WSR 12-15-056

PROPOSED RULES

DEPARTMENT OF HEALTH


[ Filed July 17, 2012, 10:37 a.m. ]

Original Notice.

Exempt from preproposal statement of inquiry under RCW 34.05.310(4).

Title of Rule and Other Identifying Information: TITLE 246 WAC, reducing the health evidence resource for Washington (HEAL-WA) surcharge for professions required to pay the fee.


Profession WAC Current HEAL-WA Fee (annual) Proposed HEAL-WA Fee (annual)
Chiropractors 246-808-990 $25.00 $16.00
Marriage/family therapists 246-809-990 $25.00 $16.00
Massage therapists 246-830-990 $25.00 $16.00
Mental health counselors 246-809-990 $25.00 $16.00
Midwives 246-834-990 $25.00 $16.00
Naturopathic physicians 246-836-990 $25.00 $16.00
Optometrists 246-851-990 $25.00 $16.00
Osteopathic physicians 246-853-990 $25.00 $16.00
Osteopathic physician assistants 246-853-990 $25.00 $16.00
Physicians 246-919-990 $25.00 $16.00
Physician assistants 246-918-990 $25.00 $16.00
Podiatrists 246-922-990 $25.00 $16.00
Psychologists 246-924-990 $25.00 $16.00
Registered nurses 246-840-990 $20.00 $16.00
Social workers (advanced and independent) 246-809-990 $25.00 $16.00

East Asian medicine practitioners are not impacted by the fee change and not included in this table.

Hearing Location(s): Department of Health, Town Center 2, 111 Israel Road S.E., Room 158, Tumwater, WA 98504, on August 27, 2012, at 1:30 p.m.

Date of Intended Adoption: August 27, 2012.

Submit Written Comments to: Andy Fernando, P.O. Box 47860, Olympia, WA 98504-7860, e-mail http://www3.doh.wa.gov/policyreview/, fax (360) 236-4626, by August 27, 2012.

Assistance for Persons with Disabilities: Contact Andy Fernando by August 14, 2012, TTY (800) 833-6388 or 711.

Purpose of the Proposal and Its Anticipated Effects, Including Any Changes in Existing Rules: The proposed rules will reduce the licensing surcharge collected from specific licensees to support the HEAL-WA web portal provided by the University of Washington (UW). These professions are outlined in RCW 43.70.110. Reducing the surcharge will align the revenue collected with the department's spending authority to transfer fees collected to the UW. The proposed fee reduction does not impact East Asian medicine practitioners. The proposed rules also make general housekeeping edits.

Reasons Supporting Proposal: RCW 43.70.110 requires that the department collect a surcharge with the licensee fees and transfer the funds collected to the UW. The revenue the department collects exceeds the current appropriation authority because of an increase in the number of licensees for the professions required to pay the surcharge. Reducing the HEAL-WA fee will align the revenue collected with the appropriation authority.

Statutory Authority for Adoption: RCW 43.70.110, 43.70.250.

Statute Being Implemented: RCW 43.70.110.

Rule is not necessitated by federal law, federal or state court decision.

Name of Proponent: Department of health, governmental.

Name of Agency Personnel Responsible for Drafting: Dianna Staley, 111 Israel Road S.E., Tumwater, WA 98504, (360) 236-4997; Implementation and Enforcement: Joy King, 111 Israel Road S.E., Tumwater, WA 98504, (360) 236-4936.

No small business economic impact statement has been prepared under chapter 19.85 RCW. Under RCW 19.85.025 and 34.05.310 (4)(f), a small business economic impact statement is not required for proposed rules that set or adjust fees or rates pursuant to legislative standards.

A cost-benefit analysis is not required under RCW 34.05.328. The agency did not complete a cost-benefit analysis under RCW 34.05.328. RCW 34.05.328 (5)(b)(vi) exempts rules that set or adjust fees or rates pursuant to legislative standards.

July 17, 2012

Mary C. Selecky

Secretary

OTS-4889.1


AMENDATORY SECTION(Amending WSR 11-20-092, filed 10/4/11, effective 12/1/11)

WAC 246-808-990   Chiropractic fees and renewal cycle.   (1) Licenses and registrations must be renewed on the practitioner's birthday every year as provided in chapter 246-12 WAC, Part 2.

(2) The following nonrefundable fees will be charged for chiropractic license:


Title of Fee Fee
Application/full examination or reexamination $630.00
Temporary permit application 205.00
Temporary practice permit 105.00
Preceptorship 155.00
License renewal 582.00
Late renewal penalty 302.00
Expired license reissuance 302.00
Inactive license renewal 257.00
Expired inactive license reissuance 157.00
Duplicate license 30.00
Certification of license 30.00
UW on-line access fee (HEAL-WA) ((25.00))

16.00


(3) The following nonrefundable fees will be charged for chiropractic X-ray technician registration:


Title of Fee Fee
Application 47.00
Original registration 47.00
Renewal 62.00
Late renewal penalty 62.00
Expired registration reissuance 62.00
Duplicate registration 30.00
Certification of registration 30.00

