Rule-Making Activity

For information about all current rules that apply to a topic, look in the title area for the subject. The rule title can be sorted ascending and descending by clicking on the small triangle next to the Title heading, or you can use the Search at the top of the list. For example, if you enter "drinking water rules" in the Search box, all rules with those words in their titles will appear at the top of the list.

Title Sort descending WAC WSR Status Comments Accepted Until CR-101 Filed CR-102 Filed CR-103 Filed CR-103E Filed CR-105 Filed Further Information Hearing Date Time Hearing Location
Acupuncture and Eastern Medicine Practitioner Health Equity Continuing Education WAC 246-12-800 through 246-12-830
WAC 246-803-425
23-10-066 Pending formal adoption | Read the CR-101 (PDF) | Read the CR-102 (PDF)

Submit Written Comments to: Vicki Brown, P.O. Box [47852], Olympia, WA [98504-]7852, email vicki.brown@doh.wa.gov, fax 360-236-2901, by July 14, 2023.

Assistance for Persons with Disabilities: Contact Vicki Brown, phone 360-236-4865, fax 360-236-2901, TTY 711, email vicki.brown@doh.wa.gov, by June 30, 2023.

Hearing Location(s): On July 14, 2023, at 1:00 p.m. The department will hold a virtual only hearing. Register in advance for this webinar https://us02web.zoom.us/webinar/register/WN_oceYD3dgQ6GvpMlNUk1xVg. After registering, you will receive a confirmation email containing information about joining the webinar.

Administration of Anesthetic Agents for Dental Procedures 246-817 WAC 24-01-033 Adopted | Read the CR-101 (PDF) | Read the CR-102 (PDF) | Read the CR-103 (PDF)

The Dental Quality Assurance Commission is adopting amendments to requirements for the administration of anesthetic agents for dental procedures to reflect changes in patient care standards since the rule was adopted. The amendment includes changes and additions to pediatric protocols, emergency and on-call protocols, education, training, and medications including prescribing, administration and dosage.

Standards of care have changed since the current rule was adopted and a complete review was necessary. Creating a pediatric sedation endorsement is necessary to provide safeguards for the unique sedation needs of pediatric patients.

The adopted rule amendments require 24 hour on-call availability, update basic life support education requirements, add requirements for emergency protocols and training, clarify requirements for record keeping and emergency medications, establish requirements for self-inspections for all dentists when anesthetic is administered, update requirements for on-site inspections for dentists with moderate sedation with parenteral agents or general anesthesia permits, create a pediatric sedation endorsement, require vital sign monitoring for pediatric patients, clarify the requirement to obtain vital signs on American Society of Anesthesiologist classification ASA I age 13 and under will be at the dentist’s discretion, clarify requirements for prescribing for patient dosage prior to the appointment and specify that electrocardiogram (EKG) monitoring is not required when a pediatric patient is uncooperative or the emotional condition means monitoring is not possible or the patient does not tolerate the monitoring pads.

The commission made the following edits upon adoption:

  • The date in WAC 246-817-765 (1) was changed from “January 1, 2024” to “January 1, 2025”.
  • The word “and” was added to WAC 246-817-765(3)(c)(ii)(B)(V). 
  • The word “or” was removed from WAC 246-817-740(1)(a) and (1)(b).
Adult Elective Percutaneous Coronary Intervention (PCI) Certificate of Need (CN) Requirements WAC 246-310-700 through WAC 246-310-755 24-03-083 Pending formal proposal | Read the CR-101 (PDF)

The Department of Health is considering changes to requirements for adult elective PCI programs in response to a rulemaking petition. The petition requests amendment of WAC 246-310-720(2), to eliminate the requirement that existing PCI programs in the planning area must meet the minimum volume standard before a new elective PCI program may be approved. The department will also consider amendments to other PCI rules, as part of this rule project.

Ambulatory Surgery and Certificate of Need Methodology WAC 246-310-270 20-02-008 Adopted

Eric Hernandez
360-236-2956

Department of Health will be holding a virtual public hearing. Register in advance for this webinar: https://us02web.zoom.us/webinar/register/WN_CMlLSct_Ri6OgE5bRfVMNw

Analgesia and Anesthesia Administration in Office-based Settings WAC 246-853-650 23-08-068 Adopted

Submit Written Comments to: Becky McElhiney, P.O. Box 47852, Olympia, WA 98504-7852, email https://fortress.wa.gov/doh/policyreview, fax 360-236-2850,

The board will hold a virtual public hearing, without a physical meeting space. This promotes social distancing and the safety of the citizens of Washington state.

Register in advance for this Zoom webinar https://us02web.zoom.us/webinar/register/WN_c4Spj75mQfSTVSlOa0I9FA.

After registering, you will receive a confirmation email containing information about joining the webinar.

Assistance for Persons with Disabilities: Contact Becky McElhiney, phone 360-236-4766, fax 360-236-2901, TTY 711, email osteopathic@doh.wa.gov, by November 23, 2022.

