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(((10))) (7) The authority shall submit a plan to preserve the 1 waiver that allows for the full cost of stays in institutions for 2 mental diseases to be included in managed care rates by November 1, 3 2021, to the appropriate committees of the legislature. 4 (((11))) (8) The authority shall submit a plan to preserve the 5 waiver allowing for full federal financial participation for medical 6 clients in mental health facilities classified as institutions for 7 mental diseases by November 1, 2021, to the appropriate committees of 8 the legislature. 9 (((12))) (9) Sufficient amounts are appropriated in this 10 subsection to implement the medicaid expansion as defined in the 11 social security act, section 1902(a)(10)(A)(i)(VIII). 12 (((13))) (10) The legislature finds that medicaid payment rates, 13 as calculated by the health care authority pursuant to the 14 appropriations in this act, bear a reasonable relationship to the 15 costs incurred by efficiently and economically operated facilities 16 for providing quality services and will be sufficient to enlist 17 enough providers so that care and services are available to the 18 extent that such care and services are available to the general 19 population in the geographic area. The legislature finds that the 20 cost reports, payment data from the federal government, historical 21 utilization, economic data, and clinical input constitute reliable 22 data upon which to determine the payment rates. 23 (((14))) (11) Based on quarterly expenditure reports and caseload 24 forecasts, if the health care authority estimates that expenditures 25 for the medical assistance program will exceed the appropriations, 26 the health care authority shall take steps including but not limited 27 to reduction of rates or elimination of optional services to reduce 28 expenditures so that total program costs do not exceed the annual 29 appropriation authority. 30 (((15))) (12) In determining financial eligibility for medicaid- 31 funded services, the health care authority is authorized to disregard 32 recoveries by Holocaust survivors of insurance proceeds or other 33 assets, as defined in RCW 48.104.030. 34 (((16))) (13) The legislature affirms that it is in the state's 35 interest for Harborview medical center to remain an economically 36 viable component of the state's health care system. 37 (((17))) (14) When a person is ineligible for medicaid solely by 38 reason of residence in an institution for mental diseases, the health 39 care authority shall provide the person with the same benefits as he 40 p. 961 ESSB 5187.SL