[Statutory Authority: RCW 43.70.110, 43.70.250, and 2011 1st sp.s. c 50. 11-20-092, 246-808-990, filed 10/4/11, effective 12/1/11. Statutory Authority: RCW 43.70.110, 43.70.250, 2008 c 329. 08-15-014, 246-808-990, filed 7/7/08, effective 7/7/08. Statutory Authority: RCW 43.70.250, [43.70.]280 and 43.70.110. 05-12-012, 246-808-990, filed 5/20/05, effective 7/1/05. Statutory Authority: RCW 43.70.250. 99-08-101, 246-808-990, filed 4/6/99, effective 7/1/99. Statutory Authority: RCW 43.70.280. 98-05-060, 246-808-990, filed 2/13/98, effective 3/16/98. Statutory Authority: Chapter 18.25 RCW. 96-16-074, 246-808-990, filed 8/6/96, effective 9/6/96.]

OTS-4890.1


AMENDATORY SECTION(Amending WSR 11-19-098, filed 9/20/11, effective 1/1/12)

WAC 246-809-990   Licensed counselor, and associate -- Fees and renewal cycle.   (1) Licenses must be renewed every year on the practitioner's birthday as provided in chapter 246-12 WAC, Part 2.

(2) Associate licenses are valid for one year and must be renewed every year on the date of issuance. The associate license may be renewed no more than four times.


Title Fee
(3) The following nonrefundable fees will be charged for licensed marriage and family therapist:
Application $150.00
Initial license 75.00
Renewal 140.00
Late renewal penalty 70.00
Expired license reissuance 85.00
Duplicate license 10.00
Certification of license 10.00
UW on-line access fee (HEAL-WA) ((25.00)) 16.00
(4) The following nonrefundable fees will be charged for licensed mental health counselor:
Application 140.00
Initial license 125.00
Renewal 138.00
Late renewal penalty 60.00
Expired license reissuance 65.00
Duplicate license 10.00
Certification of license 10.00
UW on-line access fee (HEAL-WA) ((25.00)) 16.00
(5) The following nonrefundable fees will be charged for licensed advanced social worker and licensed independent clinical social worker:
Application 125.00
Initial license 125.00
Renewal 126.00
Late renewal penalty 63.00
Expired license reissuance 72.50
Duplicate license 10.00
Certification of license 10.00
UW on-line access fee (HEAL-WA) ((25.00)) 16.00
(6) The following nonrefundable fees will be charged for licensed marriage and family therapy associates:
Application 50.00
Renewal 40.00
Late renewal penalty 40.00
Expired license reissuance 40.00
Duplicate license 15.00
Certification of license 15.00
(7) The following nonrefundable fees will be charged for licensed mental health counselor associates:
Application 50.00
Renewal 40.00
Late renewal penalty 40.00
Expired license reissuance 40.00
Duplicate license 15.00
Certification of license 15.00
(8) The following nonrefundable fees will be charged for licensed advanced social worker associates and licensed independent clinical social worker associates:
Application 50.00
Renewal 40.00
Late renewal penalty 40.00
Expired license reissuance 40.00
Duplicate license 15.00
Certification of license 15.00

[Statutory Authority: RCW 43.70.110 and 43.70.112. 11-19-098, 246-809-990, filed 9/20/11, effective 1/1/12. Statutory Authority: RCW 43.70.110, 43.70.250, and 2010 c 37. 10-19-071, 246-809-990, filed 9/16/10, effective 10/15/10. Statutory Authority: Chapter 18.225 RCW. 09-15-039, 246-809-990, filed 7/8/09, effective 7/8/09. Statutory Authority: RCW 43.70.110, 43.70.250 and 2008 c 329. 08-16-008, 246-809-990, filed 7/24/08, effective 7/25/08. Statutory Authority: RCW 43.70.250, [43.70.]280 and 43.70.110. 05-12-012, 246-809-990, filed 5/20/05, effective 7/1/05. Statutory Authority: 2001 c 251, RCW 43.70.250. 01-17-113, 246-809-990, filed 8/22/01, effective 9/22/01.]

OTS-4891.1


AMENDATORY SECTION(Amending WSR 09-11-016, filed 5/7/09, effective 6/7/09)

WAC 246-830-990   Massage fees and renewal cycle.   (1) Licenses must be renewed every year on the practitioner's birthday as provided in chapter 246-12 WAC, Part 2. ((The secretary may require payment of renewal fees less than those established in this section if the current level of fees is likely to result in a surplus of funds. Surplus funds are those in excess of the amount necessary to pay for the costs of administering the program and to maintain a reasonable reserve. Notice of any adjustment in the required payment will be provided to practitioners. The adjustment in the required payment shall remain in place for the duration of a renewal cycle to assure practitioners an equal benefit from the adjustment.))

