See RCW 43.72.910 through 43.72.915.
2023 Revised Code of Washington › Title 74 - Public Assistance › Chapter 74.09 - Medical Care. › 74.09.075 - Employability and disability evaluation—Medical condition—Medical reports—Medical consultations and assistance.

RCW 74.09.075
Employability and disability evaluation—Medical condition—Medical reports—Medical consultations and assistance.
The department or authority, as appropriate, shall provide (1) for evaluation of employability when a person is applying for public assistance representing a medical condition as a basis for need, and (2) for medical reports to be used in the evaluation of total and permanent disability. It shall further provide for medical consultation and assistance in determining the need for special diets, housekeeper and attendant services, and other requirements as found necessary because of the medical condition under the rules promulgated by the secretary or director.
[ 2011 1st sp.s. c 15 § 7; 1979 c 141 § 337; 1967 ex.s. c 30 § 2.]
NOTES:
Effective date—Findings—Intent—Report—Agency transfer—References to head of health care authority—Draft legislation—2011 1st sp.s. c 15: See notes following RCW 74.09.010.
2023 Revised Code of Washington › Title 74 - Public Assistance › Chapter 74.09 - Medical Care. › 74.09.080 - Methods of performing administrative responsibilities.

RCW 74.09.080
Methods of performing administrative responsibilities.
In carrying out the administrative responsibility of this chapter or other applicable law, the department or authority, as appropriate:
(1) May contract with an individual or a group, may utilize existing local state public assistance offices, or establish separate welfare medical care offices on a county or multicounty unit basis as found necessary; and
(2) Shall determine both financial and functional eligibility for persons applying for long-term care services under chapter 74.39 or 74.39A RCW as a unified process in a single long-term care organizational unit.
[ 2018 c 201 § 7006; 2011 1st sp.s. c 15 § 8; 1979 c 141 § 338; 1959 c 26 § 74.09.080. Prior: 1955 c 273 § 9.]
NOTES:
Findings—Intent—Effective date—2018 c 201: See notes following RCW 41.05.018.
Effective date—Findings—Intent—Report—Agency transfer—References to head of health care authority—Draft legislation—2011 1st sp.s. c 15: See notes following RCW 74.09.010.
2023 Revised Code of Washington › Title 74 - Public Assistance › Chapter 74.09 - Medical Care. › 74.09.150 - Personnel to be under existing merit system.

RCW 74.09.150
Personnel to be under existing merit system.
All personnel employed in the administration of the medical care program shall be covered by the existing merit system under the Washington personnel resources board.
[ 1993 c 281 § 66; 1959 c 26 § 74.09.150. Prior: 1955 c 273 § 16.]
NOTES:
Effective date—1993 c 281: See note following RCW 41.06.022.
2023 Revised Code of Washington › Title 74 - Public Assistance › Chapter 74.09 - Medical Care. › 74.09.160 - Presentment of charges by contractors.

RCW 74.09.160
Presentment of charges by contractors.
Each vendor or group who has a contract and is rendering service to eligible persons as defined in this chapter or other applicable law shall submit such charges as agreed upon between the department or authority, as appropriate, and the individual or group no later than twelve months from the date of service. If the final charges are not presented within the twelve-month period, they shall not be a charge against the state. Said twelve-month period may also be extended by regulation, but only if required by applicable federal law or regulation, and to no more than the extension of time so required.
[ 2018 c 201 § 7008; 2011 1st sp.s. c 15 § 10; 1991 c 103 § 1; 1980 c 32 § 11; 1979 ex.s. c 81 § 1; 1973 1st ex.s. c 48 § 1; 1959 c 26 § 74.09.160. Prior: 1955 c 273 § 17.]
NOTES:
Findings—Intent—Effective date—2018 c 201: See notes following RCW 41.05.018.
Effective date—Findings—Intent—Report—Agency transfer—References to head of health care authority—Draft legislation—2011 1st sp.s. c 15: See notes following RCW 74.09.010.
2023 Revised Code of Washington › Title 74 - Public Assistance › Chapter 74.09 - Medical Care. › 74.09.171 - Contracts for medicaid services—Border communities.

RCW 74.09.171
Contracts for medicaid services—Border communities.
(1) The legislature finds that the authority and the department purchase or contract for the delivery of medicaid programs through contracts with providers and managed care organizations under this chapter, contractors providing behavioral health services under chapters 71.24 and 71.34 RCW, and contractors providing long-term care services under chapter 74.39A RCW.
(2) The authority and department must collaborate and seek opportunities to expand access to care for enrollees in the medicaid programs identified in subsection (1) of this section living in border communities that may require contractual agreements with providers across the state border when care is appropriate, available, and cost-effective.
(3) All authority and department contracts for medicaid services issued or renewed after July 1, 2014, must include provisions that allow for care to be accessed cross-border ensuring timely access to necessary care, including inpatient and outpatient services. The contracts must include reciprocal arrangements that allow Washington, Oregon, and Idaho border residents to access care when care is appropriate, available, and cost-effective.
[ 2023 c 51 § 35; 2014 c 39 § 1.]
NOTES:
2023 Revised Code of Washington › Title 74 - Public Assistance › Chapter 74.09 - Medical Care. › 74.09.180 - Chapter does not apply if another party is liable—Exception—Subrogation—Lien—Reimbursement—Delegation of lien and subrogation rights.

