The legislature finds that
administration of chapter 71.05 RCW and this chapter can be most
efficiently and effectively implemented as part of the regional
support network defined in RCW 71.24.025. For this reason, the
legislature intends that the department and the regional support
networks shall work together to implement chapter 71.05 RCW as
follows:
(1) By June 1, 2006, regional support networks shall
recommend to the department the number of state hospital beds
that should be allocated for use by each regional support
network. The statewide total allocation shall not exceed the
number of state hospital beds offering long-term inpatient care,
as defined in this chapter, for which funding is provided in the
biennial appropriations act.
(2) If there is consensus among the regional support
networks regarding the number of state hospital beds that should
be allocated for use by each regional support network, the
department shall contract with each regional support network
accordingly.
(3) If there is not consensus among the regional support
networks regarding the number of beds that should be allocated
for use by each regional support network, the department shall
establish by emergency rule the number of state hospital beds
that are available for use by each regional support network. The
emergency rule shall be effective September 1, 2006. The primary
factor used in the allocation shall be the estimated number of
((acutely and chronically mentally ill)) adults with acute and
chronic mental illness in each regional support network area,
based upon population-adjusted incidence and utilization.
(4) The allocation formula shall be updated at least every
three years to reflect demographic changes, and new evidence
regarding the incidence of acute and chronic mental illness and
the need for long-term inpatient care. In the updates, the
statewide total allocation shall include (a) all state hospital
beds offering long-term inpatient care for which funding is
provided in the biennial appropriations act; plus (b) the
estimated equivalent number of beds or comparable diversion
services contracted in accordance with subsection (5) of this
section.
(5) The department is encouraged to enter performance-based
contracts with regional support networks to provide some or all
of the regional support network's allocated long-term inpatient
treatment capacity in the community, rather than in the state
hospital. The performance contracts shall specify the number of
patient days of care available for use by the regional support
network in the state hospital.
(6) If a regional support network uses more state hospital
patient days of care than it has been allocated under subsection
(3) or (4) of this section, or than it has contracted to use
under subsection (5) of this section, whichever is less, it shall
reimburse the department for that care. The reimbursement rate
per day shall be the hospital's total annual budget for long-term
inpatient care, divided by the total patient days of care assumed
in development of that budget.
(7) One-half of any reimbursements received pursuant to
subsection (6) of this section shall be used to support the cost
of operating the state hospital and, during calendar year 2009,
implementing new services that will enable a regional support
network to reduce its utilization of the state hospital. The
department shall distribute the remaining half of such
reimbursements among regional support networks that have used
less than their allocated or contracted patient days of care at
that hospital, proportional to the number of patient days of care
not used.
[2009 c 564 § 952; 2006 c 333 § 107; 1989 c 205 § 6.]
NOTES:
Effective date -- 2009 c 564: See note following RCW 2.68.020.
RCW 71.24.310
Administration of chapters 71.05 and 71.24 RCW through regional support networks -- Implementation of chapter 71.05 RCW (as amended by 2009 c 564).
The legislature finds that
administration of chapter 71.05 RCW and this chapter can be most
efficiently and effectively implemented as part of the regional
support network defined in RCW 71.24.025. For this reason, the
legislature intends that the department and the regional support
networks shall work together to implement chapter 71.05 RCW as
follows:
(1) By June 1, 2006, regional support networks shall
recommend to the department the number of state hospital beds
that should be allocated for use by each regional support
network. The statewide total allocation shall not exceed the
number of state hospital beds offering long-term inpatient care,
as defined in this chapter, for which funding is provided in the
biennial appropriations act.
(2) If there is consensus among the regional support
networks regarding the number of state hospital beds that should
be allocated for use by each regional support network, the
department shall contract with each regional support network
accordingly.
(3) If there is not consensus among the regional support
networks regarding the number of beds that should be allocated
for use by each regional support network, the department shall
establish by emergency rule the number of state hospital beds
that are available for use by each regional support network. The
emergency rule shall be effective September 1, 2006. The primary
factor used in the allocation shall be the estimated number of
((acutely and chronically mentally ill)) adults with acute and
chronic mental illness in each regional support network area,
based upon population-adjusted incidence and utilization.
(4) The allocation formula shall be updated at least every
three years to reflect demographic changes, and new evidence
regarding the incidence of acute and chronic mental illness and
the need for long-term inpatient care. In the updates, the
statewide total allocation shall include (a) all state hospital
beds offering long-term inpatient care for which funding is
provided in the biennial appropriations act; plus (b) the
estimated equivalent number of beds or comparable diversion
services contracted in accordance with subsection (5) of this
section.
(5) The department is encouraged to enter performance-based
contracts with regional support networks to provide some or all
of the regional support network's allocated long-term inpatient
treatment capacity in the community, rather than in the state
hospital. The performance contracts shall specify the number of
patient days of care available for use by the regional support
network in the state hospital.
(6) If a regional support network uses more state hospital
patient days of care than it has been allocated under subsection
(3) or (4) of this section, or than it has contracted to use
under subsection (5) of this section, whichever is less, it shall
reimburse the department for that care. The reimbursement rate
per day shall be the hospital's total annual budget for long-term
inpatient care, divided by the total patient days of care assumed
in development of that budget.
(7) One-half of any reimbursements received pursuant to
subsection (6) of this section shall be used to support the cost
of operating the state hospital and, during the 2007-2009 fiscal
biennium, implementing new services that will enable a regional
support network to reduce its utilization of the state hospital.
The department shall distribute the remaining half of such
reimbursements among regional support networks that have used
less than their allocated or contracted patient days of care at
that hospital, proportional to the number of patient days of care
not used.
[2009 c 564 § 1810; 2006 c 333 § 107; 1989 c 205 § 6.]
NOTES:
Reviser's note: RCW 71.24.310 was amended twice during the 2009 legislative session, each without reference to the other. For rule of construction concerning sections amended more than once during the same legislative session, see RCW 1.12.025.
Effective date -- 2009 c 564: See note following RCW 2.68.020.
Finding -- Purpose -- Intent -- Severability -- Part headings not law -- Effective dates -- 2006 c 333: See notes following RCW 71.24.016.
Evaluation of transition to regional systems -- 1989 c 205:See note following RCW 71.24.015.