Rules in Progress - Birth Doulas

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.

Current Rules in Progress

Birth doula clarifying “culturally congruent care” from rules petition

The Department of Health filed a CR-101 Preproposal Statement of Inquiry for WAC 246-835-010 and -025 as WSR# 24-09-012 on April 5, 2024 (PDF). The department is considering amendments to update the definition of “culturally congruent care” and clarify rule expectations regarding competencies for those seeking certification.

The department is holding a webinar rules workshops on May 9 and 16 at 6 p.m. 

Join the rules workshop meeting via webinar using MS Teams.

Or call in (audio only) 1-564-999-2000, Phone Conference ID: 308 433 877#

Engrossed Substitute House Bill (ESHB) 1881 (chapter 217, Laws of 2022), codified under chapter 18.47 RCW, created birth doulas (doulas) as a new health profession in the State of Washington. The adopted rules establish the profession’s education, training, and certification requirements. This is a voluntary credential, meaning that an individual does not need to be credentialed in Washington state to provide doulas services however, the title “state-certified birth doula” cannot be used unless the person is certified as a birth doula.

The adopted rules incorporate education requirements that include congruent ancestral practices, training, and education. Training may be completed through educational programs or completing ancestral pathway competencies. In addition to the education and training requirements, the adopted rules establish certification requirements which include an application process, fees, and any other requirements necessary to comply with the Uniform Disciplinary Act, chapter 18.130 RCW, which is required for all credential holders.

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