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| | AFH COUNCIL UPDATES January 30th, 2026 |
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| | Executive Director Message |
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| | 2025 EXECUTIVE BOARD ELECTION RESULTS The AFHC held its annual Executive Board Election to fill one At Large (Statewide) position, and three regional board positions — and the results are in! We had an amazing selection of candidates and saw another round of great participation from our membership with votes from across the state. We would like to thank everyone for nominating candidates and each of the candidates for their dedication to ensuring all voices are heard. So without further ado, please congratulate the winning candidates of this year’s 2025 AFHC Executive Board Election! Region Three (Island, San Juan, Skagit, Snohomish, and Whatcom) Winner: Eyob Gebrekidan Region Six (Clallam, Clark, Cowlitz, GH, Jefferson, Lewis, Mason, Pacific, Skamania, Thurston & Wahkiakum) Winner: Michelle Simmons Region Seven (King) Winner: Dan Puravet At-Large (Statewide) Winner: Hope Reffett The newly elected board members will be joining the existing Executive Board and be a part of officer selection at the March 2026 AFHC Executive Board meeting as established in its Bylaws. Please use the links below to see the final vote results/tally, and the AFHC’s current Bylaws adopted by the Board in August, 2024, which establish the requirements for Board membership. Best, Bob |
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| | | Legislative Session Update: Why the Next Six Weeks Matter |
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| There are only about six weeks left in the legislative session, and so much is at stake for Adult Family Homes and the people you care for. This is a “short” session with enormous fiscal pressure, and the decisions made in Olympia over the next several weeks will shape the stability of our community for years to come. The State Budget: Protect What We Have First off, as you all may already know, there is a projected 2–3 billion dollar budget shortfall. Budget leadership has been signaling a maintenance level approach and urging legislators to limit new spending. In other words, they are trying to maintain funding for the things they are already paying for and have no money for anything additional. In this environment, restoring programs already cut last year, including the Meaningful Day Program, would be extremely challenging and is, frankly, unlikely to happen. Many of you have heard this very similar messaging from Rep. Davis who sits on one of the budget committees on Tuesday during the Virtual Lobby Day. With this shortfall, there is a real risk that long term services and supports, including Home and Community Based Services, could become targets for reductions or delays instead of expansion. Adult Family Homes are already entering this session absorbing significant cost increases. Licensing fees doubled from 225 dollars to 450 dollars per bed annually as of July 1, 2025, the Meaningful Day Program was ended last session, devastating many homes and the individuals who relied on those supports, and the legislature swept our civil penalty account last year. Against that backdrop, our number one goal this year is simple: PROTECT, PROTECT, PROTECT what we have and prevent any additional cuts to the Adult Family Home community. The Impact of H.R.1 Another major concern we want to highlight is the fallout from H.R.1. Many may know H.R.1. as either “The Big Beautiful Bill” or “The Big Ugly Bill,” but for long term care in Washington, the impacts are clear and deeply troubling. Earlier this year, Congress passed H.R.1, and the bill threatens the health and well being of thousands of Washington seniors and people with disabilities. This federal law will cut off Medicaid long term care for an estimated 3,000 residents in Nursing Homes and Adult Family Homes and eliminate health coverage for roughly 30,000 Washingtonians, including people with disabilities. As you heard from Representative Jamila Taylor during Tuesday’s Virtual Lobby Day, the Washington State Legislature is working to protect funding for this vulnerable population to the greatest extent possible at the state level. Our Focus in Olympia Our goal in Olympia is to be in constant conversation with legislators from both parties and every region of the state to ensure they understand the critical importance of Adult Family Homes and the services you provide. We are emphasizing three main points in every meeting: • AFHs are a vital part of the long term care continuum, allowing residents to live in true homes, not institutions. • Providers are already stretched thin by rising costs, workforce shortages, and the loss of programs like Meaningful Day. • Any further cuts to Medicaid long term care or HCBS will directly translate into fewer options for residents and more closures in our community. Over the coming weeks, we will continue to keep you updated on key budget decisions, relevant bills, and opportunities to share your stories with lawmakers. Your voices and experiences are essential in making sure Adult Family Homes are not overlooked as the legislature makes difficult choices in a tight budget year. |
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| | | February Learning Lab Highlights |
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| Practical learning for better care, better compliance, and better operations. |
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| The February Learning Lab schedule includes a mix of recurring sessions and focused webinars to support AFH providers with marketing and regulatory guidance for running an Adult Family Home. These sessions are designed to address real questions providers face and to offer practical guidance that can be applied in daily operations. Whether you are looking to strengthen your branding and engagement, better understand regulatory expectations, or navigate day-to-day challenges, the Learning Lab offers opportunities to stay informed, build confidence, and feel supported as you navigate your work. Mornings With Marketing take place on the first and third Thursdays of the month from 8:30–9:00 AM. These sessions are an open space for AFH providers to ask marketing questions and get practical, actionable guidance to strengthen visibility and outreach. Mornings With Member Support are hosted on the second and fourth Thursdays of the month from 8:30–9:30 AM. This is a space to ask compliance-related questions, get regulatory guidance, and receive real-time support from the Council team. Join us on February 12 from 2:00–3:00 PM for Understanding AFH Requirements Under the Death With Dignity Act. Led by our Regulatory Support Director Maleia Press, this webinar will walk providers through what Adult Family Homes are required to do, why these requirements matter, and how to meet compliance expectations with confidence. We’ll wrap up the month on February 25 from 10:00–11:00 AM with a special marketing webinar, Telling Your AFH Story Through Photos. This session will explore how to take authentic, compelling photos that reflect your home’s values, culture, and care, without needing professional equipment. |
