ESHB 2693 -
By Senator
Strike everything after the enacting clause and insert the following:
"NEW SECTION. Sec. 1 The definitions in this section apply
throughout this chapter unless the context clearly requires otherwise.
(1) "Department" means the department of health.
(2) "Secretary" means the secretary of health.
(3) "Long-term care worker" has the same meaning as in RCW
74.39A.009.
(4) "Certified long-term care worker" means a long-term care worker
certified under this chapter.
(5) "Registered long-term care worker" means a long-term care
worker registered under this chapter.
(6) "Individual provider" has the same meaning as in RCW
74.39A.240.
(7) "Personal care services" has the same meaning as in RCW
74.39A.009.
(8) "Certification examination" means the measurement of an
individual's knowledge and skills as related to safe, competent
performance as a long-term care worker.
NEW SECTION. Sec. 2 (1)(a) Beginning January 1, 2010, and except
as provided in section 11 of this act:
(i) Any person contracted or hired as a long-term care worker must
be certified within one hundred twenty days after his or her date of
contracting or hire.
(ii) Any person contracted or hired as a long-term care worker not
subject to certification under this chapter must be registered within
one hundred twenty days after his or her date of contracting or hire.
However, such a person contracted or hired before January 1, 2010, must
be registered within one hundred twenty days after January 1, 2010.
(b) The department, for good cause, may extend the one hundred
twenty day time periods in this subsection by up to sixty days.
(2) A registered or certified long-term care worker may provide
direct, hands-on personal care services to persons with functional
disabilities requiring long-term care services.
(3) No person may practice or, by use of any title or description,
represent himself or herself as:
(a) A registered long-term care worker without being registered
pursuant to this chapter; or
(b) A certified long-term care worker without being certified
pursuant to this chapter.
NEW SECTION. Sec. 3 In addition to any other authority provided
by law, the secretary has the authority to:
(1) Set all initial registration, certification, and renewal fees
in accordance with RCW 43.70.250 and to collect and deposit all such
fees in the health professions account established under RCW 43.70.320;
(2) Establish forms, procedures, and examinations necessary to
administer this chapter;
(3) Hire clerical, administrative, and investigative staff as
needed to implement this chapter;
(4) Issue a registration to any applicant who has met the
requirements for registration;
(5) Issue a certificate to any applicant who has met the
requirements for certification;
(6) Maintain the official record for the department of all
applicants and persons with registrations and certificates;
(7) Exercise disciplinary authority as authorized in chapter 18.130
RCW;
(8) Deny registration to any applicant who fails to meet
requirement for registration; and
(9) Deny certification to applicants who do not meet the
requirements for certification.
NEW SECTION. Sec. 4 Beginning January 1, 2010, the secretary
shall issue a registration to any applicant who:
(1) Pays any applicable fees;
(2) Submits, on forms provided by the secretary, the applicant's
name, address, and other information as determined by the secretary;
and
(3) Establishes, to the secretary's satisfaction, that:
(a) The applicant has completed any required background check; and
(b) There are no grounds for denial of registration or issuance of
a conditional registration under this chapter or chapter 18.130 RCW.
NEW SECTION. Sec. 5 (1) Beginning January 1, 2010, the secretary
shall issue a certificate to any applicant who:
(a) Pays any applicable fees;
(b) Submits, on forms provided by the secretary, his or her name,
address, and other information as determined by the secretary;
(c) Establishes to the secretary's satisfaction that:
(i)(A) He or she has completed training approved by the department
covering the skills and knowledge necessary to practice competently as
a long-term care worker, as follows:
(I) Until January 1, 2012, at least sixty hours of training; and
(II) On and after January 1, 2012, at least seventy-five hours of
training.
(B) The training program approved by the department under this
subsection must include hours that long-term care workers spend with
their peer mentors under RCW 74.39A.330 and specialty training required
under RCW 18.20.270(5) and 70.128.230(5).
(C) The department may approve a training curriculum developed by
an adult family home licensed under chapter 70.128 RCW, a boarding home
licensed under chapter 18.20 RCW, a home care agency licensed under
chapter 70.127 RCW that does not participate in the medicare or
medicaid program, or the training partnership established under RCW
74.39A.360 upon finding that the curriculum is substantially equivalent
to the training developed by the department under this subsection;
(ii) He or she has passed a certification examination;
(iii) He or she has completed any required background check; and
(iv) There exist no grounds for denial of certification under
chapter 18.130 RCW.
(2) The date and location of examinations shall be established by
the secretary. Applicants who have been found by the secretary to meet
the requirements for certification shall be scheduled for the next
examination following the filing of the application. The secretary
shall establish by rule the examination application deadline.
(3) The examination must include both a skills demonstration and a
written or oral knowledge test. Examinations shall be limited to the
purpose of determining whether the applicant possesses the minimum
skill and knowledge necessary to practice competently as a long-term
care worker.
(4) The examination papers, all grading of the papers, and the
grading of skills demonstration shall be preserved for a period of not
less than one year after the secretary has made and published the
decisions. All examinations shall be conducted under fair and wholly
impartial methods.
(5) Any applicant failing to make the required grade in the first
examination may take up to three subsequent examinations as the
applicant desires upon prepaying a fee determined by the secretary
under RCW 43.70.250 for each subsequent examination. Upon failing four
examinations, the secretary may invalidate the original application and
require remedial training before the person may take future
examinations.
(6) The certification examination may not be administered or graded
by any employer of long-term care workers, any private contractor
providing training programs offered to assist persons in passing the
examination, or the training partnership defined in RCW 74.39A.009.
NEW SECTION. Sec. 6 (1) A certified long-term care worker may
apply for a specialty endorsement in the specialty areas identified by
the secretary in consultation with the department of social and health
services. The secretary shall issue an endorsement to an applicant
who:
(a) Completes the hours of training and practical experience
required in rules adopted by the secretary for the relevant specialty
endorsement;
(b) Pays any applicable fee; and
(c) Submits any other information as determined by the secretary.
(2) A certified long-term care worker who has been granted a
specialty endorsement under this section may include the specialty in
his or her title, as permitted under rules adopted by the secretary.
NEW SECTION. Sec. 7 An applicant holding a credential in another
state may be certified in this state without training or examination if
the secretary determines that the other state's credentialing standards
for long-term care workers are substantially equivalent to the
standards in this state.
NEW SECTION. Sec. 8 (1) Registrations and certifications shall
be renewed according to administrative procedures, administrative
requirements, and fees determined by the secretary under RCW 43.70.250
and 43.70.280.
(2) Completion of continuing education as required in RCW
74.39A.340 is a prerequisite to renewing a registration or
certification under this chapter.
NEW SECTION. Sec. 9 (1) The uniform disciplinary act, chapter
18.130 RCW, governs unregistered or uncertified practice, issuance of
certificates and registrations, and the discipline of persons
registered or with certificates under this chapter. The secretary
shall be the disciplinary authority under this chapter.
