Page 903

The appropriations in this subsection are subject to the 1 following conditions and limitations: 2 (a) Individuals receiving services as supplemental security 3 income (SSI) state supplemental payments may not become eligible for 4 medical assistance under RCW 74.09.510 due solely to the receipt of 5 SSI state supplemental payments. 6 (b) In accordance with RCW 18.51.050, 18.20.050, 70.128.060, and 7 43.135.055, the department is authorized to increase nursing 8 facility, assisted living facility, and adult family home fees as 9 necessary to fully support the actual costs of conducting the 10 licensure, inspection, and regulatory programs. The license fees may 11 not exceed the department's annual licensing and oversight activity 12 costs and shall include the department's cost of paying providers for 13 the amount of the license fee attributed to medicaid clients. 14 (i) The current annual renewal license fee for adult family homes 15 is $225 per bed beginning in fiscal year 2022 and $225 per bed 16 beginning in fiscal year 2023. A processing fee of $2,750 must be 17 charged to each adult family home when the home is initially 18 licensed. This fee is nonrefundable. A processing fee of $700 must be 19 charged when adult family home providers file a change of ownership 20 application. 21 (ii) The current annual renewal license fee for assisted living 22 facilities is $116 per bed beginning in fiscal year 2022 and $116 per 23 bed beginning in fiscal year 2023. 24 (iii) The current annual renewal license fee for nursing 25 facilities is $359 per bed beginning in fiscal year 2022 and $359 per 26 bed beginning in fiscal year 2023. 27 (c)(i) $2,648,000 of the general fund—state appropriation for 28 fiscal year 2022, $8,946,000 of the general fund—state appropriation 29 for fiscal year 2023, and $16,665,000 of the general fund—federal 30 appropriation are provided solely for the implementation of the 31 agreement reached between the governor and the service employees 32 international union healthcare 775nw under the provisions of chapters 33 74.39A and 41.56 RCW for the 2021-2023 fiscal biennium, as provided 34 in section 946 of this act. 35 (ii) $8,764,000 of the general fund—state appropriation for 36 fiscal year 2023 and $11,156,000 of the general fund—federal 37 appropriation are provided solely for the implementation of the 38 agreement reached between the governor and the service employees 39 p. 902 ESSB 5187.SL