Rulemaking Activity

Using the search or table below, you can find a complete list of all current rulemaking activity and rules that have been adopted within the past 12 months by the Washington State Department of Health (DOH) and any health profession board or commission vested with rulemaking authority, including the State Board of Health.

The Title column can be sorted ascending and descending by clicking on the small triangle next to the title heading, or you can use the search bar at the top of the list. To use the search, enter key terms for the rule you are looking to locate. For example, if you enter "drinking water" in the search box, all rules with that exact phrase in their titles will appear at the top of the list. If you aren't finding what you're looking for, try single words—such as just "drinking" or just "water"—to broaden your results.

This page is updated twice each month. View timelines for hearings and providing comments, and links to connect with programs directly for additional information.

Key Definitions

WAC: Washington Administrative Code, rules and regulations adopted by state agencies to implement laws passed by the Legislature.

WSR: Washington State Register, official publication of state agency rulemaking activity.

Effective Date: Date the rule was adopted.

Rule Status

  • Adopted: Rule was adopted and is enforceable. Also known as a CR-103P filing.
  • Considering rulemaking: Identifying and investigating the need for rule development and allowing interested parties the opportunity to participate. Also known as a CR-101 filing, it comes before the CR-102 filing.
  • Emergency rule: Also known as a CR-103E filing, the immediate implementation of a temporary rule necessary to protect the public and general welfare.
  • Expedited: Also known as a CR-105 filing, a condensed rulemaking timeline for minor rule changes. This allows for a comment period but bypasses a hearing.
  • Proposal and comment: Proposal of rule changes and opportunity to provide formal input. Also known as a CR-102 filing.
  • Repealed: A previous rule in effect is no longer enforceable.
  • Suspended: When an existing section of rule, or an entire chapter of rule, is on hold (not in effect) for a specified period of time and then goes back into effect.
  • Withdrawn: Consideration or proposal of a rule was withdrawn and was not adopted into law.
Title 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 Effective Date
Hospital Staffing Committees Interpretive Statement 24-07-061 Adopted

Interpreting the requirements of RCW 70.41.420, which describes the establishment, composition, and responsibilities of hospital staffing committees. Interpretive Statement CHS-01-17-24. Effective Date: January 1, 2024
Hospital Staffing Committees Interpretive Statement CHS-01-17-24.2 24-14-022 Adopted

The Washington State Department of Health's interpretation of RCW 70.41.420, as it relates to the establishment, composition, and responsibilities of hospital staffing committees. Effective Date: June 21, 2024.
In-Home Services Agencies – Fee Updates WAC 246-335-990 25-08-070 Considering rulemaking | Read the CR-101

The Washington State Department of Health (DOH) is considering rule amendments to update fees for in-home services agencies and to clarify and standardize language in WAC 246-335-990.
In-Home Services Audio-Only Telehealth WAC 246-335-540 25-15-031 Expedited | Read the CR-105

The Washington State Department of Health (DOH) proposed a technical correction to WAC 246-335-540, updating the citation to RCW 74.09.325 regarding audio-only telemedicine services.
Incorporation by Reference of Federal Statutes, Regulations and National Consensus Codes in Pharmacy Rules 246-945 WAC 24-21-069 Adopted | Read the CR-103 | Read the CR-105

The Pharmacy Quality Assurance Commission adopted revisions to WAC 246-945-010, 246-945-013, 246-945-030, 246-945-550, and 246-945-565 to update various references incorporated throughout the rules. The new section adopted as WAC 246-945-034 incorporates updates to FDA drug classifications. When effective, the amendments to WAC 246-945-030 and adoption of WAC 246-945-034 will supersede emergency rules filed as WSR 24-16-085 on August 1, 2024.
Indian Health Attestation for Psychiatric Hospitals, Residential Treatment Facilities (RTF), and Behavioral Health Agencies (BHA) WAC 246-322
WAC 246-337
WAC 246-341 		25-11-050 Adopted | Read the CR-101 | Read the CR-102 | Read the CR-103

The Washington State Department of Health (DOH) adopted new and amended rules in WAC 246-322, 246-337, and 246-341 to establish administrative fees for attestations that a Tribal RTF or tribal private psychiatric hospital meets state minimum standards for licensure, and to align those fees with proposed attestation fees for Tribal BHAs. The amended rules also clarify that the standard licensure process does not apply to Tribes seeking licensure via attestation.
Initial Licensure for Out-of-State Educated Registered Nurses and Licensed Practical Nurses WAC 246-840-030
WAC 246-840-090 		24-03-103 Proposal and comment | Read the CR-101 | Read the CR-102

