HB 2313

This analysis was prepared by non-partisan legislative staff for the use of legislative members in their deliberations. This analysis is not a part of the legislation nor does it constitute a statement of legislative intent.

C 215 L 18

Synopsis as Enacted

Brief Description: Providing the chiropractic quality assurance commission with additional authority over budget development, spending, and staffing.

Sponsors: Representatives Cody, Schmick, Caldier, Appleton, Pollet and Dolan.

House Committee on Health Care & Wellness

House Committee on Appropriations

Senate Committee on Health & Long Term Care


The regulation of the 86 health professions in Washington is divided between the Secretary of Health (Secretary), the 12 health professions' boards, and the five health professions' commissions. Responsibilities for licensing, examination, discipline, and rulemaking vary between the entities as do membership requirements. In 2008 the Medical Quality Assurance Commission and the Nursing Care Quality Assurance Commission were selected to participate in a pilot project to expand the responsibilities of the commissions. Although the Chiropractic Quality Assurance Commission (Chiropractic Commission) was permitted to participate in the pilot project if the members of the commissions approved, the commission chose not to participate at that time.

In 2013 the Chiropractic Commission was again allowed to participate in a five-year pilot project. The Chiropractic Commission elected to participate and was allowed to hire its own executive director and to permit the executive director to carry out the administrative duties of the Chiropractic Commission and manage the Department of Health staff that are assigned to the Chiropractic Commission. Under the pilot project, the Chiropractic Commission is responsible for establishing its own biennial budget, collaborating with the Secretary on credentialing fees, consulting with the Secretary on uniform rules and guidelines, and developing its own performance measures related to the consistent and timely regulation of health care professionals.

The Secretary and the Chiropractic Commission were required to report to the Governor and the Legislature by December 15, 2017, on the results of the pilot project, including its effectiveness compared to that of other disciplining authorities with respect to licensing and disciplinary activities, budgetary activity, and the ability to meet performance measures. The report recommended that the staffing and budgetary authority granted to the Chiropractic Commission under the pilot be made permanent.

The pilot is set to conclude on June 30, 2018.


The expiration date of the pilot project that expands the authority of the Chiropractic Quality Assurance Commission (Chiropractic Commission) is removed. The Chiropractic Commission is given permanent authority over all of the duties and responsibilities included in the pilot project.

Votes on Final Passage:








June 7, 2018