BILL REQ. #:  S-4244.1 

Read first time 01/27/10.   Referred to Committee on Health & Long-Term Care.

     AN ACT Relating to community living for persons with developmental disabilities; amending RCW 71A.16.010 and 71A.16.040; adding new sections to chapter 71A.16 RCW; creating a new section; repealing RCW 71A.20.020 and 71A.20.080; and providing an effective date.

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

NEW SECTION.  Sec. 1   (1) The legislature finds that:
     (a) The state recognizes the importance of the well-being of persons with developmental disabilities who are transferred between residential habilitation centers, or discharged from a residential habilitation center to the community.
     (b) People with disabilities share, with all Washingtonians, the desire to live full, productive lives in proximity to those who care about and love them.
     (c) Due to limited resources, many people with developmental disabilities who reside with family members or on their own do not receive adequate supports to help maintain their lives in the community.
     (d) People with developmental disabilities in residential habilitation centers and state-operated living arrangements benefit from the dedicated state employees who work with and on their behalf.
     (e) There is a shortage of certain key services and resources for people with developmental disabilities in the community, and the state's residential habilitation centers have employees whose specialized knowledge and expertise would greatly benefit community-based programs and the people they serve.
     (f) The people who dedicate their lives to serving people with disabilities deserve positions that pay a living wage and promote stable and secure lives for both employees and clients.
     (2) The legislature intends that:
     (a) A person with a developmental disability may not be moved from an institutional to a community setting until sufficient services and support arrangements are authorized and funded to support the assessed health and safety needs of the person and continued growth and development in a stable community setting.
     (b) The rights, health, and safety of all persons with developmental disabilities must be secure, and adequate support and services to meet the needs of these individuals must be provided.
     (c) The network of high-quality, efficient, and cost-effective publicly operated programs must be expanded to serve residential habilitation center clients in the community.

Sec. 2   RCW 71A.16.010 and 1998 c 216 s 3 are each amended to read as follows:
     (((1))) It is the intention of the legislature in this chapter to establish a single point of referral for persons with developmental disabilities and their families so that they may have a place of entry and continuing contact for services authorized under this title to persons with developmental disabilities. Eligible persons with developmental disabilities, whether they live in the community or residential habilitation centers, should have the opportunity to choose where they live from available options, which must include a funded placement in the most integrated setting appropriate to the needs of the qualified individual.
     (((2) Until June 30, 2003, and subject to subsection (3) of this section, if there is a vacancy in a residential habilitation center, the department shall offer admittance to the center to any eligible adult, or eligible adolescent on an exceptional case-by-case basis, with developmental disabilities if his or her assessed needs require the funded level of resources that are provided by the center.
     (3) The department shall not offer a person admittance to a residential habilitation center under subsection (2) of this section unless the department also offers the person appropriate community support services listed in RCW 71A.12.040.
     (4) Community support services offered under subsection (3) of this section may only be offered using funds specifically designated for this purpose in the state operating budget. When these funds are exhausted, the department may not offer admittance to a residential habilitation center, or community support services under this section.
     (5) Nothing in this section shall be construed to create an entitlement to state services for persons with developmental disabilities.
     (6) Subsections (2) through (6) of this section expire June 30, 2003.))