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
Initial Nursing Licensure Applying Via Interstate Endorsement WAC 246-840-030
WAC 246-840-090 		24-10-063 Adopted | Read the CR-101 | Read the CR-102 | Read the CR-103

The Washington State Board of Nursing adopted amendments to WAC 246-840-030 and WAC 246-840-090 clarifying specific licensing requirements for out-of-state registered nurse and licensed practical nurse applicants.
J-1 Physician Visa Waiver Requirements 246-562-WAC 24-18-072 Adopted | Read the CR-101 | Read the CR-102 | Read the CR-103

The Washington State Department of Health (DOH) amended chapter 246-562-WAC to rewrite the rule for better organization, clarity, and modernization. The adopted amendments better reflect the purpose and intent of the J-1 Visa Waiver Program and clarify the changes in physician practice and the need for physicians across Washington state. The adopted amendments address the applicant criteria, the application review process, and the need for more available specialist waivers slots earlier in the fiscal year. The rule adoption implements a scoring methodology to allow DOH to prioritize waiver placements based on physician practices, employers, and communities that are in highest need across the state. DOH created two new sections in the rule adoption to include requirements for requesting letters attestation and letters of completion.
J-1 Physician Visa Waiver Rules 246-562 WAC 24-13-113 Proposal and comment | Read the CR-101 | Read the CR-102

The Washington State Department of Health (DOH) is proposing a rewrite and reorganization of chapter 246-562 WAC to clarify and update rules about J-1 physician visa waivers. 

This is a hybrid hearing. You can attend in person or virtually by registering through Zoom. Comments may also be submitted 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:

Sarah Gambrill
Department of Health
PO Box 47853
Olympia, WA 98504-7853

Submit comments online

Assistance for People with Disabilities

Contact Sarah Gambrill by July 30, 2024.

Phone: 564-669-1697

TTY: 711

Email: J1VisaWaiver@doh.wa.gov
J-1 Visa Waiver Program 246-562 WAC 24-04-022 Withdrawn

Withdrawal of WSR 23-12-089, for chapter 246-562 WAC Physician Visa Waivers. The department is expanding the scope of the rule making project under a new CR-101.
Kidney Disease Treatment Center Temporary Emergency Exemptions WAC 246-310-825
WAC 246-310-800 through 246-310-833 		24-10-089 Proposal and comment | Read the CR-101 | Read the CR-102

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
Kidney Disease Treatment Center – Temporary Emergency Exemptions WAC 246-310-825
WAC 246-310-800 through 246-310-806
WAC 246-310-812 through 246-310-833 		24-18-006 Adopted | Read the CR-101 | Read the CR-102 | Read the CR-103

The Washington State Department of Health (DOH) adopted a new section, WAC 246-310-825 and adopted amendments to existing kidney disease treatment center rules, WAC 246-310-800 through 246-310-806, and 246-310-812 through 246-310-833, to implement Substitute Senate Bill (SSB) 5569 (chapter 48, Laws of 2023), codified in RCW 70.38.280. DOH also adopted amendments to address impacts to the need methodology based upon new temporary emergency situation exemption, as well as clean-up language to ensure consistency in kidney disease treatment center rules.
Large On-Site Sewage System Rules – Establishing a Civil Penalty Schedule WAC 246-272B-08105 24-21-102 Proposal and comment | Read the CR-101 | Read the CR-102

The Washington State Department of Health (DOH) is proposing to establish a civil penalty schedule for violations of a law or rule regulating large on-site sewage systems. This proposed rule is necessary to clarify DOH penalties based on significance of the violation, previous compliance record, and the presence of aggravating or exacerbating circumstances. 

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

Ashlie Laydon
Department of Health
PO Box 47822
Olympia, WA 98504-7822

Email: ashlie.laydon@doh.wa.gov

Submit comments online

Assistance for People with Disabilities

Contact Ashlie Laydon by December 4, 2024. 

