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 WAC WSR Status Sort ascending 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
Temporary Worker Housing Updates 246-358 WAC 23-19-080 Adopted | Read the CR-103 (PDF)

RCW 70.114A.065 directs the Department of Health (DOH) and the Department of Labor and Industries (L&I) to adopt joint rules for the licensing, operation, and inspection of temporary worker housing. DOH and L&I have assessed the emergency rule requirements, along with input from interested parties and adopted key provisions to address prevention of future outbreaks and the spread of any airborne infectious disease.

Health Equity Continuing Education for Certified Counselors and Certified Advisers WAC 246-810-027
WAC 246-810-0298
WAC 246-810-0299
23-23-033 Adopted | Read the CR-101 (PDF) | Read the CR-102 (PDF) | Read the CR-103 (PDF)

The Department of Health adopted amendments to WACs 246-810-027 and 246-810-0298 and creating a new section, WAC 246-810-0299, to establish two hours of health equity continuing education (CE) requirements every four years for certified counselors and certified advisers. The health equity CE requirement is counted under existing, unspecific CE requirements for the profession and does not change the total number of CE hours required. Additionally, clarify and streamline rule language without changing its effect.

Podiatry Continuing Education WAC 246-922-300
WAC 246-922-310
22-20-092 Adopted | Read the CR-103 (PDF)

Susan Gragg

PO Box 47852 Olympia, WA 98504-7852

Email:  podiatric@doh.wa.gov

 

In response to the coronavirus disease 2019 (COVID-19) public health emergency, the Podiatric Medical Board 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. Webinar only Link: https://teams.microsoft.com/l/meetup-join/19%3ameeting_ZDA2MTA2NDktMDc0Mi00NDdmLThkYTAtYzNkMGNmNjYyN2I0%40thread.v2/0?context=%7b%22Tid%22%3a%2211d0e217-264e-400a-8ba0-57dcc127d72d%22%2c%22Oid%22%3a%225d370fd2-d693-4979-9942-011211788fd0%22%7d Or call in (audio only) 1-564-999-2000 Phone Conference ID: 187 889 849

Podiatric Physicians and Surgeons Substance Abuse Monitoring WAC 246-922-400
WAC 246-922-405
WAC 246-922-410
WAC 246-922-415
24-01-121 Adopted | Read the CR-103 (PDF) | Read the CR-105 (PDF)

The Podiatric Medical Board (board) adopted amendments to WAC 246-922-400, WAC 246-922-405, WAC 246-922-410, and WAC 246-922-415 to update language regarding health profession monitoring programs to align with changes made by Substitute Senate Bill (SSB) 5496 (chapter 43, Laws of 2022).

Substance Use Monitoring Program Language Updates for Optometrists WAC 246-851-440 through 246-851-470 23-22-067 Adopted | Read the CR-101 (PDF) | Read the CR-102 (PDF) | Read the CR-103 (PDF)

The Board of Optometry amended WAC 246-851-440 through 246-851-470 to align with technical changes made by Substitute Senate Bill (SSB) 5496 (Chapter 43, Laws of 2022). Changes align the rules with currently accepted language for substance use disorders and related monitoring programs, and include technical clarifications as needed without changing the rule’s effect.

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.

Nursing Technicians Provide Opportunities to Licensed Practical Nurse Students WAC 246-840-010
WAC 246-840-840
WAC 246-840-850
WAC 246-840-860
WAC 246-840-905
22-04-082 Adopted | Read the CR-103 (PDF)

Shad Bell
360-236-4711

Health Equity Continuing Education for Sex Offender Treatment Providers (SOTP) WAC 246-930-410 23-24-032 Adopted | Read the CR-101 (PDF) | Read the CR-102 (PDF) | Read the CR-103 (PDF)

Department of Health adopted amendments to WAC 246-930-410 to establish health equity continuing education (CE) requirements. The adopted rule does not change the total CE hours required for SOTPs. It requires two hours in health equity CE every four years, which is absorbed into the existing number of CE hours required. Additionally, because an individual must hold an SOTP credential in addition to a credential for their primary health profession, the adopted rule does not require an SOTP to take an additional health equity CE training if they have already completed the training for their primary credential.

Describe any changes other than editing from proposed to adopted version: On its own initiative, the department has made minor edits to update formatting and increase clarity, including: (1) discontinuing the use of “and/or”; (2) removing bold formatting from rule text; (3) dividing subsection (4) into paragraphs for clarity; and (4) relocating a paragraph for greater visibility.
 
