CERTIFICATION OF ENROLLMENT

                        HOUSE BILL 2811

                        52nd Legislature

                      1992 Regular Session

Passed by the House March 9, 1992   Yeas 92   Nays 0 Speaker of the        House of Representatives Passed by the Senate March 6, 1992   Yeas 47   Nays 0

CERTIFICATE I, Alan Thompson, Chief Clerk of the House of Representatives of the State of Washington, do hereby certify that the attached is HOUSE BILL 2811 as passed by the House of Representatives and the Senate on the dates hereon set forth.

President of the Senate

Chief Clerk

Approved Place Style On Codes above, and Style Off Codes below.

FILED

Governor of the State of Washington

Secretary of State                        State of Washington

                  _______________________________________________

                                  HOUSE BILL 2811

                  _______________________________________________

                             AS AMENDED BY THE SENATE

                     Passed Legislature - 1992 Regular Session

State of Washington              52nd Legislature             1992 Regular Session

By Representatives Braddock, Locke, H. Sommers, Wang, Prentice, Moyer, Schmidt, Paris, Wineberry and Anderson

Read first time 01/28/92.  Referred to Committee on Appropriations.Exempting excess nursing supplies cost from the reimbursement of the pilot facility for persons living with AIDS.

     AN ACT Relating to the reimbursement of facilities specifically authorized to meet the needs of persons living with AIDS; amending RCW 74.46.500; and creating a new section.

BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF WASHINGTON:

     Sec. 1.  RCW 74.46.500 and 1980 c 177 s 50 are each amended to read as follows:

     (1) The administration and operations cost center shall include all items not included in the cost centers of nursing services, food, and property.

     (2) Subject to subsection (4) of this section, the administration and operations cost center reimbursement rate for each facility shall be based on the computation in this subsection and shall not exceed the eighty-fifth percentile of (a) the rates of all reporting facilities derived from the computation below, or (b) reporting facilities grouped in accordance with subsection (3) of this section:

     AR = TAC/TPD, where

AR = the administration and operations cost center reimbursement   rate for a facility;

TAC = the total costs of the administration and operations cost     center plus the retained savings from such cost center as      provided in RCW 74.46.180 of a facility; and

TPD = the total patient days for a facility for the prior year.

     (3) The secretary may group facilities based on factors which could reasonably influence cost requirements of this cost center, other than ownership or legal organization characteristics.

(4) In applying the eighty-fifth percentile reimbursement limit authorized by subsection (2) of this section to the pilot facility specially designed to meet the needs of persons living with AIDS as defined by RCW 70.24.017, and specifically authorized for this purpose under the 1989 amendment to the Washington state health plan, the department shall exempt the cost of nursing supplies reported by the pilot facility in excess of the average of nursing supplies cost for medicaid nursing facilities state-wide.

NEW SECTION. Sec. 2.      If specific funding for the purposes of this act, referencing this act by bill number, is not provided by June 30, 1992, in the omnibus appropriations act, this act shall be null and void.