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to the maximum extent possible, the expenditure of state funds. The 1 director of the office of financial management shall notify the 2 appropriate fiscal committees of the legislature in writing seven 3 days prior to approving any allotment modifications or transfers 4 under this section. The written notification must include a narrative 5 explanation and justification of changes, along with expenditures and 6 allotments by budget unit and appropriation, both before and after 7 any allotment modifications and transfers. 8 Sec. 1211. 2022 c 297 s 211 (uncodified) is amended to read as 9 follows: 10 FOR THE STATE HEALTH CARE AUTHORITY—MEDICAL ASSISTANCE 11 General Fund—State Appropriation (FY 2022). . . . . . $2,391,518,000 12 General Fund—State Appropriation (FY 2023). . . . (($2,600,611,000)) 13

$2,757,521,000 14 General Fund—Federal Appropriation. . . . . . . . (($13,934,556,000)) 15

$15,566,628,000 16 General Fund—Private/Local Appropriation. . . . . . (($465,890,000)) 17

$452,226,000 18 Emergency Medical Services and Trauma Care Systems 19 Trust Account—State Appropriation. . . . . . . . . . $15,086,000 20 Hospital Safety Net Assessment Account—State 21 Appropriation. . . . . . . . . . . . . . . . . . (($685,383,000)) 22

$685,724,000 23 Dedicated Marijuana Account—State Appropriation 24 (FY 2022). . . . . . . . . . . . . . . . . . . . . . $26,063,000 25 Dedicated Marijuana Account—State Appropriation 26 (FY 2023). . . . . . . . . . . . . . . . . . . . (($27,241,000)) 27

$21,078,000 28 Medical Aid Account—State Appropriation. . . . . . . . . . . $540,000 29 Telebehavioral Health Access Account—State 30 Appropriation. . . . . . . . . . . . . . . . . . . . . $8,034,000 31 Coronavirus State Fiscal Recovery Fund—Federal 32 Appropriation. . . . . . . . . . . . . . . . . . . . $59,600,000 33 Ambulance Transport Fund—State Appropriation. . . . . . . $14,317,000 34 TOTAL APPROPRIATION. . . . . . . . . . . (($20,228,839,000)) 35 $21,998,335,000 36 The appropriations in this section are subject to the following 37 conditions and limitations: 38 p. 953 ESSB 5187.SL