If a preliminary cost-benefit analysis was prepared under RCW 34.05.328, a final cost-benefit analysis is available by contacting:

Lana Crawford 
P.O. Box 47852
Olympia, WA 98504-7852 

Phone: 564-669-1455 
TTY: 711

Email: Lana.Crawford@doh.wa.gov

Nursing Home Administrator Licensing Requirements and Retired-Active License WAC 246-843- 231
WAC 246-843-180
WAC 246-843-130
WAC 246-843-090
WAC 246-843-071
WAC 246-843-335 (new)
24-03-147 Adopted | Read the CR-101 (PDF) | Read the CR-102 (PDF) | Read the CR-103 (PDF)

The Board of Nursing Home Administrators adopted rule amendments and a new rule to expand and clarify licensure requirement for licensure and temporary practice permits by correcting and updating continuing education requirements, language and citations, and correcting a typographical error. The rule no longer requires HIV/AIDS education. The rules add health equity continuing education.

Pharmacy Quality Assurance Commission Policy Statement PO-10 WAC 246-945-100 23-23-041 Adopted

Notice of Adoption: This policy Issued by the Pharmacy Quality Assurance Commissions clarifies the Commission’ approach to United States Pharmacopeia General chapters 795, 797, 800, and 825 as it relates to WAC 246-945-100 and RCW 18.64.270(2). Policy PO-10. Effective Date: November 1, 2023.

Extension Process for Pharmacy Intern Renewal Limitations Policy Statement WAC  246-945-155 24-06-018 Adopted

This policy clarifies the Pharmacy Quality Assurance Commission’s renewal extension process for pharmacy interns who have reached the renewal limitation set in WAC 246-945-155(3). Policy number: P012. Effective Date: February 1, 2024.

Medical Test Site Licensure and Notification Requirements WAC 246-388-020
WAC 246-388-026
22-20-073 Adopted

Emergency Rule

Podiatric Physicians and Surgeons Health Equity Continuing Education WAC 246-922-300
WAC 246-922-310
WAC 246-12-800 through 246-12-830
24-01-124 Adopted | Read the CR-101 (PDF) | Read the CR-102 (PDF) | Read the CR-103 (PDF)

The Podiatric Medical Board has adopted sections WAC 246-922-300 and WAC 246-922-310 to comply with RCW 43.70.163. The board adopted the Department of Health’s health equity model rules, WAC 246-12-800 through 246-12-830, for podiatric physicians and surgeons. The adopted rule adds two hours of health equity education, as required in the model rules, to be completed as part of the current continuing competency requirements every four years. In addition, the board also adopted amendments that correct some confusing rule language to clarify that a resident in an approved postgraduate residency training program is not required to participate in podiatric continuing medical education. 

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.

Health Equity Continuing Education for Audiologists, Hearing Aid Specialists, Speech-language Pathologists and Speech-language Pathologist Assistants WAC 246-828-505 (new)
WAC 246-828-510
23-19-030 Accepting comments | Read the CR-101 (PDF) | Read the CR-102 (PDF)

The Board of Hearing and Speech is proposing new WAC 246-828-505 and amendments to WAC 246-828-510 to establish health equity continuing education (CE) requirements to implement Engrossed Substitute Senate Bill 5229 (ESSB 5229 chapter 276, Laws 2021).

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:

Kim-Boi Shadduck, Program Manager
Department of Health
P.O. Box 47852
Olympia, WA 98504-7852

Fax: 360-236-2901

Submit a comment online

Optometry Health Profession Monitoring rogram WAC 246-851-440 through 246-851-470 23-16-072 Accepting comments | Read the CR-101 (PDF) | Read the CR-102 (PDF)
Physical Therapists Intramuscular Needling, Also Known as Dry Needling 246-915 WAC
WAC 246-915-990
24-06-067 Accepting comments | Read the CR-101 (PDF) | Read the CR-102 (PDF)

The Board of Physical Therapy and Department of Health are proposing amendments to clarify statutory requirements for education and training and define the endorsement for intramuscular needling, and to amend fees and renewal cycle, to implement Second Substitute House Bill 1039, (chapter 198, Laws of 2023) which expands the scope of practice of physical therapists to perform intramuscular needling.

This is a hybrid hearing. You can attend in person or virtually.

