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HB 1476

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

2025-2026 Regular Session Introduced by Timm Ormsby

HB 1476 postpones nursing home payment rate rebasing to 2028, delaying cost-based rate adjustments that determine state facility reimbursement levels.

Referred to Rules 2 Review.
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Bill Summary · HB 1476

Legislative bill overview

HB 1476 postpones the scheduled rebasing of Washington state's nursing home payment rates from an earlier date to 2028. Rebasing is the process of recalculating payment rates to facilities based on updated cost data and operational metrics. This delay extends the current payment rate structure for nursing homes by several years.

Why is this important

Nursing home payment rates directly affect facility operations, staffing levels, and care quality. Delaying rebasing impacts how much money facilities receive from the state, which influences their ability to hire and retain staff, maintain facilities, and provide services. Both nursing homes and state budgets depend on these rate adjustments, making the timing economically significant.

Potential points of contention

  • Facility financial strain: Nursing homes may argue that delayed rebasing leaves them operating under outdated cost calculations, inadequately covering inflation and rising labor costs, potentially compromising care quality
  • State budget relief: The delay reduces near-term state Medicaid spending, benefiting the state budget but potentially shifting costs onto facilities or workers through wage pressures
  • Care quality and staffing: Extended delays in rate adjustments could limit facilities' ability to improve wages and recruitment, exacerbating existing staffing shortages in the sector

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

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