AN ACT Relating to naturopathic medicine; amending RCW 18.36.010 and 18.36.060; and repealing RCW 18.36.020.

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

Sec. 1. Section 13, chapter 36, Laws of 1919 and RCW 18.36.010 are each amended to read as follows:

((The term "drugless therapeutics," as used in RCW 18.36.010 through 18.36.165 consists of hydrotherapy, dietetics, electrotherapy, radiography, sanitation, suggestion, mechanical and manual manipulation for the stimulation of physiological and psychological action to establish a normal condition of mind and body, but shall in no way include the giving, prescribing or recommending of pharmaceutic drugs and poisons for internal use, the purpose of RCW 18.36.010 through 18.36.165 being to confine practitioners hereunder to drugless therapeutics.

~~The words "certificate" and "license" shall be known as interchangeable terms.~~)) Unless the context clearly requires otherwise, the definitions in this section apply throughout this chapter.

(1) "Naturopathic medicine" means the use by a naturopathic physician in the treatment of disease, injuries, deformities, and all other physical and mental conditions in and of human beings of the following methods of practice:

(a) Botanical and natural medicine;

(b) Nutrition and food sciences;

(d) Common diagnostic modalities;

(e) Mechanical therapy;

(f) Physical therapy;

(g) Office surgery;

(h) Hypnotherapy and counseling;

(i) Natural childbirth, if specifically certified; and

(j) Acupuncture, if specifically certified.

(2) "Acupuncture" means the insertion of needles into the human body by piercing the skin of the body for the purpose of relieving pain, treating disease, or to produce analgesia.

(3) "Board" means board of naturopathic medical examiners.

(4) "Botanical and natural medicine" means those nonprescription drugs that can be dispensed for the treatment of any human condition or disease by the holder of a shopkeeper's license as defined in RCW 18.64.044 regardless of whether the drugs are dispensed in the original package of the manufacturer, and all botanical medicines, vitamins, and mineral or animal substances that are not controlled substances under RCW 69.50.204 through 69.50.212.

(5) "Common diagnostic modalities" includes the use of Roentgen rays for diagnostic but not therapeutic purposes, the use of severance and penetration of the skin for purposes of withdrawing blood samples for diagnostic purposes (venipuncture) and those commonly used diagnostic modalities consistent with medical practice that do not involve major surgical techniques.

(6) "Department" means the department of licensing.

(7) "Director" means the director of the department.

(8) "Homeopathy" includes the right to dispense or prescribe those homeopathic items or drugs found in the homeopathic pharmacopoeia.

(9) "Hypnotherapy and counseling" means the practice of offering suggestion and guidance to a patient, including the use of hypnosis, that will enable and cause the patient to overcome disease and bring the mind and body into harmony with each other and with the environment.

(10) "Mechanical therapy" means a remedial method of treatment consisting of manipulating a part or the whole of the body, with the hand or by mechanical means.

(11) "Minor surgery" means the removal of external growths and repairs of superficial lesions of the skin such as can be performed in the physician's office on a patient who remains ambulatory after the minor surgery including the use of local and topical anesthesia for purposes of facilitating the minor surgery.

(12) "Natural childbirth" means a practice equivalent to that of midwifery as licensed under chapter 18.50 RCW or under chapter 18.88 RCW for nurse-midwives.

(13) "Nutrition and food sciences" means the treatment of disease or human physical condition through the use of foods, water, herbs, roots, barks, or natural food elements, whether used in their natural states or as pharmaceutically processed, specifically including pharmaceutically produced vitamins, minerals, and food supplements.

(14) "Physical therapy" means the use of physical, chemical, or other modalities such as heat, cold, air, light, water, electricity, sound, massage, and therapeutic exercise including posture and rehabilitation procedures and the performance of tests of neuromuscular function as an aid to the diagnosis or treatment of any human condition.

Sec. 2. Section 4, chapter 36, Laws of 1919 and RCW 18.36.060 are each amended to read as follows:

The following forms of certificates shall be issued by the director:

(1) A certificate authorizing the holder thereof to practice ((~~mechanotherapy~~)) mechanical therapy;

(2) A certificate authorizing the holder thereof to practice ((~~suggestive therapeutics~~)) hypnotherapy and counseling;

(3) A certificate authorizing the holder thereof to practice nutrition and food sciences;

(4) A certificate authorizing the holder thereof to practice ((~~physcultopathy~~)) physical therapy;

(5) A certificate for any other separate and coordinate system of ((~~drugless practice~~)) naturopathic medicine: PROVIDED, they shall show evidence of not less than fifty graduates, practicing in this state, whose requirements shall be no less than as set forth in RCW 18.36.010 through 18.36.165. Practitioners hereunder shall confine their practice to the subjects and system or systems represented by their certificate or certificates granted by said director. The applicant for an examination must file satisfactory testimonials of good moral character and a diploma issued by some legally chartered ((~~drugless~~)) college of naturopathic medicine, or satisfactory evidence of having possessed such diploma, except as herein otherwise provided, and must fill out a blank application to be sworn to before some person authorized to take acknowledgments, showing that he or she is the person named in the diploma, is the lawful holder thereof, and that the same was procured in the regular course of instruction and examination, without fraud or misrepresentation. The said application shall be made on a blank furnished by said director, and shall contain such other information concerning the instruction and preliminary education of the applicant as said director may by rule adopt.

NEW SECTION. Sec. 3. Section 12, chapter 36, Laws of 1919 and RCW 18.36.020 are each are repealed.