(2)(a) The secretary may take action to immediately suspend the
registration or certification of a long-term care worker upon finding
that conduct of the long-term care worker has caused or presents an
imminent threat of harm to a functionally disabled person in his or her
care.
(b) If the secretary imposes suspension or conditions for
continuation of registration or certification, the suspension or
conditions for continuation are effective immediately upon notice and
shall continue in effect pending the outcome of any hearing.
NEW SECTION. Sec. 10 (1) By September 1, 2009, the department
shall adopt rules necessary to implement this chapter. In developing
rules, the department shall consult with the department of social and
health services, the nursing care quality assurance commission, adult
family home providers, boarding home providers, in-home personal care
providers, the training partnership defined in RCW 74.39A.009, affected
labor organizations, community and technical colleges, and long-term
care consumers and other interested organizations.
(2) The department shall implement this chapter in a cost-effective
manner with the intent that the certification program, while offering
training in the skills and knowledge necessary to practice competently
as a long-term care worker, will also be a platform from which long-term care workers can begin, if desired, a career ladder into other
health and allied health professions. The department shall work
creatively with the organizations and entities described in this
section to design an innovative certification program consistent with
the intent expressed in this section. The department shall submit a
report on the preliminary design of the program to the appropriate
committees of the legislature by December 1, 2008.
NEW SECTION. Sec. 11 (1) This chapter does not apply to:
(a) A registered nurse, licensed practical nurse, certified nursing
assistant, medicare certified home health aide, or other person who
holds a similar health credential, as determined by the secretary, or
person with special education training and an endorsement granted by
the superintendent of public instruction that is recognized by the
secretary as appropriate to specified personal care services
circumstances; and
(b) A long-term care worker employed by supportive living providers
regulated under chapter 388-101 WAC.
(2) Section 2(1)(a)(i) of this act does not apply to:
(a) A person first contracted or hired as a long-term care worker
prior to January 1, 2010;
(b) A person who is the individual provider for only his or her
biological, step, or adoptive father, mother, son, or daughter.
However, until January 1, 2014, the department may grant additional
exemptions on a case-by-case basis to persons caring for only an
extended family member. The department shall adopt rules that define
criteria for such exemptions; and
(c) Prior to January 1, 2014, a person contracted or hired as an
individual provider for only one person for twenty hours or less in any
calendar month.
(3) Section 2(1)(a)(ii) of this act does not apply to a biological,
step, or adoptive parent who is the individual provider for only his or
her son or daughter who is developmentally or functionally disabled.
(4) Nothing in this chapter may be construed to prohibit or
restrict:
(a) The practice by an individual licensed, certified, or
registered under the laws of this state and performing services within
his or her authorized scope of practice;
(b) The practice by an individual employed by the government of the
United States while engaged in the performance of duties prescribed by
the laws of the United States;
(c) The practice by a person who is a regular student in an
educational program approved by the secretary, and whose performance of
services is pursuant to a regular course of instruction or assignments
from an instructor and under the general supervision of the instructor;
(d) A certified long-term care worker from accepting direction from
a person who is self-directing his or her care; or
(e) A long-term care worker exempt under subsection (1), (2), or
(3) of this section from applying for registration or certification,
subject to meeting the requirements for such application.
Sec. 12 RCW 18.130.040 and 2007 c 269 s 17 and 2007 c 70 s 11 are
each reenacted and amended to read as follows:
(1) This chapter applies only to the secretary and the boards and
commissions having jurisdiction in relation to the professions licensed
under the chapters specified in this section. This chapter does not
apply to any business or profession not licensed under the chapters
specified in this section.
(2)(a) The secretary has authority under this chapter in relation
to the following professions:
(i) Dispensing opticians licensed and designated apprentices under
chapter 18.34 RCW;
(ii) Naturopaths licensed under chapter 18.36A RCW;
(iii) Midwives licensed under chapter 18.50 RCW;
(iv) Ocularists licensed under chapter 18.55 RCW;
(v) Massage operators and businesses licensed under chapter 18.108
RCW;
(vi) Dental hygienists licensed under chapter 18.29 RCW;
(vii) Acupuncturists licensed under chapter 18.06 RCW;
(viii) Radiologic technologists certified and X-ray technicians
registered under chapter 18.84 RCW;
(ix) Respiratory care practitioners licensed under chapter 18.89
RCW;
(x) Persons registered under chapter 18.19 RCW;
(xi) Persons licensed as mental health counselors, marriage and
family therapists, and social workers under chapter 18.225 RCW;
(xii) Persons registered as nursing pool operators under chapter
18.52C RCW;
(xiii) Nursing assistants registered or certified under chapter
18.88A RCW;
(xiv) Health care assistants certified under chapter 18.135 RCW;
(xv) Dietitians and nutritionists certified under chapter 18.138
RCW;
(xvi) Chemical dependency professionals certified under chapter
18.205 RCW;
(xvii) Sex offender treatment providers and certified affiliate sex
offender treatment providers certified under chapter 18.155 RCW;
(xviii) Persons licensed and certified under chapter 18.73 RCW or
RCW 18.71.205;
(xix) Denturists licensed under chapter 18.30 RCW;
(xx) Orthotists and prosthetists licensed under chapter 18.200 RCW;
(xxi) Surgical technologists registered under chapter 18.215 RCW;
(xxii) Recreational therapists; ((and))
(xxiii) Animal massage practitioners certified under chapter 18.240
RCW; and
(xxiv) Long-term care workers registered or certified under chapter
18.-- RCW (the new chapter created in section 29 of this act).
(b) The boards and commissions having authority under this chapter
are as follows:
(i) The podiatric medical board as established in chapter 18.22
RCW;
(ii) The chiropractic quality assurance commission as established
in chapter 18.25 RCW;
(iii) The dental quality assurance commission as established in
chapter 18.32 RCW governing licenses issued under chapter 18.32 RCW and
licenses and registrations issued under chapter 18.260 RCW;
(iv) The board of hearing and speech as established in chapter
18.35 RCW;
(v) The board of examiners for nursing home administrators as
established in chapter 18.52 RCW;
(vi) The optometry board as established in chapter 18.54 RCW
governing licenses issued under chapter 18.53 RCW;
(vii) The board of osteopathic medicine and surgery as established
in chapter 18.57 RCW governing licenses issued under chapters 18.57 and
18.57A RCW;
(viii) The board of pharmacy as established in chapter 18.64 RCW
governing licenses issued under chapters 18.64 and 18.64A RCW;
(ix) The medical quality assurance commission as established in
chapter 18.71 RCW governing licenses and registrations issued under
chapters 18.71 and 18.71A RCW;
(x) The board of physical therapy as established in chapter 18.74
RCW;
(xi) The board of occupational therapy practice as established in
chapter 18.59 RCW;
(xii) The nursing care quality assurance commission as established
in chapter 18.79 RCW governing licenses and registrations issued under
that chapter;
(xiii) The examining board of psychology and its disciplinary
committee as established in chapter 18.83 RCW; and
(xiv) The veterinary board of governors as established in chapter
18.92 RCW.
(3) In addition to the authority to discipline license holders, the
disciplining authority has the authority to grant or deny licenses
based on the conditions and criteria established in this chapter and
the chapters specified in subsection (2) of this section. This chapter
also governs any investigation, hearing, or proceeding relating to
denial of licensure or issuance of a license conditioned on the
applicant's compliance with an order entered pursuant to RCW 18.130.160
by the disciplining authority.
