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for fiscal year 2025, and $110,640,000 of the general fund—federal 1 appropriation are provided solely for rate adjustments for skilled 2 nursing facilities. 3 (22) $32,470,000 of the general fund—state appropriation for 4 fiscal year 2024, $34,090,000 of the general fund—state appropriation 5 for fiscal year 2025, and $72,783,000 of the general fund—federal 6 appropriation are provided solely for rate adjustments for assisted 7 living providers. Of the amounts provided in this subsection: 8 (a) $23,751,000 of the general fund—state appropriation for 9 fiscal year 2024, $25,487,000 of the general fund—state appropriation 10 for fiscal year 2025, and $54,687,000 of the general fund—federal 11 appropriation are provided solely to increase funding of the assisted 12 living medicaid methodology established in RCW 74.39A.032 to 79 13 percent of the labor component and 68 percent of the operations 14 component, effective July 1, 2023. The department of social and 15 health services shall report, by December 1st of each year, on 16 medicaid resident utilization of and access to assisted living 17 facilities. 18 (b) $5,505,000 of the general fund—state appropriation for fiscal 19 year 2024, $5,389,000 of the general fund—state appropriation for 20 fiscal year 2025, and $11,588,000 of the general fund—federal 21 appropriation are provided solely for a specialty dementia care rate 22 add-on for all assisted living facilities of $43.48 per patient per 23 day. 24 (c) $2,573,000 of the general fund—state appropriation for fiscal 25 year 2024, $2,573,000 of the general fund—state appropriation for 26 fiscal year 2025, and $5,146,000 of the general fund—federal 27 appropriation are provided solely for a one-time bridge rate for 28 assisted living facilities, enhanced adult residential centers, and 29 adult residential centers, with high medicaid occupancy. The bridge 30 rate does not replace or substitute the capital add-on rate found in 31 RCW 74.39A.320 and the same methodology from RCW 74.39A.320 shall be 32 used to determine each facility's medicaid occupancy percentage for 33 the purposes of this one-time bridge rate add-on. Facilities with a 34 medicaid occupancy level of 90 percent or more shall receive a $20.99 35 add-on per resident day. 36 (d) $641,000 of the general fund—state appropriation for fiscal 37 year 2024, $641,000 of the general fund—state appropriation for 38 fiscal year 2025, and $1,362,000 of the general fund—federal 39 p. 187 ESSB 5187.SL