Public Notification
Interhospital Transfer Guidelines and Agreements
CR-101 rule inquiry stage – drafting of proposed rules
The Department of Health's Office of Community Health Systems officially filed a CR-101 with the Office of the Code Reviser on September 4, 2026, to open WAC 246-976-890 Interhospital transfer guidelines and agreements. The WSR number is 26-19-015.
- Public Notification and Meeting Announcement (PDF)
- CR-101 WSR 26-19-015 (PDF)
- Chapter 246-976 WAC
- Draft rules WAC 246-976-890 (PDF)
Emergency Medical Responder (EMR) or Emergency Medical Technician (EMT) Training Courses – Expanding Education for Initial Training to Students who are 16 years of age
Minors in EMS Education – Rulemaking (WSR 26-14-022) updated June 22, 2026
The Department of Health's Office of Community Health Systems officially filed a CR-103P on June 22, 2026, for WAC 246-976-022 and WAC 246-976-041. The WSR number is 26-14-022.
CR-102 rule phase – notification of public hearing on proposed rules
The Department of Health's Office of Community Health Systems officially filed a CR-102 with the Office of the Code Reviser on March 31, 2026, for the proposed draft rules for WAC 246-976-022 and 246-976-041. The WSR number is 26-08-081 (PDF).
- CR-102 WSR 26-08-081 (PDF)
- Draft rules WAC 246-976-022 and WAC 246-976-041 (PDF)
- Public Notification and Meeting Announcement (PDF)
Public hearing will be held on May 5, 2026, at 10 a.m. virtually.
CR-101 rule inquiry stage – drafting of proposed rules
The Department of Health’s Office of Community Health Systems, EMS and Trauma Care Section officially filed a CR-101 with the Office of the Code Reviser on October 7, 2025, to open WAC 246-976-022 and WAC 246-976-041. Other amendments to sections or adding new sections in chapter 246-976 WAC may also be considered to address this specific topic. The WSR number is 25-21-026.
- Public Notification and Meeting Announcement (PDF)
- CR-101 WSR 25-21-026 (PDF)
- Chapter 246-976 WAC
- Draft rules WAC 246-976-022 and WAC 246-976-041 (PDF)
How to Participate
The department’s EMS Program will be hosting a series of virtual meetings to provide an overview of the rules in the coming weeks. Additional webinars will be added as needed.
The schedule provided is intended as a guide for streamlining work. Meeting focus and frequency is subject to change. Please check back frequently for updates.
Webinar Announcement
October 2026
| Date/Time | Location | Meeting Focus |
|---|---|---|
| Monday, October 5, 2026, at 12:30 p.m. | The Department of Health (department) is considering rulemaking in response to petition to amend language in WAC 246-976-890 to allow non-verified ambulance services to provide interfacility transportation of trauma patients. | |
| Thursday, Oct 22, 2026, at 1:05 p.m. | Virtually via Teams | The Department of Health (department) is considering rulemaking in response to petition to amend language in WAC 246-976-890 to allow non-verified ambulance services to provide interfacility transportation of trauma patients. |
Public Comment
To submit any comment(s) please use the department-provided comment form (PDF) or see the Rules Comment webpage.
Comments may be submitted before or after any meeting; we want to ensure that all comments are taken into consideration when the final draft rules are adopted.
The comment form (PDF) can be emailed to hsqa.ems@doh.wa.gov.
If you would like to receive updates or announcements about these rule revisions, you can sign up for the GovDelivery list.
Rules Adopted
See the Washington State Department of Health rules website for more information on adopted rules within Title 246 WAC.
Out-of-Network Health Care Charges (Balance Billing) for Ground Ambulance Services
CR-103P rule proposal phase – preparing the proposed rules
The Department of Health’s Office of Community Health Systems, EMS and Trauma Care Section officially filed a CR-103P on September 23, 2025, for WAC 246-976-260 and WAC 246-976-270. The WSR number is 25-20-024.