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No later than December 1, 2024, the department must submit to the 1 appropriate fiscal committees of the legislature a report that 2 includes, but is not limited to: 3 (a) An itemization of the costs associated with providing direct 4 care services to residents and managing and caring for the facility; 5 and 6 (b) An examination of the impacts of this facility on clients and 7 providers of the long-term care and medical care sectors of the state 8 that includes, but is not limited to: 9 (i) An analysis of areas that have realized cost containment or 10 savings as a result of this facility; 11 (ii) A comparison of individuals transitioned from hospitals to 12 this facility compared to other skilled nursing facilities over the 13 same period of time; and 14 (iii) Impacts of this facility on lengths of stay in acute care 15 hospitals, other skilled nursing facility, and transitions to home 16 and community-based settings. 17 (38) $911,000 of the general fund—state appropriation for fiscal 18 year 2024, $935,000 of the general fund—state appropriation for 19 fiscal year 2025, and $365,000 of the general fund—federal 20 appropriation are provided solely for implementation of House Bill 21 No. 1128 (personal needs allowance). If the bill is not enacted by 22 June 30, 2023, the amounts provided in this subsection shall lapse. 23 (39) $562,000 of the general fund—state appropriation for fiscal 24 year 2024, $673,000 of the general fund—state appropriation for 25 fiscal year 2025, and $1,244,000 of the general fund—federal 26 appropriation are provided solely to increase rates for long-term 27 care case management services offered by area agencies on aging. The 28 department must include this adjustment in the monthly per client 29 rates paid to these agencies for case management services in the 30 governor's projected maintenance level budget process, in accordance 31 with RCW 43.88.030. 32 (40) $500,000 of the general fund—state appropriation for fiscal 33 year 2024, $500,000 of the general fund—state appropriation for 34 fiscal year 2025, and $1,000,000 of the general fund—federal 35 appropriation are provided solely to contract with an organization to 36 design and deliver culturally and linguistically competent training 37 programs for home care workers, including individual providers. 38 p. 193 ESSB 5187.SL