(4) All disciplining authorities shall adopt procedures to ensure
substantially consistent application of this chapter, the Uniform
Disciplinary Act, among the disciplining authorities listed in
subsection (2) of this section.
Sec. 13 RCW 18.130.040 and 2007 c 269 s 17, 2007 c 253 s 13, and
2007 c 70 s 11 are each reenacted and amended to read as follows:
(1) This chapter applies only to the secretary and the boards and
commissions having jurisdiction in relation to the professions licensed
under the chapters specified in this section. This chapter does not
apply to any business or profession not licensed under the chapters
specified in this section.
(2)(a) The secretary has authority under this chapter in relation
to the following professions:
(i) Dispensing opticians licensed and designated apprentices under
chapter 18.34 RCW;
(ii) Naturopaths licensed under chapter 18.36A RCW;
(iii) Midwives licensed under chapter 18.50 RCW;
(iv) Ocularists licensed under chapter 18.55 RCW;
(v) Massage operators and businesses licensed under chapter 18.108
RCW;
(vi) Dental hygienists licensed under chapter 18.29 RCW;
(vii) Acupuncturists licensed under chapter 18.06 RCW;
(viii) Radiologic technologists certified and X-ray technicians
registered under chapter 18.84 RCW;
(ix) Respiratory care practitioners licensed under chapter 18.89
RCW;
(x) Persons registered under chapter 18.19 RCW;
(xi) Persons licensed as mental health counselors, marriage and
family therapists, and social workers under chapter 18.225 RCW;
(xii) Persons registered as nursing pool operators under chapter
18.52C RCW;
(xiii) Nursing assistants registered or certified under chapter
18.88A RCW;
(xiv) Health care assistants certified under chapter 18.135 RCW;
(xv) Dietitians and nutritionists certified under chapter 18.138
RCW;
(xvi) Chemical dependency professionals certified under chapter
18.205 RCW;
(xvii) Sex offender treatment providers and certified affiliate sex
offender treatment providers certified under chapter 18.155 RCW;
(xviii) Persons licensed and certified under chapter 18.73 RCW or
RCW 18.71.205;
(xix) Denturists licensed under chapter 18.30 RCW;
(xx) Orthotists and prosthetists licensed under chapter 18.200 RCW;
(xxi) Surgical technologists registered under chapter 18.215 RCW;
(xxii) Recreational therapists;
(xxiii) Animal massage practitioners certified under chapter 18.240
RCW; ((and))
(xxiv) Athletic trainers licensed under chapter 18.250 RCW; and
(xxv) Long-term care workers registered or certified under chapter
18.-- RCW (the new chapter created in section 29 of this act).
(b) The boards and commissions having authority under this chapter
are as follows:
(i) The podiatric medical board as established in chapter 18.22
RCW;
(ii) The chiropractic quality assurance commission as established
in chapter 18.25 RCW;
(iii) The dental quality assurance commission as established in
chapter 18.32 RCW governing licenses issued under chapter 18.32 RCW and
licenses and registrations issued under chapter 18.260 RCW;
(iv) The board of hearing and speech as established in chapter
18.35 RCW;
(v) The board of examiners for nursing home administrators as
established in chapter 18.52 RCW;
(vi) The optometry board as established in chapter 18.54 RCW
governing licenses issued under chapter 18.53 RCW;
(vii) The board of osteopathic medicine and surgery as established
in chapter 18.57 RCW governing licenses issued under chapters 18.57 and
18.57A RCW;
(viii) The board of pharmacy as established in chapter 18.64 RCW
governing licenses issued under chapters 18.64 and 18.64A RCW;
(ix) The medical quality assurance commission as established in
chapter 18.71 RCW governing licenses and registrations issued under
chapters 18.71 and 18.71A RCW;
(x) The board of physical therapy as established in chapter 18.74
RCW;
(xi) The board of occupational therapy practice as established in
chapter 18.59 RCW;
(xii) The nursing care quality assurance commission as established
in chapter 18.79 RCW governing licenses and registrations issued under
that chapter;
(xiii) The examining board of psychology and its disciplinary
committee as established in chapter 18.83 RCW; and
(xiv) The veterinary board of governors as established in chapter
18.92 RCW.
(3) In addition to the authority to discipline license holders, the
disciplining authority has the authority to grant or deny licenses
based on the conditions and criteria established in this chapter and
the chapters specified in subsection (2) of this section. This chapter
also governs any investigation, hearing, or proceeding relating to
denial of licensure or issuance of a license conditioned on the
applicant's compliance with an order entered pursuant to RCW 18.130.160
by the disciplining authority.
(4) All disciplining authorities shall adopt procedures to ensure
substantially consistent application of this chapter, the Uniform
Disciplinary Act, among the disciplining authorities listed in
subsection (2) of this section.
Sec. 14 RCW 74.39A.009 and 2007 c 361 s 2 are each amended to
read as follows:
Unless the context clearly requires otherwise, the definitions in
this section apply throughout this chapter.
(1) "Adult family home" means a home licensed under chapter 70.128
RCW.
(2) "Adult residential care" means services provided by a boarding
home that is licensed under chapter 18.20 RCW and that has a contract
with the department under RCW 74.39A.020 to provide personal care
services.
(3) "Assisted living services" means services provided by a
boarding home that has a contract with the department under RCW
74.39A.010 to provide personal care services, intermittent nursing
services, and medication administration services, and the resident is
housed in a private apartment-like unit.
(4) "Boarding home" means a facility licensed under chapter 18.20
RCW.
(5) "Cost-effective care" means care provided in a setting of an
individual's choice that is necessary to promote the most appropriate
level of physical, mental, and psychosocial well-being consistent with
client choice, in an environment that is appropriate to the care and
safety needs of the individual, and such care cannot be provided at a
lower cost in any other setting. But this in no way precludes an
individual from choosing a different residential setting to achieve his
or her desired quality of life.
(6) "Department" means the department of social and health
services.
(7) "Enhanced adult residential care" means services provided by a
boarding home that is licensed under chapter 18.20 RCW and that has a
contract with the department under RCW 74.39A.010 to provide personal
care services, intermittent nursing services, and medication
administration services.
(8) "Functionally disabled person" or "person who is functionally
disabled" is synonymous with chronic functionally disabled and means a
person who because of a recognized chronic physical or mental condition
or disease, including chemical dependency, or developmental disability,
is impaired to the extent of being dependent upon others for direct
care, support, supervision, or monitoring to perform activities of
daily living. "Activities of daily living", in this context, means
self-care abilities related to personal care such as bathing, eating,
using the toilet, dressing, and transfer. Instrumental activities of
daily living may also be used to assess a person's functional abilities
as they are related to the mental capacity to perform activities in the
home and the community such as cooking, shopping, house cleaning, doing
laundry, working, and managing personal finances.
