This bill amends RCW 71A.18.060 to add procedural budget requirements. It requires the governor and the Legislature to consider expenditures for the individual and family services waiver and the basic plus waiver for inclusion in maintenance level budgets beginning with the governor’s December 2022 budget proposal, and it requires the Department of Social and Health Services (DSHS) to annually submit budget requests for those waiver expenditures. The bill also requires DSHS, within existing appropriations, to annually submit a budget request for expenditures related to the number of individuals expected to reside in state-operated living alternatives administered by the Developmental Disabilities Administration, beginning with the governor’s December 2022 budget proposal. It further requires that expenditures for the individual and family services waiver be included in maintenance level budgets beginning with the governor’s December 2026 budget proposal. All expenditures are subject to amounts specifically appropriated. The amendment replaces references to “Title 71A RCW” with “this title” and cites 2022 c 219 s 3. This is a procedural change to existing law focused on budgeting and reporting requirements for DSHS and the Legislature; it does not create new crimes, change penalties, or describe operational mechanisms. Definitions of the specific program terms and any other statutory changes or details about eliminating wait lists are not provided in the extracted text.

If enacted, the main practical effect will be to force regular budgeting attention to services for people with developmental disabilities: the Department of Social and Health Services must annually request money for the individual and family services waiver, the basic plus waiver, and for the number of people expected to live in state‑operated living alternatives, and the governor and Legislature must consider those waiver costs when forming maintenance level budgets (with a requirement to include the individual and family services waiver in maintenance budgets beginning with the governor’s December 2026 proposal). That will increase the visibility of these costs and make it more likely the Legislature has to confront funding choices for these programs, and it adds ongoing work for DSHS and the Developmental Disabilities Administration to prepare and justify these requests. The bill does not itself guarantee new funding or spell out how wait lists would be eliminated, and all spending still depends on amounts the Legislature actually appropriates. For state‑operated living alternatives the department must submit budget requests within existing appropriations, which could force internal tradeoffs or added workload without extra money. Because the text does not define key terms or lay out implementation steps, it is uncertain how much actual change in services or wait‑list reductions will follow.