Washington Administrative Code Title 247 - Health Care Facilities Authority

I. Overview of WAC Title 247

WAC Title 247 implements and interprets the Washington Health Care Facilities Authority Act (codified primarily in RCW 70.37).
The Authority is a public instrumentality of the State of Washington, created to help finance health care facilities through tax-exempt and taxable bond financing.

Key purpose:
To improve access to health care by allowing nonprofit and qualifying public health care providers to obtain lower-cost capital through state-issued conduit bonds.

The Authority does not operate hospitals and does not pledge state credit. It functions as a financing conduit.

II. Structure of Title 247 WAC

While section numbering may evolve, Title 247 is generally organized around these functional areas:

1. Authority Governance and Powers

These provisions explain:

Composition of the Authority

Appointment and role of members

Powers delegated by statute

Use of officers, staff, and advisers

Legal significance:
The Authority acts independently but strictly within the powers granted by statute. Actions outside those powers are ultra vires (legally invalid).

2. Definitions and Eligibility

Key definitions include:

“Health care facility”

“Participating borrower”

“Nonprofit corporation”

“Public hospital district”

“Project costs”

Eligibility rules generally require:

Nonprofit status under federal tax law or

Public or quasi-public health entities

Projects that serve a recognized health care purpose

Legal significance:
Eligibility determines whether bond interest qualifies for tax-exempt treatment and whether the Authority has jurisdiction.

3. Application and Approval Process

These rules govern:

Submission of financing applications

Required financial disclosures

Feasibility studies

Public notice and hearings

Authority resolutions approving financing

Key principles:

Transparency

Public accountability

Financial feasibility

Public benefit

Failure to follow these procedures can invalidate financing approvals.

4. Bond Issuance and Financing Mechanics

This is the core of Title 247.

Rules address:

Types of bonds (revenue bonds, refunding bonds)

Trust indentures

Loan agreements

Security for bonds

Use of bond proceeds

Critical rule:

Bonds issued by the Authority are not debts of the State of Washington.

Bondholders rely only on revenues pledged by the borrower.

5. Compliance, Reporting, and Ongoing Obligations

Participating borrowers must:

Maintain nonprofit or qualifying status

Use facilities for approved purposes

Provide financial reports

Comply with federal tax law requirements

Noncompliance can trigger:

Default remedies

Acceleration of debt

Loss of tax-exempt status

III. Legal Nature of the Authority

Under Washington law, the Health Care Facilities Authority is:

A public instrumentality

Separate from the state treasury

Not authorized to levy taxes

Not backed by the full faith and credit of the state

This classification is essential for constitutional compliance.

IV. Case Law Interpreting Health Care Facility Financing in Washington

1. Scarcity of Direct WAC Title 247 Litigation

There are very few reported Washington appellate cases directly interpreting WAC Title 247 itself.
This is common for conduit financing authorities, because:

Transactions are contractual

Disputes are often resolved privately

Bonds are structured to minimize litigation risk

However, Washington courts have repeatedly addressed the legal principles that Title 247 relies upon.

2. Public Instrumentality and State Debt Doctrine

Washington courts consistently hold that:

Bonds issued by an authority do not create state debt if:

They are payable solely from project revenues

The state does not guarantee repayment

This principle arises from cases interpreting Article VIII of the Washington Constitution (state debt limitations).

Key judicial theme:

A financing authority may issue revenue bonds without violating constitutional debt limits so long as the state’s credit is not pledged.

Title 247 rules are drafted to comply precisely with this doctrine.

3. Public Purpose Requirement

Washington courts require that:

Public financing mechanisms serve a legitimate public purpose

Health care access is repeatedly recognized as a valid public purpose

Courts have upheld financing arrangements for:

Hospitals

Long-term care facilities

Community health systems

Nonprofit medical centers

Even when facilities are operated by nonprofit corporations, courts recognize the public health benefit.

4. Delegation of Authority and Administrative Rules

Washington case law confirms that:

Agencies may adopt administrative rules only within statutory authority

WAC Title 247 is valid because it closely tracks RCW 70.37

Courts defer to agency interpretation when:

The statute is ambiguous

The agency has subject-matter expertise

The rule is consistent with legislative intent

5. Bondholder and Contractual Rights

Courts treat:

Bond resolutions

Trust indentures

Loan agreements

as binding contracts protected under:

State contract law

Federal constitutional contract protections

Once bonds are issued, later regulatory changes cannot impair bondholder rights.

V. Practical Legal Implications

For Health Care Providers

Access to lower interest rates

Long-term capital financing

Ongoing compliance obligations

For the State

No financial liability

No constitutional debt

Advancement of public health goals

For Courts

Minimal intervention

Strong enforcement of contracts

Deference to administrative expertise

VI. Summary

WAC Title 247:

Implements statutory authority for health care financing

Establishes clear procedures and safeguards

Aligns with Washington constitutional law

Operates in an area with limited litigation but strong judicial support

Washington courts have consistently upheld:

The legality of public financing authorities

The separation of state debt from authority bonds

The public purpose of health care facility financing

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