Page 158

between the two hospitals. The department must also continue to 1 update, in collaboration with the office of financial management's 2 labor relations office, the staffing committees, and state labor 3 unions, an overall state hospital staffing plan that looks at all 4 positions and functions of the facilities. 5 (a) Within the amounts provided in this section, the department 6 must establish, monitor, track, and report monthly staffing and 7 expenditures at the state hospitals, including overtime and use of 8 locums, to the functional categories identified in the recommended 9 staffing plan. The allotments and tracking of staffing and 10 expenditures must include all areas of the state hospitals, must be 11 done at the ward level, and must include contracted facilities 12 providing forensic restoration services as well as the office of 13 forensic mental health services. 14 (b) By December 1, 2023, and December 1, 2024, the department 15 must submit reports to the office of financial management and the 16 appropriate committees of the legislature that provide a comparison 17 of monthly spending, staffing levels, overtime, and use of locums for 18 the prior year compared to allotments and to the recommended state 19 hospital staffing model. The format for these reports must be 20 developed in consultation with staff from the office of financial 21 management and the appropriate committees of the legislature. The 22 reports must include a summary of the results of the evaluation of 23 the interrater reliability in use of the staffing acuity tool and an 24 update from the hospital staffing committees. 25 (c) Monthly staffing levels and related expenditures at the state 26 hospitals must not exceed official allotments without prior written 27 approval from the director of the office of financial management. In 28 the event the director of the office of financial management approves 29 an increase in monthly staffing levels and expenditures beyond what 30 is budgeted, notice must be provided to the appropriate committees of 31 the legislature within 30 days of such approval. The notice must 32 identify the reason for the authorization to exceed budgeted staffing 33 levels and the time frame for the authorization. Extensions of 34 authorizations under this subsection must also be submitted to the 35 director of the office of financial management for written approval 36 in advance of the expiration of an authorization. The office of 37 financial management must notify the appropriate committees of the 38 legislature of any extensions of authorizations granted under this 39 p. 157 ESSB 5187.SL