CERTIFICATION OF ENROLLMENT

                  SUBSTITUTE SENATE BILL 6354

                        52nd Legislature

                      1992 Regular Session

Passed by the Senate February 18, 1992   Yeas 46   Nays 0 President of the Senate Passed by the House March 6, 1992   Yeas 96   Nays 0

CERTIFICATE I, Gordon Golob, Secretary of the Senate of the State of Washington, do hereby certify that the attached is SUBSTITUTE SENATE BILL 6354 as passed by the Senate and the House of Representatives on the dates hereon set forth.

Speaker of the        House of Representatives

Secretary

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

FILED

Governor of the State of Washington

Secretary of State                        State of Washington

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                            SUBSTITUTE SENATE BILL 6354

                  _______________________________________________

                     Passed Legislature - 1992 Regular Session

State of Washington              52nd Legislature             1992 Regular Session

By Senate Committee on Health & Long‑Term Care (originally sponsored by Senators Craswell, Barr, Pelz, Murray, Moore, West, Hayner, Newhouse, Williams, Metcalf, A. Smith, Vognild, McDonald, Stratton, Bauer, Oke and Roach)

Read first time 02/07/92.Providing an exception to the nursing home prospective cost-related reimbursement system dual certification requirement.

     AN ACT Relating to conditions of participation in the prospective cost-related reimbursement system; and amending RCW 74.46.660.

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

     Sec. 1.  RCW 74.46.660 and 1991 sp.s. c 8 s 13 are each amended to read as follows:

     In order to participate in the prospective cost-related reimbursement system established by this chapter, the person or legal organization responsible for operation of a facility shall:

     (1) Obtain a state certificate of need and/or federal capital expenditure review (section 1122) approval pursuant to chapter 70.38 RCW and Part 100, Title 42 CFR where required;

     (2) Hold the appropriate current license;

     (3) Hold current Title XIX certification;

     (4) Hold a current contract to provide services under this chapter;

     (5) Comply with all provisions of the contract and all application regulations, including but not limited to the provisions of this chapter; and

     (6) Obtain and maintain medicare certification, under Title XVIII of the social security act, 42 U.S.C. Sec. 1395, as amended, for ((no less than fifteen percent)) a portion of the facility's licensed beds.  Until June 1, 1993, the department may grant exemptions from the medicare certification requirements of this subsection to nursing facilities that are making good faith efforts to obtain medicare certification.