Athletic Trainer Health Equity Continuing Education Rules WAC 246-12-800 through 246-12-830 23-08-014 Pending formal proposal
Athletic Trainer Profession Health Equity Continuing Education WAC 246-916-060
WAC 246-12-800 through 246-12-830
23-22-097 Adopted | Read the CR-101 (PDF) | Read the CR-102 (PDF) | Read the CR-103 (PDF)

The Department of Health is adopting an amendment to WAC 246-916-060 to implement Engrossed Substitute Senate Bill (ESSB) 5229 (chapter 276, Laws of 2021), codified as RCW 43.70.613. The department is adopting the health equity model rules, WAC 246-12-800 through 246-12-830, for the athletic trainer profession to comply with the statute.

Audiologists, Hearing Aid Specialists, Speech-Language Pathologists, and Speech-Language Pathologist Assistants Professions Health Equity Continuing Education WAC 246-828-505 (new section)
WAC 246-828-510
24-01-120 Adopted | Read the CR-101 (PDF) | Read the CR-102 (PDF) | Read the CR-103 (PDF)

The Board of Hearing and Speech (board) adopted a new rule, WAC 246-828-505, and amended WAC 246-828-510 to implement Engrossed Substitute Senate Bill (ESSB) 5229 (chapter 276, Laws of 2021). The board adopted and exceeded the health equity model rule minimum standards. The board’s adopted rules require two hours of health equity education to be completed every three years as part of the current CE requirements for the professions. The adopted rules do not increase total CE hours but require two hours of health equity CE be absorbed into the existing CE hour requirements. This exceeds the minimum two hours of health equity education required every four years in the model rules.

Board of Osteopathic Medicine and Surgery WAC 246-853-655 22-17-111 Adopted

Becky McElhiney

PO Box 47852 Olympia, WA 98504-7852
360-236-4766

In response to the coronavirus disease 2019 (COVID-19), the Department of Health will not provide a physical location for this hearing to promote social distancing and the safety of the citizens of Washington State.

A virtual public hearing, without a physical meeting space, will be held instead. Register in advance for this webinar: Register for Osteopathic Medicine & Surgery Board Meeting & Rules Hearing on Jun 3, 2022 9:00 AM PDT at: https://attendee.gotowebinar.com /register/8819286542656181516

After registering, you will receive a confirmation email containing information about joining the webinar.

Board of Physical Therapy changes to TOEFL requirements WAC 246-915-120 23-16-125 Adopted | Read the CR-101 (PDF) | Read the CR-102 (PDF)

Agency:Department of Health - Board of Physical Therapy 
Effective date of rule:
Permanent Rules
☒ 31 days after filing.
☐ Other (specify) (If less than 31 days after filing, a specific finding under RCW 34.05.380(3) is required and should 
be stated below)
Any other findings required by other provisions of law as precondition to adoption or effectiveness of rule?
☐ Yes ☒ No If Yes, explain: 
Purpose: Changing English test passing scores and removing a requirement related to an accredited program for licensure 
as a physical therapist. The Board of Physical Therapy (board) is adopting amendments to WAC 246-915-120 – Foreign 
educated applicants to change the Test of English as a Foreign Language (TOEFL) minimum passing scores. Washington 
state’s current passing score requirements were originally established based on the Federation of State Boards of Physical 
Therapy (FSBPT) passing score recommendation. The FSBPT’s minimum passing score recommendations have since been 
updated. To align with the FSBPT’s recommendation, the board is adopting this rule to lower the minimum passing score for 
the writing and speaking tests and raise the minimum passing score requirements for the reading and listening tests. The 
board is also adopting amendments to remove the requirement that an applicant’s first professional degree must only be from 
a Commission on Accreditation in Physical Therapy Education (CAPTE) accredited program, in order to allow applicants who 
went on to pursue additional professional degrees in physical therapy through a CAPTE accredited program to pursue 
licensure outside of the foreign-educated pathway. 
Citation of rules affected by this order:
New: None 
Repealed: None 
Amended: WAC 246-915-120 
Suspended: None 
Statutory authority for adoption: RCW 18.74.023 
Other authority: 
PERMANENT RULE (Including Expedited Rule Making)
Adopted under notice filed as WSR 23-08-031 on March 28 2023 (date).
Describe any changes other than editing from proposed to adopted version: None. 
If a preliminary cost-benefit analysis was prepared under RCW 34.05.328, a final cost-benefit analysis is available by 
contacting:
Name: Allyson McIver 
Address: PO Box 47877 Olympia, WA 98504-7877 
Phone: 360-236-2878 
Fax: 360-236-2901 
TTY: 711 
Email: physical.therapy@doh.wa.gov 
Web site: doh.wa.gov 
Other:

Cannabis Product Compliance 246-70 WAC 22-23-001 Pending formal proposal

Rule making notices will be delivered via GovDelivery. To receive notices, interested persons may sign up for any or all of the lists. Please go to: https://public.govdelivery.com/accounts/WADOH/subscriber/new. After signing in, please click open the box labeled "Health Systems Quality Assurance." Next click open the box labeled "Health Professions." From there, check the Medical Cannabis Program box. You may also check any other box of the professions listed that you may be interested in.