(2) The following nonrefundable fees will be charged:


Title of Fee Fee
Written examination and reexamination $65.00
Practical examination and reexamination 50.00
Initial license 90.00
Renewal 65.00
Late renewal penalty 50.00
Expired license reissuance 50.00
Inactive license renewal 50.00
Expired inactive license reissuance 50.00
Certification of license 10.00
Duplicate license 10.00
Intraoral massage endorsement 25.00
UW ((library)) on-line access fee (HEAL-WA) ((25.00)) 16.00

[Statutory Authority: RCW 18.108.025, 18.108.125, and 43.70.250. 09-11-016, 246-830-990, filed 5/7/09, effective 6/7/09. Statutory Authority: RCW 43.70.110, 43.70.250, 2008 c 329. 08-15-014, 246-830-990, filed 7/7/08, effective 7/7/08. Statutory Authority: RCW 43.70.250, [43.70.]280 and 43.70.110. 05-12-012, 246-830-990, filed 5/20/05, effective 7/1/05. Statutory Authority: RCW 43.70.250. 03-07-095, 246-830-990, filed 3/19/03, effective 7/1/03; 99-08-101, 246-830-990, filed 4/6/99, effective 7/1/99. Statutory Authority: RCW 43.70.280. 98-05-060, 246-830-990, filed 2/13/98, effective 3/16/98. Statutory Authority: RCW 18.108.025(1). 95-11-108, 246-830-990, filed 5/23/95, effective 6/23/95. Statutory Authority: RCW 43.70.250. 93-14-011, 246-830-990, filed 6/24/93, effective 7/25/93. Statutory Authority: RCW 18.108.085 and 43.70.250. 92-02-018 (Order 224), 246-830-990, filed 12/23/91, effective 1/23/92. Statutory Authority: RCW 43.70.040. 91-02-049 (Order 121), recodified as 246-830-990, filed 12/27/90, effective 1/31/91. Statutory Authority: RCW 43.24.086. 88-24-042 (Order PM 788), 308-51-210, filed 12/6/88; 87-18-031 (Order PM 667), 308-51-210, filed 8/27/87.]

OTS-4892.1


AMENDATORY SECTION(Amending WSR 11-19-098, filed 9/20/11, effective 1/1/12)

WAC 246-834-990   Midwifery fees and renewal cycle.   (1) Licenses must be renewed every year on the practitioner's birthday as provided in chapter 246-12 WAC, Part 2.

(2) The following fees are nonrefundable:


Title of Fee Fee
Initial application $500.00
National examination administration (initial/retake) 103.00
State examination (initial/retake) 155.00
Renewal 500.00
Late renewal penalty 250.00
Duplicate license 25.00
Certification of license 25.00
Application fee -- Midwife-in-training program 978.75
Expired license reissuance 300.00
UW on-line access fee (HEAL-WA) ((25.00)) 16.00

[Statutory Authority: RCW 43.70.110 and 43.70.112. 11-19-098, 246-834-990, filed 9/20/11, effective 1/1/12. Statutory Authority: RCW 43.70.110, 43.70.250, and 2010 c 37. 10-19-071, 246-834-990, filed 9/16/10, effective 10/15/10. Statutory Authority: 2006 c 372, RCW 43.70.250 and 18.50.135. 06-13-012, 246-834-990, filed 6/9/06, effective 7/1/06. Statutory Authority: RCW 43.70.250, [43.70.]280 and 43.70.110. 05-12-012, 246-834-990, filed 5/20/05, effective 7/1/05. Statutory Authority: RCW 43.70.250 and 18.50.135. 04-22-113, 246-834-990, filed 11/3/04, effective 2/17/05. Statutory Authority: RCW 43.70.250, 2001 2nd sp.s. c 7 and RCW 18.50.102. 01-23-101, 246-834-990, filed 11/21/01, effective 1/21/02. Statutory Authority: RCW 18.50.102 and 43.70.250. 98-11-069, 246-834-990, filed 5/19/98, effective 7/13/98. Statutory Authority: RCW 43.70.250. 91-13-002 (Order 173), 246-834-990, filed 6/6/91, effective 7/7/91. Statutory Authority: RCW 43.70.040. 91-02-049 (Order 121), recodified as 246-834-990, filed 12/27/90, effective 1/31/91. Statutory Authority: RCW 43.70.250. 90-04-094 (Order 029), 308-115-405, filed 2/7/90, effective 3/10/90. Statutory Authority: RCW 18.50.135. 89-08-008 (Order PM 827), 308-115-405, filed 3/24/89. Statutory Authority: RCW 43.24.086. 87-18-031 (Order PM 667), 308-115-405, filed 8/27/87. Statutory Authority: 1983 c 168 12. 83-17-031 (Order PL 442), 308-115-405, filed 8/10/83. Formerly WAC 308-115-400.]

OTS-4911.1


AMENDATORY SECTION(Amending WSR 12-13-104, filed 6/20/12, effective 7/21/12)

WAC 246-836-990   Naturopathic physician licensing fees and renewal cycle.   (1) Licenses must be renewed every year on the practitioner's birthday as provided in chapter 246-12 WAC, Part 2.