(9) "Home and community services" means adult family homes, in-home
services, and other services administered or provided by contract by
the department directly or through contract with area agencies on aging
or similar services provided by facilities and agencies licensed by the
department.
(10) "Long-term care" is synonymous with chronic care and means
care and supports delivered indefinitely, intermittently, or over a
sustained time to persons of any age disabled by chronic mental or
physical illness, disease, chemical dependency, or a medical condition
that is permanent, not reversible or curable, or is long-lasting and
severely limits their mental or physical capacity for self-care. The
use of this definition is not intended to expand the scope of services,
care, or assistance by any individuals, groups, residential care
settings, or professions unless otherwise expressed by law.
(11)(a) "Long-term care workers" includes all persons who are
((long-term care workers for the elderly or)) paid by the state, or by
a private agency or facility licensed by the state, to provide personal
care services to persons with functional disabilities, including but
not limited to individual providers of home care services, direct care
employees of home care agencies, providers of home care services to
persons with developmental disabilities under Title 71 RCW, all direct
care workers in state-licensed boarding homes, assisted living
facilities, and adult family homes, respite care providers, community
residential service providers, and any other direct care worker
providing home or community-based services to ((the elderly or))
persons with functional disabilities or developmental disabilities.
(b) "Long-term care workers" do not include persons employed in
nursing homes subject to chapter 18.51 RCW, hospitals or other acute
care settings, hospice agencies subject to chapter 70.127 RCW, adult
day care centers, and adult day health care centers.
(12) "Nursing home" means a facility licensed under chapter 18.51
RCW.
(13) "Personal care services" means physical or verbal assistance
with activities of daily living and instrumental activities of daily
living provided because of a person's functional limitations.
(14) "Secretary" means the secretary of social and health services.
(((14))) (15) "Training partnership" means a joint partnership or
trust ((established and maintained jointly by)) that includes the
office of the governor and the exclusive bargaining representative of
individual providers under RCW 74.39A.270 with the capacity to provide
training((,)) and peer mentoring((, and examinations)) required under
this chapter, and educational, career development, or other related
services to individual providers.
(((15))) (16) "Tribally licensed boarding home" means a boarding
home licensed by a federally recognized Indian tribe which home
provides services similar to boarding homes licensed under chapter
18.20 RCW.
Sec. 15 RCW 74.39A.240 and 2002 c 3 s 3 are each amended to read
as follows:
The definitions in this section apply throughout RCW 74.39A.030 and
74.39A.095 and 74.39A.220 through 74.39A.300, section 16 of this act,
41.56.026, 70.127.041, and 74.09.740 unless the context clearly
requires otherwise.
(1) "Authority" means the home care quality authority.
(2) "Board" means the board created under RCW 74.39A.230.
(3) "Consumer" means a person to whom an individual provider
provides any such services.
(4) "Individual provider" means a person, including a personal
aide, who has contracted with the department to provide personal care
or respite care services to ((functionally disabled persons)) persons
with functional disabilities under the medicaid personal care,
community options program entry system, chore services program, or
respite care program, or to provide respite care or residential
services and support to persons with developmental disabilities under
chapter 71A.12 RCW, or to provide respite care as defined in RCW
74.13.270.
NEW SECTION. Sec. 16 A new section is added to chapter 74.39A
RCW to read as follows:
(1) The department shall deny payment to any individual provider of
home care services who is not a registered or certified long-term care
worker as required under chapter 18.-- RCW (the new chapter created in
section 29 of this act).
(2) The department may terminate the contract of any individual
provider of home care services, or take any other enforcement measure
deemed appropriate by the department if the individual provider's
registration or certification is revoked under chapter 18.-- RCW (the
new chapter created in section 29 of this act).
(3) The department and the department of health, as applicable,
shall take appropriate enforcement action related to the contract or
licensure of a private agency or facility licensed by the state to
provide personal care services, other than an individual provider, who
knowingly employs a long-term care worker who is not a registered or
certified long-term care worker as required under chapter 18.-- RCW
(the new chapter created in section 29 of this act).
(4) Chapter 34.05 RCW governs department actions under this
section.
Sec. 17 RCW 70.127.100 and 2000 c 175 s 9 are each amended to
read as follows:
Upon receipt of an application under RCW 70.127.080 for a license
and the license fee, the department shall issue a license if the
applicant meets the requirements established under this chapter. A
license issued under this chapter shall not be transferred or assigned
without thirty days prior notice to the department and the department's
approval. A license, unless suspended or revoked, is effective for a
period of two years, however an initial license is only effective for
twelve months. The department shall conduct a survey within each
licensure period, and may conduct a licensure survey after ownership
transfer, to assure compliance with this chapter and the rules adopted
under this chapter, and to enforce section 16(3) of this act.
Sec. 18 RCW 18.20.110 and 2004 c 144 s 3 are each amended to read
as follows:
(1) The department shall make or cause to be made, at least every
eighteen months with an annual average of fifteen months, an inspection
and investigation of all boarding homes. However, the department may
delay an inspection to twenty-four months if the boarding home has had
three consecutive inspections with no written notice of violations and
has received no written notice of violations resulting from complaint
investigation during that same time period. The department may at
anytime make an unannounced inspection of a licensed home to assure
that the licensee is in compliance with this chapter and the rules
adopted under this chapter, and to enforce section 16(3) of this act.
Every inspection shall focus primarily on actual or potential resident
outcomes, and may include an inspection of every part of the premises
and an examination of all records, methods of administration, the
general and special dietary, and the stores and methods of supply;
however, the department shall not have access to financial records or
to other records or reports described in RCW 18.20.390. Financial
records of the boarding home may be examined when the department has
reasonable cause to believe that a financial obligation related to
resident care or services will not be met, such as a complaint that
staff wages or utility costs have not been paid, or when necessary for
the department to investigate alleged financial exploitation of a
resident.
(2) Following such an inspection or inspections, written notice of
any violation of this law or the rules adopted hereunder shall be given
to the applicant or licensee and the department.
(3) The department may prescribe by rule that any licensee or
applicant desiring to make specified types of alterations or additions
to its facilities or to construct new facilities shall, before
commencing such alteration, addition, or new construction, submit plans
and specifications therefor to the agencies responsible for plan
reviews for preliminary inspection and approval or recommendations with
respect to compliance with the rules and standards herein authorized.
Sec. 19 RCW 70.128.090 and 2001 c 319 s 7 are each amended to
read as follows:
(1) During inspections of an adult family home, the department
shall have access and authority to examine areas and articles in the
home used to provide care or support to residents, including residents'
records, accounts, and the physical premises, including the buildings,
grounds, and equipment. The personal records of the provider are not
subject to department inspection nor is the separate bedroom of the
provider, not used in direct care of a client, subject to review. The
department may inspect all rooms during the initial licensing of the
home. However, during a complaint investigation, the department shall
have access to the entire premises and all pertinent records when
necessary to conduct official business. The department also shall have
the authority to interview the provider and residents of an adult
family home.