Shannon Angell

PO Box 47860

Olympia, WA 98504-7860

Phone: 360-236-2820

Email: shannon.angell@doh.wa.gov

Certified Counselors and Certified Advisers SB 5229 Health Equity Continuing Education 246-810 WAC 23-16-128 Accepting comments | Read the CR-101 (PDF)

Date of intended adoption: 9/20/23 (Note: This is NOT the effective date)
Submit written comments to: Assistance for persons with disabilities:
Name: Ted Dale Contact Ted Dale
Address: Office of Health Professions 
PO Box 47850
Olympia, WA 98504 
Phone: 360-236-2991
Email: https://fortress.wa.gov/doh/policyreview Fax: N/A
Fax: N/A TTY: 711
Page 2 of 4
Other: www.doh.wa.gov Email: ted.dale@doh.wa.gov
By (date) 9/13/23 Other: www.doh.wa.gov
By (date) 8/30/23 
Purpose of the proposal and its anticipated effects, including any changes in existing rules: 
RCW 43.70.613(3)(b) directs the rule-making authority for each health profession licensed under Title 18 RCW that is subject 
to continuing education to adopt rules requiring a licensee to complete health equity continuing education training at least 
once every four years. The statute also directs the department to create model rules establishing the minimum standards for 
health equity CE programs. The department filed model rules for health equity CE minimum standards on November 23, 
2022, under WSR 22-23-167. Any rules developed for the department must meet or exceed the minimum standards in the 
model rules in WAC 246-12Purpose of the proposal and its anticipated effects, including any changes in existing rules: 
RCW 43.70.613(3)(b) directs the rule-making authority for each health profession licensed under Title 18 RCW that is subject 
to continuing education to adopt rules requiring a licensee to complete health equity continuing education training at least 
once every four years. The statute also directs the department to create model rules establishing the minimum standards for 
health equity CE programs. The department filed model rules for health equity CE minimum standards on November 23, 
2022, under WSR 22-23-167. Any rules developed for the department must meet or exceed the minimum standards in the 
model rules in WAC 246-12-800 through 246-12-830.
The department is proposing to amend WAC 246-810-027 and create new section WAC 246-810-0299 to implement ESSB 
5229. The department is proposing adopting the health equity model rules, WAC 246-12-800 through 246-12-830, for 
certified counselors and certified advisers to comply with RCW 43.70.613. 
The proposed rule adds two hours of health equity education, as required in the model rules, to be completed as part of the 
current continuing education requirements every four years. The proposed rule does not change total CE hours but requires 
two hours in health equity CE every four years, which is absorbed into the existing number of CE hours required. The health 
equity CE requirement is counted under existing, unspecified CE requirements for the profession.
Additionally, the department is proposing amendments to clarify and streamline WACs 246-810-027 and 246-810-0298.
These proposed amendments will remove unnecessary or outdated details about the required suicide prevention trainings.
Reasons supporting proposal: 
The goal of health equity CE is to equip health care workers with the skills to recognize and reduce health inequities in their 
daily work. The content of health equity trainings includes implicit bias trainings to identify strategies to reduce bias during
assessment and diagnosis in an effort to address structural factors, such as bias, racism, and poverty, that manifest as health 
inequities. 
Two hours of training allows individuals to gain a foundation in health equity that can have an immediate positive impact on 
the professional’s interaction with those receiving care. Health equity training enables health care professionals to care 
effectively for patients from diverse cultures, groups, and communities, varying race, ethnicity, gender identity, sexuality, 
religion, age, ability, socioeconomic status, and other categories of identity. The two hours of health equity CE credits may be 
earned as part of the health professional’s existing CE requirements, therefore not requiring completion of additional CE 
hours.
 
Statutory authority for adoption: RCW 43.70.613 and 18.19.050 
Statute being implemented: RCW 43.70.613, ESSB 5229 (chapter 276, Laws of 2021)

The public hearing will be virtual, 
without a physical meeting space.
Register in advance for this 
webinar:
https://us02web.zoom.us/webin
ar/register/WN_IKWoAdhRS2R_1ETAHvsCw
After registering, you will receive 
a confirmation email containing 
information about joining the 
webinar.

Childbirth Center 246-329 WAC 22-06-058 Pending formal proposal

John Hilger
360-236-2929

Chiropractic Health Equity Continuing Education WAC 246-808-150 23-20-114 Adopted | Read the CR-101 (PDF) | Read the CR-102 (PDF)

The Chiropractic Quality Assurance Commission is adopting the Department of Health equity model rules to implement Engrossed Substitute Senate Bill (ESSB) 5229 (chapter 276, Laws of 2021). The adopted rule establishes minimum standards for chiropractors of two hours of health equity continuing education (CE) every four years. The rule as adopted does not change the total number of CE hours but requires two hours in health equity CE every four years within the existing number of CE hours required.

