Provides a certificate of capital authorization is only required for capital expenditures exceeding the expenditure minimum as defined in RCW 70.38.025.

Provides, in processing and approving certificates of capital authorization, priority shall be given to major renovation of existing facilities or existing facilities that incorporate innovative building designs that create more home-like settings.

Provides that second priority shall be given to renovations of existing facilities with the greatest length of time since their last major renovation or construction.

Provides that third priority shall be given to replacements of existing facilities with the greatest length of time since their last major renovation or construction.

Provides that last priority shall be given to new facilities and shall be processed on a first-come, first-served basis.

Provides that projects shall be considered on an emergency basis if the construction or renovation must be completed as soon as possible to: (1) Retain a facility's license or certification;

(2) Protect the health or safety of the facility's residents; or

(3) Avoid closure.