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Home » Budget » State budgets » 2021-23 Gov. Inslee's proposed budgets » Agency detail budgets » Agency detail budgets » Long-Term Care - Dept of Social and Health Services

Long-Term Care - Dept of Social and Health Services

RCW 18.20, .51, 74.08, .09, .34, .36, .38, .42, .46

The Aging and Long Term Support Administration provides a broad range of services that assist individuals with a disability and seniors to live in a setting of their choice, usually their own homes or other community-based settings. Nursing facility care is available to those clients who prefer that option. The program also promotes and protects the rights, security, and well-being of individuals living in these settings and helps ensure that vulnerable adults are protected from abuse and neglect. These services are designed to assist individuals needing long term services and supports to remain as independent as possible and to promote choice. Special emphasis is placed on community-based services that empower individuals in need of services to remain in their own home or other community-based setting, which reduces the risk of placement in a more restrictive living environment. The department administers long-term services and supports through the Home and Community Service, Residential Care Services, Adult Protective Services, Office of the Deaf and Hard of Hearing, Long Term Care Trust and 13 contracted Area Agencies on Aging.

Agency Mission

To transform lives by promoting choice, independence and safety through innovative services.
Request 7,631,577,000
Net change from current biennium 2,945,201,147 Increase
Percent change from current biennium 62.8% Increase

Program Level Summary

Fund Title Actual Estimated Proposed
Actual Estimated Estimated Proposed Proposed
General Fund - Federal 1,483,689,581 1,847,805,909 917,717,946 2,001,916,000 2,084,499,000
General Fund - Private/Local 16,583,266 19,145,846 8,339,849 19,039,000 18,765,000
General Fund - State 1,180,541,764 1,234,338,208 556,662,203 1,628,701,000 1,728,838,000
Disaster Response Account - State 15,479,525 (15,479,525)
Traumatic Brain Injury Account - State 1,353,313 1,435,424 430,956 2,271,000 2,273,000
Traumatic Brain Injury Account - Nonappropriated 521,000 521,000
Pension Funding Stabilization Account - State 6,196,000 6,196,000 1,858,000
Skilled Nursing Facility Net Trust Fund - State 66,680,000 66,435,859 23,692,788 66,680,000 66,680,000
Long-Term Services & Supports Trust Acct - State 679,529 529,845 3,877,000 6,996,000
Industrial Insurance Premium Refund Account - Nonappropriated 190,273
State Agency Office Relocation Pool Account - Nonappropriated 268,287 948,000
Adult Family Home Account - Nonappropriated 95,603 63,890
Annual Total 2,755,502,483 3,192,559,903 1,493,815,950 3,723,005,000 3,908,572,000

Operating Budget: Change from Preceding Biennium

Actual Estimated Proposed
Amount Percent Amount Percent Amount Percent
847,866,367 19.2% (570,161,743) (10.8%) 2,945,201,147 62.8%

Employment Summary

  Actual Estimated Proposed
  2018-19 Actual 2019-20 Estimated 2020-21 Estimated 2021-22 Proposed 2022-23 Proposed
FTE Staff Years 2,111.9 2,238.6 2,187.9 2,567.1 2,442.0