Washington SB 5507: Exempting a manufacturer of certain dialysate and dialysis devices used by home dialysis patients or a manufacturer's agent from the pharmacy practices act and legend drug act.

Bill Text

AN ACT Relating to providing coverage for massage therapy under 1
medical assistance plans; and reenacting and amending RCW 74.09.520.2
BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF WASHINGTON:3
Sec. 1. RCW 74.09.520 and 2023 c 315 s 1 and 2023 c 299 s 1 are 4
each reenacted and amended to read as follows:5
(1) The term "medical assistance" may include the following care 6
and services subject to rules adopted by the authority or department: 7
(a) Inpatient hospital services; (b) outpatient hospital services; 8
(c) other laboratory and X-ray services; (d) nursing facility 9
services; (e) physicians' services, which shall include prescribed 10
medication and instruction on birth control devices; (f) medical 11
care, or any other type of remedial care as may be established by the 12
secretary or director; (g) home health care services; (h) private 13
duty nursing services; (i) dental services; (j) physical and 14
occupational therapy and related services; (k) prescribed drugs, 15
dentures, and prosthetic devices; and eyeglasses prescribed by a 16
physician skilled in diseases of the eye or by an optometrist, 17
whichever the individual may select; (l) personal care services, as 18
provided in this section; (m) hospice services; (n) other diagnostic, 19
screening, preventive, and rehabilitative services; and (o) like 20
services when furnished to a child by a school district in a manner 21
S-0202.1
SENATE BILL 5507
State of Washington 69th Legislature 2025 Regular Session
By Senators Cleveland, Hasegawa, Saldaña, and Valdez
Read first time 01/27/25. Referred to Committee on Health & Long-
Term Care.
p. 1 SB 5507

consistent with the requirements of this chapter. For the purposes of 1
this section, neither the authority nor the department may cut off 2
any prescription medications, oxygen supplies, respiratory services, 3
or other life-sustaining medical services or supplies.4
"Medical assistance," notwithstanding any other provision of law, 5
shall not include routine foot care, or dental services delivered by 6
any health care provider, that are not mandated by Title XIX of the 7
social security act unless there is a specific appropriation for 8
these services.9
(2) The department shall adopt, amend, or rescind such 10
administrative rules as are necessary to ensure that Title XIX 11
personal care services are provided to eligible persons in 12
conformance with federal regulations.13
(a) These administrative rules shall include financial 14
eligibility indexed according to the requirements of the social 15
security act providing for medicaid eligibility.16
(b) The rules shall require clients be assessed as having a 17
medical condition requiring assistance with personal care tasks. 18
Plans of care for clients requiring health-related consultation for 19
assessment and service planning may be reviewed by a nurse.20
(c) The department shall determine by rule which clients have a 21
health-related assessment or service planning need requiring 22
registered nurse consultation or review. This definition may include 23
clients that meet indicators or protocols for review, consultation, 24
or visit.25
(3) The department shall design and implement a means to assess 26
the level of functional disability of persons eligible for personal 27
care services under this section. The personal care services benefit 28
shall be provided to the extent funding is available according to the 29
assessed level of functional disability. Any reductions in services 30
made necessary for funding reasons should be accomplished in a manner 31
that assures that priority for maintaining services is given to 32
persons with the greatest need as determined by the assessment of 33
functional disability.34
(4) Effective July 1, 1989, the authority shall offer hospice 35
services in accordance with available funds.36
(5) For Title XIX personal care services administered by the 37
department, the department shall contract with area agencies on aging 38
or may contract with a federally recognized Indian tribe under RCW 39
74.39A.090(3):40
p. 2 SB 5507

(a) To provide case management services to individuals receiving 1
Title XIX personal care services in their own home; and2
(b) To reassess and reauthorize Title XIX personal care services 3
or other home and community services as defined in RCW 74.39A.009 in 4
home or in other settings for individuals consistent with the intent 5
of this section:6
(i) Who have been initially authorized by the department to 7
receive Title XIX personal care services or other home and community 8
services as defined in RCW 74.39A.009; and9
(ii) Who, at the time of reassessment and reauthorization, are 10
receiving such services in their own home.11
(6) In the event that an area agency on aging or federally 12
recognized Indian tribe is unwilling to enter into or satisfactorily 13
fulfill a contract or an individual consumer's need for case 14
management services will be met through an alternative delivery 15
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