Chiropractic X-Ray Technician Course Requirements, Continuing Education, and Expired Status WAC 246-808-203 (new)
WAC 246-808-205 (new)
WAC 246-808-207 (new)
WAC 246-808-209 (new)
WAC 246-808-211 (new)
WAC 246-808-201
WAC 246-808-215
24-03-095 Adopted | Read the CR-101 (PDF) | Read the CR-102 (PDF) | Read the CR-103 (PDF)

The Chiropractic Quality Assurance Commission adopted rules concerning chiropractic X-ray technicians including: updates to course requirements; who can be approved to instruct the course; and set new requirements for obtaining, maintaining and returning from expired status. The commission also adopted health equity continuing education requirements. Amends WAC 246-808-201, creates new sections WAC 246-808-203, WAC 246-808-205, WAC 246-808-207, WAC 246-808-209, and WAC 246-808-211, and repeals WAC 246-808-215.

Chiropractic X-Ray Technician Course Requirements, Continuing Education, and Expired Status WAC 246-808-201
WAC 246-808-203
WAC 246-808-205
WAC 246-808-207
WAC 246-808-209
WAC 246-808-211
WAC 246-808-215
23-20-026 Accepting comments | Read the CR-101 (PDF) | Read the CR-102 (PDF)

The Chiropractic Quality Assurance Commission is proposing changes to rules concerning chiropractic X-Ray technicians' course requirements including who can instruct the course, and updating the requirements for obtaining, maintaining, and returning from expired status. The commission is also adopting health equity continuing education requirements to reflect requirements in Engrossed Substitute Senate Bill 5229 (ESSB) (chapter 276, Laws of 2021). WAC 246-808-201, 246-808-203, 246-808-205, 246-808-207, 246-808-209, WAC 246-808-211 and repealing 246-808-215. 

For hearing and commenting information, please contact Betty J. Moe at 360-236-2868 or Betty.Moe@doh.wa.gov.

Physical Location

Labor and Industries
7273 Linderson Way S.W., Room S117
Tumwater, WA 98501

Attend Virtually

Microsoft Teams meeting link

Written Comments

Submit written comments to:

Betty J. Moe, Regulatory Analyst
Department of Health
P.O. Box 47858
Olympia, WA 98504-7852

Email: Betty.Moe@doh.wa.gov or CQAC@doh.wa.gov

Chiropractic X-ray Technician Health Equity Continuing Education Rules WAC 246-12-800 through 246-12-830 23-08-021 Pending formal proposal
Classifying Wildlife Capture Drugs as Approved Legend Drugs for the Department of Fish and Wildlife WAC 246-945-507 23-21-011 Pending formal proposal | Read the CR-101 (PDF)

The Pharmacy Quality Assurance Commission is considering amending WAC 246-945-507 to add certain intramammary antibiotic formulation drugs to the list of approved legend drugs in response to a petition from a veterinarian at the Washington Department of Fish and Wildlife (WDFW).

Colon Hydrotherapist 246-836A WAC 22-11-017 Adopted

Susan Gragg

PO Box 47852 Olympia, WA 98504-7852

naturopathy@doh.wa.gov

360-236-4941

In response to the coronavirus disease 2019 (COVID-19) public health emergency, the Board of Naturopathy will not provide a physical location for this hearing to promote social distancing and the safety of the citizens of Washington State. A virtual public hearing, without a physical meeting space, will be held instead.

Register in advance for this webinar: https://attendee.gotowebinar.com /register/4522694167139040781

After registering, you will receive a confirmation email containing information about joining the webinar

Colon Hydrotherapist Fees and Renewal Cycle WAC 216-836A-990 22-11-012 Adopted

Heather Cantrell

Register in advance for this
webinar:

https://attendee.gotowebinar.com
/register/4522694167139040781

After registering, you will receive
a confirmation email containing
information about joining the the webinar.

Commercial Shellfish Fees WAC 246- 282-990 23-23-186 Accepting comments | Read the CR-101 (PDF) | Read the CR-102 (PDF)

The department is proposing amending fees to cover operational costs of the shellfish programs. The department completed an in-depth fee analysis and determined the program is not generating sufficient revenue to cover the cost of the program.

The proposal amends the existing fees for operator licenses, export certificates, biotoxin monitoring, paralytic shellfish poisoning testing, and creates new fees in other cost recovery mechanisms for the program. The proposal also adds a new or expired license fee or a non-compliance driven virtual and on-site inspection fees. The department is also proposing changes to the fee categories and the fee schedule.

Reasons supporting proposal: RCW 43.70.250 requires fees to fully fund the work of licensing and regulating the commercial shellfish program and grants the Secretary of Health authority to establish fees to fund the costs of administering the program. The fee increase is needed to cover the costs of the program. Some of the commercial shellfish fees have not changed in decades and the program has been subsidizing the costs with general fund state monies that is no longer available.

The department is also proposing changes to the fee categories and the fee schedule. This will allow the department to better allocate separate program costs to the appropriate fee payers. This increase will align fees with cost recovery for service costs. The proposed changes equitably assigns fees based on the cost of service for the varying types of shellfish operations. Other costs not included in this increase will undergo a program audit and could result in future fee increases.

The public hearing will be hybrid. Participants can attend at either the physical location or virtually by registering via Zoom.