(2) Whenever an inspection is conducted, the department shall
prepare a written report that summarizes all information obtained
during the inspection, and if the home is in violation of this chapter
or the rules adopted under this chapter, or if the department is
enforcing section 16(3) of this act, serve a copy of the inspection
report upon the provider at the same time as a notice of violation.
This notice shall be mailed to the provider within ten working days of
the completion of the inspection process. If the home is not in
violation of this chapter, a copy of the inspection report shall be
mailed to the provider within ten calendar days of the inspection of
the home. All inspection reports shall be made available to the public
at the department during business hours.
(3) The provider shall develop corrective measures for any
violations found by the department's inspection. The department shall
upon request provide consultation and technical assistance to assist
the provider in developing effective corrective measures. The
department shall include a statement of the provider's corrective
measures in the department's inspection report.
Sec. 20 RCW 74.39A.050 and 2004 c 140 s 6 are each amended to
read as follows:
The department's system of quality improvement for long-term care
services shall use the following principles, consistent with applicable
federal laws and regulations:
(1) The system shall be client-centered and promote privacy,
independence, dignity, choice, and a home or home-like environment for
consumers consistent with chapter 392, Laws of 1997.
(2) The goal of the system is continuous quality improvement with
the focus on consumer satisfaction and outcomes for consumers. This
includes that when conducting licensing or contract inspections, the
department shall interview an appropriate percentage of residents,
family members, resident case managers, and advocates in addition to
interviewing providers and staff.
(3) Providers should be supported in their efforts to improve
quality and address identified problems initially through training,
consultation, technical assistance, and case management.
(4) The emphasis should be on problem prevention both in monitoring
and in screening potential providers of service.
(5) Monitoring should be outcome based and responsive to consumer
complaints and based on a clear set of health, quality of care, and
safety standards that are easily understandable and have been made
available to providers, residents, and other interested parties.
(6) Prompt and specific enforcement remedies shall also be
implemented without delay, pursuant to RCW 74.39A.080, RCW 70.128.160,
chapter 18.51 RCW, or chapter 74.42 RCW, for providers found to have
delivered care or failed to deliver care resulting in problems that are
serious, recurring, or uncorrected, or that create a hazard that is
causing or likely to cause death or serious harm to one or more
residents. These enforcement remedies may also include, when
appropriate, reasonable conditions on a contract or license. In the
selection of remedies, the safety, health, and well-being of residents
shall be of paramount importance.
(7) To the extent funding is available, all long-term care staff
directly responsible for the care, supervision, or treatment of
vulnerable persons should be screened through background checks in a
uniform and timely manner to ensure that they do not have a criminal
history that would disqualify them from working with vulnerable
persons. Whenever a state conviction record check is required by state
law, persons may be employed or engaged as volunteers or independent
contractors on a conditional basis according to law and rules adopted
by the department.
(8) No provider or staff, or prospective provider or staff, with a
stipulated finding of fact, conclusion of law, an agreed order, or
finding of fact, conclusion of law, or final order issued by a
disciplining authority, a court of law, or entered into a state
registry finding him or her guilty of abuse, neglect, exploitation, or
abandonment of a minor or a vulnerable adult as defined in chapter
74.34 RCW shall be employed in the care of and have unsupervised access
to vulnerable adults.
(9) The department shall establish, by rule, a state registry which
contains identifying information about personal care aides identified
under this chapter who have substantiated findings of abuse, neglect,
financial exploitation, or abandonment of a vulnerable adult as defined
in RCW 74.34.020. The rule must include disclosure, disposition of
findings, notification, findings of fact, appeal rights, and fair
hearing requirements. The department shall disclose, upon request,
substantiated findings of abuse, neglect, financial exploitation, or
abandonment to any person so requesting this information.
(10) The department shall by rule develop training requirements for
individual providers and home care agency providers. Effective March
1, 2002, individual providers and home care agency providers must
satisfactorily complete department-approved orientation, basic
training, and continuing education within the time period specified by
the department in rule. ((The department shall adopt rules by March 1,
2002, for the implementation of this section based on the
recommendations of the community long-term care training and education
steering committee established in RCW 74.39A.190.)) The department
shall deny payment to an individual provider or a home care provider
who does not complete the training requirements within the time limit
specified by the department by rule.
(11) In an effort to improve access to training and education and
reduce costs, especially for rural communities, the coordinated system
of long-term care training and education must include the use of
innovative types of learning strategies such as internet resources,
videotapes, and distance learning using satellite technology
coordinated through community colleges or other entities, as defined by
the department.
(12) The department shall create an approval system by March 1,
2002, for those seeking to conduct department-approved training. ((In
the rule-making process, the department shall adopt rules based on the
recommendations of the community long-term care training and education
steering committee established in RCW 74.39A.190.))
(13) The department shall establish, by rule, training, background
checks, and other quality assurance requirements for personal aides who
provide in-home services funded by medicaid personal care as described
in RCW 74.09.520, community options program entry system waiver
services as described in RCW 74.39A.030, or chore services as described
in RCW 74.39A.110 that are equivalent to requirements for individual
providers.
(14) Under existing funds the department shall establish internally
a quality improvement standards committee to monitor the development of
standards and to suggest modifications.
(15) Within existing funds, the department shall design, develop,
and implement a long-term care training program that is flexible,
relevant, and qualifies towards the requirements for a nursing
assistant certificate as established under chapter 18.88A RCW. This
subsection does not require completion of the nursing assistant
certificate training program by providers or their staff. The long-term care teaching curriculum must consist of a fundamental module, or
modules, and a range of other available relevant training modules that
provide the caregiver with appropriate options that assist in meeting
the resident's care needs. Some of the training modules may include,
but are not limited to, specific training on the special care needs of
persons with developmental disabilities, dementia, mental illness, and
the care needs of the elderly. No less than one training module must
be dedicated to workplace violence prevention. The nursing care
quality assurance commission shall work together with the department to
develop the curriculum modules. The nursing care quality assurance
commission shall direct the nursing assistant training programs to
accept some or all of the skills and competencies from the curriculum
modules towards meeting the requirements for a nursing assistant
certificate as defined in chapter 18.88A RCW. A process may be
developed to test persons completing modules from a caregiver's class
to verify that they have the transferable skills and competencies for
entry into a nursing assistant training program. The department may
review whether facilities can develop their own related long-term care
training programs. The department may develop a review process for
determining what previous experience and training may be used to waive
some or all of the mandatory training. The department of social and
health services and the nursing care quality assurance commission shall
work together to develop an implementation plan by December 12, 1998.
(16) Except for the orientation required under subsection (10) of
this section, a long-term care worker certified under chapter 18.-- RCW
(the new chapter created in section 29 of this act) is exempt from this
section.
Sec. 21 RCW 18.20.270 and 2002 c 233 s 1 are each amended to read
as follows:
(1) The definitions in this subsection apply throughout this
section unless the context clearly requires otherwise.