NEW SECTION.  Sec. 3   A new section is added to chapter 71A.16 RCW to read as follows:
     (1) By November 1, 2010, the department of social and health services shall submit to the appropriate committees of the legislature its implementation plan, with timelines and estimated costs, to fulfill the requirements of this act. The implementation plan shall determine how, within five years, the department shall:
     (a) Establish state-operated living arrangements to serve clients transitioning from residential habilitation centers;
     (b) Transition people residing in residential habilitation centers to community settings with appropriate levels of support;
     (c) Minimize disruption in people's lives by:
     (i) Offering to place all residents of residential habilitation centers placement on the appropriate home and community-based waiver and provide continued access to these services for so long as the resident or his or her guardian consents to their provision. Persons who have been determined eligible for services prior to discharge from a residential habilitation center continue to be eligible for services thereafter, and are subsequently entitled to all services for which they have an assessed need;
     (ii) Preparing clients and their families for the transition to the community, including visits to community living settings;
     (iii) Providing choice of community living options and providers; and
     (iv) Supporting continued family involvement;
     (d) Maximize federal funding, including the roads to community living grant;
     (e) Maximize continuity of state employment for current employees of residential habilitation centers;
     (f) Provide opportunities for staff-client relationships established in the residential habilitation centers to continue in community settings; and
     (g) Improve the efficient use of state funds and use any savings achieved through efficiencies to extend services to people with developmental disabilities currently receiving limited or no services.
     (2) The plan must describe how the department shall, by December 31, 2011:
     (a) Assess and return all children currently living at residential habilitation centers to their families with intensive supports or otherwise to children's intensive care in community settings;
     (b) Expand capacity in the community to enable people transitioning from residential habilitation centers to live stably in the community or with their families;
     (c) Provide quality assurance and follow-up for existing residential habilitation center residents who will be transitioned to the community; and
     (d) Start transitioning portions of two residential habilitation centers, one west and one east of the Cascade mountains, to regional resources that provide crisis beds, respite beds, and skilled nursing services.
     (3) The plan must describe how the department shall, by December 31, 2012:
     (a) Close Frances Haddon Morgan Center and vacate the campus;
     (b) Close portions of other residential habilitation centers;
     (c) Establish two community resource teams, one west and one east of the Cascade mountains. Community resource teams must be composed of staff with specialized expertise in the treatment of people with developmental disabilities, including professionals licensed under chapters 18.32, 18.35, 18.59, 18.71, 18.74, and 18.79 RCW, adaptive equipment specialists, and staff trained in evidence-based treatment of autism spectrum disorders.
     (4) The plan must describe how the department shall, by December 31, 2014:
     (a) Close remaining residential habilitation center facilities, except for the portions described in subsection (2)(d) of this section; and
     (b) Maintain or establish a small number of skilled nursing facility beds, allowing current residential habilitation residents whose medical needs require twenty-four hour skilled nursing to age in place.

NEW SECTION.  Sec. 4   A new section is added to chapter 71A.16 RCW to read as follows:
     Beginning November 1, 2011, and annually through November 1, 2013, the department shall submit to the appropriate committees of the legislature an annual report that provides cumulative data and analysis and recommendations. The report must include at least the following:
     (1) Progress toward meeting the requirements of this act;
     (2) Satisfaction levels for clients transitioned to the community and their guardians;
     (3) Stability of placement and provider turnover;
     (4) Safety and health outcomes, including incidents, hospitalizations, and mortality;
     (5) Sufficiency and quality of services, including:
     (a) Employment and day activities;
     (b) Community involvement; and
     (c) Accessibility of former residents to family, friends, and guardians.

Sec. 5   RCW 71A.16.040 and 1989 c 175 s 141 are each amended to read as follows:
     (1) On receipt of an application for services submitted under RCW 71A.16.030, the secretary in a timely manner shall make a written determination as to whether the applicant is eligible for services provided under this title for persons with developmental disabilities.
     (2) The secretary shall give notice of the secretary's determination on eligibility to the person who submitted the application and to the applicant, if the applicant is a person other than the person who submitted the application for services. The notice shall also include a statement advising the recipient of the right to an adjudicative proceeding under RCW 71A.10.050 and the right to judicial review of the secretary's final decision.
     (3) The secretary may establish rules for redetermination of eligibility for services under this title.
     (4) Persons who have been determined eligible for services before discharge from a residential habilitation center continue to be eligible for services thereafter, and are subsequently entitled to all services for which they have an assessed need.

NEW SECTION.  Sec. 6   The following acts or parts of acts are each repealed:
     (1) RCW 71A.20.020 (Residential habilitation centers) and 1994 c 215 s 1 & 1988 c 176 s 702; and
     (2) RCW 71A.20.080 (Return of resident to community -- Notice--Adjudicative proceeding -- Judicial review -- Effect of appeal) and 1989 c 175 s 143 & 1988 c 176 s 708.

NEW SECTION.  Sec. 7   Section 6 of this act takes effect June 30, 2012.