Notifiable Conditions Rule Revision Implementation

The Notifiable Conditions Rule, Chapter 246-101 WAC, was revised and the implementation date is nearing.

When does the rule revision go into effect?

Rule changes go into effect January 1, 2023.

DOH is updating current processes and creating new ones to comply with changes to the rule. We are also updating our data systems to collect new data required under the revised rule.

Who is impacted?

  • Local Health Jurisdictions
  • Laboratories and other ELR submitters
  • Health Care Providers
  • Health Care Facilities
  • Hospitals
  • Veterinarians
  • Food Service Establishments
  • Schools
  • Childcare Facilities
  • Any individual or entity conducting rapid screening testing

What’s changed?

  • New or revised requirements for 74 new or existing conditions
  • Revised reporting periods for some conditions
  • New or revised reporting contacts for some conditions
  • Revised demographic collection requirements with new reporting categories
  • New requirement for reporting pregnancy status (for Hep B)
  • New requirement for reporting Medicaid status (for blood lead in patients less than 72 months of age)
  • Revised criteria for collecting contact information
  • Clarifying notification, investigation report, and outbreak report content requirements

How do I comply with the rule changes?

  • Get informed about the rule and the changes by reading Chapter 246-101 WAC.
  • Watch for future communications and updates to our Guidance and Resource page for information on:
    • Webinars
    • Trainings
    • Guidance Document Releases
    • Go-live dates for DOH data systems changes


For questions about the revised rule contact