The public guardianship administrator is
authorized to establish and administer a public guardianship
program as follows:
(1)(a) The office shall contract with public or private
entities or individuals to provide public guardianship services
to persons age eighteen or older whose income does not exceed two
hundred percent of the federal poverty level determined annually
by the United States department of health and human services or
who are receiving long-term care services through the Washington
state department of social and health services. Neither the
public guardianship administrator nor the office may act as
public guardian or limited guardian or act in any other
representative capacity for any individual.
(b) The office is exempt from RCW 39.29.008 because the
primary function of the office is to contract for public
guardianship services that are provided in a manner consistent
with the requirements of this chapter. The office shall
otherwise comply with chapter 39.29 RCW and is subject to audit
by the state auditor.
(c) Public guardianship service contracts are dependent upon
legislative appropriation. This chapter does not create an
entitlement.
(d) The initial implementation of public guardianship
services shall be on a pilot basis in a minimum of two
geographical areas that include one urban area and one rural
area. There may be one or several contracts in each area.
(2) The office shall, within one year of the commencement of
its operation, adopt eligibility criteria to enable it to serve
individuals with the greatest need when the number of cases in
which courts propose to appoint a public guardian exceeds the
number of cases in which public guardianship services can be
provided. In adopting such criteria, the office may consider
factors including, but not limited to, the following: Whether an
incapacitated individual is at significant risk of harm from
abuse, exploitation, abandonment, neglect, or self-neglect; and
whether an incapacitated person is in imminent danger of loss or
significant reduction in public services that are necessary for
the individual to live successfully in the most integrated and
least restrictive environment that is appropriate in light of the
individual's needs and values.
(3) The office shall adopt minimum standards of practice for
public guardians providing public guardianship services. Any
public guardian providing such services must be certified by the
certified professional guardian board established by the supreme
court.
(4) The office shall require a public guardian to visit each
incapacitated person for which public guardianship services are
provided no less than monthly to be eligible for compensation.
(5) The office shall not petition for appointment of a
public guardian for any individual. It may develop a proposal
for the legislature to make affordable legal assistance available
to petition for guardianships.
(6) The office shall not authorize payment for services for
any entity that is serving more than twenty incapacitated persons
per certified professional guardian.
(7) The office shall monitor and oversee the use of state
funding to ensure compliance with this chapter.
(8) The office shall collect uniform and consistent basic
data elements regarding service delivery. This data shall be
made available to the legislature and supreme court in a format
that is not identifiable by individual incapacitated person to
protect confidentiality.
(9) The office shall report to the legislature on how
services other than guardianship services, and in particular
services that might reduce the need for guardianship services,
might be provided under contract with the office by December 1,
2009. The services to be considered should include, but not be
limited to, services provided under powers of attorney given by
the individuals in need of the services.
(10) The office shall require public guardianship providers
to seek reimbursement of fees from program clients who are
receiving long-term care services through the department of
social and health services to the extent, and only to the extent,
that such reimbursement may be paid, consistent with an order of
the superior court, from income that would otherwise be required
by the department to be paid toward the cost of the client's
care. Fees reimbursed shall be remitted by the provider to the
office unless a different disposition is directed by the public
guardianship administrator.
(11) The office shall require public guardianship providers
to certify annually that for each individual served they have
reviewed the need for continued public guardianship services and
the appropriateness of limiting, or further limiting, the
authority of the public guardian under the applicable
guardianship order, and that where termination or modification of
a guardianship order appears warranted, the superior court has
been asked to take the corresponding action.
(12) The office shall adopt a process for receipt and
consideration of and response to complaints against the office
and contracted providers of public guardianship services. The
process shall include investigation in cases in which
investigation appears warranted in the judgment of the
administrator.
(13) The office shall contract with the Washington state
institute for public policy for a study. An initial report is
due two years following July 22, 2007, and a second report by
December 1, 2011. The study shall analyze costs and off-setting
savings to the state from the delivery of public guardianship
services.
(14) The office shall develop standardized forms and
reporting instruments that may include, but are not limited to,
intake, initial assessment, guardianship care plan, decisional
accounting, staff time logs, changes in condition or abilities of
an incapacitated person, and values history. The office shall
collect and analyze the data gathered from these reports.
(15) The office shall identify training needs for guardians
it contracts with, and shall make recommendations to the supreme
court, the certified professional guardian board, and the
legislature for improvements in guardianship training. The
office may offer training to individuals providing services
pursuant to this chapter or to individuals who, in the judgment
of the administrator or the administrator's designee, are likely
to provide such services in the future.
(16) The office shall establish a system for monitoring the
performance of public guardians, and office staff shall make
in-home visits to a randomly selected sample of public
guardianship clients. The office may conduct further monitoring,
including in-home visits, as the administrator deems appropriate.
For monitoring purposes, office staff shall have access to any
information relating to a public guardianship client that is
available to the guardian.
(17) During the first five years of its operations, the
office shall issue annual reports of its activities.
[2009 c 117 § 1; 2007 c 364 § 4.]