CERTIFICATION OF ENROLLMENT

                   ENGROSSED HOUSE BILL 2193

                        53rd Legislature

                      1994 Regular Session

Passed by the House February 4, 1994   Yeas 92   Nays 0 Speaker of the       House of Representatives Passed by the Senate March 3, 1994   Yeas 47   Nays 0

CERTIFICATE I, Marilyn Showalter, Chief Clerk of the House of Representatives of the State of Washington, do hereby certify that the attached is ENGROSSED HOUSE BILL 2193 as passed by the House of Representatives and the Senate on the dates hereon set forth.

President of the Senate

Chief Clerk

Approved Place Style On Codes above, and Style Off Codes below.

FILED

Governor of the State of Washington

Secretary of State                   State of Washington

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                     ENGROSSED HOUSE BILL 2193

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             Passed Legislature - 1994 Regular Session

State of Washington      53rd Legislature     1994 Regular Session

By Representatives Veloria, Lisk and Dyer

Prefiled 1/7/94.  Read first time 01/10/94.  Referred to Committee on Health Care.

Exempting certain renal disease facilities from health care assistant licensing requirements.

    AN ACT Relating to renal disease facility health care assistants; and amending RCW 18.135.020.

BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF WASHINGTON:

    Sec. 1.  RCW 18.135.020 and 1991 c 3 s 272 are each amended to read as follows:

    As used in this chapter:

    (1) "Secretary" means the secretary of health.

    (2) "Health care assistant" means an unlicensed person who assists a licensed health care practitioner in providing health care to patients pursuant to this chapter.  However persons trained by a federally approved end-stage renal disease facility who perform end-stage renal dialysis are exempt from certification under this chapter.

    (3) "Health care practitioner" means:

    (a) A physician licensed under chapter 18.71 RCW;

    (b) An osteopathic physician or surgeon licensed under chapter 18.57 RCW; or

    (c) Acting within the scope of their respective licensures, a podiatrist licensed under chapter 18.22 RCW or a registered nurse licensed under chapter 18.88 RCW.

    (4) "Supervision" means supervision of procedures permitted pursuant to this chapter by a health care practitioner who is physically present and is immediately available in the facility during the administration of injections, as defined in this chapter, but need not be present during procedures to withdraw blood.

    (5) "Health care facility" means any hospital, hospice care center, licensed or certified health care facility, health maintenance organization regulated under chapter 48.46 RCW, federally qualified health maintenance organization, renal dialysis center or facility federally approved under 42 C.F.R. 405.2100, blood bank federally licensed under 21 C.F.R. 607, or clinical laboratory certified under 20 C.F.R. 405.1301‑16.

    (6) "Delegation" means direct authorization granted by a licensed health care practitioner to a health care assistant to perform the functions authorized in this chapter which fall within the scope of practice of the delegator and which are not within the scope of practice of the delegatee.

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