RCW 74.09.180
Chapter does not apply if another party is liable—Exception—Subrogation—Lien—Reimbursement—Delegation of lien and subrogation rights.
(1) The provisions of this chapter shall not apply to recipients whose personal injuries are occasioned by negligence or wrong of another: PROVIDED, HOWEVER, That the director may furnish assistance, under the provisions of this chapter, for the results of injuries to or illness of a recipient, and the authority shall thereby be subrogated to the recipient's rights against the recovery had from any tort feasor or the tort feasor's insurer, or both, and shall have a lien thereupon to the extent of the value of the assistance furnished by the authority. To secure reimbursement for assistance provided under this section, the authority may pursue its remedies under RCW 41.05A.070.
(2) The rights and remedies provided to the authority in this section to secure reimbursement for assistance, including the authority's lien and subrogation rights, may be delegated to a *managed health care system by contract entered into pursuant to RCW 74.09.522. A *managed health care system may enforce all rights and remedies delegated to it by the authority to secure and recover assistance provided under a *managed health care system consistent with its agreement with the authority.
[ 2011 1st sp.s. c 15 § 11; 1997 c 236 § 1; 1990 c 100 § 2; 1987 c 283 § 14; 1979 ex.s. c 171 § 14; 1971 ex.s. c 306 § 1; 1969 ex.s. c 173 § 8; 1959 c 26 § 74.09.180. Prior: 1955 c 273 § 19.]
NOTES:
*Reviser's note: RCW 74.09.522 was amended by 2023 c 51 § 43, removing the definition of "managed health care system" and changing "managed health care system" to "managed care organization."
Effective date—Findings—Intent—Report—Agency transfer—References to head of health care authority—Draft legislation—2011 1st sp.s. c 15: See notes following RCW 74.09.010.
Application—1990 c 100 §§ 2, 4, 7(1), 8(2): See note following RCW 43.20B.060.
Severability—Savings—1987 c 283: See notes following RCW 43.20A.020.
Severability—1979 ex.s. c 171: See note following RCW 74.20.300.
2023 Revised Code of Washington › Title 74 - Public Assistance › Chapter 74.09 - Medical Care. › 74.09.185 - Third party has legal liability to make payments—State acquires rights—Lien—Equitable subrogation does not apply.

RCW 74.09.185
Third party has legal liability to make payments—State acquires rights—Lien—Equitable subrogation does not apply.
To the extent that payment for covered expenses has been made under medical assistance for health care items or services furnished to an individual, in any case where a third party has a legal liability to make payments, the state is considered to have acquired the rights of the individual to payment by any other party for those health care items or services. Recovery pursuant to the subrogation rights, assignment, or enforcement of the lien granted to the authority by this section shall not be reduced, prorated, or applied to only a portion of a judgment, award, or settlement, except as provided in RCW 41.05A.060 and 41.05A.070. The doctrine of equitable subrogation shall not apply to defeat, reduce, or prorate recovery by the authority as to its assignment, lien, or subrogation rights.
[ 2011 1st sp.s. c 15 § 12; 1995 c 34 § 6.]
NOTES:
Effective date—Findings—Intent—Report—Agency transfer—References to head of health care authority—Draft legislation—2011 1st sp.s. c 15: See notes following RCW 74.09.010.
2023 Revised Code of Washington › Title 74 - Public Assistance › Chapter 74.09 - Medical Care. › 74.09.190 - Religious beliefs—Construction of chapter.

RCW 74.09.190
Religious beliefs—Construction of chapter.
Nothing in this chapter shall be construed as empowering the secretary or director to compel any recipient of public assistance and a medical indigent person to undergo any physical examination, surgical operation, or accept any form of medical treatment contrary to the wishes of said person who relies on or is treated by prayer or spiritual means in accordance with the creed and tenets of any well recognized church or religious denomination.
[ 2011 1st sp.s. c 15 § 13; 1979 c 141 § 342; 1959 c 26 § 74.09.190. Prior: 1955 c 273 § 23.]
NOTES:
Effective date—Findings—Intent—Report—Agency transfer—References to head of health care authority—Draft legislation—2011 1st sp.s. c 15: See notes following RCW 74.09.010.
2023 Revised Code of Washington › Title 74 - Public Assistance › Chapter 74.09 - Medical Care. › 74.09.200 - Audits and investigations—Legislative declaration—State authority.

