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Providers warn proposed delay to nursing‑home rate rebase would force closures and reduce access
Summary
An amendment to SHB 14 76 would delay and alter the timing and cost base for the Medicaid nursing‑facility rebase; providers testified the freeze would leave payments out of step with rising wages and supplies and could force facility closures and hospital backlogs.
Legislative staff briefed the committee on an amendment to Substitute House Bill 14 76 that changes the cost‑report year used for the next Medicaid nursing‑facility rate rebase. The briefing said the amendment requires use of 2024 cost reports for the delayed rebase (instead of 2025), and corrected a drafting error that would have unintentionally reverted 2026–27 payments to a lower average. Staff said the combined effect lowers the immediate state cost of delaying the rebase but still leaves a net budget impact across the 2025–2029 window.
Staff noted the nursing‑facility rate is composed of direct care (about 67% of the rate), indirect care (about 20%),…
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