Nursing Home Administrator - Rules in Progress

Rules in Progress

The rules writing process is open to the public. The public is welcome to take part in helping us write rules. Rules are also known as regulations, Washington Administrative Code, or WAC. The rule-making process includes public notices and workshops, and usually a public hearing before a rule becomes final.

To receive updates about rule making and other topics related to nursing home administrators, subscribe for updates at the bottom of the page.

Current rules in progress

Rules Changes for Application, Administrator-in-Training, License Reactivation, Health Equity Continuing Education, and Temporary Practice Permit and New Rules for Retired Active Status License

The Board of Nursing Home Administrators has filed a Proposal for Rulemaking with the Code Reviser’s Office. This proposal includes language changes for application requirements, administrator-in-training requirements, requirements for license reactivation, health equity continuing education, and requirements for a temporary practice permit for interim placement. The proposal would also add a new section to allow for a retired active-status license. The significant analysis document explains the changes.

You may email your comments or post your comments on the agency's rulemaking webpage.

You may attend the hearing virtually or in person. See details below:

Microsoft Teams meeting 

  • November 13, 2023 at noon 

Join the meeting on your computer or mobile app, or room device    

Meeting ID: 232 147 328 178 
Passcode: ahteC3

Download Teams | Join on the Web
Or call in (audio only)
+1 564-999-2000,,574541680#  United States, Olympia 
Phone Conference ID: 574 541 680# 

All board members will attend this hearing virtually. However, department staff will be at the location below if you wish to join in person:

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

New Rule for Retired Active Status License Fee

We have proposed a $150 fee for renewal of a retired active status license. A hearing will be held on December 5, 2023. The hearing will be held both virtually by Zoom and at the Department of Health in Tumwater. For more information, including details about the hearing, please see the CR 102 notice and Fee Narrative documents:

Background: RCW 18.130.250 allows the disciplining authority to adopt rules authorizing a retired active status license to practice in emergent or intermittent circumstances. Individuals may hold a retired active status license at a reduced renewal fee established by the Secretary of Health. The Board of Nursing Home Administrators filed a proposal with the Code Reviser's Office on October 3, 2023, under WSR 23-20-116 (PDF) to adopt the retired active status license. The board's hearing to establish the retired active status license will take place on November 13, 2023. The Department of Health fee hearing on December 5, 2023 is to establish the fee for the retired active status license renewal.

Please direct any questions to us via email.

More agency rule resources