Email: ashlie.laydon@doh.wa.gov
Large Onsite Sewage Systems - Penalty Schedule 246-272B WAC 24-13-109 Considering rulemaking | Read the CR-101

The Washington State Department of Health (DOH) is considering amending chapter 246-272B WAC to add a penalty schedule for the issuance of civil penalties. RCW 70A.115.050 gives DOH the ability to assess a penalty of not more than ten thousand dollars per day for every violation of a law or rule regulating large onsite sewage systems. Rules that establish a penalty schedule will clarify DOH’s penalties based on the severity of the violation.
Licensed Behavior Analyst, Licensed Assistant Behavior Analyst, and Certified Behavior Analyst - Reducing Barriers to Licensure and Fee Changes WAC 246-805-010
WAC 246-805-100
WAC 246-805-200
WAC 246-805-220 and more 		24-11-103 Adopted | Read the CR-101 | Read the CR-102 | Read the CR-103

The Washington State Department of Health (DOH) adopted updated certification requirements to reduce barriers, clarify requirements, and update continuing health equity and AIDS continuing education and training requirements. Fees were added and updated to support the new rule changes.

Citation of rules affected by this order:

New: WACs 246-805-025, 246-805-110, 246-805-120, 246-805-130, 246-805-250, 246-805-325, 246-805-340, 246-805-401, 246-805-402, 246-805-510, and 246-805-520

Repealed: WAC 246-805-020

Amended: WACs 246-805-010, 246-805-100, 246-805-200, 246-805-220, 246-805-230, 246-805-240, 246-805-300, 246-805-310, 246-805-320, 246-805-330, 246-805-400, 246-805-410, and 246-805-990
Licensed Counselor and Therapist Credentialing and Practice Standards 246-809 WAC 25-11-019 Adopted | Read the CR-101 | Read the CR-102 | Read the CR-103

The Washington State Department of Health (DOH) adopted rules in chapter 246-809 WAC to streamline the licensure process for mental health counselors, marriage and family therapists, and social workers. Changes include updates to education, supervision, and credentialing standards, as well as reducing barriers for associate-level and out-of-state applicants.
Licensed Counselors – Mental Health Counselors, Marriage and Family Therapists, and Social Workers 246-809 WAC 25-04-016 Proposal and comment | Read the CR-101 | Read the CR-102

The Washington State Department of Health (DOH) is proposing permanent rules to implement new requirements in chapter 246-809 WAC. The proposed rules establish standards for the licensed counselor supervisor directory program, supervision, practice on a pending license, and the supervision stipend program.

This is a virtual hearing. You can attend virtually by registering through Zoom. You may also submit comments in writing.

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:

Brandon Williams
PO Box 47852
Olympia, WA 98504-7852

Submit comments online

Assistance for People with Disabilities

Contact Brandon Williams by February 25, 2025. 

Phone: 360-913-4643

TTY: 711

Email: brandon.williams@doh.wa.gov
Licensed Mental Health Counselor Associates Fees WAC 246-809-990 25-17-067 Expedited | Read the CR-105

The Washington State Department of Health (DOH) proposed amendments to WAC 246-809-990 to add the University of Washington Health Sciences Library (HEAL-WA) fee for licensed mental health counselor associates to align with changes made by House Bill 1190 (chapter 19, Laws of 2025).
Licensed Optometrist Continuing Education (CE) WAC 246-851-490 24-23-045 Adopted | Read the CR-101 | Read the CR-102 | Read the CR-103

The Board of Optometry adopted an amendment to WAC 246-851-490 that removes the jurisprudence (JP) examination requirement from initial licensure. The board is also adopting amendments to WAC 246-851-090 that adds the JP exam as a requirement for a licensed optometrist’s first full CE reporting period, allowing it to count for a maximum of three hours within the existing CE hour requirements.
Licensed Pharmaceutical Facility Inspection Requirements for Modifications or Remodels WAC 246-945-230
246-945 WAC 		25-05-060 Considering rulemaking | Read the CR-101

The Pharmacy Quality Assurance Commission is considering amending WAC 246-945-230 and potentially establishing a new section in chapter 246-945 WAC to clarify when facilities need to submit a modification or remodel application and what constitutes a modification or remodel.
Local Board of Health Composition Rules 246-90 WAC 25-19-045 Considering rulemaking | Read the CR-101

The State Board of Health (SBOH) is considering amending its Local Board of Health (LBOH) composition rules to establish timelines for modifying the membership of an LBOH to align with Engrossed Substitute House Bill (ESHB) 1946. Rulemaking aims to keep a balanced mix of elected and non-elected members when Tribal representatives are added.
Magnetic Resonance Imaging (MRI) Technologist Certification 246-926 WAC 24-13-114 Considering rulemaking | Read the CR-101