(a) "Caregiver" includes any person who provides residents with
hands-on personal care on behalf of a boarding home, except volunteers
who are directly supervised.
(b) "Direct supervision" means oversight by a person who has
demonstrated competency in the core areas or has been fully exempted
from the training requirements pursuant to this section, is on the
premises, and is quickly and easily available to the caregiver.
(2) Training must have the following components: Orientation,
basic training, specialty training as appropriate, and continuing
education. All boarding home employees or volunteers who routinely
interact with residents shall complete orientation. Boarding home
administrators, or their designees, and caregivers shall complete
orientation, basic training, specialty training as appropriate, and
continuing education.
(3) Orientation consists of introductory information on residents'
rights, communication skills, fire and life safety, and universal
precautions. Orientation must be provided at the facility by
appropriate boarding home staff to all boarding home employees before
the employees have routine interaction with residents.
(4) Basic training consists of modules on the core knowledge and
skills that caregivers need to learn and understand to effectively and
safely provide care to residents. Basic training must be outcome-based, and the effectiveness of the basic training must be measured by
demonstrated competency in the core areas through the use of a
competency test. Basic training must be completed by caregivers within
one hundred twenty days of the date on which they begin to provide
hands-on care or within one hundred twenty days of September 1, 2002,
whichever is later. Until competency in the core areas has been
demonstrated, caregivers shall not provide hands-on personal care to
residents without direct supervision. Boarding home administrators, or
their designees, must complete basic training and demonstrate
competency within one hundred twenty days of employment or within one
hundred twenty days of September 1, 2002, whichever is later.
(5) For boarding homes that serve residents with special needs such
as dementia, developmental disabilities, or mental illness, specialty
training is required of administrators, or designees, and caregivers.
Specialty training consists of modules on the core knowledge and skills
that caregivers need to effectively and safely provide care to
residents with special needs. Specialty training should be integrated
into basic training wherever appropriate. Specialty training must be
outcome-based, and the effectiveness of the specialty training measured
by demonstrated competency in the core specialty areas through the use
of a competency test. Specialty training must be completed by
caregivers within one hundred twenty days of the date on which they
begin to provide hands-on care to a resident having special needs or
within one hundred twenty days of September 1, 2002, whichever is
later. However, if specialty training is not integrated with basic
training, the specialty training must be completed within ninety days
of completion of basic training. Until competency in the core
specialty areas has been demonstrated, caregivers shall not provide
hands-on personal care to residents with special needs without direct
supervision. Boarding home administrators, or their designees, must
complete specialty training and demonstrate competency within one
hundred twenty days of September 1, 2002, or one hundred twenty days
from the date on which the administrator or his or her designee is
hired, whichever is later, if the boarding home serves one or more
residents with special needs.
(6) Continuing education consists of ongoing delivery of
information to caregivers on various topics relevant to the care
setting and care needs of residents. Competency testing is not
required for continuing education. Continuing education is not
required in the same calendar year in which basic or modified basic
training is successfully completed. Continuing education is required
in each calendar year thereafter. If specialty training is completed,
the specialty training applies toward any continuing education
requirement for up to two years following the completion of the
specialty training.
(7) Persons who successfully challenge the competency test for
basic training or who are certified under chapter 18.-- RCW (the new
chapter created in section 29 of this act) are fully exempt from the
basic training requirements of this section. Persons who successfully
challenge the specialty training competency test are fully exempt from
the specialty training requirements of this section.
(8) Licensed persons who perform the tasks for which they are
licensed are fully or partially exempt from the training requirements
of this section, as specified by the department in rule.
(9) In an effort to improve access to training and education and
reduce costs, especially for rural communities, the coordinated system
of long-term care training and education must include the use of
innovative types of learning strategies such as internet resources,
videotapes, and distance learning using satellite technology
coordinated through community colleges or other entities, as defined by
the department.
(10) The department shall develop criteria for the approval of
orientation, basic training, and specialty training programs.
(11) Boarding homes that desire to deliver facility-based training
with facility designated trainers, or boarding homes that desire to
pool their resources to create shared training systems, must be
encouraged by the department in their efforts. The department shall
develop criteria for reviewing and approving trainers and training
materials that are substantially similar to or better than the
materials developed by the department. The department may approve a
curriculum based upon attestation by a boarding home administrator that
the boarding home's training curriculum addresses basic and specialty
training competencies identified by the department, and shall review a
curriculum to verify that it meets these requirements. The department
may conduct the review as part of the next regularly scheduled yearly
inspection and investigation required under RCW 18.20.110. The
department shall rescind approval of any curriculum if it determines
that the curriculum does not meet these requirements.
(12) The department shall adopt rules by September 1, 2002, for the
implementation of this section.
(13) The orientation, basic training, specialty training, and
continuing education requirements of this section commence September 1,
2002, or one hundred twenty days from the date of employment, whichever
is later, and shall be applied to (a) employees hired subsequent to
September 1, 2002; and (b) existing employees that on September 1,
2002, have not successfully completed the training requirements under
RCW 74.39A.010 or 74.39A.020 and this section. Existing employees who
have not successfully completed the training requirements under RCW
74.39A.010 or 74.39A.020 shall be subject to all applicable
requirements of this section. However, prior to September 1, 2002,
nothing in this section affects the current training requirements under
RCW 74.39A.010.
Sec. 22 RCW 70.128.230 and 2002 c 233 s 3 are each amended to
read as follows:
(1) The definitions in this subsection apply throughout this
section unless the context clearly requires otherwise.
(a) "Caregiver" includes all adult family home resident managers
and any person who provides residents with hands-on personal care on
behalf of an adult family home, except volunteers who are directly
supervised.
(b) "Indirect supervision" means oversight by a person who has
demonstrated competency in the core areas or has been fully exempted
from the training requirements pursuant to this section and is quickly
and easily available to the caregiver, but not necessarily on-site.
(2) Training must have three components: Orientation, basic
training, and continuing education. All adult family home providers,
resident managers, and employees, or volunteers who routinely interact
with residents shall complete orientation. Caregivers shall complete
orientation, basic training, and continuing education.
(3) Orientation consists of introductory information on residents'
rights, communication skills, fire and life safety, and universal
precautions. Orientation must be provided at the facility by
appropriate adult family home staff to all adult family home employees
before the employees have routine interaction with residents.
(4) Basic training consists of modules on the core knowledge and
skills that caregivers need to learn and understand to effectively and
safely provide care to residents. Basic training must be outcome-based, and the effectiveness of the basic training must be measured by
demonstrated competency in the core areas through the use of a
competency test. Basic training must be completed by caregivers within
one hundred twenty days of the date on which they begin to provide
hands-on care or within one hundred twenty days of September 1, 2002,
whichever is later. Until competency in the core areas has been
demonstrated, caregivers shall not provide hands-on personal care to
residents without indirect supervision.
(5) For adult family homes that serve residents with special needs
such as dementia, developmental disabilities, or mental illness,
specialty training is required of providers and resident managers.