In Person

Department of Health
Town Center 2, Rooms 166 & 167
111 Israel Rd. S.E.
Tumwater, WA 98501

Webinar

Register in advance for this webinar: Zoom registration link

After registering, you will receive a confirmation email containing information about joining the webinar.

Written Comments

Submit written comments to:

Peter Beaton
Division of Environmental Public Health
PO Box 47820
Olympia, WA 98504-7820

Phone: 360-890-6054 (TTY 711)

Email: peter.beaton@doh.wa.gov

Submit comments online

Assistance for persons with disabilities:

Contact Dani Toepelt by December 20, 2023

Email: danielle.toepelt@doh.wa.gov

Death with Dignity Act Revisions 246-978 WAC 23-17-071 Adopted | Read the CR-102 (PDF)

Agency: Department of Health 
Effective date of rule:
Permanent Rules
☒ 31 days after filing.

Any other findings required by other provisions of law as precondition to adoption or effectiveness of rule?
☒ No
Purpose: The Department of Health (department) adopts revisions to the Death with Dignity Act requirements in chapter 
246-978 WAC that reflect (1) the amendments made during the 2023 legislative session and (2) the writing style described in 
the 2023 Bill Drafting Guide.
Engrossed Substitute Senate Bill (ESSB) 5179 did the following:
• In RCW 70.245.010, made changes to multiple definitions.
o “Attending physician” became “attending qualified medical provider”.
o “Consulting physician” became “consulting qualified medical provider”.
o Added independent clinical social worker, advanced social worker, mental health counselor, psychiatric 
advanced registered nurse practitioner to the “counseling” definition.
o Removed the definition of “physician”.
o Added a definition of “qualified medical provider” that includes physician, physician assistant, and advanced 
registered nurse practitioner.
• Changed the terms used throughout chapter 70.245 RCW to match the terms defined in RCW 70.245.010.
• In RCW 70.245.030, removed the long-term care facility witness requirement in subsection (4).
• In RCW 70.245.150, expanded how participating providers may send forms to the department. Now the department 
can accept forms electronically and by fax.
WAC 246-978-010 duplicates the definitions in statute, which means that the department must update definitions every time 
the legislature changes the definitions. The department adopts replacement of duplicate definitions with a cross-reference to 
statute and removal of definitions no longer in use.
WAC 246-978-020 describes how participating providers must report to the department as required by RCW 70.245.150(2). 
The department adopts three changes:
• Replacing “physician” with “qualified medical provider”.
• Replacing the mailing address with “electronically, by mail, or fax”.
• Removing the publication number after the form name.
WAC 246-978-030 duplicates language in RCW 70.245.150(2). The department repeals WAC 246-978-030 to remove the 
duplication and prevent potential conflicts between statute and rule.
WAC 246-978-040 describes who can be a witness for a patient living in a long-term care facility. ESSB 5179 repealed the 
witness requirement for a long-term care facility described in RCW 70.245.030(4). The department repeals WAC 246-978-
040 because statute no longer requires it.
The department also adopts style changes throughout chapter 246-978 WAC that do not change the meaning of the rule. 
Page 2 of 3
Citation of rules affected by this order:
New: 
Repealed: WAC 246-978-030; WAC 246-978-040 
Amended: WAC 246-978-010; WAC 246-978-020 
Suspended: 
Statutory authority for adoption: ESSB 5179 (Chapter 38, Laws of 2023); Chapter 70.245 RCW 
Other authority: 
PERMANENT RULE (Including Expedited Rule Making)
Adopted under notice filed as WSR 23-12-093 on June 06, 2023 (date).
Describe any changes other than editing from proposed to adopted version: None

Dental - Adding Facility Types to the List of Opioid Prescribing Exclusions for Dentists WAC 246-817-905 23-22-030 Pending formal proposal | Read the CR-101 (PDF)

The Dental Quality Assurance Commission is considering adding residential habilitation centers, nursing homes, and long-term hospitals to the list of opioid prescribing exclusions in WAC 246-817-905 Exclusions.

Dental Health Equity Continuing Education Requirements WAC 246-817-440
WAC 246-817-445
23-19-091 Accepting comments | Read the CR-101 (PDF) | Read the CR-102 (PDF)

The Dental Quality Assurance Commission is proposing amending WAC 246-246-817-440, Dental continuing education requirements, and WAC 246-817-445, Dental Anesthesia Assistant continuing education requirements, to establish health equity continuing education (CE) requirements to implement Engrossed Substitute Senate Bill (ESSB) 5229.

Physical Location

Labor and Industries
Room S117
7273 Linderson Way S.W.
Tumwater, WA 98501

Attend Virtually

Zoom registration link

Submit Written Comments

Submit written comments to:

Amber Freeberg
P.O. Box 47852
Olympia, WA 98504-7852

Fax: 360-236-2901

Submit a comment online

Dental Health Profession Monitoring Program WAC 246-817-801, 236-817-810, 246-817- 820, and 246-817-830 23-16-006 Adopted | Read the CR-102 (PDF) | Read the CR-103 (PDF)

Purpose: The Dental Quality Assurance Commission (commission) is adopting amendments to update rules regarding health profession monitoring programs in line with the passage of Substitute Senate Bill (SSB) 5496. SSB 5496 updated terminology, definitions, and references for dentists in RCW 18.32.534 and clarified confidentiality protections in RCW 18.131.070 for health professional monitoring programs. The adopted rules in WAC 246-817-801, 236-817-810, 246-817- 820, and 246-817-830 make technical amendments to align with changes required from SSB 5496 without changing the effect.