The Washington State Department of Health (DOH) is considering adding new sections to and updating sections of chapter 246-926 WAC, Radiologic imaging professionals, to implement Substitute House Bill (SHB) 2355 (chapter 94, Laws of 2024), which establishes certification of MRI technologists. DOH will also consider minor housekeeping edits and or updates related specifically to establishing and regulating MRI technologists.
Magnetic Resonance Imaging (MRI) Technologists Certification 246-926 WAC 25-16-010 Adopted | Read the CR-101 | Read the CR-102 | Read the CR-103

The Washington State Department of Health (DOH) adopted rules creating a new section and amending chapter 246-926 WAC to implement SHB 2355, establishing certification requirements for MRI technologists and making related updates.
Medical Assistant Credential for Emergency Medical Technician 246-827 WAC 24-15-100 Considering rulemaking | Read the CR-101

The Washington State Department of Health (DOH) is considering rule amendments and adding new sections to chapter 246-827 WAC, Medical Assistants, to implement Substitute Senate Bill (SSB) 5940 (chapter 217, Laws of 2024) establishing the MA-EMT credential for individuals holding a current EMT, advanced EMT, or paramedic credential. DOH will also consider fees for the new credentials.
Medical Assistant Emergency Medical Technician (MA-EMT) Credential 246-827 WAC 25-13-095 Adopted | Read the CR-101 | Read the CR-102 | Read the CR-103

The Washington State Department of Health (DOH) adopted amendments to chapter 246-827 WAC and related sections to establish the new credential of MA-EMT to implement Substitute Senate Bill 5940.
Medical Assistant Medication Administration Requirements and Apprenticeship Programs WAC 246-827-0010
WAC 246-827-0200
WAC 246-827-0240
WAC 246-827-0340 (new section) 		25-05-085 Adopted | Read the CR-101 | Read the CR-102 | Read the CR-103

The Washington State Department of Health (DOH) adopted amendments to WAC 246-827-0010, 246-827-0200, and 246-827-0240 and adopted a new section, WAC 246-827-0340. The adopted amendments ensure that the rules are current and align with best practices, and include updating and clarifying definitions, updating credentialing requirements, and aligning medication administration and supervision requirements to the recently enacted statutes.
Medical Assistant Medication Administration Requirements and Apprenticeship Programs WAC 246-827-0010
WAC 246-827-0200
WAC 246-827-0240
WAC 246-827-0340 (new) 		24-14-096 Considering rulemaking | Read the CR-101

The Washington State Department of Health (DOH) is considering rule amendments to WAC 246-827-0010, 246-827-0200, and 246-827-0240 to align with Engrossed Substitute House Bill (ESHB) 1073 (chapter 134, Laws of 2023) and Engrossed Substitute Senate Bill (ESSB) 5983 (chapter 248, Laws of 2024) to ensure that the rules are current and align with best practices. DOH will also consider adding a new section, WAC 246-827-0340, to address the medication administration requirements for the medical assistant-registered credential.
Medical Assistant – Emergency Medical Technician (EMT) Credential 246-827 WAC
WAC 246-827-990 		25-06-053 Proposal and comment | Read the CR-101 | Read the CR-102

The Washington State Department of Health (DOH) is proposing new rules in chapter 246-827 WAC and proposing an amendment to WAC 246-827-990 to implement this new credential type.

This is a virtual hearing. You can attend virtually by registering through Zoom. You may also submit comments in writing.

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:

Becky McElhiney
PO Box 47852
Olympia, WA 98504-7852

Submit comments online

Assistance for People with Disabilities

Contact Becky McElhiney by March 25, 2025. 

Phone: 360-236-4766

TTY: 711

Email: medical.assistants@doh.wa.gov
Medical Assistant – Medication administration requirements and apprenticeship programs WAC 246-827-0010
WAC 246-827-0200
WAC 246-827-0240
WAC 246-827-0340 (new) 		24-22-100 Proposal and comment | Read the CR-101 | Read the CR-102

The Washington State Department of Health (DOH) is proposing rule amendments to WAC 246-827-0010, 246-827-0200, and 246-827-0240 to align rules with updated statutes and best practices. DOH is also proposing a new section, WAC 246-827-0340, to address the medication administration requirements for the medical assistant-registered credential.

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

Becky McElhiney
PO Box 47852
Olympia, WA 98504-7852

Submit comments online

Fax: 360-236-2850

Assistance for People with Disabilities

Contact Becky McElhiney by December 4, 2024. 