In Person

Washington State Department of Labor & Industries Headquarters
7273 Linderson Way SW, Room S119
Tumwater, WA 98501

Webinar

Virtual Teams meeting link.

Meeting ID: 257 244 104 388
Passcode: 3vfHpP

Or call in (audio only):

  • +1 564-999-2000,,288754786# United States, Olympia
  • 833-322-1218,,288754786# United States (toll free)
  • Phone Conference ID: 288 754 786#

Written Comments

Submit written comments to:

Allyson McIver
Department of Health
PO Box 47852
Olympia, WA 98504-7852

Submit comments online

Fax: 360-236-2901

Email: physical.therapy@doh.wa.gov

Assistance for People with Disabilities

Contact Allyson McIver by April 8, 2024. 

Phone: 360-236-2878

TTY: 711

Fax: 360-236-2901

Email: physical.therapy@doh.wa.gov

23-hour Crisis Relief Centers for Acute Care Centers WAC 246-320-111 24-10-090 Accepting comments | Read the CR-101 (PDF) | Read the CR-102 (PDF)

The Department of Health is proposing to amend WAC 246-320-111, Hospital Responsibilities, to implement Second Substitute Senate Bill (2SSB) 5120 (chapter 433, Laws of 2023), an act concerning the establishment of 23-hour crisis relief centers in Washington state. The proposed amendments establish requirements for licensed acute care hospitals that wish to discharge or transfer a patient to a 23-hour crisis relief center.

This is a hybrid hearing. You can attend in person or virtually by registering through Zoom.

In Person

Department of Health
Town Center 2, Room 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:

Dan Overton
Department of Health
PO Box 47843
Olympia, WA 98504-7843

Submit comments online

Fax: 360-236-2321

Assistance for People with Disabilities

Contact Dan Overton by May 22, 2024.

Phone: 564-201-0579

TTY: 711

Fax: 360-236-2321

Email: dan.overton@doh.wa.gov

Human Donor Milk Bank Standards 246-720 WAC 23-08-054 Accepting comments | Read the CR-102 (PDF)

Hearing Location(s): On May 16, 2023, at 1:30 p.m. DOH will be holding a virtual-only hearing. Register in advance for this webinar https://us02web.zoom.us/webinar/register/WN_zBaU-LkLTGanSFTVyyQCuQ. After registering, you will receive a confirmation email containing information about joining the webinar.

Licensed Practical Nurse and Registered Nurse Health Equity Continuing Education Requirements WAC 246-840-220
WAC 246-840-222
23-19-081 Accepting comments | Read the CR-101 (PDF) | Read the CR-102 (PDF)

The board, formerly known as the Nursing Care Quality Assurance Commission, is proposing a new section of rule and revisions to existing rule in WAC 246-840-220 and 246-840-222 to establish health equity continuing education (CE) requirements to implement Engrossed Substitute Senate Bill (ESSB) 5229 (chapter 276, Laws of 2021).

Physical Location

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

Attend Virtually

Register for the Zoom meeting

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

Submit Written Comments

Submit written comments to:

Jessilyn Dagum
P.O. Box 47864
Olympia, WA 98504-7864

Fax: 360-236-4738

Submit a comment online

State Board of Health Local Board of Health Membership 246-90 WAC 22-06-063 Accepting comments | Read the CR-101 (PDF) | Read the CR-102 (PDF)

Samantha Pskowski
360-789-2358
 

Register in advance for this hearing at:

https://us02web.zoom.us/webinar/register/WN_fPNK3XjVT0uzyc12vSkdtQ

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

Substance Use Disorder Monitoring Program Update for Nursing Professions WAC 246-840-750 through 246-840-780
WAC 246-840-790
24-07-063 Accepting comments | Read the CR-101 (PDF) | Read the CR-102 (PDF)

The Washington State Board of Nursing proposes amendments and an addition to rules relating to the board’s substance use disorder (SUD) monitoring program in response to Substitute House Bill (SHB) 1255 (chapter 141, Laws of 2023) including application requirements for a stipend.

This is a hybrid hearing. You can attend in person or virtually by registering through Zoom.

In Person

Department of Health
Town Center 2, Room 166 and 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:

Bonnie King
Department of Health
PO Box 47864
Olympia, WA 98504-7864

Submit comments online

Assistance for People with Disabilities

Contact Bonnie King by April 29, 2024. 