(2) The following nonrefundable fees will be charged:


Title of Fee Amount
Application initial/retake $100.00
State examination (initial/retake) 100.00
Initial license 100.00
License renewal 325.00
Late renewal penalty 62.50
Expired license reissuance 62.50
Duplicate license 15.00
Certification of license 15.00
UW ((library)) on-line access fee (HEAL-WA) *((25.00)) 16.00

* The (($25)) University of Washington HEAL-WA web portal access fee ((for the University of Washington HEAL-WA library web portal)), required under RCW 43.70.110, is assessed with the initial application fee and the license renewal fee.

[Statutory Authority: RCW 18.36A.160, 2011 c 41, and 2011 c 40. 12-13-104, 246-836-990, filed 6/20/12, effective 7/21/12. Statutory Authority: RCW 43.70.110, 43.70.250, 2008 c 329. 08-15-014, 246-836-990, filed 7/7/08, effective 7/7/08. Statutory Authority: RCW 43.70.250, [43.70.]280 and 43.70.110. 05-12-012, 246-836-990, filed 5/20/05, effective 7/1/05. Statutory Authority: RCW 43.70.250. 03-07-095, 246-836-990, filed 3/19/03, effective 7/1/03. Statutory Authority: RCW 43.70.280. 98-05-060, 246-836-990, filed 2/13/98, effective 3/16/98. Statutory Authority: RCW 43.70.250. 93-14-011, 246-836-990, filed 6/24/93, effective 7/25/93. Statutory Authority: RCW 43.70.040. 91-02-049 (Order 121), recodified as 246-836-990, filed 12/27/90, effective 1/31/91. Statutory Authority: RCW 43.70.250. 90-13-084 (Order 066), 308-34-170, filed 6/20/90, effective 7/21/90; 90-04-094 (Order 029), 308-34-170, filed 2/7/90, effective 3/10/90. Statutory Authority: RCW 43.24.086. 88-20-075 (Order 783), 308-34-170, filed 10/5/88. Statutory Authority: RCW 18.36A.060. 88-14-009 (Order PM 742), 308-34-170, filed 6/24/88.]

OTS-4893.1


AMENDATORY SECTION(Amending WSR 10-19-071, filed 9/16/10, effective 10/15/10)

WAC 246-840-990   Fees and renewal cycle.   (1) Applicants for a practical nurse license must pay the application fee and the nursing center surcharge fee when applying for a license. Licenses for practical nurse must be renewed every year on the practitioner's birthday as provided in chapter 246-12 WAC, Part 2. Practical nurses must pay the renewal fee and the nursing center surcharge fee when renewing licenses.

(2) Applicants for a registered nurse license must pay the application fee, the RN UW ((library)) on-line access fee (HEAL-WA), and the nursing center surcharge fee when applying for a license. Licenses for registered nurse must be renewed every year on the practitioner's birthday as provided in chapter 246-12 WAC, Part 2. Registered nurses must pay the renewal fee, the ((RN UW library)) HEAL-WA fee, and the nursing center surcharge fee when renewing licenses.

(3) Licenses for advanced registered nurse must be renewed every two years on the practitioner's birthday as provided in chapter 246-12 WAC, Part 2.

(4) Registrations for nursing technicians must be renewed every year on the practitioner's birthday as provided in chapter 246-12 WAC, Part 2. The renewal must be accompanied by an attestation as described in RCW 18.79.370. This attestation will include the nursing technician's anticipated graduation date. If the anticipated graduation date is within one year, the registration will expire thirty days after the anticipated graduation date. The expiration date may be extended to sixty days after graduation if the nursing technician can show good cause as defined in WAC 246-840-010(15).

(5) ((The secretary may require payment of renewal fees less than those established in this section if the current level of fees is likely to result in a surplus of funds. Surplus funds are those in excess of the amount necessary to pay for the costs of administering the program and to maintain a reasonable reserve. Notice of any adjustment in the required payment will be provided to practitioners. The adjustment in the required payment shall remain in place for the duration of a renewal cycle to assure practitioners an equal benefit from the adjustment.

(6))) The following nonrefundable fees shall be charged by the health professions quality assurance division of the department of health. Persons who hold an RN and an LPN license shall be charged separate fees for each license. Persons who are licensed as an advanced registered nurse practitioner in more than one specialty will be charged a fee for each specialty:


RN/LPN fees:


Title of Fee Fee
RN application (initial or endorsement) $67.00
LPN application (initial or endorsement) 87.00
RN license renewal 76.00
LPN license renewal 91.00
Late renewal penalty 50.00
Expired license reissuance 70.00
Inactive renewal 40.00
Expired inactive license reissuance 40.00
Inactive late renewal penalty 30.00
Duplicate license 20.00
Verification of licensure/education (written) 25.00
Nursing center surcharge 5.00
RN UW ((library)) on-line access fee (HEAL-WA) ((20.00)) 16.00

Advanced registered nurse fees:


Title of Fee Fee
ARNP application with or without prescriptive authority (per specialty)

$92.00

ARNP renewal with or without prescriptive authority (per specialty)

