HOUSE BILL REPORT
SHB 1606
As Amended by the Senate
Title: An act relating to fairness in the informal dispute resolution process.
Brief Description: Providing for fairness in the informal dispute resolution process.
Sponsors: By House Committee on Health Care (originally sponsored by Representatives Green, Skinner, Cody, Bailey, Clibborn, Williams, Morrell and Schual-Berke).
Brief History:
Health Care: 2/22/05, 2/28/05 [DPS].
Floor Activity:
Passed House: 3/9/05, 96-0.
Senate Amended.
Passed Senate: 4/14/05, 45-0.
Brief Summary of Substitute Bill |
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HOUSE COMMITTEE ON HEALTH CARE
Majority Report: The substitute bill be substituted therefor and the substitute bill do pass. Signed by 15 members: Representatives Cody, Chair; Campbell, Vice Chair; Morrell, Vice Chair; Bailey, Ranking Minority Member; Curtis, Assistant Ranking Minority Member; Alexander, Appleton, Clibborn, Condotta, Green, Hinkle, Lantz, Moeller, Schual-Berke and Skinner.
Staff: Dave Knutson (786-7146).
Background:
A boarding home provider has the right to review and reconsideration of a Department of
Social and Health Services (DSHS) finding of regulatory non-compliance through an
Informal Dispute Resolution (IDR) process. The IDR process allows the provider an
opportunity to share information with a department staff person who was not involved in the
citation process itself. If the DSHS determines that a violation should have been cited, the
department adds the citation or enforcement remedy to an existing citation report, usually
within 10 days of completing an inspection.
Currently, nursing home providers can utilize a federally mandated IDR process provided
under Title 42 CFR 488.331. States are not required to create any new or additional
processes if their existing process meets the requirements set out in the State Operations
Manual. The IDR established by the state is required to be in writing and available for
review upon request.
Summary of Substitute Bill:
If the DSHS determines that a violation should have been cited under a different more
appropriate regulation, the DSHS must revise the report, statement of deficiencies, or
enforcement remedy accordingly.
Nursing home providers have the right to an informal review to present written evidence to
refute the findings or deficiencies cited during a licensing or certification survey or a
complaint investigation.
The request for informal dispute resolution will not delay the effective date of any
enforcement remedy imposed by the DSHS. Civil monetary fines are not payable until
exhaustion of hearings and appeal rights.
EFFECT OF SENATE AMENDMENT(S):
Residents or resident representatives will be given an opportunity to provide input in an
informal dispute resolution process.
Appropriation: None.
Fiscal Note: Available.
Effective Date: The bill takes effect 90 days after adjournment of session in which bill is passed.
Testimony For: Licensed long-term care facilities should have access to an informal dispute resolution process. The informal dispute resolution process needs to be fair and objective. Residents should also be a party to the dispute resolution process.
Testimony Against: None.
Persons Testifying: (In support) Representative Green, prime sponsor; Deb Murphy,
Washington Association of Housing and Services for the Aging; Jonathan Eames,
Washington Health Care Association and Washington Center for Assisted Living; Laurie St.
Ours, Northwest Assisted Living Facilities Association.
(With concerns) Louise Ryan and Jeff Collard, Long Term Care Ombudsman Program; and
Hilke Faber, Resident Councils of Washington.