Phone: 564-669-9721

TTY: 711

Email: WABONRules@doh.wa.gov

23 Hour Crisis Relief Center Behavioral Health Agency 246-341 WAC 24-10-095 Accepting comments | Read the CR-101 (PDF) | Read the CR-102 (PDF)

The Department of Health is proposing to amend the behavioral health agency regulations in chapter 246-341 WAC to implement Second Substitute Senate Bill (2SSB) 5120 (chapter 433, Laws of 2023) establishing 23-hour crisis relief centers in Washington state. The department is also proposing amendments to align the regulations with statutory changes passed by the 2023 legislature and to make non-substantive changes.

This is a hybrid hearing. You can attend in person or virtually by registering through Zoom.

In Person

Department of Health
Town Center 2, Room 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:

Dan Overton
Department of Health
PO Box 47843
Olympia, WA 98504-7843

Submit comments online

Fax: 360-236-2321

Assistance for People with Disabilities

Contact Dan Overton by May 22, 2024.

Phone: 564-201-0579

TTY: 711

Fax: 360-236-2321

Email: dan.overton@doh.wa.gov

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

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.

Dietitians and Nutritionists Requirements 246-822 WAC
WAC 246-822-010
24-10-088 Accepting comments | Read the CR-101 (PDF) | Read the CR-102 (PDF)

The Department of Health is proposing to clarify, streamline, update, and modernize rules for licensing dietitians and nutritionists in chapter 246-822 WAC. This is a supplemental proposal and includes an additional definition in WAC 246-822-010, clarification of application and education requirements for both dietitians and nutritionists, updates requirements for dietitian qualified supervisors, and removes unnecessary terms in rules regarding providing services.

This is a hybrid hearing. You can attend in person or virtually by registering through Zoom.

In Person

Department of Health
Town Center 2, Room 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:

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

Submit comments online

Assistance for People with Disabilities

Contact Kim-Boi Shadduck by May 29, 2024.

Phone: 360-236-2912

TTY: 711

Email: kimboi.shadduck@doh.wa.gov

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

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

State Board of Health: Handling of Human Remains WAC 245-500-050
WAC 246-500-053
WAC 246-500-055
24-10-094 Accepting comments | Read the CR-102 (PDF)

The State Board of Health is proposing amending WAC 245-500-050, WAC 246-500-053, and WAC 246-500-055 to align with changes in Substitute House Bill 1974 (chapter 57, Laws of 2024), codified in RCW 68.50.230. These rules establish the requirements for remains reduced through cremation, alkaline hydrolysis, and natural organic reduction.

This is a hybrid hearing. You can attend in person or virtually by registering through Zoom.

In Person

Heathman Lodge
7801 NE Greenwood Drive
Vancouver, Washington 98662

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:

Shay Bauman
PO Box 47990
Olympia, WA 98504-7990

Email: shay.bauman@sboh.wa.gov

Assistance for People with Disabilities

Contact Melanie Hisaw by June 5, 2024.

Phone: 360-236-4104

TTY: 711

Email: melanie.hisaw@sboh.wa.gov

Sanitary Control of Shellfish Fees WAC 246-282-990(4) 22-06-072 Accepting comments

Peter Beaton
 

Register in advance for this
webinar:

https://us02web.zoom.us/webinar
/register/WN_dycHyBiITGK8u4U
WZ7dGag


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

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

Over-the-Counter Hearing Aids WAC 246-828-100 23-19-102 Accepting comments | Read the CR-101 (PDF) | Read the CR-102 (PDF)

The Board of Hearing and Speech is proposing amendments to WAC 246-828-100 (Hearing instruments fitting and dispensing – Minimum standards of practice) to reflect changes to relevant federal rules by the Food and Drug Administration (FDA) regarding the sale of over-the-counter (OTC) hearing aids (21 C.F.R. Parts 800, 801, 808, and 874 (2022)).