96.00

ARNP late renewal penalty (per specialty) 50.00
ARNP duplicate license (per specialty) 20.00
ARNP written verification of license

(per specialty)

25.00


Nurse technologist fees:


Title of Fee Fee
Application fee registration $92.00
Renewal of registration 91.00
Duplicate registration 15.00
Registration late renewal penalty 50.00

[Statutory Authority: RCW 43.70.110, 43.70.250, and 2010 c 37. 10-19-071, 246-840-990, filed 9/16/10, effective 10/15/10. Statutory Authority: RCW 43.70.110, 43.70.250, 2008 c 329. 08-15-014, 246-840-990, filed 7/7/08, effective 7/7/08. Statutory Authority: RCW 43.70.010, 43.70.250, and 2005 c 268. 05-20-107, 246-840-990, filed 10/5/05, effective 11/5/05. Statutory Authority: RCW 43.70.250, [43.70.]280 and 43.70.110. 05-12-012, 246-840-990, filed 5/20/05, effective 7/1/05. Statutory Authority: RCW 43.70.250 and chapter 18.79 RCW. 04-04-054, 246-840-990, filed 1/30/04, effective 1/30/04. Statutory Authority: RCW 43.70.280. 98-05-060, 246-840-990, filed 2/13/98, effective 3/16/98. Statutory Authority: Chapter 18.79 RCW. 97-23-075, 246-840-990, filed 11/19/97, effective 1/12/98. Statutory Authority: RCW 18.79.200. 95-12-021, 246-840-990, filed 5/31/95, effective 7/1/95.]

OTS-4894.1


AMENDATORY SECTION(Amending WSR 10-19-071, filed 9/16/10, effective 10/15/10)

WAC 246-851-990   Optometry fees and renewal cycle.   (1) Licenses must be renewed every year on the practitioner's birthday as provided in chapter 246-12 WAC, Part 2. ((The secretary may require payment of renewal fees less than those established in this section if the current level of fees is likely to result in a surplus of funds. Surplus funds are those in excess of the amount necessary to pay for the costs of administering the program and to maintain a reasonable reserve. Notice of any adjustment in the required payment will be provided to practitioners. The adjustment in the required payment shall remain in place for the duration of a renewal cycle to assure practitioners an equal benefit from the adjustment.))

(2) The following nonrefundable fees will be charged:


Title of Fee Fee
Application $175.00
Out-of-state seminar 100.00
License renewal 199.00
Late renewal penalty 100.00
Expired license reissuance 75.00
Inactive license renewal 75.00
Duplicate license 15.00
Certification of license 25.00
UW ((library)) on-line access fee (HEAL-WA) ((25.00))

16.00

[Statutory Authority: RCW 43.70.110, 43.70.250, and 2010 c 37. 10-19-071, 246-851-990, filed 9/16/10, effective 10/15/10. Statutory Authority: RCW 43.70.110, 43.70.250, 2008 c 329. 08-15-014, 246-851-990, filed 7/7/08, effective 7/7/08. Statutory Authority: RCW 43.70.250. 06-24-048, 246-851-990, filed 12/1/06, effective 1/1/07. Statutory Authority: RCW 43.70.250, [43.70.]280 and 43.70.110. 05-12-012, 246-851-990, filed 5/20/05, effective 7/1/05. Statutory Authority: RCW 43.70.250. 99-08-101, 246-851-990, filed 4/6/99, effective 7/1/99. Statutory Authority: RCW 43.70.280. 98-05-060, 246-851-990, filed 2/13/98, effective 3/16/98. Statutory Authority: RCW 43.70.250. 96-20-088, 246-851-990, filed 10/1/96, effective 11/1/96; 95-14-111, 246-851-990, filed 6/30/95, effective 7/31/95; 92-23-006 (Order 311), 246-851-990, filed 11/5/92, effective 12/6/92; 92-06-029 (Order 246), 246-851-990, filed 2/26/92, effective 3/28/92. Statutory Authority: RCW 43.70.250. 91-13-002 (Order 173), 246-851-990, filed 6/6/91, effective 7/7/91. Statutory Authority: RCW 43.70.040. 91-06-028 (Order 137), recodified as 246-851-990, filed 2/26/91, effective 3/29/91. Statutory Authority: RCW 43.24.086. 87-10-028 (Order PM 650), 308-53-020, filed 5/1/87. Statutory Authority: 1983 c 168 12. 83-17-031 (Order PL 442), 308-53-020, filed 8/10/83. Formerly WAC 308-53-310.]

OTS-4895.1


AMENDATORY SECTION(Amending WSR 11-14-038, filed 6/28/11, effective 8/15/11)

WAC 246-853-990   Osteopathic fees and renewal cycle.   (1) Licenses must be renewed every year on the practitioner's birthday as provided in chapter 246-12 WAC, Part 2, except postgraduate training limited licenses.

(2) Postgraduate training limited licenses must be renewed every year to correspond to program dates.

