HB 2432

This analysis was prepared by non-partisan legislative staff for the use of legislative members in their deliberations. This analysis is not a part of the legislation nor does it constitute a statement of legislative intent.

As Reported by House Committee On:

Early Learning & Human Services

Title: An act relating to enacting planning measures and strategies that provide for future long-term service and support needs of people with intellectual and developmental disabilities in Washington state.

Brief Description: Concerning long-term planning for developmental disabilities services.

Sponsors: Representatives Green, Walsh, Kagi, Zeiger, Farrell, Freeman, Jinkins, Tarleton, Roberts, Bergquist, Buys, Sawyer, Morrell, Tharinger, Senn and Santos.

Brief History:

Committee Activity:

Early Learning & Human Services: 1/30/14, 2/5/14 [DPS].

Brief Summary of Substitute Bill

  • Requires that the Developmental Disability Administration identify stakeholders to participate in work groups, at their own expense, and report to the appropriate committees of the Legislature on issues raised by the July 31, 2013, State Auditor's Developmental Disabilities Program Evaluation by January 1, 2015.

  • Requires that the Department of Social and Health Services implement a Medicaid program to replace the Individual and Family Services program by May 1, 2016.


Majority Report: The substitute bill be substituted therefor and the substitute bill do pass. Signed by 12 members: Representatives Kagi, Chair; Freeman, Vice Chair; Walsh, Ranking Minority Member; Fagan, Goodman, MacEwen, Ortiz-Self, Roberts, Sawyer, Senn, Young and Zeiger.

Minority Report: Do not pass. Signed by 1 member: Representative Scott, Assistant Ranking Minority Member.

Staff: Luke Wickham (786-7146).


There are a number of services available to individuals with developmental disabilities in Washington. The Developmental Disability Administration (DDA) provides services such as housing, medical care, personal care, and job training. Some individuals receive care in Residential Habitation Centers (RHCs) and others receive services in community living situations or their own homes. There are four RHCs in Washington including Lakeland Village, Yakima Valley School, Fircrest School, and Rainer School. The Medicaid waiver for Home and Community Based Services includes a range of services depending on an individual's living situation and needs. Waivers will pay for community residential services, personal care, respite, supported employment, behavioral management, equipment and supplies, therapies, and skilled nursing. However, waivers are not an entitlement and slots are limited to available funding.

State Auditor's Developmental Disability Program Evaluation.

The State Auditor released a Developmental Disabilities Program Evaluation (Auditor's Evaluation) on July 31, 2013. This Auditor's Evaluation reported that of the 35,150 people who have applied and are eligible for services, 15,100 people are on the waitlist, 7,800 people receive partial services, and 12,500 people receive full services. Those on the waitlist have been waiting an average of three and a half years. The report found that supporting a client in an RHC incurs twice the average cost of the most expensive community-based residential service option. It found that there are virtually no crisis stabilization programs at the community care level near the majority of clients. It also found that the opportunities for integrated employment depend largely on where a person lives.

The Auditor's Evaluation also made recommendations that the Legislature set policy that directs the DDA to develop strategies to maximize cost-effective service options and set policy to reduce the number of eligible people awaiting services. It also recommended that the DDA should provide financial incentives to counties to encourage equal access to integrated, individual employment for clients regardless of where they live in the state.


Summary of Substitute Bill:

The DDA shall identify stakeholders to participate in work groups, at their own expense, to report to the appropriate committees of the Legislature by January 1, 2015, on issues raised in the Auditor's Evaluation. This report must include:

The Department of Social and Health Services (DSHS) must plan, develop, and implement a Medicaid program to replace the Individual and Family Services (IFS) program no later than May 1, 2016. The new Medicaid program must offer services that closely resemble the services currently offered by the IFS program.

Substitute Bill Compared to Original Bill:

The substitute bill requires the DSHS to plan, develop and implement a Medicaid program to replace the Individual and Family Services (IFS) program no later than May 1, 2016. The new Medicaid program must offer services that closely resemble the services currently offered by the IFS program.


Appropriation: None.

Fiscal Note: Available.

Effective Date of Substitute Bill: The bill takes effect 90 days after adjournment of the session in which the bill is passed.

Staff Summary of Public Testimony:

(In support) This follows up on the Auditor's Evaluation. The majority of individuals with developmental disabilities receive services at home or in their communities. The problem is that we have a system that is outdated and still focused on residential treatment when the majority of individuals receiving services are in their homes or communities. Respite is the primary service that individuals are not receiving and it is important to support the peer support networks because those mostly rely on volunteers. The State of Washington should be proud that our employment levels are the best in the nation, but the day service programs need improvement.

(In support with concerns) Waiver revisions and petitions to decertify the state are major issues that will affect services for individuals with developmental disabilities. The State of Washington has no obligation to provide services to individuals with developmental disabilities. There are serious implications of the current changes. Immediate attention is needed to address the impending crises and it is not appropriate to conduct work groups while so much change is underway. This bill is built on the findings of an audit that is not accurate and is incomplete. The time frame that is in this bill is totally inadequate. More time is needed to convene workgroups. An additional six months should be added to the time frame for these work groups.

(Opposed) The bill should be amended to include the RHCs and representation from the RHCs. The language in the bill related to self-direction should be stricken from the bill. There should be also be a preventative focus in this bill to prevent abuse and neglect. Currently the focus of quality control is reactive instead of proactive.

Persons Testifying: (In support) Representative Green, prime sponsor; Sue Elliott, ARC of Washington State; Donna Patrick, Developmental Disabilities Council; and Marcie Osborne, Community Employment Alliance.

(In support with concerns) Loren Freeman, Freeman and Associates; and Terri Anderson.

(Opposed) Saskia Davis.

Persons Signed In To Testify But Not Testifying: None.