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utilization, economic data, and clinical input constitute reliable 1 data upon which to determine the payment rates. 2 (8) Based on quarterly expenditure reports and caseload 3 forecasts, if the health care authority estimates that expenditures 4 for the medical assistance program will exceed the appropriations, 5 the health care authority shall take steps including but not limited 6 to reduction of rates or elimination of optional services to reduce 7 expenditures so that total program costs do not exceed the annual 8 appropriation authority. 9 (9) In determining financial eligibility for medicaid-funded 10 services, the health care authority is authorized to disregard 11 recoveries by Holocaust survivors of insurance proceeds or other 12 assets, as defined in RCW 48.104.030. 13 (10) The legislature affirms that it is in the state's interest 14 for Harborview medical center to remain an economically viable 15 component of the state's health care system. 16 (11) When a person is ineligible for medicaid solely by reason of 17 residence in an institution for mental diseases, the health care 18 authority shall provide the person with the same benefits as he or 19 she would receive if eligible for medicaid, using state-only funds to 20 the extent necessary. 21 (12) $4,176,000 of the general fund—state appropriation for 22 fiscal year 2024, $4,261,000 of the general fund—state appropriation 23 for fiscal year 2025, and $8,607,000 of the general fund—federal 24 appropriation are provided solely for low-income disproportionate 25 share hospital payments. 26 (13) Within the amounts appropriated in this section, the health 27 care authority shall provide disproportionate share hospital payments 28 to hospitals that provide services to children in the children's 29 health program who are not eligible for services under Title XIX or 30 XXI of the federal social security act due to their citizenship 31 status. 32 (14) $7,000,000 of the general fund—federal appropriation is 33 provided solely for supplemental payments to nursing homes operated 34 by public hospital districts. The public hospital district shall be 35 responsible for providing the required nonfederal match for the 36 supplemental payment, and the payments shall not exceed the maximum 37 allowable under federal rules. It is the legislature's intent that 38 the payments shall be supplemental to and shall not in any way offset 39 p. 217 ESSB 5187.SL