Dental Hygienist Health Equity Continuing Education 24-02-006 Accepting comments | Read the CR-101 (PDF) | Read the CR-102 (PDF)

The Department of Health is proposing health equity model rules for dental hygienists to comply with RCW 43.70.613. The proposed rule adds two hours of health equity education, as required in the model rules, to be completed as part of the current continuing education requirements every four years. The proposed rule does not change total CE hours but requires two hours in health equity CE every four years which is absorbed into the existing number of CE hours required. The health equity CE requirement is counted under existing, unspecified CE requirements for the profession.

The goal of health equity CE is to equip health care workers with the skills to recognize and reduce health inequities in their daily work. The content of health equity trainings include implicit bias trainings to identify strategies to reduce bias during assessment and diagnosis in an effort to address structural factors, such as bias, racism, and poverty, that manifests as health inequities.

Two hours of training allows individuals to gain a foundation in health equity that can have an immediate positive impact on the professional’s interaction with those receiving care. Health equity training enables health care professionals to care effectively for patients from diverse cultures, groups, and communities, varying race, ethnicity, gender identity, sexuality, religion, age, ability, socioeconomic status, and other categories of identity. The two hours of health equity CE credits may be earned as part of the health professional’s existing CE requirements, therefore not requiring completion of additional CE hours. 

The public hearing will be hybrid. You can attend in person or virtually by registering via Zoom. You can also submit comments in writing.

In Person

Department of Health
Town Center 2, Room 166
111 Israel Rd. S.E.
Tumwater, WA 98501

Webinar

Register in advance for this webinar: Zoom registration link.

After registering, you will receive a confirmation email containing information about joining the webinar.

Written Comments

Submit written comments to:

Bruce Bronoske, Jr.
PO Box 47852
Olympia, WA 98504-7852

Fax: 360-236-2901 

Submit comments online.

Assistance for People with Disabilities

Contact Bruce Bronoske, Jr. by February 22, 2024. 

Phone: 360-236-2901

Email: bruce.bronoske@doh.wa.gov

Fax: 360-236-2901

Dental Provider Health Equity Continuing Education Requirements WAC 246-12-800 through 246-12-830 24-01-100 Adopted | Read the CR-101 (PDF) | Read the CR-102 (PDF) | Read the CR-103 (PDF)

The Dental Quality Assurance Commission adopted health equity continuing education requirements to meet the requirements of the Department of Health’s equity model rules, WAC 246-12-800 through 246-12-830. The amended rules add two hours of health equity education, to be completed as part of the current continuing education requirements every three years.

Dental School Faculty Member Licenses WAC 246-817-150 23-23-053 Accepting comments | Read the CR-101 (PDF) | Read the CR-102 (PDF)

The Dental Quality Assurance Commission is proposing amending WAC 246-817-150 to remove specific references about granting licenses to University of Washington faculty and replacing this with a reference to a faculty of any institution of higher education in Washington state accredited by the Commission on Dental Accreditation (CODA).

The public hearing will be hybrid. Participants can attend at either the physical location or virtually by registering via Zoom.

In Person

Department of Health
Town Center 2, Room 167
111 Israel Rd. S.E.
Tumwater, WA 98501

Webinar

Register in advance for this webinar: Zoom registration link.

After registering, you will receive a confirmation email containing information about joining the webinar.

Written Comments

Submit written comments to:

Amber Freeberg
PO Box 47852
Olympia, WA 98504-7852

Fax: 360-236-2901 

Submit comments online.

Dental Therapist Profession 246-819 WAC 23-22-058 Pending formal proposal | Read the CR-101 (PDF)

The Department of Health is considering establishing a new chapter of rules, chapter 246-819 WAC, for the dental therapist profession to implement Engrossed Substitute House Bill (ESHB) 1678 (Chapter 460, Laws of 2023).

Denturist Prefabricated Implant Abutments and Infection Control Standards WAC 246-812-462
WAC 246-812-501
24-02-029 Adopted | Read the CR-101 (PDF) | Read the CR-102 (PDF) | Read the CR-103 (PDF)

The Board of Denturist adopted requirements in WAC 246-812-462 for the use of placement of prefabricated implant abutments. The adopted rule establishes the requirements that are to be followed for a licensed denturist to place a prefabricated implant abutment on an implant for the purpose of fabricating, repairing, relining, or rebasing a denture. The board also amended WAC 246-812-501 to ensure that a licensed denturist develop and maintain written infection control policies, procedures, and requirements for infection prevention and control that are appropriate for the denturist services provided by the facility.

