This section establishes the initial licensure and annual fees for hospitals licensed under chapter 70.41 RCW.

1. (1) Applicants and licensees shall submit to the department:

   1. (a) An initial license fee for each bed space within the authorized bed capacity for the hospital;
   2. (b) An annual fee for each bed space within the authorized bed capacity of the hospital by November 30th of the year;
   3. (c) A renewal application every three years.

2. (2) As used in this section, a bed space:

   1. (a) Includes all bed spaces in rooms complying with physical plant and movable equipment requirements of this chapter for 24-hour assigned patient care;
   2. (b) Includes level 2 and 3 bassinet spaces;

   3. (c) Includes bed spaces assigned for less than 24-hour patient use as part of the licensed bed capacity when:

      1. (i) Physical plant requirements of this chapter are met without movable equipment; and
      2. (ii) The hospital currently possesses the required movable equipment and certifies this fact to the department.
   4. (d) Excludes all normal infant bassinets;
   5. (e) Excludes beds banked as authorized by certificate of need under chapter 70.38 RCW.
3. (3) A licensee shall submit to the department a late fee whenever the annual fee is not paid by November 30th. The total late fee will not exceed $1,200.
4. (4) Applicants and licensees shall submit to the department a one-time initial application fee if the applicant or licensee is applying to provide hospital at home services as described in WAC 246-320-278.

5. (5) An applicant may request a refund for initial licensure as follows:

   1. (a) Two-thirds of the initial fee paid after the department has received an application and not conducted an on-site survey or provided technical assistance; or
   2. (b) One-third of the initial fee paid after the department has received an application and conducted either an on-site survey or provided technical assistance but not issued a license.

6. (6) The following fees will be charged:

   Fee Type	Acute Care - Critical Access* Fee	Acute Care Fee
   Initial Licensure Fee per bed	$380.00	$505.00
   Renewal Licensure Fee per bed	$380.00	$505.00
   Late Fee per day	$100.00	$100.00
   One-time Hospital at Home Application fee	$5,800.00	$5,800.00

   *	Federal designation.

[Statutory Authority: RCW 43.70.110, 43.70.250, 70.41.030, 70.41.100, 70.41.550, and 2024 c 259. WSR 25-12-072, s 246-320-199, filed 5/30/25, effective 10/1/25. Statutory Authority: RCW 43.70.110 and 43.70.250. WSR 24-16-045, § 246-320-199, filed 7/30/24, effective 11/1/24. Statutory Authority: RCW 43.70.250. WSR 19-16-049, § 246-320-199, filed 7/30/19, effective 10/1/19. Statutory Authority: RCW 70.41.080 and 71.12.485. WSR 17-18-109, § 246-320-199, filed 9/6/17, effective 11/30/17. Statutory Authority: Chapter 43.70 RCW and 2011 1st sp.s. c 50. WSR 12-11-058, § 246-320-199, filed 5/15/12, effective 6/15/12. Statutory Authority: Chapter 70.41 RCW and RCW 43.70.040. WSR 09-07-050, § 246-320-199, filed 3/11/09, effective 4/11/09.]