1. King County Executive Dow Constantine proposed a new property-tax levy to fund five behavioral health crisis centers across King County, along with higher wages for health care workers and the restoration of residential treatment beds that have been lost in recent years. The levy, assessed at 14.5 cents per $1,000 of assessed home value—about $121 for a median $694,000 house—could be on a countywide ballot in April 2023, if the King County Council approves it this year.
Currently, there are no walk-in crisis centers anywhere in King County, and the wait for a residential treatment bed averaged 44 days as of July, according to the county. Since 2018, the county has lost more than 110 residential treatment beds and is down to 244 beds countywide. “A question that doesn’t get asked enough to the person who says ‘get people into treatment,'” King County Councilmember Girmay Zahilay said Monday, is “‘get people into treatment where?'”
In a county with 2.3 million residents, Zahilay said, we have one crisis care facility with 46 beds”—the Downtown Emergency Service Center’s Crisis Solutions Center in the Central District, which only accepts referrals from police and other first responders. “If you break a bone in King County, you can walk in and get urgent care. If you’re going through a mental health crisis or a substance use disorder crisis, you have zero urgent care options.”
The nine-year levy proposal would also create apprenticeship programs and other supports for people entering the behavioral health care field, and would “invest in equitable wages for the workforce at crisis care centers,” according to the announcement, plus mobile or co-located crisis services that would operate until the first crisis clinics were open.
“If you break a bone in King County, you can walk in and get urgent care. If you’re going through a mental health crisis or a substance use disorder crisis, you have zero urgent care options.”—King County Councilmember Girmay Zahilay
It’s unclear how many people would see higher wages under Constantine’s proposal, which his office released only in summary form. Pay for behavioral health care workers is so low that many employees qualify for the same services they sign clients up for, said Kristen Badin, a crisis counselor and representative of SEIU 1199NW.
The King County Regional Homelessness Authority has asked the city and county to provide an additional $15.4 million to permanently service providers’ baseline budgets by 13 percent in order to increase provider wages—part of an overall budget request that would add about $90 million to the regional agency’s budget, which is funded by the city of Seattle and King County through their annual budget process.
That process kicks off for both the city and county tomorrow, when Harrell and Constantine announce their 2023 budget proposals. On Monday, Constantine said he considered the KCRHA’s budget request “aspirational,” and confirmed that he does not plan to provide all the money the authority’s CEO, Marc Dones, requested.
That budget request, Constantine said, “was essentially a statement of need, and that neither the county nor the city’s budget could support that full request.” Harrell added that “we weren’t able to meet all of the requests, but you’ll see [during Tuesday’s budget announcement] the support we have moving forward with RHA and the support we have the people on the ground doing this important work.”
2. In 2019, the City Council passed legislation requiring the Human Services Department to build a cost of living increase into all new or renegotiated contracts with service providers, based on the Consumer Price Index for Urban Wage Earners and Clerical Workers (CPI-W). At the time, inflation, as represented by the increase in CPI, was modest—between two and three percent.
“I drew a line in the sand [on the use of the JumpStart tax to backfill the city budget], and I want to make sure that we’re sticking to that, not only because it’s what we passed in statute, but because the agreement to use the higher-than anticipated revenue was to prevent austerity.”—City Council budget chair Teresa Mosqueda.
Last year, the CPI-W increased 8.7 percent, meaning that compared to 2021, it cost 8.7 percent more to pay for the same goods and services. Any wage increase that’s lower than the CPI effectively constitutes a pay cut—something social service providers whose wages are funded by the city will likely be watching for tomorrow when Harrell rolls out his budget.
Council budget chair Teresa Mosqueda said she’ll also be watching for any effort by Harrell to transfer additional funds from the JumpStart payroll tax, which is earmarked for housing, small business support, Green New Deal programs, and equitable development. Earlier this year, Mosqueda proposed using excess payroll tax revenues to help close the budget gap; those extra revenues are projected at $71 million and $84 million in 2023 and 2024, respectively.
“I drew a line in the sand,” Mosqueda said Monday, “and I want to make sure that we’re sticking to that, not only because it’s what we passed in statute, but because the agreement to use the higher-than anticipated revenue was to prevent austerity. And part of preventing austerity is keeping our promises, [including] our promises to human service providers.”