Phone: 360-236-4766

TTY: 711

Fax: 360-236-2901

Email: medical.assistants@doh.wa.gov
Medical assistants — Various Provisions WAC 246-827-0010
WAC 246-827-0200
WAC 246-827-0240
WAC 246-827-0340 (new) 		24-14-095 Withdrawn

The Washington State Department of Health (DOH) withdrew a CR101 impacting chapter 246-827 WAC; CR-101 titled “Medical Assistants— Various Provisions” filed October 3, 2023, published as WSR 23-20-118. DOH filed a new CR101 to accommodate Engrossed Substitute Senate Bill (ESSB) 5983 (chapter 248, Laws of 2024) which impacts the same sections of rule. 
Medical Cannabis Consultant Training Policy Statement HSQA MC 2025-01 WAC 246-72-100 25-16-050 Adopted

The Washington State Department of Health (DOH) issued policy statement HSQA MC 2025-01 clarifying how alternative training for medical cannabis consultants may meet regulatory requirements.

Effective date: March 25, 2025. Filed July 30,2025.
Medical Test Site 246-338 WAC 25-02-002 Adopted | Read the CR-103 | Read the CR-105

The Washington State Department of Health (DOH) adopted amendments to sections WAC 246-338-022, 246-338-040, 246-338-050, 246-338-060, 246-338-070, 246-338-080, and 246-338-090 to incorporate existing minimum standards that are missing, make technical corrections to rules, and adopt new federal requirements.
Medical Test Site (MTS) Licensure for Naturopath and Licensed Midwife Professions WAC 246-338-020
WAC 246-338-010 		24-11-059 Adopted | Read the CR-102 | Read the CR-103

To align with federal rules, the Washington State Department of Health (DOH) removed 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. DOH clarified that both the laboratory director and testing personnel of PPMP must be licensed professionals. A technical citation amendment was also made to a definition in WAC 246-338-010.
Medical Test Site Federal Rule Compliance Update 246-338 WAC 24-20-089 Expedited | Read the CR-105

The Washington State Department of Health (DOH) is proposing amendments to sections WAC 246-338-022, 246-338-040, 246-338-050, 246-338-060, 246-338-070, 246-338-080, and 246-338-090 to incorporate existing minimum standards that are missing, make technical corrections to rules, and adopt new federal requirements.
Medical Test Site Licensure for Naturopath and Nurse Midwife Professions WAC 246-338-020
WAC 246-338-010 		24-05-019 Proposal and comment | Read the CR-102

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
Medication Assistance WAC 246-945-712(6) 25-08-072 Adopted | Read the CR-101 | Read the CR-102 | Read the CR-103

The Washington State Department of Health (DOH) adopted amendments to establish criteria for medication assistance in community-based and in-home care settings in accordance with chapter 69.41 RCW.
Medication Assistance from Nonpractitioners WAC 246-945-714 25-16-045 Considering rulemaking | Read the CR-101

The Pharmacy Quality Assurance Commission is considering amending WAC 246-945-714 regulating medication assistance provided by nonpractitioners to bring the rule line with changes made to RCW 69.41.010(15) following the passage of Substitute House Bill (SHB) 1720 (chapter 26, Laws of 2025).
Medication Assistance – Establishing Standards for Medication Assistance in Community-Based and In-Home Care Settings 246-945 WAC 24-21-154 Proposal and comment | Read the CR-101 | Read the CR-102

The Pharmacy Quality Assurance Commission and Washington State Department of Health (DOH) are jointly proposing adding five new sections, WACs 246-945-710, 246-945-712, 246-945-714, 246-945-716, and 246-945-718, to establish standards for the practice of medication assistance. The proposed rules describe definitions, actions, and restrictions pertaining to the provision of medication assistance in accordance with chapter 69.41 RCW. 

This is a hybrid hearing. You can attend in person or virtually by Zoom. You may also submit comments in writing.

In Person

Washington State Labor & Industries
7273 Linderson Way SW
Tumwater, WA 98501

Webinar

Zoom meeting link

Written Comments

Submit written comments to:

Joshua Munroe
PO Box 47852
Olympia, WA 98504-7852

Fax: 360-236-2901

Submit comments online

Assistance for People with Disabilities

Contact Joshua Munroe by November 25, 2024. 