Specialty training consists of modules on the core knowledge and skills
that providers and resident managers need to effectively and safely
provide care to residents with special needs. Specialty training
should be integrated into basic training wherever appropriate.
Specialty training must be outcome-based, and the effectiveness of the
specialty training measured by demonstrated competency in the core
specialty areas through the use of a competency test. Specialty
training must be completed by providers and resident managers before
admitting and serving residents who have been determined to have
special needs related to mental illness, dementia, or a developmental
disability. Should a resident develop special needs while living in a
home without specialty designation, the provider and resident manager
have one hundred twenty days to complete specialty training.
(6) Continuing education consists of ongoing delivery of
information to caregivers on various topics relevant to the care
setting and care needs of residents. Competency testing is not
required for continuing education. Continuing education is not
required in the same calendar year in which basic or modified basic
training is successfully completed. Continuing education is required
in each calendar year thereafter. If specialty training is completed,
the specialty training applies toward any continuing education
requirement for up to two years following the completion of the
specialty training.
(7) Persons who successfully challenge the competency test for
basic training or who are certified under chapter 18.-- RCW (the new
chapter created in section 29 of this act) are fully exempt from the
basic training requirements of this section. Persons who successfully
challenge the specialty training competency test are fully exempt from
the specialty training requirements of this section.
(8) Licensed persons who perform the tasks for which they are
licensed are fully or partially exempt from the training requirements
of this section, as specified by the department in rule.
(9) In an effort to improve access to training and education and
reduce costs, especially for rural communities, the coordinated system
of long-term care training and education must include the use of
innovative types of learning strategies such as internet resources,
videotapes, and distance learning using satellite technology
coordinated through community colleges, private associations, or other
entities, as defined by the department.
(10) Adult family homes that desire to deliver facility-based
training with facility designated trainers, or adult family homes that
desire to pool their resources to create shared training systems, must
be encouraged by the department in their efforts. The department shall
develop criteria for reviewing and approving trainers and training
materials. The department may approve a curriculum based upon
attestation by an adult family home administrator that the adult family
home's training curriculum addresses basic and specialty training
competencies identified by the department, and shall review a
curriculum to verify that it meets these requirements. The department
may conduct the review as part of the next regularly scheduled
inspection authorized under RCW 70.128.070. The department shall
rescind approval of any curriculum if it determines that the curriculum
does not meet these requirements.
(11) The department shall adopt rules by September 1, 2002, for the
implementation of this section.
(12) The orientation, basic training, specialty training, and
continuing education requirements of this section commence September 1,
2002, and shall be applied to (a) employees hired subsequent to
September 1, 2002; or (b) existing employees that on September 1, 2002,
have not successfully completed the training requirements under RCW
70.128.120 or 70.128.130 and this section. Existing employees who have
not successfully completed the training requirements under RCW
70.128.120 or 70.128.130 shall be subject to all applicable
requirements of this section. However, until September 1, 2002,
nothing in this section affects the current training requirements under
RCW 70.128.120 and 70.128.130.
Sec. 23 RCW 74.39A.340 and 2007 c 361 s 4 are each amended to
read as follows:
(1) Except as provided in subsection (2) of this section, long-term
care workers shall complete twelve hours of continuing education
training in advanced training topics each year. This requirement
applies beginning on January 1, 2010.
(2) Unless he or she is a registered or certified long-term care
worker, subsection (1) of this section does not apply to: (a) A
biological, step, or adoptive parent who is the individual provider for
only his or her son or daughter who is developmentally or functionally
disabled; or (b) a person covered by section 11(2)(c) of this act.
Sec. 24 RCW 74.39A.350 and 2007 c 361 s 5 are each amended to
read as follows:
The department shall offer, directly or through contract, training
opportunities sufficient for a long-term care worker to accumulate
sixty-five hours of training within a reasonable time period. For
individual providers represented by an exclusive bargaining
representative under RCW 74.39A.270, the training opportunities shall
be offered through a contract with the training partnership established
under RCW 74.39A.360. Training topics shall include, but are not
limited to: Client rights; personal care; mental illness; dementia;
developmental disabilities; depression; medication assistance; advanced
communication skills; positive client behavior support; developing or
improving client-centered activities; dealing with wandering or
aggressive client behaviors; medical conditions; nurse delegation core
training; peer mentor training; and advocacy for quality care training.
The department may not require long-term care workers to obtain the
training described in this section. This requirement to offer advanced
training applies beginning January 1, ((2010)) 2012.
Sec. 25 RCW 74.39A.270 and 2007 c 361 s 7 and 2007 c 278 s 3 are
each reenacted and amended to read as follows:
(1) Solely for the purposes of collective bargaining and as
expressly limited under subsections (2) and (3) of this section, the
governor is the public employer, as defined in chapter 41.56 RCW, of
individual providers, who, solely for the purposes of collective
bargaining, are public employees as defined in chapter 41.56 RCW. To
accommodate the role of the state as payor for the community-based
services provided under this chapter and to ensure coordination with
state employee collective bargaining under chapter 41.80 RCW and the
coordination necessary to implement RCW 74.39A.300, the public employer
shall be represented for bargaining purposes by the governor or the
governor's designee appointed under chapter 41.80 RCW. The governor or
governor's designee shall periodically consult with the authority
during the collective bargaining process to allow the authority to
communicate issues relating to the long-term in-home care services
received by consumers. The governor or the governor's designee shall
consult the authority on all issues for which the exclusive bargaining
representative requests to engage in collective bargaining under
subsections (6) and (7) of this section. The authority shall work with
the developmental disabilities council, the governor's committee on
disability issues and employment, the state council on aging, and other
consumer advocacy organizations to obtain informed input from consumers
on their interests, including impacts on consumer choice, for all
issues proposed for collective bargaining under subsections (6) and (7)
of this section.
(2) Chapter 41.56 RCW governs the collective bargaining
relationship between the governor and individual providers, except as
otherwise expressly provided in this chapter and except as follows:
(a) The only unit appropriate for the purpose of collective
bargaining under RCW 41.56.060 is a statewide unit of all individual
providers;
(b) The showing of interest required to request an election under
RCW 41.56.060 is ten percent of the unit, and any intervener seeking to
appear on the ballot must make the same showing of interest;
(c) The mediation and interest arbitration provisions of RCW
41.56.430 through 41.56.470 and 41.56.480 apply, except that:
(i) With respect to commencement of negotiations between the
governor and the bargaining representative of individual providers,
negotiations shall be commenced by May 1st of any year prior to the
year in which an existing collective bargaining agreement expires; and
(ii) The decision of the arbitration panel is not binding on the
legislature and, if the legislature does not approve the request for
funds necessary to implement the compensation and fringe benefit
provisions of the arbitrated collective bargaining agreement, is not
binding on the authority or the state;
(d) Individual providers do not have the right to strike; and
(e) Individual providers who are related to, or family members of,
consumers or prospective consumers are not, for that reason, exempt
from this chapter or chapter 41.56 RCW.