(3) The following nonrefundable fees will be charged for osteopathic physicians:


Title of Fee Fee
Endorsement application $600.00
Active license renewal 600.00
Active late renewal penalty 250.00
Active expired license reissuance 250.00
Inactive license renewal 350.00
Expired inactive license reissuance 225.00
Inactive late renewal penalty 175.00
Endorsement/state exam application 500.00
Reexam 100.00
Certification of license 50.00
Limited license application 325.00
Limited license renewal 300.00
Temporary permit application 70.00
Duplicate certificate 20.00
Substance abuse
monitoring surcharge 25.00
UW on-line access fee (HEAL-WA) ((25.00)) 16.00

(4) The following nonrefundable fees will be charged for osteopathic physician assistants:

Title of Fee Fee
Application $250.00
Renewal 250.00
Late renewal penalty 150.00
Expired license reissuance 100.00
Certification of license 30.00
Practice plan 70.00
Interim permit 200.00
License after exam 100.00
Duplicate certificate 20.00
Substance abuse
monitoring surcharge 25.00
UW on-line access fee (HEAL-WA) ((25.00)) 16.00

[Statutory Authority: RCW 43.70.250, 43.70.110. 11-14-038, 246-853-990, filed 6/28/11, effective 8/15/11. Statutory Authority: RCW 43.70.110, 43.70.250, 2008 c 329. 08-15-014, 246-853-990, filed 7/7/08, effective 7/7/08. Statutory Authority: RCW 43.70.250, [43.70.]280 and 43.70.110. 05-12-012, 246-853-990, filed 5/20/05, effective 7/1/05. Statutory Authority: RCW 43.70.250. 99-24-063, 246-853-990, filed 11/29/99, effective 12/30/99. Statutory Authority: RCW 43.70.280. 98-05-060, 246-853-990, filed 2/13/98, effective 3/16/98. Statutory Authority: RCW 43.70.250 and chapters 18.57, 18.57A, 18.22 and 18.59 RCW. 94-22-055, 246-853-990, filed 11/1/94, effective 1/1/95. Statutory Authority: RCW 43.70.250. 92-14-054 (Order 281), 246-853-990, filed 6/25/92, effective 7/26/92; 91-21-034 (Order 200), 246-853-990, filed 10/10/91, effective 11/10/91; 91-13-002 (Order 173), 246-853-990, filed 6/6/91, effective 7/7/91. Statutory Authority: RCW 43.70.040. 91-02-049 (Order 121), recodified as 246-853-990, filed 12/27/90, effective 1/31/91. Statutory Authority: RCW 43.70.250. 90-04-094 (Order 029), 308-138-080, filed 2/7/90, effective 3/10/90. Statutory Authority: RCW 43.24.086. 87-10-028 (Order PM 650), 308-138-080, filed 5/1/87. Statutory Authority: 1983 c 168 12. 83-17-031 (Order PL 442), 308-138-080, filed 8/10/83. Formerly WAC 308-138-060.]

OTS-4896.1


AMENDATORY SECTION(Amending WSR 09-16-120, filed 8/4/09, effective 8/15/09)

WAC 246-918-990   Physician assistants fees and renewal cycle.   (1) Licenses must be renewed every two years on the practitioner's birthday as provided in chapter 246-12 WAC, Part 2.

(2) The applicant or licensee must pay the following nonrefundable fees:


Title of Fee Fee
Physician assistants:
Application (annual)* $((125.00)) 116.00
Two-year renewal* ((220.00)) 202.00
Expired license reissuance 50.00
Duplicate license 15.00
*((Includes:)) The application or renewal fee((,)) includes the Washington physician health program surcharge (RCW 18.71A.020(3)) assessed at $50.00 per year, and ((the fee to access)) the University of Washington (UW) HEAL-WA web ((site)) portal access fee (RCW 43.70.110) assessed at $((25.00)) 16.00 per year.

[Statutory Authority: RCW 43.70.250, 43.70.280, 18.31.310, 18.71A.020, 18.71.080, and 43.70.110. 09-16-120, 246-918-990, filed 8/4/09, effective 8/15/09. Statutory Authority: RCW 43.70.110, 43.70.250, 2008 c 329. 08-15-014, 246-918-990, filed 7/7/08, effective 7/7/08. Statutory Authority: RCW 43.70.250. 06-11-167, 246-918-990, filed 5/24/06, effective 7/1/06. Statutory Authority: RCW 43.70.250, [43.70.]280 and 43.70.110. 05-12-012, 246-918-990, filed 5/20/05, effective 7/1/05. Statutory Authority: RCW 18.71.017, 18.71A.020 and 43.70.280. 02-05-009, 246-918-990, filed 2/8/02, effective 3/11/02. Statutory Authority: RCW 18.71.017, 18.130.050(1), 18.130.040(4), 18.130.050(12) and 18.130.340. 99-23-090, 246-918-990, filed 11/16/99, effective 1/1/00. Statutory Authority: RCW 18.71.017 and 18.71A.020(3). 99-13-087, 246-918-990, filed 6/14/99, effective 7/15/99. Statutory Authority: RCW 43.70.280. 98-05-060, 246-918-990, filed 2/13/98, effective 3/16/98. Statutory Authority: RCW 18.71.017 and 18.71A.020. 96-03-073, 246-918-990, filed 1/17/96, effective 2/17/96. Statutory Authority: RCW 43.70.040. 91-06-027 (Order 131), 246-918-990, filed 2/26/91, effective 3/29/91.]

