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Agency Recommendation Summaries

Department of Health - Health Systems Quality Assurance

  Average Annual FTEs Near General Fund State Other Funds Total Funds
  (Dollars in Thousands)
Current Budget 581.8 33,612 239,181 272,793
2025-27 Maintenance Level 736.3 33,704 264,269 297,973
Difference from 2025-27 Original 154.5 92 25,088 25,180
% Change from 2025-27 Original 26.6% 0.27% 10.5% 9.2%

2026 Policy Other Changes

Administrative Reduction 0.0 (12) 0 (12)
Ambulance Services 0.0 (986) 986 0
Certificate of Need 1.8 0 532 532
Forensic Nurse Exam Coord 0.0 (261) 0 (261)
Increased AGO Fees 1.0 0 120 120
Nurse Delegation Improvement 0.0 0 86 86
Nurse Preceptor Grant Reduction 0.0 (1,479) 0 (1,479)
OTP Accrediting Body Sustainability 2.2 0 887 887
WMC Investigations Workload 0.60 0 211 211
2026 Policy Other Changes Total 5.6 (2,738) 2,822 84
Total Policy Changes 5.6 (2,738) 2,822 84
2026 Policy Level 741.9 30,966 267,091 298,057
Difference from 2025-27 Original 160.1 (2,646) 27,910 25,264
% Change from 2025-27 Original 27.5% (7.9%) 11.7% 9.3%

Policy Changes

Administrative Reduction

Funding is reduced to reflect a reduction in administrative services. (General Fund - State)

Ambulance Services

One-time funding for ambulance services in the health district serving the Coyote Ridge Corrections Center is moved from General FundState to the Emergency Medical Services and Trauma Care Systems Trust Account. (Emer Med Ser/Trauma Care Sys Trust - State, General Fund - State)

Certificate of Need

Funding is provided one time to sustain operations of the Certificate of Need program until fee increases are implemented in fiscal year 2027. (Health Professions Account - State)

Forensic Nurse Exam Coord

Savings are achieved by reducing the administrative support for the Forensic Nurse Examiner Coordination workgroup established in 2024. (General Fund - State)

Increased AGO Fees

Funding is provided for the increased demand for Attorney General services related to the Charity Care Program due to the increased eligible populations for charity care in Washinton. (Hospital Data Collection Account - State)

Nurse Delegation Improvement

Nurse delegation allows credentialed and trained Nursing Assistants and Home Care Aides working in Department of Social and Health Services Community-Based Residential settings to perform certain tasks that would otherwise have to be performed by a licensed nurse. Funding is provided to streamline the nurse delegation regulatory process, reduce confusion for providers, and ensure that delegation standards can be updated more responsively to meet evolving health care needs. (Health Professions Account - State)

Nurse Preceptor Grant Reduction

Savings are achieved by reducing the available grants for nursing supervisors by one-half. (General Fund - State)

OTP Accrediting Body Sustainability

Funding is provided one time to sustain operations of the Opioid Treatment Provider Accreditation program until fees are established in fiscal year 2027. (General Fund - Local, General Fund - Private/Local, Health Professions Account - State)

WMC Investigations Workload

Funding is provided for an additional FTE staff to address the significant increases in the workload for investigations. (Health Professions Account - State)