The bill amends RCW 74.46.561 to delay the rebasing of nursing home payment rates to 2028. It establishes that the direct and indirect care rates calculations for fiscal year 2027, based on the calendar year 2025 cost reports, will take effect in the following fiscal biennium, starting in fiscal year 2028. The rates set for fiscal year 2024 and the one-time rate add-on for the 2025-2027 fiscal biennium will remain in effect until fiscal year 2028. This change aims to provide stability in nursing home funding and ensure that facilities are not adversely affected by sudden rate adjustments.

Additionally, the bill includes provisions for the nursing home payment system that emphasize reducing administrative complexity, rewarding high-quality care, and establishing minimum staffing standards. It outlines the components of the payment system, including direct care, indirect care, and capital, and specifies how these components should be calculated and adjusted over time. The legislation also maintains a quality incentive program to encourage facilities to meet established care standards, ensuring that the overall quality of care in nursing homes is prioritized.

Statutes affected:
Original Bill: 74.46.561