(3) Individual providers who are public employees solely for the
purposes of collective bargaining under subsection (1) of this section
are not, for that reason, employees of the state, its political
subdivisions, or an area agency on aging for any purpose. Chapter
41.56 RCW applies only to the governance of the collective bargaining
relationship between the employer and individual providers as provided
in subsections (1) and (2) of this section.
(4) Consumers and prospective consumers retain the right to select,
hire, supervise the work of, and terminate any individual provider
providing services to them. Consumers may elect to receive long-term
in-home care services from individual providers who are not referred to
them by the authority.
(5) In implementing and administering this chapter, neither the
authority nor any of its contractors may reduce or increase the hours
of service for any consumer below or above the amount determined to be
necessary under any assessment prepared by the department or an area
agency on aging.
(6) Except as expressly limited in this section and RCW 74.39A.300,
the wages, hours, and working conditions of individual providers are
determined solely through collective bargaining as provided in this
chapter. No agency or department of the state may establish policies
or rules governing the wages or hours of individual providers.
However, this subsection does not modify:
(a) The department's authority to establish a plan of care for each
consumer or its core responsibility to manage long-term in-home care
services under this chapter, including determination of the level of
care that each consumer is eligible to receive. However, at the
request of the exclusive bargaining representative, the governor or the
governor's designee appointed under chapter 41.80 RCW shall engage in
collective bargaining, as defined in RCW 41.56.030(4), with the
exclusive bargaining representative over how the department's core
responsibility affects hours of work for individual providers. This
subsection shall not be interpreted to require collective bargaining
over an individual consumer's plan of care;
(b) The department's authority to terminate its contracts with
individual providers who are not adequately meeting the needs of a
particular consumer, or to deny a contract under RCW 74.39A.095(8);
(c) The consumer's right to assign hours to one or more individual
providers selected by the consumer within the maximum hours determined
by his or her plan of care;
(d) The consumer's right to select, hire, terminate, supervise the
work of, and determine the conditions of employment for each individual
provider providing services to the consumer under this chapter;
(e) The department's obligation to comply with the federal medicaid
statute and regulations and the terms of any community-based waiver
granted by the federal department of health and human services and to
ensure federal financial participation in the provision of the
services; and
(f) The legislature's right to make programmatic modifications to
the delivery of state services under this title, including standards of
eligibility of consumers and individual providers participating in the
programs under this title, and the nature of services provided. The
governor shall not enter into, extend, or renew any agreement under
this chapter that does not expressly reserve the legislative rights
described in this subsection (6)(f).
(7) Except as provided in subsection (8) of this section, at the
request of the exclusive bargaining representative, the governor or the
governor's designee appointed under chapter 41.80 RCW shall engage in
collective bargaining, as defined in RCW 41.56.030(4), with the
exclusive bargaining representative over employer contributions to the
training partnership for the costs of: (a) Meeting all training and
peer mentoring required under this chapter and chapter 18.-- RCW (the
new chapter created in section 29 of this act); and (b) other training
intended to promote the career development of individual providers.
(8) The governor or the governor's designee appointed under chapter
41.80 RCW shall engage in collective bargaining, as defined in RCW
41.56.030(4), with the exclusive bargaining representative over the
payment of wages by the employer to a long-term care worker for time
related to the receipt of training under RCW 74.39A.340 or 74.39A.350
only at the request of the governor or the governor's designee.
(9)(a) The state, the department, the authority, the area agencies
on aging, or their contractors under this chapter may not be held
vicariously or jointly liable for the action or inaction of any
individual provider or prospective individual provider, whether or not
that individual provider or prospective individual provider was
included on the authority's referral registry or referred to a consumer
or prospective consumer. The existence of a collective bargaining
agreement, the placement of an individual provider on the referral
registry, or the development or approval of a plan of care for a
consumer who chooses to use the services of an individual provider and
the provision of case management services to that consumer, by the
department or an area agency on aging, does not constitute a special
relationship with the consumer.
(b) The members of the board are immune from any liability
resulting from implementation of this chapter.
(((9))) (10) Nothing in this section affects the state's
responsibility with respect to unemployment insurance for individual
providers. However, individual providers are not to be considered, as
a result of the state assuming this responsibility, employees of the
state.
NEW SECTION. Sec. 26 A new section is added to chapter 70.128
RCW to read as follows:
(1) Adult family homes may participate in a voluntary adult family
home certification program through the University of Washington
geriatric education center. In addition to the minimum qualifications
required under RCW 70.128.120, individuals participating in the
voluntary adult family home certification program must complete fifty-two hours of class requirements as established by the University of
Washington geriatric education center. Subjects covered by the class
requirements must include: Specific age-related physical or mental
health conditions that can be prevented, postponed, or alleviated by a
health promotion intervention; how to establish health promotion
programs in residential settings and communities; preventing falls;
addressing health issues of aging families; and issues and health
concerns of ethnic older adults and those with developmental
disabilities.
(2) Individuals completing the requirements of RCW 70.128.120 and
the voluntary adult family home certification program shall be issued
a certified adult family home license by the department.
(3) The department shall adopt rules to implement this section.
NEW SECTION. Sec. 27 A new section is added to chapter 74.39A
RCW to read as follows:
A biological, step, or adoptive parent who is the individual
provider only for his or her developmentally disabled son or daughter
must receive twelve hours of training relevant to the needs of adults
with developmental disabilities within the first one hundred twenty
days of becoming an individual provider. This section applies only to
parents who become such individual providers on or after January 1,
2010.
NEW SECTION. Sec. 28 The following acts or parts of acts are
each repealed:
(1) RCW 18.20.230 (Training standards review -- Proposed
enhancements) and 1999 c 372 s 3 & 1998 c 272 s 2; and
(2) RCW 70.128.210 (Training standards review -- Delivery system -- Issues reviewed -- Report to the legislature) and 1998 c 272 s 3.
NEW SECTION. Sec. 29 Sections 1 through 11 of this act
constitute a new chapter in Title
NEW SECTION. Sec. 30 Section 12 of this act expires July 1,
2008.
NEW SECTION. Sec. 31 Section 13 of this act takes effect July 1,
2008.
NEW SECTION. Sec. 32 If specific funding for the purposes of
this act, referencing this act by bill or chapter number, is not
provided by June 30, 2008, in the omnibus appropriations act, this act
is null and void."
ESHB 2693 -
By Senator
On page 1, line 1 of the title, after "workers;" strike the remainder of the title and insert "amending RCW 74.39A.009, 74.39A.240, 70.127.100, 18.20.110, 70.128.090, 74.39A.050, 18.20.270, 70.128.230, 74.39A.340, and 74.39A.350; reenacting and amending RCW 18.130.040, 18.130.040, and 74.39A.270; adding a new section to chapter 74.39 RCW; adding a new section to chapter 70.128 RCW; adding a new section to chapter 74.39A RCW; adding a new chapter to Title 18 RCW; creating a new section; repealing RCW 18.20.230 and 70.128.210; providing an effective date; and providing an expiration date."