OTS-4897.1


AMENDATORY SECTION(Amending WSR 09-16-120, filed 8/4/09, effective 8/15/09)

WAC 246-919-990   Physician and surgeon fees and renewal cycle.   (1) Licenses must be renewed every two years on the practitioner's birthday as provided in chapter 246-12 WAC, Part 2, except postgraduate training limited licenses.

(2) Postgraduate training limited licenses must be renewed every year to correspond to the program's date.

(3) A retired active physician who resides and practices in Washington and obtains or renews a retired active license is exempt from all licensing fees except for the impaired physician program surcharge authorized by RCW 18.71.310.

(4) The applicants and licensees must pay the following nonrefundable fees:

Title of Fee Fee
Physicians and surgeons: Chapter 18.71 RCW
Application (annual)* $((500.00)) 491.00
Two-year renewal* ((675.00)) 657.00
Late renewal penalty 262.50
Expired license reissuance 262.50
Certification of license 50.00
Duplicate license 15.00
Temporary permit 50.00
Application fee for transitioning from a postgraduate training limited license (annual)* ((175.00)) 166.00
Retired active physicians and surgeons:

(Two-year cycle)

Retired active physician who resides and practices in-state per RCW 18.71.080 and 18.130.250 (Washington physician health program surcharge) 100.00
Retired active physician license renewal *(does not meet in-state exemption) ((350.00)) 332.00
Retired active late renewal penalty 50.00
Postgraduate limited license fees: RCW 18.71.095

(One-year cycle)

Limited license application* ((400.00)) 391.00
Limited license renewal* ((400.00)) 391.00
Limited duplicate license 15.00

*((Includes:)) The application or renewal fee((,)) includes: The Washington physician health program surcharge (RCW 18.71.310(2)) assessed at $50.00 per year, and ((the fee to access)) the University of Washington (UW) HEAL-WA web ((site)) portal access fee (RCW 43.70.110) assessed at $((25.00)) 16.00 per year.

[Statutory Authority: RCW 43.70.250, 43.70.280, 18.31.310, 18.71A.020, 18.71.080, and 43.70.110. 09-16-120, 246-919-990, filed 8/4/09, effective 8/15/09. Statutory Authority: RCW 43.70.110, 43.70.250, 2008 c 329. 08-15-014, 246-919-990, filed 7/7/08, effective 7/7/08. Statutory Authority: RCW 43.70.250. 06-11-167, 246-919-990, filed 5/24/06, effective 7/1/06. Statutory Authority: RCW 43.70.250, [43.70.]280 and 43.70.110. 05-12-012, 246-919-990, filed 5/20/05, effective 7/1/05. Statutory Authority: RCW 18.71.017, 18.71A.020 and 43.70.280. 02-05-009, 246-919-990, filed 2/8/02, effective 3/11/02. Statutory Authority: RCW 18.71.017, 18.130.050(1), 18.130.040(4), 18.130.050(12) and 18.130.340. 99-23-090, 246-919-990, filed 11/16/99, effective 1/1/00. Statutory Authority: RCW 43.70.280. 98-05-060, 246-919-990, filed 2/13/98, effective 3/16/98. Statutory Authority: RCW 18.71.017 and 43.70.250. 97-15-100, 246-919-990, filed 7/21/97, effective 8/21/97. Statutory Authority: RCW 18.71.017 and 18.71A.020. 96-03-073, 246-919-990, filed 1/17/96, effective 2/17/96.]

OTS-4898.1


AMENDATORY SECTION(Amending WSR 08-15-014, filed 7/7/08, effective 7/7/08)

WAC 246-922-990   Podiatry fees and renewal cycle.   (1) Licenses must be renewed every year on the practitioner's birthday as provided in chapter 246-12 WAC, Part 2, except for postgraduate training limited licenses. ((The secretary may require payment of renewal fees less than those established in this section if the current level of fees is likely to result in a surplus of funds. Surplus funds are those in excess of the amount necessary to pay for the costs of administering the program and to maintain a reasonable reserve. Notice of any adjustment in the required payment will be provided to practitioners. The adjustment in the required payment shall remain in place for the duration of a renewal cycle to assure practitioners an equal benefit from the adjustment.))

(2) Postgraduate training limited licenses must be renewed every year to correspond to program dates. ((The secretary may require payment of renewal fees less than those established in this section if the current level of fees is likely to result in a surplus of funds. Surplus funds are those in excess of the amount necessary to pay for the costs of administering the program and to maintain a reasonable reserve. Notice of any adjustment in the required payment will be provided to practitioners. The adjustment in the required payment shall remain in place for the duration of a renewal cycle to assure practitioners an equal benefit from the adjustment.))

