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Washington State Institute for Public Policy

Traumatic Brain Injury Services

The 2023 Washington State Legislature directed WSIPP to study the potential need for developing specialized long-term services and supports for adults with traumatic brain injuries (TBIs). At a minimum, the study must include the following:

  • The demographics of adults with traumatic brain injuries in the state who are anticipated to require long-term services and supports, including an examination of those who are likely to be eligible for Medicaid long-term services and supports;
  • The industry standards of providing long-term care services and supports to individuals with traumatic brain injuries; and
  • Other states' methods to provide long-term services and support to individuals with TBIs including the rates paid for these services and a description of any specialized facilities established to deliver these services.
The report is due to the governor and the legislature by June 30, 2025.
Nathan Adams, (360) 664-9070 View Legislation

Hospital Staffing Standards

The 2023 Washington State Legislature directed WSIPP to study hospital staffing standards for direct-care registered nurses and direct-care nursing assistants. As part of the study, WSIPP must review current and historical staffing plans filed with the Washington State Department of Health (DOH) and describe the following:
  • Timeliness and completeness of filed forms;
  • Format of filed forms;
  • Patient care unit nursing staff assignments related to the maximum number of patients to which a direct care nursing or nursing assistant may be assigned;
  • Descriptive statistics on submissions by hospital unit type;
  • Trends over time, if any;
  • Legal minimum staffing standards for registered nurses and nursing assistants in other jurisdictions; and
  • Relevant professional association guidance, recommendations, or best practices.
The report is due to DOH and the legislature by June 30, 2024.
Cory Briar, (360) 664-9801 View Legislation