Denturist Rules Regarding Prefabricated Implant Abutments and Infection Control Standards WAC 246-812-462
WAC 246-812-50
23-19-088 Accepting comments | Read the CR-101 (PDF) | Read the CR-102 (PDF)

The Board of Denturists (board) is proposing a new section of rule, WAC 246-812-462 - Prefabricated implant abutments, to set out the requirements for the placement of prefabricated implant abutments. The board is also proposing amending the infection control standards purpose statement in WAC 246-812-50 to ensure written policies and procedures are maintained.

Physical Location

Department of Health
Town Center 2, Room 145
111 Israel Road S.E. 
Tumwater, WA 98501

Attend Virtually

Register for the Microsoft Teams meeting

After registering, you will receive a confirmation email containing information about joining the webinar.

Submit Written Comments

Submit written comments to:

Vicki Brown
P.O. Box 47852
Olympia, WA 98504-7852

Fax: 360-236-2901

Submit a comment online

Department of Health Drinking Water State Revolving Fund (SWSRF) Loan Terms WAC 246-296-020
WAC 246-296-100
WAC 246-296-130
23-06-064 Adopted
Department of Health Farmers Market Nutrition Program 246-780 WAC 23-07-101 Pending formal proposal | Read the CR-101 (PDF)
Department of Health Fee Amendments WAC 246-803-990, 246-809-990, 246-810-990, 246-815-990, 246-817-990, 246-817-99005, 246-828-990, 246-845-990, 246-915-990, 246-915-99005, 246-930-990, 246-980-990 23-07-057 Adopted

 The department is holding this hearing via Zoom only. Please register in advance for this hearing at https://us02web.zoom.us/webinar/register/WN_zV_6IEypTqGLAWA4cAjMPA

Department of Health Fruit and Vegetable Incentives 246-770 WAC 23-07-125 Accepting comments

Hearing Location(s): On May 1, 2023, at 1:00 p.m. DOH will be holding a virtual only hearing. Please register in advance for this webinar https://us02web.zoom.us/webinar/register/WN_uOqd37jqSxKMtfxq5qEVUw

Department of Health Medical Test Site Fee Increase WAC 246-338-990 23-04-099 Adopted

In order to help mitigate the transmission of coronavirus disease 2019 (COVID-19), the Department of Health will not provide a physical location. A virtual public hearing, without physical meeting space, will be held instead. We invite you to participate in our public rules hearing using your computer, tablet or smartphone. Register in advance for this webinar: https://us02web.zoom.us/webinar/register/WN_KtyjCFXHQlORpJOJx1o-9w

Department of Health, Dental Hygiene Program 246-815 WAC 24-02-026 Adopted

Interpretive Statement – Health Equity Continuing Education for Dental Hygienists, HSQA OHP DH2301

Health equity continuing education (CE) requirements for Dental Hygienists under chapter 246-815 WAC. Training requirements in WAC 246-12-800 through WAC 246-12-
830 will apply to a Dental Hygiene licensee starting January 1, 2024. Filed December 22, 2023.

Department of Health, Licensed Behavior Analysts and Licensed Assistant Behavior Analysts 246-805 WAC 24-02-025 Adopted

Interpretive Statement – Health Equity Continuing Education for Licenses Behavior Analysts and Licensed Behavior Analysts, ABA 23-01

Health equity continuing education (CE) requirements for LBA’s and LABA’s under chapter 246-805 WAC. Training requirements in WAC 246-12-800 through WAC 246-12-830 will apply to a LBA and LABA licensee starting January 1, 2024. Filed December 22, 2023.

Department of Health, Midwifery Program 246-834 WAC 24-02-024 Adopted

Interpretive Statement – Health Equity Continuing Education for Midwives, HSQA OHP MW01

Health equity continuing education (CE) requirements for licensed Midwives under chapter 246-834 WAC. Training requirements in WAC 246-12-800 through WAC 246-12-
830 will apply to a Midwife licensee starting January 1, 2024. Filed December 22, 2023.

Dialysate and Dialysis Device Manufacturers and Wholesalers in Home Dialysis Programs 246-945 WAC 23-21-010 Pending formal proposal | Read the CR-101 (PDF)

The Pharmacy Quality Assurance Commission is considering amending and creating new sections in chapter 246-945 WAC to include manufacturers and distributors of dialysate and dialysis devices in home dialysis program rules under the commission’s jurisdiction. The amendments under consideration are in response to statutory changes made by Substitute House Bill (SHB) 1675 (chapter 23, Laws of 2022).

Dieticians and Nutritionists Rule Updates 246-822 WAC 23-22-131 Accepting comments | Read the CR-101 (PDF) | Read the CR-102 (PDF)

The Department of Health is proposing amending, repealing, and creating new rule sections in chapter 246-822 WAC, Dietitians and Nutritionists, to clarify, streamline, update, and modernize rules for licensing dietitians and nutritionists.

The Department of Health is providing both an in-person and virtual option for attending the hearing.

In Person

Department of Health
Town Center 2, Rooms 167 and 167
111 Israel Rd. S.E.
Tumwater, WA 98501

Virtual

Register in advance for this webinar: Zoom registration link.

After registering, you will receive a confirmation email containing information about joining the webinar.