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| Learn More On Our Events Page | |
| | AFH Provider Quarterly Connection with HCS & DDCS |
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| We appreciate the over 150 participants in this week’s AFH Provider Quarterly Connection with Home & Community Services and Developmental Disabilities Community Services leaders. We learned about many useful resources for our Adult Family Homes and those who reside in our AFHs statewide, and heard multiple presentations from the Department, AFHC, and others. We also bid a fond farewell to DSHS’s Anna Cavanaugh who is moving out-of-state, but who has years of experience of dedicated work with our providers – we’ll certainly miss Anna! If you missed this important opportunity to hear from HCS and DDCS leadership, see the links below for valuable information shared with our members. |
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| Download Regional HCS Contact List | |
| View Upcoming HCS Trainings | |
| | RCS Seeking Input on Medication Error Reporting Rules |
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| RCS is seeking input to amend or add rules for Adult Family Homes (AFH) and other residential settings. DSHS is holding an interested parties meeting on 02/19/26 and a second meeting on 03/09/26 if needed. The AFHC will be monitoring and participating in these meetings, and welcome all others who have interest. RCS is initiating this rulemaking project to comply with Centers for Medicare and Medicaid Home and Community Based Services Access Rule, Critical Incident Reporting. 42 CFR 441.302(a)(6)(i)(A)(5) requires “Assurance that the State operates and maintains an incident management system that identifies, reports, triages, investigates, resolves, tracks, and trends critical incidents”. In preparing for implementation of the federal rules, RCS must update our rules to require reporting to DSHS medication errors meeting the definition of “critical incident”: “A medication error resulting in a telephone call to, or a consultation with, a poison control center, an emergency department visit, an urgent care visit, a hospitalization, or death”. Current regulations for AFH, ALF, ESF and CCRSS do not require reporting of such incidents. The scope of this project is limited to situations where the poison control or clinical involvement has occurred as described above or the individual has died. You can register to participate at the link below. Please email rcspolicy@dshs.wa.gov if you have any direct questions, or share comments with the AFH Council at maleia@adultfamilyhomecouncil.org or bob@adultfamilyhomecouncil.org. |
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| | March 2, 2026 – AFHC’s In-Person Lobby Day! |
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| | The Adult Family Home Council is excited to have had an outstanding turnout and wonderful engagement at this year’s first Virtual Lobby Day on January 27! And there’s more to come! In-Person Lobby Day – March 2nd Join us at the Capitol Building in Olympia for a full day of advocacy alongside providers and AFH supporters from across the state. This is your chance to share your views and support AFHs statewide with Legislators at the Capitol Building in Olympia. This legislative session is critical for Adult Family Home providers, and your engagement helps amplify our voice and connect with our legislators on key issues such as restoring Meaningful Day funding in adult family homes and ensuring providers’ collective bargaining rights are fully honored as negotiated, addressing Managed Care Organization (MCO) payment issues, and improving processes around TB testing and resident referrals within the Adult Family Home community. These efforts are vital to maintaining and enhancing the quality of care and support for both providers and residents across Washington State. Next week we’ll share links to help you sign up to participate in this all day event, with VIP speakers, and even a fun evening reception sponsored by the Lacey Chapter afterwards for those who are able to stay. Don’t miss the opportunity to be a part of the conversation in Olympia! |
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| | Energize – Adult Family Homes Now Accepting Applications |
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| Don’t miss your opportunity for more efficient heating/air at your AFH in King, Kitsap, Pierce and Snohomish county AFHs! The Energize – Adult Family Homes program offers: Installation of electric heat pumps for efficient heating and cooling Installation of weatherization (for example, insulation and air sealing) to improve efficiency and air quality Installation of other electric appliances
AM I ELIGIBLE? You are eligible to apply for the program if you are a licensed adult family home located in King, Kitsap, Pierce, or Snohomish County. The deadline is February 28, 2026! |
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| | TBI Resources and Training |
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| The Washington State Traumatic Brain Injury (TBI) Council has shared updated resources, events, and training information for individuals and caregivers connected to TBI. The bulletin includes details on upcoming TBI Council meetings, support groups, community integration activities like art and adaptive recreation, and links to TBI resources and educational opportunities. Check out the full bulletin for ways to engage, learn, and connect. |
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