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Long-Term Care - Dept of Social and Health Services - Current Law

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 (WA Cares) and 13 contracted Area Agencies on Aging.

Agency Mission

To transform lives by promoting choice, independence, and safety through innovative services.
Request 10,613,696,000
Net change from current biennium 5,284,486,400 Increase
Percent change from current biennium 99.2% Increase

Program Level Summary

Fund Title Actual Estimated Proposed
Actual Estimated Estimated Proposed Proposed
General Fund - Federal 2,291,213,704 2,449,504,334 878,705,081 2,806,925,000 2,872,874,000
General Fund - Private/Local 18,570,405 22,106,144 7,170,546 25,886,000 27,833,000
General Fund - State 1,252,505,863 1,317,531,544 575,311,614 2,310,807,000 2,386,124,000
Residential Services and Support Account - Nonappropriated 24,672
State Agency Office Relocation Pool Account - Nonappropriated 937,000
Adult Family Home Account - Nonappropriated 275,981 80,546 13,810
Information Technology Investment Revolving Account - Nonappropriated 175,151
Disaster Response Account - State (14,329,525)
Traumatic Brain Injury Account - State 1,573,558 1,908,430 312,878 2,792,000 2,794,000
Budget Stabilization Account - State 97,124,582
Pension Funding Stabilization Account - State 6,196,000
Skilled Nursing Facility Net Trust Fund - State 57,149,411 53,799,872 17,690,425 66,680,000 66,680,000
Long-Term Services & Supports Trust Acct - State 1,948,098 3,818,516 1,056,037 17,005,000 27,296,000
Annual Total 3,713,165,076 3,848,949,209 1,480,260,391 5,230,095,000 5,383,601,000

Operating Budget: Change from Preceding Biennium

Actual Estimated Proposed
Amount Percent Amount Percent Amount Percent
1,649,567,929 31.4% (1,576,515,379) (22.8%) 5,284,486,400 99.2%

Employment Summary

  Actual Estimated Proposed
  2020-21 Actual 2021-22 Estimated 2022-23 Estimated 2023-24 Proposed 2024-25 Proposed
FTE Staff Years 2,243.2 2,272.3 2,387.2 2,655.0 2,740.0