Exempting certain dialysis services from certificate of need requirements.

SB 5448 exempts dialysis services provided within skilled nursing facilities from Washington State's certificate of need (CON) requirements. This directly affects dialysis providers operating inside skilled nursing facilities, removing a state approval barrier for these services. The bill allows such facilities to offer dialysis without needing prior state permission, provided they meet specific criteria like geographic accessibility and serving a majority of enrolled patients from a qualifying health plan. Facilities must apply for exemption with the state department, which must review applications within 30 days. This change streamlines access to dialysis care for residents in skilled nursing settings without altering broader CON rules.