RCW 74.09.200
Audits and investigations—Legislative declaration—State authority.
The legislature finds and declares it to be in the public interest and for the protection of the health and welfare of the residents of the state of Washington that a proper regulatory and inspection program be instituted in connection with the providing of medical, dental, and other health services to recipients of public assistance and medically indigent persons. In order to effectively accomplish such purpose and to assure that the recipient of such services receives such services as are paid for by the state of Washington, the acceptance by the recipient of such services, and by practitioners of reimbursement for performing such services, shall authorize the secretary or director, to inspect and audit all records in connection with the providing of such services.
[ 2011 1st sp.s. c 15 § 14; 1979 ex.s. c 152 § 1.]
NOTES:
Effective date—Findings—Intent—Report—Agency transfer—References to head of health care authority—Draft legislation—2011 1st sp.s. c 15: See notes following RCW 74.09.010.
2023 Revised Code of Washington › Title 74 - Public Assistance › Chapter 74.09 - Medical Care. › 74.09.210 - Fraudulent practices—Penalties.

RCW 74.09.210
Fraudulent practices—Penalties.
(1) No person, firm, corporation, partnership, association, agency, institution, or other legal entity, but not including an individual public assistance recipient of health care, shall, on behalf of himself or herself or others, obtain or attempt to obtain benefits or payments under this chapter or other applicable law in a greater amount than that to which entitled by means of:
(a) A willful false statement;
(b) By willful misrepresentation, or by concealment of any material facts; or
(c) By other fraudulent scheme or device, including, but not limited to:
(i) Billing for services, drugs, supplies, or equipment that were unfurnished, of lower quality, or a substitution or misrepresentation of items billed; or
(ii) Repeated billing for purportedly covered items, which were not in fact so covered.
(2) Any person or entity knowingly violating any of the provisions of subsection (1) of this section shall be liable for repayment of any excess benefits or payments received, plus interest at the rate and in the manner provided in RCW 43.20B.695. Such person or other entity shall further, in addition to any other penalties provided by law, be subject to civil penalties. The director or the attorney general may assess civil penalties in an amount not to exceed three times the amount of such excess benefits or payments: PROVIDED, That these civil penalties shall not apply to any acts or omissions occurring prior to September 1, 1979. RCW 43.20A.215 governs notice of a civil fine assessed by the director and provides the right to an adjudicative proceeding.
(3) A criminal action need not be brought against a person for that person to be civilly liable under this section.
(4) In all administrative proceedings under this section, service, adjudicative proceedings, and judicial review of such determinations shall be in accordance with chapter 34.05 RCW, the administrative procedure act.
(5) Civil penalties shall be deposited upon their receipt into the medicaid fraud penalty account established in RCW 74.09.215.
(6) The attorney general may contract with private attorneys and local governments in bringing actions under this section as necessary.
[ 2018 c 201 § 7009; 2013 c 23 § 202; 2012 c 241 § 102; 2011 1st sp.s. c 15 § 15; 1989 c 175 § 146; 1987 c 283 § 7; 1979 ex.s. c 152 § 2.]
NOTES:
Findings—Intent—Effective date—2018 c 201: See notes following RCW 41.05.018.
Intent—Finding—2012 c 241: See note following RCW 74.66.010.
Effective date—Findings—Intent—Report—Agency transfer—References to head of health care authority—Draft legislation—2011 1st sp.s. c 15: See notes following RCW 74.09.010.
Effective date—1989 c 175: See note following RCW 34.05.010.
Severability—Savings—1987 c 283: See notes following RCW 43.20A.020.
2023 Revised Code of Washington › Title 74 - Public Assistance › Chapter 74.09 - Medical Care. › 74.09.215 - Medicaid fraud penalty account.

RCW 74.09.215
Medicaid fraud penalty account.
The medicaid fraud penalty account is created in the state treasury. All receipts from civil penalties collected under RCW 74.09.210, all receipts received under judgments or settlements that originated under a filing under the federal false claims act, all receipts from fines received pursuant to RCW 43.71C.090, and all receipts received under judgments or settlements that originated under the state medicaid fraud false claims act, chapter 74.66 RCW, must be deposited into the account. Moneys in the account may be spent only after appropriation and must be used only for medicaid services, fraud detection and prevention activities, recovery of improper payments, for other medicaid fraud enforcement activities, and the prescription monitoring program established in chapter 70.225 RCW.
[ 2023 c 51 § 36; 2019 c 334 § 14. Prior: 2013 2nd sp.s. c 4 § 1902; 2013 2nd sp.s. c 4 § 997; 2013 2nd sp.s. c 4 § 995; 2013 c 36 § 3; 2012 c 241 § 103.]
NOTES:
Effective dates—2013 2nd sp.s. c 4: See note following RCW 2.68.020.
Findings—2013 c 36: See note following RCW 70.225.020.
Intent—Finding—2012 c 241: See note following RCW 74.66.010.