(3) The following nonrefundable fees will be charged:

Title of Fee Fee
Application $975.00
License renewal 975.00
Inactive license renewal 175.00
Inactive late renewal penalty 100.00
Active late renewal penalty 300.00
Active expired license reissuance 300.00
Expired inactive license reissuance 67.50
Duplicate license 30.00
Certification of license 50.00
Retired active status 275.00
Temporary practice permit 50.00
Limited license application 400.00
Limited license renewal 475.00
Substance abuse

monitoring surcharge

25.00
UW ((library)) on-line access fee (HEAL-WA) ((25.00)) 16.00

[Statutory Authority: RCW 43.70.110, 43.70.250, 2008 c 329. 08-15-014, 246-922-990, filed 7/7/08, effective 7/7/08. Statutory Authority: RCW 43.70.250, [43.70.]280 and 43.70.110. 05-12-012, 246-922-990, filed 5/20/05, effective 7/1/05. Statutory Authority: RCW 43.70.250, 2001 2nd sp.s. c 7 and RCW 18.22.120. 01-23-101, 246-922-990, filed 11/21/01, effective 1/21/02. Statutory Authority: RCW 43.70.250. 99-24-064, 246-922-990, filed 11/29/99, effective 12/30/99. Statutory Authority: RCW 43.70.280. 98-05-060, 246-922-990, filed 2/13/98, effective 3/16/98. Statutory Authority: RCW 43.70.250 and chapters 18.57, 18.57A, 18.22 and 18.59 RCW. 94-22-055, 246-922-990, filed 11/1/94, effective 1/1/95. Statutory Authority: RCW 43.70.250. 92-14-053 (Order 280), 246-922-990, filed 6/25/92, effective 7/26/92; 91-13-002 (Order 173), 246-922-990, filed 6/6/91, effective 7/7/91. Statutory Authority: RCW 43.70.040. 91-05-029 (Order 134), recodified as 246-922-990, filed 2/12/91, effective 3/15/91. Statutory Authority: RCW 43.70.250 and chapter 18.22 RCW. 90-16-057 (Order 072), 308-31-055, filed 7/27/90, effective 8/27/90. Statutory Authority: RCW 43.24.086. 89-17-156, 308-31-055, filed 8/23/89, effective 9/23/89; 87-18-031 (Order PM 667), 308-31-055, filed 8/27/87. Statutory Authority: 1983 c 168 12. 83-22-060 (Order PL 446), 308-31-055, filed 11/2/83; 83-17-031 (Order PL 442), 308-31-055, filed 8/10/83. Formerly WAC 308-31-310.]

OTS-4899.1


AMENDATORY SECTION(Amending WSR 11-20-092, filed 10/4/11, effective 12/1/11)

WAC 246-924-990   Psychology fees and renewal cycle.   (1) Licenses must be renewed every year on the practitioner's birthday as provided in chapter 246-12 WAC, Part 2.

(2) The following nonrefundable fees will be charged:

Title of Fee Fee
Application $275.00
Renewal 300.00
Renewal retired active 105.00
Late renewal penalty 155.00
Expired license reissuance 155.00
Duplicate license 30.00
Certification of license 30.00
Amendment of certificate of qualification 35.00
UW on-line access fee (HEAL-WA) ((25.00)) 16.00

[Statutory Authority: RCW 43.70.110, 43.70.250, and 2011 1st sp.s. c 50. 11-20-092, 246-924-990, filed 10/4/11, effective 12/1/11. Statutory Authority: RCW 43.70.110, 43.70.250, 2008 c 329. 08-15-014, 246-924-990, filed 7/7/08, effective 7/7/08. Statutory Authority: RCW 43.70.250, [43.70.]280 and 43.70.110. 05-12-012, 246-924-990, filed 5/20/05, effective 7/1/05. Statutory Authority: RCW 43.70.250, 2001 2nd sp.s. c 7 and RCW 18.83.020. 01-23-101, 246-924-990, filed 11/21/01, effective 1/21/02. Statutory Authority: RCW 43.70.250. 99-08-101, 246-924-990, filed 4/6/99, effective 7/1/99. Statutory Authority: RCW 43.70.280. 98-05-060, 246-924-990, filed 2/13/98, effective 3/16/98. Statutory Authority: RCW 43.70.250. 96-08-006, 246-924-990, filed 3/22/96, effective 4/22/96; 91-13-002 (Order 173), 246-924-990, filed 6/6/91, effective 7/7/91. Statutory Authority: RCW 43.70.040. 91-05-028 (Order 133), recodified as 246-924-990, filed 2/12/91, effective 3/15/91. Statutory Authority: RCW 43.70.250. 90-04-094 (Order 029), 308-122-275, filed 2/7/90, effective 3/10/90. Statutory Authority: RCW 43.24.086. 87-10-028 (Order PM 650), 308-122-275, filed 5/1/87. Statutory Authority: 1983 c 168 12. 83-17-031 (Order PL 442), 308-122-275, filed 8/10/83. Formerly WAC 308-122-460.]

Washington State Code Reviser's Office