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AFH COUNCIL UPDATES

December 5th, 2025

Executive Director Message

Dear Friends –

Hoping that each and all our valued Members, and the residents they provide care for so meaningfully, enjoyed a restful, safe, and meaningful Thanksgiving Holiday.

The AFHC staff team enjoyed a potluck event together at our office on the Tuesday before – and apart from delicious eats, the time to spend and share together as a team was so welcome and appreciated. Thank you AFHC staff team – every day you show up and give “your all” to assist our AFH Provider members in being successful – you make magic happen for members daily!

Some of our activities this past week have included:

  • Meeting with Department of Social & Health Services (DSHS) Home & Community Services (HCS) program staff to continue our work in addressing CARE assessment challenges for our members.

  • Meeting with DOH (Department of Health) leaders and WHCA, Leading Age, other stakeholders on Home Care Aide program challenges/opportunities and TB Testing efficiencies.

  • “Meet and Greet” with new DSHS Secretary Angela Ramirez, DOH Secretary Dennis Worsham, and new Health Care Authority (HCA) Director Ryan Moran director; all three were appointed by Governor Ferguson this year, and it was a special honor for me to speak directly with Secretary Ramirez and Secretary Worsham about our members’ challenges and opportunities to work better together in the future with both agencies.

  • Completion of the 2025 AFHC Board Election nomination process – election voting will open on December 8, 2025, and remain open through January 8, 2026, at 5 pm for our members to participate. More information will be on our Website and Facebook links on the election process/participation.

  • Our December Statewide Chapter Meeting where we met together virtually with our Affiliate Business Partners, Members, and AFHC Board leaders and introduced our new Regulatory Support Director, Maleia Press, from DSHS/RCS.  

  • Capitol Visit with AFHC Advocacy, Marketing & Communications, and Education staff leaders – great opportunity to learn about both the House and Senate Chambers, Temple of Justice, and to visit and plan for our March 2, 2026, Legislative Day there in the Capitol’s Columbia Room!

Additionally, one issue we are having immediate conversations on was shared at our December Virtual Statewide Chapter meeting this week: a new RCS interpretation on Insurance Policy limitations for our members and citing or warning members if their insurance policies have sub limits for certain acts/omissions (such as sexual abuse) that are lower than the mandatory overall limitations in WAC. My sincere thanks to one of our valued Affiliate Business Partners, Kristie English, with English Insurance Group. Kristie, and other insurance professionals, reached out to and met with our AFHC Regulatory Support team to share the challenge she is seeing and see how they and the AFHC can assist in resolving this challenge.    

This unilateral RCS action creates a serious issue and creates an immediate barrier to our members’ ability to obtain and afford liability insurance as required by state law. We have addressed our concern directly to RCS’s Amy Abbott, and will be meeting and sharing our opposition to changing this long-standing practice arbitrarily without any WAC change. We understand the State’s concern with sub limits as the State is often a co-defendant in lawsuits where Assisted Living, Nursing Home, or AFH related allegations are the focus of the suit. Jury verdicts and settlement recoveries in tort cases are increasing in number and amount of the award, so the State is concerned with insurers claiming low limits when the State is forced to cover the difference.

Notwithstanding that concern of the State, unilaterally changing course with no due process, notice, or opportunity to be heard as to why this new interpretation exists is not appropriate. We will be raising this issue to HCLA Assistant Secretary Bea Rector as well as new Secretary Ramirez, along with the Insurance Commissioner and legislative leaders. Our thanks to our Affiliate Business Partners who are Insurance industry leaders who are partnering with us in advocating effectively on this issue.

As we welcome December, a month of holiday seasons for many of us, we salute all our valued providers, dedicated caregivers, and those who reside and are cared for in our outstanding Adult Family Homes across the great state of Washington. Thank you for the opportunity to serve you.

Best,

Bob

AFHC Trainings and Events

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