Phone: 360-503-5058

TTY: 711

Fax: 360-236-2901

Email: PharmacyRules@doh.wa.gov
Memo Rescinding an Incomplete Emergency Rule Amending Credentials for Mental Health Professionals WAC 246-341-0200
WAC 246-341-0515
WAC 246-810-010
WAC 246-810-015
WAC 246-810-990 		24-08-001 Withdrawn

The Department of Health rescinded the CR103E filed as WSR 24-07-062 amending behavioral health agency licensing and certification requirements because it was incomplete. The emergency rule was refiled correctly under WSR 24-07-100. Filed March 20, 2024.
Memo Rescinding Emergency Rule About Out-of-State Nursing School Requirements for Licensure WAC 246-840-030
WAC 246-840-090 		24-11-006 Withdrawn

The Washington State Board of Nursing (WABON) rescinded emergency rules in WAC 246-840-030 and WAC 246-840-090 filed as WSR 24-10-096 which clarified licensing requirements for registered nurse (RN) and licensed practical nurse (LPN) out of state applicants because the amendments have been adopted in permanent rule, making the emergency rule unnecessary.
Memo Rescinding On-Site Sewage Proprietary Treatment Products Emergency Rule WAC 246-272A-0110 24-08-067 Withdrawn

The Department of Health is rescinded the CR-103E for the Sixth Emergency rule for proprietary treatment products and the use of substitution products under WAC 246-272A-0110, published as WSR 24-04-071 because a permanent rule WSR 24-06-046 filed on March 1, 2024 makes the emergency rule redundant.
Mental Health Counselor, Marriage and Family Therapist, and Social Worker Professions – Reducing Barriers 246-809 WAC 25-06-068 Proposal and comment | Read the CR-101 | Read the CR-102

The Washington State Department of Health (DOH) is proposing permanent rules to reduce barriers for entering and remaining in the behavioral health care workforce and streamline and shorten the credentialing process by removing renewal limits for associate-level credentials, allowing professional experience to substitute for clinical practicum experience, and by lowering continuing education requirements, chapter 246-809 WAC. 

This is a virtual hearing. You can attend virtually by registering through Zoom. You may also submit comments in writing.

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:

Lana Crawford
PO Box 47852
Olympia, WA 98504-7852

Submit comments online

Assistance for People with Disabilities

Contact Lana Crawford by March 25, 2025. 

Phone: 564-669-1455

TTY: 711

Email: lana.crawford@doh.wa.gov
Mental Health Counselor, Marriage and Family Therapist, and Social Workers 246-809 WAC 24-10-012 Considering rulemaking | Read the CR-101

The Department of Health is considering rule amendments to reduce barriers to licensure and streamlining the credentialing process in chapter 246-809 WAC.
Mental Health Licensing Emergency Rule Rescission 246-809 WAC 25-13-039 Withdrawn

The Washington State Department of Health (DOH) rescinded the sixth emergency rule filed as WSR 25-11-057 related to the licensed counselor supervisory directory because permanent rules on the topic have become effective. Filed as WSR 25-13-039.
Mental Health Supervisor Directory Rescission 246-809 WAC 25-11-062 Withdrawn

The Washington State Department of Health (DOH) rescinded emergency rule WSR 25-11-057 for Mental Health Counselors, Marriage and Family Therapists, and Social Worker Associates because permanent rulemaking on the topic has been completed.
Methamphetamine Use in Transient Accommodations Interpretive Statement EHS-01-2024 246-360 WAC 24-12-032 Adopted

The Washington State Department of Health (DOH) issued interpretive statement EHS-01-2024 advising local health officers on the application of chapter 64.44 RCW when personal use of methamphetamine is suspected in transient accommodations. Effective June 1, 2024. Filed as WSR 24-12-032 on May 29, 2024.
Midwives Jurisprudence Exam Requirements WAC 246-834-050
WAC 246-834-060 		25-19-055 Considering rulemaking | Read the CR-101

The Washington State Department of Health (DOH) is considering removing jurisprudence exam requirements for midwives to reduce barriers to licensure.
Midwives Limited Prescriptive License Extension and Health Equity Continuing Education 246-834 WAC 24-10-091 Adopted | Read the CR-101 | Read the CR-102 | Read the CR-103

The Department of Health (department) adopted amendments to chapter 246-834 WAC implementing Substitute Senate Bill (SSB) 5765 (chapter 289, Laws of 2022), which created two levels of limited prescriptive license extensions for midwives to prescribe, obtain, and administer medications and certain therapies. The department also adopted amendments to chapter 246-834 WAC to implement Engrossed Substitute Senate Bill (ESSB) 5229 (chapter 276, Laws of 2021) regarding health equity CE requirements. The adopted amendments additionally replace gendered language with gender-neutral terms to make the chapter more inclusive.
Midwives Limited Prescriptive License Extension and Health Equity Continuing Education 246-834 WAC 24-05-052 Proposal and comment | Read the CR-101 | Read the CR-102

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