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care staffing turnover data from the most recent medicaid cost 1 report. 2 (7) Reimbursement of the safety net assessment imposed by chapter 3 74.48 RCW and paid in relation to medicaid residents must be 4 continued. 5 (8)(a) The direct care and indirect care components must be 6 rebased in even-numbered years, beginning with rates paid on July 1, 7 2016. Rates paid on July 1, 2016, must be based on the 2014 calendar 8 year cost report. On a percentage basis, after rebasing, the 9 department must confirm that the statewide average daily rate has 10 increased at least as much as the average rate of inflation, as 11 determined by the skilled nursing facility market basket index 12 published by the centers for medicare and medicaid services, or a 13 comparable index. If after rebasing, the percentage increase to the 14 statewide average daily rate is less than the average rate of 15 inflation for the same time period, the department is authorized to 16 increase rates by the difference between the percentage increase 17 after rebasing and the average rate of inflation. 18 (b) It is the intention of the legislature that direct and 19 indirect care rates paid in fiscal year 2022 will be rebased using 20 the calendar year 2019 cost reports. For fiscal year 2021, in 21 addition to the rates generated by (a) of this subsection, an 22 additional adjustment is provided as established in this subsection 23 (8)(b). Beginning May 1, 2020, and through June 30, 2021, the 24 calendar year costs must be adjusted for inflation by a twenty-four 25 month consumer price index, based on the most recently available 26 monthly index for all urban consumers, as published by the bureau of 27 labor statistics. It is also the intent of the legislature that, 28 starting in fiscal year 2022, a facility-specific rate add-on equal 29 to the inflation adjustment that facilities received solely in fiscal 30 year 2021, must be added to the rate. For fiscal year 2024, the 31 direct care and indirect care components shall be rebased to the 2021 32 calendar year cost report plus a 4.7 percent adjustment for 33 inflation. For fiscal year 2025, the direct and indirect care 34 components shall be rebased to the 2022 calendar year cost report 35 plus a five percent adjustment for inflation. 36 (c) To determine the necessity of regular inflationary 37 adjustments to the nursing facility rates, by December 1, 2020, the 38 department shall provide the appropriate policy and fiscal committees 39 of the legislature with a report that provides a review of rates paid 40 p. 704 ESSB 5187.SL