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settings, including recommendations for how to further develop this 1 network; and 2 (D) An estimate of the costs to implement the enhanced behavior 3 support specialty settings and program and any necessary 4 recommendations for legislative actions to facilitate the ability of 5 the department to: 6 (I) Enter into contracts and payment arrangements with providers 7 choosing to provide the enhanced behavior support specialty setting 8 and to supplement care in all community-based residential settings 9 with experts trained in enhanced behavior support so that state- 10 operated living alternatives, supported living facilities, and other 11 community-based settings can specialize in the needs of individuals 12 with developmental disabilities who are living with high, complex 13 behavioral support needs; 14 (II) Enter into funding agreements with the health care authority 15 for the provision of applied behavioral analysis and other applicable 16 health care services within the community-based residential setting; 17 and 18 (III) Provide the enhanced behavior support specialty through a 19 medicaid waiver or other federal authority administered by the 20 department, to the extent consistent with federal law and federal 21 funding requirements to receive federal matching funds. 22 (z) $2,494,000 of the general fund—state appropriation for fiscal 23 year 2024 and $3,345,000 of the general fund—state appropriation for 24 fiscal year 2025 are provided solely for the department to provide 25 personal care services for up to 33 clients who are not United States 26 citizens and who are ineligible for medicaid upon their discharge 27 from an acute care hospital. The department must prioritize the 28 funding provided in this subsection for such clients in acute care 29 hospitals who are also on the department's wait list for services. 30 (aa) $2,605,000 of the general fund—state appropriation for 31 fiscal year 2024, $2,402,000 of the general fund—state appropriation 32 for fiscal year 2025, and $3,840,000 of the general fund—federal 33 appropriation are provided solely to establish transition 34 coordination teams to coordinate transitions of care for clients who 35 move from one care setting to another. The department of social and 36 health services shall submit annual reports no later than December 1, 37 2023, and December 1, 2024, to the appropriate committees of the 38 p. 172 ESSB 5187.SL