WSR 06-03-057

PERMANENT RULES

DEPARTMENT OF HEALTH


(Chiropractic Quality Assurance Commission)

[ Filed January 11, 2006, 2:25 p.m. , effective February 11, 2006 ]


Effective Date of Rule: Thirty-one days after filing.

Purpose: This rule updates the approved continuing education (CE) subject matter by adding nutrition and business management, add limits on CE hours that can be earned for some subject material, allow for CE credits to be earned by attending various multimedia CE programs, streamline the exemption rule, and requires chiropractors practicing out-of-state to comply with the same requirements of those chiropractors who reside and practice in Washington.

Citation of Existing Rules Affected by this Order: Amending WAC 246-808-150, 246-808-165, and 246-808-170.

Statutory Authority for Adoption: RCW 18.25.0171.

Other Authority: RCW 18.25.070.

Adopted under notice filed as WSR 05-20-101 on October 5, 2005.

A final cost-benefit analysis is available by contacting Karen Kelley, Program Manager, P.O. Box 47869, Olympia, WA 98504-7869, phone (360) 236-4856, fax (360) 236-4918, e-mail karen.kelley@doh.wa.gov.

Number of Sections Adopted in Order to Comply with Federal Statute: New 0, Amended 0, Repealed 0; Federal Rules or Standards: New 0, Amended 0, Repealed 0; or Recently Enacted State Statutes: New 0, Amended 0, Repealed 0.

Number of Sections Adopted at Request of a Nongovernmental Entity: New 0, Amended 2, Repealed 1.

Number of Sections Adopted on the Agency's Own Initiative: New 0, Amended 2, Repealed 1.

Number of Sections Adopted in Order to Clarify, Streamline, or Reform Agency Procedures: New 0, Amended 2, Repealed 1.

Number of Sections Adopted Using Negotiated Rule Making: New 0, Amended 0, Repealed 0; Pilot Rule Making: New 0, Amended 0, Repealed 0; or Other Alternative Rule Making: New 0, Amended 2, Repealed 1.

Date Adopted: November 17, 2005.

Nancy McCown, DC, Vice Chair

Chiropractic Quality

Assurance Commission

OTS-8039.6


AMENDATORY SECTION(Amending WSR 98-05-060, filed 2/13/98, effective 3/16/98)

WAC 246-808-150   Commission approved continuing education.   (1) ((Licensed)) Chiropractors must complete twenty-five hours of continuing education ((as required in)) per year under RCW 18.25.070 and chapter 246-12 WAC, Part 7.

(2) The commission approves the following subject material for continuing chiropractic education credit:

(a) Diagnosis and treatment of the spine or immediate articulations within the scope of practice;

(b) X-ray/diagnostic imaging;

(c) Adjustive technique;

(d) Detection of a subluxation;

(e) Physical examination;

(f) Hygiene;

(g) Symptomatology;

(h) Neurology;

(i) ((Spinal)) Pathology;

(j) ((Spinal)) Orthopedics;

(k) Patient/case management;

(l) Impairment within the scope of practice;

(m) CPR(( - once every three years));

(n) Dietary and nutrition advice; and

(o) Chiropractic philosophy and business management (not to exceed a total of eight hours).

(3) Subject matter not approved for continuing education credit:

(a) ((Business management;

(b))) Subject matter not directly relating to the chiropractic clinical scope of practice; and

(((c) Practice building; and

(d))) (b) Conduct prohibited by Washington state statutes or rules governing chiropractic practice.

(4) ((A formal video continuing education program that meets the requirements of this section is acceptable provided that the video viewing is accompanied by a moderator and/or a panel knowledgeable in the video contents to comment thereon and answer questions or conduct discussions.)) A chiropractor may earn a maximum of twelve hours for:

(a) Completing a multimedia chiropractic education program, which includes, but is not limited to, the internet, and video presentations.

(b) Serving as teachers or lecturers in continuing education programs. A chiropractor may receive credit on the same basis as the doctors attending the program.

(5) The individual or organization responsible for a continuing education presentation must provide documentation of attendance to ((the)) participants, including course content and number of hours.

(6) ((Licensed chiropractors serving as teachers or lecturers in commission approved continuing education programs receive credit on the same basis as the doctors attending the program.)) Chiropractors in active status who reside and practice outside Washington must meet all the requirements of this section.

[Statutory Authority: RCW 43.70.280. 98-05-060, 246-808-150, filed 2/13/98, effective 3/16/98. Statutory Authority: Chapter 18.25 RCW. 96-16-074, 246-808-150, filed 8/6/96, effective 9/6/96.]


AMENDATORY SECTION(Amending WSR 98-05-060, filed 2/13/98, effective 3/16/98)

WAC 246-808-165   Exemptions.   ((In the event a licensee fails to meet requirements because of illness or retirement (with no further provision of chiropractic services to consumers) or failure to renew, or other extenuating circumstances, each case shall be considered by the commission on an individual basis. When circumstances justify it, the commission may grant a time extension. In the case of permanent retirement or illness, the commission may grant indefinite waiver of continuing chiropractic education as a requirement for relicensure, provided an affidavit is received indicating the chiropractor is not providing chiropractic services to consumers. If such permanent illness or retirement status is changed or consumer chiropractic services resumed, it is incumbent upon the licensed chiropractor to immediately notify the commission and meet continuing chiropractor education requirements for relicensure. Continuing chiropractic education hours shall be prorated for the portion of the period involving resumption of such services.)) The commission may grant exemptions or time extensions on an individual basis, if a licensee fails to meet continuing education requirements due to illness, retirement, or other extenuating circumstances.

[Statutory Authority: RCW 43.70.280. 98-05-060, 246-808-165, filed 2/13/98, effective 3/16/98. Statutory Authority: Chapter 18.25 RCW. 96-16-074, 246-808-165, filed 8/6/96, effective 9/6/96.]


REPEALER

     The following section of the Washington Administrative Code is repealed:
WAC 246-808-170 Licensees residing and practicing out-of-state -- Continuing education requirements.