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Bill

SB 5407

Delaying the rebasing of the nursing home payment rates to 2028.

2025-2026 Regular Session Introduced by T'wina Nobles and 2 co-sponsors

Washington delays nursing home payment rate rebasing from current schedule to 2028, extending current reimbursement methodology for approximately three more years.

First reading, referred to Ways & Means.
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Bill Summary · SB 5407

Legislative bill overview

SB 5407 delays the rebasing of nursing home payment rates in Washington state from their currently scheduled date to 2028. The rebasing process recalibrates how the state reimburses nursing homes for care based on updated cost data. This delay extends the period during which current payment methodologies remain in effect.

Why is this important

Nursing home payment rates directly affect facility operations, staffing levels, and care quality. A delayed rebasing can impact whether facilities can sustain operations, hire adequate staff, or invest in improvements—while potentially affecting state budget pressures in the near term. The outcome depends heavily on whether current rates are adequate or inadequate for actual operational costs.

Potential points of contention

  • Facility financial viability: Nursing homes may argue that delayed rebasing prevents them from adjusting to inflation and rising labor costs, while others may contend current rates are already sufficient
  • Quality of care implications: Stakeholders differ on whether rate constraints improve fiscal responsibility or compromise staffing and resident care standards
  • State budget timing: The delay shifts fiscal obligations, potentially benefiting the state budget short-term but creating larger adjustment needs in 2028

Compiled from official sources — confirm details with the bill’s official record.

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