Written Comments

Submit written comments to:

Kim-Boi Shadduck
Office of Health Professions
PO Box 47852
Olympia, WA 98504-7852

Donor Milk Bank Standards WAC 246-720-001, 246-720-010, 246-720-020, 246-720-030, 246-720-040, 246-720-050, 246-720-060, 246-720-070, 246-720-080, 246-720-090, and 246-720-100 23-17-149 Adopted | Read the CR-102 (PDF) | Read the CR-103 (PDF)

Purpose: Engrossed Second Substitute Senate Bill (E2SSB) 5702 (chapter 236, Laws of 2022) requires the Department of Health (department) to develop minimum standards to ensure milk bank safety for donor human milk and human milk derived products. Milk banks are organizations that engage in the procurement, processing, storage, distribution or use of human milk contributed by donors. To ensure the safety of donor human milk and human milk derived products, the department is adopting safety standards in chapter 246-720 WAC to include donor screening, testing, milk handling and processing, and record keeping as required by the statute.

Drinking Water State Revolving Fund (DWSRF) Bipartisan Infrastructure Law (BIL) WAC 246-830-345 23-11-003 Pending formal proposal | Read the CR-101 (PDF)
Drinking Water State Revolving Fund (DWSRF) Loan Program Lead Service Line (LSL) Identification and Replacement Emergency Rule WAC 246-296-050 23-05-069 Adopted

Emergency Rule

Drinking Water State Revolving Fund Loan Program 246-296 WAC 24-02-060 Emergency Rule | Read the CR-103E (PDF)

The Department of Health (department) adopted an emergency rule on August 30, 2023 (WSR# 23-18-044) to amend chapter 246-296 WAC to redefine the term disadvantaged community, update loan terms, update application requirements, and clarify loan rating and ranking criteria to conform with requirements in the federal Bipartisan Infrastructure Law (BIL). This emergency rule is being adopted to extend the existing emergency rule without changes to the previous emergency rule.

Eligibility for Examination as Veterinary Technician WAC 246-935-060 23-07-007 Pending formal proposal | Read the CR-101 (PDF)
Emergency Medical Services (EMS) and Trauma Care Systems Chapter Updates WAC 246-976-010 through 246-976-182
WAC 246-976-260 through 246-976-310
WAC 246-976-330 through 246-976-395
WAC 246-976-920
WAC 246-976-960
WAC 246-976-970
WAC 246-976-026 (new)
WAC 246-976-139 (new)
WAC 246-976-261 (new)
24-03-061 Accepting comments | Read the CR-101 (PDF) | Read the CR-102 (PDF)

The Department of Health is proposing amendments to update and align requirements with current national standards, make rules more clear, concise, and organized, propose changes to address barriers to initial and renewal application processes, and respond to new legislative requirements. WAC 246-976-010 through 246-976-182, 246-976-260 through 246-976-310, 246-976-330 through 246-976-395, 246-976-920, 246-976-960, 246-976-970 and proposing new WAC 246-976-026, 246-976-139, and 246-976-261.

The public hearing will be hybrid. You can attend in person or virtually by registering via Zoom. You can also submit comments in writing.

In Person

Department of Health
Town Center 2, Room 166
111 Israel Rd. S.E.
Tumwater, WA 98501

Webinar

Register in advance for this webinar: Zoom registration link.

After registering, you will receive a confirmation email containing information about joining the webinar.

Written Comments

Submit written comments to:

Catie Holstein, EMS Director
PO Box 47853
Olympia, WA 98504-7853

Fax: 360-236-2830

Submit comments online.

Assistance for People with Disabilities

Contact Jill Hayes by February 22, 2024. 

Phone: 360-236-2838

Email: jill.hayes@doh.wa.gov

Fax: 360-236-2830

Fee Updates for Acute Care Hospitals and Private Psychiatric Hospitals WAC 246-322-990 23-22-096 Pending formal proposal | Read the CR-101 (PDF)

The Department of Health is considering updates to rules regarding acute care and private psychiatric hospital fees to address funding needs under WAC 246-322-990. An update may be necessary to adequately fund the hospital inspection, investigation, and licensing programs to protect patients.

Fenfluramine Removal List of Schedule IV Substances WAC 246-945-055
246-945 WAC
23-20-119 Pending formal proposal | Read the CR-101 (PDF)

The Pharmacy Quality Assurance Commission is considering amending WAC 246-945-055 to remove fenfluramine from the list of Schedule IV substances and adding a new section to chapter 246-945 WAC to establish a list of schedule IV exemptions. Fenfluramine is a medication used in the treatment of seizures associated with certain syndromes and as an appetite suppressant and was removed from the Drug Enforcement Administration’s (DEA) federal Controlled Substances Act (CSA) in December of 2022.

Full veterinary Services to low-income households at animal care and control agencies and nonprofit human societies WAC 246-933-501
WAC 246-933-510
WAC 246-933-520
WAC 246-933-530
WAC 246-933-550
23-11-002 Adopted | Read the CR-101 (PDF) | Read the CR-102 (PDF) | Read the CR-103 (PDF)

Physical Location: The Olympia Center 222 Columbia St NW, Room TBD Olympia, WA 98501

Virtual Option: Link no longer available