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Sec. 1204. 2022 c 297 s 204 (uncodified) is amended to read as 1 follows: 2 FOR THE DEPARTMENT OF SOCIAL AND HEALTH SERVICES—AGING AND ADULT 3 SERVICES PROGRAM 4 General Fund—State Appropriation (FY 2022). . . . . . $1,344,251,000 5 General Fund—State Appropriation (FY 2023). . . . (($2,049,486,000)) 6

$1,766,266,000 7 General Fund—Federal Appropriation. . . . . . . . (($4,913,077,000)) 8

$5,017,254,000 9 General Fund—Private/Local Appropriation. . . . . . . (($37,804,000)) 10

$45,841,000 11 Traumatic Brain Injury Account—State Appropriation. . . . $5,586,000 12 Skilled Nursing Facility Safety Net Trust Account— 13 State Appropriation. . . . . . . . . . . . . . . . . $133,360,000 14 Long-Term Services and Supports Trust Account—State 15 Appropriation. . . . . . . . . . . . . . . . . . . . $15,003,000 16 TOTAL APPROPRIATION. . . . . . . . . . . . (($8,498,567,000)) 17 $8,327,561,000 18 The appropriations in this section are subject to the following 19 conditions and limitations: 20 (1)(a) For purposes of implementing chapter 74.46 RCW, the 21 weighted average nursing facility payment rate may not exceed $259.84 22 for fiscal year 2022 and may not exceed $319.82 for fiscal year 2023. 23 (b) The department shall provide a medicaid rate add-on to 24 reimburse the medicaid share of the skilled nursing facility safety 25 net assessment as a medicaid allowable cost. The nursing facility 26 safety net rate add-on may not be included in the calculation of the 27 annual statewide weighted average nursing facility payment rate. 28 (2) In accordance with RCW 18.51.050, 18.20.050, 70.128.060, and 29 43.135.055, the department is authorized to increase nursing 30 facility, assisted living facility, and adult family home fees as 31 necessary to fully support the actual costs of conducting the 32 licensure, inspection, and regulatory programs. The license fees may 33 not exceed the department's annual licensing and oversight activity 34 costs and shall include the department's cost of paying providers for 35 the amount of the license fee attributed to medicaid clients. 36 (a) The current annual renewal license fee for adult family homes 37 is $225 per bed beginning in fiscal year 2022 and $225 per bed 38 beginning in fiscal year 2023. A processing fee of $2,750 must be 39 p. 917 ESSB 5187.SL