Physical Location

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

Attend Virtually

Microsoft Teams meeting link

Human Remains Reduced Through Natural Organic Reduction Rule Clarification WAC 246-500-055 23-05-109 Accepting comments

This will be a hybrid meeting. 
Below is the physical address for 
those attending in person: 
Washington State Department 
of Labor & Industries 
7273 Linderson Way SW, 
Tumwater, WA 98501
Comment: 
Zoom webinar information for those attending virtually: 
https://us02web.zoom.us/webinar/register/WN
_has7tGYeQ9uKBC9EUwsD9g
 

Kidney Disease Treatment Center Temporary Emergency Exemptions WAC 246-310-825
WAC 246-310-800 through 246-310-833
24-10-089 Accepting comments | Read the CR-101 (PDF) | Read the CR-102 (PDF)

The Department of Health is proposing a new section, WAC 246-310-825 kidney disease treatment centers — temporary emergency situation exemption, and amending existing kidney disease treatment center rules, WAC 246-310-800 through 246-310-833, to implement Substitute Senate Bill (SSB) 5569 (chapter 48, Laws of 2023).

This is a hybrid hearing. You can attend in person or virtually by registering through Zoom.

In Person

Department of Health
Town Center 2, Room 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:

Ross Valore 
Department of Health
PO Box 47852
Olympia, WA 98504-7852

Submit comments online

Assistance for People with Disabilities

Contact Ross Valore by May 29, 2024.

Phone: 564-999-1060

TTY: 711

Email: cnrulemaking@doh.wa.gov

Applied Behavior Analysis Clarification to Licensing Rules 246-805 WAC 24-05-024 Accepting comments | Read the CR-101 (PDF) | Read the CR-102 (PDF)

The Department of Health is proposing to update and clarify Applied Behavior Analysis, chapter 246-805 WAC to: clarify licensure requirements, supervision, examinations, educational programs, training, and continuing education. This proposal also establishes reciprocity, temporary licenses and updates fees.

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

In Person

Department of Health
Town Center 2, Room 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:

Kendra Pitzler
PO Box 47852
Olympia, WA 98504

Fax: 360-236-2901

Submit comments online.

Assistance for People with Disabilities

Contact Kendra Pitzler by March 28, 2024. 

Phone: 360-236-4723

TTY: 711

Fax: 360-236-2901

Email: kendra.pitzler@doh.wa.gov

Athletic Trainer Scope of Practice for Medication WAC 246-916-070 24-07-065 Accepting comments | Read the CR-101 (PDF) | Read the CR-102 (PDF)

The Department of Health, in consultation with the Athletic Training Advisory Committee, is proposing to create a new section of rule, WAC 246-916-070 Medications, to define terms used and establish education and training requirements for athletic trainers in response to Substitute House Bill 1275, (chapter 143, Laws of 2023).

We are having a hybrid hearing. You can attend in person or virtually by registering through Zoom.

In Person

Department of Health
Town Center 2, Room 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:

Allyson McIver, Program Manager
Department of Health
PO Box 47852
Olympia, WA 98504-7852

Submit comments online

Fax: 360-236-2901

Email: allyson.mciver@doh.wa.gov

Assistance for People with Disabilities

Contact Allyson McIver by April 25, 2024. 

Phone: 360-236-2878

TTY: 711

Fax: 360-236-2901

Email: allyson.mciver@doh.wa.gov

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

Nursing Home Administrator Licensing Requirements and Retired-Active License WAC 246-843-071
WAC 246-843-180
WAC 246-843-090
WAC 246-843-130
WAC 246-843-231
23-20-116 Accepting comments | Read the CR-101 (PDF) | Read the CR-102 (PDF)

The public hearing will be hybrid. Participants can attend in-person at the physical location or virtually through Microsoft Teams.

Physical Location

Washington State Department of Health
Town Center 2
111 Israel Road SE, Room 145
Tumwater, WA 98501

Attend Virtually

The virtual portion of the hearing is through Microsoft Teams: Meeting link.

Medical Test Site Licensure for Naturopath and Nurse Midwife Professions WAC 246-338-020
WAC 246-338-010
24-05-019 Accepting comments | Read the CR-102 (PDF)

To align with federal rules, the Department of Health (department) is proposing removing the professions of naturopath licensed under chapter 18.36A RCW and midwife licensed under chapter 18.50 RCW from the list of licensed professionals that may perform a provider performed microscopic procedure (PPMP) in WAC 246-338-020. The department is proposing to clarify that both the laboratory director and testing personnel of PPMP must be licensed professionals. The department is also proposing a technical citation adjustment to a definition in WAC 246-338-010. 

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

In Person

Department of Health
Town Center 2, Room 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:

Jessica Holloway
PO Box 47843
Olympia, WA 98504-7843

Submit comments online.

Assistance for People with Disabilities

Contact Jessica Holloway by March 21, 2024. 

