WA HB1476

Freezes Medicaid nursing home reimbursement rates at fiscal year 2025 levels for fiscal years 2026 and 2027, maintaining the weighted average of direct care and indirect care components through a rate add-on

Postpones the scheduled rebasing of direct care and indirect care rate components from fiscal year 2027 to fiscal year 2028, with the rebase to be conducted using calendar year 2024 cost report data

Amends RCW 74.46.561 to modify the nursing home payment rate methodology established in 2016, which includes direct care, indirect care, and capital components

Declares an emergency, making the act effective immediately upon passage to address state fiscal constraints and budget predictability needs

Includes a severability clause ensuring that if any provision is held invalid, the remainder of the act continues in effect