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(63)(a) No more than $200,661,000 of the general fund—federal 1 appropriation and no more than $91,430,000 of the general fund—local 2 appropriation may be expended for an inpatient directed payment 3 program. 4 (b) The authority shall: 5 (i) Design the program to support the state's access and other 6 quality of care goals and to not increase general fund—state 7 expenditures; 8 (ii) Seek approval from the centers for medicare and medicaid 9 services to create a medicaid inpatient directed payment program for 10 hospital inpatient services provided to medicaid program managed care 11 recipients by UW Medicine hospitals and, at their option, UW Medicine 12 affiliated hospitals; 13 (iii) Upon approval, direct managed care organizations to make 14 payments to eligible providers at levels required to ensure enrollees 15 have timely access to critical high-quality care as allowed under 42 16 C.F.R. 438.6(c); and 17 (iv) Increase medicaid payments for hospital inpatient services 18 provided by UW Medicine and, at their option, UW Medicine affiliated 19 hospitals to the average payment received from commercial payers. 20 (c) Any incremental costs incurred by the authority in the 21 development, implementation, and maintenance of this program shall be 22 the responsibility of the participating hospitals. 23 (d) Participating hospitals shall retain the full amount of 24 payments provided under this program. 25 (e) Participating hospitals will provide the local funds to fund 26 the required nonfederal contribution. 27 (f) This program shall be effective as soon as administratively 28 possible. 29 (64) Within the amounts appropriated in this section, the 30 authority shall maintain and increase access for family planning 31 services for patients seeking services through department of health 32 sexual and reproductive health program family planning providers 33 based on the rates in effect as of July 1, 2022. 34 (65)(a) $9,563,000 of the general fund—state appropriation for 35 fiscal year 2024, $12,727,000 of the general fund—state appropriation 36 for fiscal year 2025, and $259,000 of the general fund—federal 37 appropriation are provided solely for the authority to implement a 38 p. 235 ESSB 5187.SL