Phone: 360-236-2927

Email: Jessica.Holloway@doh.wa.gov

Licensed Practical Nurse and Registered Nurse Temporary Practice Permit WAC 246-840-095 23-21-071 Accepting comments | Read the CR-101 (PDF) | Read the CR-102 (PDF)

The Washington State Board of Nursing is proposing amendments to WAC 246-840-095, Temporary Practice Permits, for LPN and RN effective dates, reducing the length of time a temporary practice permit is effective and updating criteria to issue a temporary practice permit in order to align the internal board process with rule language and implement Second Substitute House Bill (2SHB) 1009 (chapter 165, Laws of 2023), Military Spouses—Professional Licensing and Employment.

The Washington State Board of Nursing will be offering both virtual and in-person options to attend this rule hearing.

Physical Location

Department of Health
Town Center 2, Room 145
111 Israel Road SE
Tumwater, WA 98501

Attend Virtually

We invite you to participate in our public rules hearing using your computer, tablet or smart phone.

Register for the webinar

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

Osteopathic Physicians' Assistants and Osteopathic Physicians' Acupuncture Assistants 246-854 WAC
246-855 WAC
22-06-071 Accepting comments

Becky McElhiney
360-236-4766

Audiologist and Speech-Language Pathology Interstate Compact (ASLP-IC) Fees and Renewal Cycle WAC 246-828-991 24-07-064 Accepting comments | Read the CR-101 (PDF) | Read the CR-102 (PDF)

The Department of Health, in consultation with the Board of Hearing and Speech, is proposing a new section of rule, WAC 246-828-991, to implement House Bill (HB) 1001, (chapter 53, Laws of 2023). HB 1001 entered Washington into the ASLP-IC interstate licensure compact for audiologists and speech-language pathologists and gives member states the discretion to charge a fee for granting compact privileges. The proposed rule specifies the fees and renewal cycle for compact practice privileges in Washington state.

We are having a hybrid hearing. You can attend in person or virtually by registering through Zoom.

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:

Kim-Boi Shadduck, Program Manager
Department of Health
PO Box 47852
Olympia, WA 98504-7852

Submit comments online

Fax: 360-236-2901

Assistance for People with Disabilities

Contact Kim-Boi Shadduck by April 18, 2024. 

Phone: 360-236-2912

TTY: 711

Fax: 360-236-2901

Email: kimboi.shadduck@doh.wa.gov

Naturopathic Physician Continuing Education Requirements WAC 246-836-080 23-20-063 Accepting comments | Read the CR-101 (PDF) | Read the CR-102 (PDF)

The Board of Naturopathy is proposing amendments to ensure clear CE requirements including designation of pharmacology CE credits, classification of CE categories, and implementation of the health equity CE requirements, mandated by Engrossed Substitute Senate Bill (ESSB) 5229 (chapter 276, Laws of 2021).

For hearing and commenting information, please contact Rachel Phipps at 564-233-1277. 

Physical Location

Department of Health
Town Center 2, Room 153
111 Israel Road S.E.
Tumwater, WA 98501

Attend Virtually

Register for the Zoom meeting

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

Submit Written Comments

Submit written comments to:

Rachel Phipps
P.O. Box 47852
Olympia, WA 98504-7864

Fax: 360-236-2901

Submit a comment online

Registered Nurse (RN) Delegation of Glucose Monitoring and Testing WAC 246-840-835 (new section)
WAC 246-840-935 (new section)
WAC 246-840-930
WAC 246-840-940
24-08-076 Accepting comments | Read the CR-101 (PDF) | Read the CR-102 (PDF)

The Washington State Board of Nursing is proposing new sections of rule, WAC 246-840-835 and 246-840-935, and amendments to WAC 246-840-930 and 246-840-940 to implement Substitute House Bill (SHB) 1124 (chapter 14, Laws of 2022) to expand the delegation of glucose monitoring and testing to all settings where Nursing Assistant -Registered and Nursing Assistant-Certified individuals work. Additionally, the board is proposing changes to supervision and valuation timeframes to align with SHB 1124.

This is a hybrid hearing. You can attend in person or virtually by registering through Zoom.

In Person

Department of Health
Town Center 2, Room 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:

Jessilyn Dagum
Department of Health
PO Box 47864
Olympia, WA 98504-7864

Submit comments online

Fax: 360-236-4738

Assistance for People with Disabilities

Contact Jessilyn Dagum by April 24, 2024.

