52nd Legislature

                      1991 Regular Session



Passed by the House March 19, 1991

  Yeas 98   Nays 0




Speaker of the

       House of Representatives


Passed by the Senate April 19, 1991

  Yeas 44   Nays 0




President of the Senate












Governor of the State of Washington



I, Alan Thompson, Chief Clerk of the House of Representatives of the State of Washington, do hereby certify that the attached is ENGROSSED SUBSTITUTE HOUSE BILL 2100 as passed by the House of Representatives and the Senate on the dates hereon set forth.




                                      Chief Clerk











                        Secretary of State   

                       State of Washington  




                       ENGROSSED SUBSTITUTE HOUSE BILL 2100



                             AS AMENDED BY THE SENATE


                     Passed Legislature - 1991 Regular Session



State of Washington              52nd Legislature             1991 Regular Session


By House Committee on Health Care (originally sponsored by Representatives Braddock, Locke, Wineberry and Wang).


Read first time March 6, 1991.  Exempting nursing homes for underserved ethnic minorities from certificate of need requirements.

     AN ACT Relating to nursing homes for underserved ethnic minorities; adding a new section to chapter 70.38 RCW; creating a new section; and declaring an emergency.




     NEW SECTION.  Sec. 1.  A new section is added to chapter 70.38 RCW to read as follows:

     (1) The legislature recognizes that in this state ethnic minorities currently use nursing home care at a lower rate than the general population.  The legislature also recognizes and supports the federal mandate that nursing homes receiving federal funds provide residents with a homelike environment.  The legislature finds that certain ethnic minorities have special cultural, language, dietary, and other needs not generally met by existing nursing homes which are intended to serve the general population.  Accordingly, the legislature further finds that there is a need to foster the development of nursing homes designed to serve the special cultural, language, dietary, and other needs of ethnic minorities.

     (2) The department shall establish a separate pool of no more than two hundred fifty beds for nursing homes designed to serve the special needs of ethnic minorities.  The pool shall be made up of nursing home beds that become available on or after March 15, 1991, due to:

     (a) Loss of license or reduction in licensed bed capacity if the beds are not otherwise obligated for replacement; or

     (b) Expiration of a certificate of need.

     (3) The department shall develop procedures for the fair and efficient award of beds from the special pool.  In making its decisions regarding the award of beds from the pool, the department shall consider at least the following:

     (a) The relative degree to which the long-term care needs of an ethnic minority are not otherwise being met;

     (b) The percentage of low-income persons who would be served by the proposed nursing home;

     (c) The financial feasibility of the proposed nursing home; and

     (d) The impact of the proposal on the area's total need for nursing home beds.

     (4) To be eligible to apply for or receive an award of beds from the special pool, an application must be to build a new nursing home, or add beds to a nursing home, that:

     (a) Will be owned and operated by a nonprofit corporation, and at least fifty percent of the board of directors of the corporation are members of the ethnic minority the nursing home is intended to serve;

     (b) Will be designed, managed, and administered to serve the special cultural, language, dietary, and other needs of an ethnic minority; and

     (c) Will not discriminate in admissions against persons who are not members of the ethnic minority whose special needs the nursing home is designed to serve.

     (5) If a nursing home or portion of a nursing home that is built as a result of an award from the special pool is sold or leased within ten years to a party not eligible under subsection (4) of this section:

     (a) The purchaser or lessee may not operate those beds as nursing home beds without first obtaining a certificate of need for new beds under this chapter; and

     (b) The beds that had been awarded from the special pool shall be returned to the special pool.

     (6) The department shall initially award up to one hundred beds before that number of beds are actually in the special pool, provided that the number of beds so awarded are subtracted from the total of two hundred fifty beds that can be awarded from the special pool.


     NEW SECTION.  Sec. 2.      This act is necessary for the immediate preservation of the public peace, health, or safety, or support of the state government and its existing public institutions, and shall take effect immediately.


     NEW SECTION.  Sec. 3.      If specific funding for the purposes of this act, referencing this act by bill number, is not provided by June 30, 1991, in the omnibus appropriations act, this act shall be null and void.