Rules are created through a public process involving open public meetings and hearings. While each rule is in various stages of rule writing, you're welcome to comment at any time.
Rules are also known as regulations, Washington Administrative Code, or WAC.
The Washington Chiropractic Quality Assurance Commission (CQAC) has authority (RCW18.25) to update and change chapter 246-808 WAC.
- Current rules in progress
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Rule Filing Information Subject of possible rule making: Rulemaking is necessary to achieve the statute’s goals and objectives by providing updated requirements that are clear, concise, and necessary to ensure patient safety. Rulemaking establishes enforceable credentialing requirements and safety mechanisms for patients receiving chiropractic services.
Chiropractic Credentialing Requirements. The Chiropractic Quality Assurance Commission is considering revisions to WAC 246-808-010, 246-808-105 through 246-808-140, 246-808-190, 246-808-510, 246-808-535, and 246-808-801 through 246-808-830 to clarify, streamline, and modernize the rule language to be consistent with current laws and practice standards.
The commission is also considering technical amendments to implement Substitute Senate Bill (SSB) 5496 (Chapter 43, Laws of 2022). SSB 5496 updated terminology, definitions, and references for chiropractors. SSB 5496 also made clarifications to confidentiality protections in RCW 18.130.070 for health professional monitoring programs.
CR101 23-05-053 Filed February 10, 2023 (PDF) Classification of Chiropractic Procedures and Instrumentation. The Chiropractic Quality Assurance Commission is considering amending WAC 246-808-505, Classification of chiropractic procedures and instrumentation, to better align the rule language with the statutory language and to modernize and streamline current language. The commission may also consider further amendments based on research and interested party input. CR-101 25-10-041 Filed April 30, 2025 (PDF)
- Workshops
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Rules Date and Location Rules Workshop - The Commission is considering revisions to WAC 246-808-010, 246-808-105 through 246-808-140, 246-808-180, 246-808-181, 246-808-190, 246-808-510, 246-808-535 and 246-808-801 through 246-808-830 to clarify, streamline, and modernize the rule language, and to be consistent with current laws and practice standards.
As part of this workshop, Sue Hall from the Washington Recovery and Monitoring Program (WRAMP) will provide an overview of the WRAMP program.
The Commission will then focus its review on WAC’s 246-808-801, 810, 820, and 830 related to substance abuse monitoring.
Rules Workshop – The Commission approved proposed changes to WAC 246-808-505 to better align the rule language with existing statutory requirements and to modernize and streamline the current provisions at its November 13, 2025, meeting. Commission members and interested parties will have the opportunity to review the proposed changes made by Department of Health staff and provide feedback. The Commission will consider any additional revisions identified through this review process before final approval.
January 8, 2026
Department of Health
TC2 Room 166/167
111 Israel Rd. S.E.
Tumwater, WA 98501.This meeting is also available virtually via MS Teams.
Please access the agenda for information on joining the meeting.
- Hearings
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Rules Filing Information Hearing Details The hearings are open to the public and will be announced here, as well as through GovDelivery. To get announcements subscribe to GovDelivery.
- Rules Recently Filed
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Rule Filing Information CR-103 Permanent Rule Announcement
The Chiropractic Quality Assurance Commission (commission) works with the Department of Health (department) to protect and improve the health of all people in Washington State. The commission protects the health, safety, and welfare of Washingtonians by ensuring that practitioners credentialed by the commission meet all licensure requirements, administering the disciplinary process promptly, fairly, and efficiently, and providing regular communications with the public and profession. The commission accomplishes this work, in part, through regulation of chiropractors and chiropractic x-ray technicians (chapter 18.25 RCW).
State law, RCW 43.70.250 requires license fees for professions, occupations, and businesses, to fully fund the work of licensing and regulating health care professions. The current fee amounts in WAC 246-808-990 - Chiropractic fees and renewal cycle does not generate sufficient revenue to recover operating expenditures for the commission.
The commission ended fiscal year (FY) 2024 with a fund balance of $95,000 and a revenue shortfall of $403,000. The commission is forecasted to continue operating at a deficit, contributing to further decline of the fund balance through FY2032.
Considering the commission’s financial forecast, the department is adopting a fee increase to bring revenue into alignment with the cost of licensing and regulating chiropractic professions.- CR-103 – WSR 25-16-076 – Filed August 1, 2025 – Effective December 1, 2025 (PDF)
- Chiropractic Fee Narrative (PDF)
- Concise Explanatory Statement (PDF)
- Comment on Rules
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The Chiropractic Quality Assurance Commission values your input and we sincerely encourage you to send us your comments on any rule in progress. You may send your comments to:
Department of Health
Attn: Chiropractic Commission Rules
P.O. Box 47858
Olympia, WA 98504-7858E-mail: cqac@doh.wa.gov
Phone: 360-236-2868You may also submit comments using the online rules comment page.