Phone: 360-236-3538

TTY: 711

Fax: 360-236-4738

Email: WABONRules@doh.wa.gov

Midwives Limited Prescriptive License Extension and Health Equity Continuing Education 246-834 WAC 24-05-052 Accepting comments | Read the CR-101 (PDF) | Read the CR-102 (PDF)

The Department of Health (department) is proposing amendments to chapter 246-834 WAC to implement Substitute Senate Bill 5765 (chapter 289, Laws of 2022), which created two levels of limited prescriptive license extension for midwives to prescribe, obtain, and administer medications and therapies for the prevention and treatment of common prenatal and postpartum conditions, family planning methods, medical devices and implants. This bill also gave the Secretary of Health the authority to establish education requirements in the chapter. The department is also proposing amendments to implement Engrossed Substitute Senate Bill 5229 (chapter 276, Laws of 2021) regarding health equity continuing education requirements.

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

In Person

Department of Health
Town Center 2, Room 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:

Kathy Weed
PO Box 47852
Olympia, WA 98504-7852

Fax: 360-236-2901

Email: kathy.weed@doh.wa.gov

Submit comments online.

Assistance for People with Disabilities

Contact Kathy Weed by March 25, 2024. 

Phone: 360-236-4883

TTY: 360-833-6388 or 711

Fax: 360-236-2901

Email: kathy.weed@doh.wa.gov

Multistate Nursing License Fee (New) and Increase to Nursing Center Surcharge Fee WAC 246-840-990 23-22-060 Accepting comments | Read the CR-101 (PDF) | Read the CR-102 (PDF)

The Department of Health in consultation with the Board of Nursing, formerly known as the Nursing Care Quality Assurance Commission, is proposing to increase the nursing center surcharge fee and proposing to create a new fee for a multistate nursing license in WAC 246-840-990. The proposed rule implements Substitute Senate Bill (SSB) 5499, Multistate Nurse Licensure Compact (Chapter 123, Laws of 2023).

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

Physical Location

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

Attend Virtually

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:

Heather Cantrell 
PO Box 47850
Olympia, WA 98504-7850

Submit comments online.

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

Emergency Medical Services (EMS) Data Reporting 246-976 WAC 24-06-084 Accepting comments | Read the CR-101 (PDF) | Read the CR-102 (PDF)

The Department of Health is proposing amendments to existing sections and the addition of two new sections to chapter 246-976 WAC relating to EMS Data Systems reporting to the Washington EMS Information System (WEMSIS) system to meet the requirements of Section 19 of Substitute Senate Bill 5380 (chapter 314, Laws of 2019).

This is a hybrid hearing. You can attend in person or virtually by registering through Zoom.

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:

Jim Jansen
Department of Health
PO Box 47853
Olympia, WA 98504-7853

Submit comments online

Fax: 360-236-2830

Email: jim.jansen@doh.wa.gov

Assistance for People with Disabilities

Contact Jim Jansen by April 2, 2024. 

Phone: 360-236-2821

TTY: 711

Fax: 360-236-2830

Email: jim.jansen@doh.wa.gov

Nursing Home Administrator Retired Active License Fee WAC 246-843-990 23-22-094 Accepting comments | Read the CR-101 (PDF) | Read the CR-102 (PDF)

The Department of Health (department) is proposing to establish a retired active fee for the nursing home administrator license in WAC 246-843-990.

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

Physical Location

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

Attend Virtually

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:

Kendra Pitzler
PO Box 47852
Olympia, WA 98504-4852

Fax: 360-236-2901 

Submit comments online.

Initial Licensure for Out-of-State Educated Registered Nurses and Licensed Practical Nurses WAC 246-840-030
WAC 246-840-090
24-03-103 Accepting comments | Read the CR-101 (PDF) | Read the CR-102 (PDF)

The Washington State Board of Nursing is proposing amendments to clarify specific licensing requirements for out-of-state Registered Nurse (RN) and Licensed Practical Nurse (LPN) applicants.

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 166/167
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:

Bonnie King
PO Box 47864
Olympia, WA 98504-7864

Fax: 360-236-4738

Submit comments online.

Assistance for People with Disabilities

Contact Bonnie King by February 27, 2024. 

Phone: 564-669-9721

Email: WABONRules@doh.wa.gov

Fax: 360-236-4738