The bill introduces a new section to chapter 74.39A RCW, mandating the Washington Department to update the supported living cost report template by July 1, 2026. The updates aim to align with federal laws and address the workforce shortage of direct support professionals in the supported living industry. Key components of the updated template will include detailed employee counts, wage information, benefits, and revenue breakdowns. Additionally, a supported living work group will be established to develop recommendations for Medicaid rate adjustments that promote equitable compensation for direct support professionals, with the possibility of penalties for non-compliance.

The work group will consist of various stakeholders, including department representatives, supported living providers, and direct support professionals, and will be supported by the department in terms of logistics and administration. A final report detailing findings and recommendations for wage investment proposals is required by December 1, 2026. The section of the bill will expire on September 1, 2028.