WSR 22-15-095
PERMANENT RULES
DEPARTMENT OF HEALTH
(Board of Osteopathic Medicine and Surgery)
[Filed July 19, 2022, 9:43 a.m., effective August 19, 2022]
Effective Date of Rule: Thirty-one days after filing.
Purpose: Chapter 246-854 WAC, Osteopathic physicians' assistants; and chapter 246-855 WAC, Osteopathic physicians' acupuncture assistants. SHB 2378 (chapter 80, Laws of 2020) repealed chapter 18.57A RCW. As a result of this law being repealed, the board of osteopathic medicine and surgery (board) is repealing chapters 246-854 and 246-855 WAC as they are no longer supported by statute and are no longer under the authority of the board. All physician assistants now fall under the authority of the Washington medical commission and its rules.
Citation of Rules Affected by this Order: Repealing WAC 246-854-005, 246-854-007, 246-854-010, 246-854-015, 246-854-021, 246-854-025, 246-854-030, 246-854-035, 246-854-075, 246-854-076, 246-854-080, 246-854-081, 246-854-082, 246-854-085, 246-854-086, 246-854-095, 246-854-105, 246-854-110, 246-854-112, 246-854-115, 246-854-116, 246-854-200, 246-854-210, 246-854-220, 246-854-230, 246-854-240, 246-854-241, 246-854-242, 246-854-255, 246-854-260, 246-854-265, 246-854-270, 246-854-275, 246-854-280, 246-854-285, 246-854-290, 246-854-295, 246-854-300, 246-854-305, 246-854-310, 246-854-315, 246-854-320, 246-854-325, 246-854-330, 246-854-335, 246-854-340, 246-854-345, 246-854-350, 246-854-355, 246-854-360, 246-854-365, 246-854-370, 246-855-010, 246-855-020, 246-855-030, 246-855-040, 246-855-050, 246-855-060, 246-855-070, 246-855-080, 246-855-090, 246-855-100, and 246-855-110.
Statutory Authority for Adoption: SHB 2378 (chapter 80, Laws of 2020).
Adopted under notice filed as WSR 22-06-071 on February 28, 2022.
Number of Sections Adopted in Order to Comply with Federal Statute: New 0, Amended 0, Repealed 0; Federal Rules or Standards: New 0, Amended 0, Repealed 0; or Recently Enacted State Statutes: New 0, Amended 0, Repealed 63.
Number of Sections Adopted at the Request of a Nongovernmental Entity: New 0, Amended 0, Repealed 0.
Number of Sections Adopted on the Agency's own Initiative: New 0, Amended 0, Repealed 0.
Number of Sections Adopted in Order to Clarify, Streamline, or Reform Agency Procedures: New 0, Amended 0, Repealed 0.
Number of Sections Adopted using Negotiated Rule Making: New 0, Amended 0, Repealed 0; Pilot Rule Making: New 0, Amended 0, Repealed 0; or Other Alternative Rule Making: New 0, Amended 0, Repealed 63.
Date Adopted: July 19, 2022.
Alex Sobel, DO, Chair
Board of Osteopathic Medicine and Surgery
OTS-3559.1
REPEALER
The following chapter of the Washington Administrative Code is repealed:
WAC 246-854-005
Definitions.
WAC 246-854-007
Application withdrawals.
WAC 246-854-010
Approved training and additional skills or procedures.
WAC 246-854-015
Use and supervision of an osteopathic physician assistant.
WAC 246-854-021
Delegation agreements.
WAC 246-854-025
Remote site.
WAC 246-854-030
Prescriptions.
WAC 246-854-035
Osteopathic physician assistantScope of practice.
WAC 246-854-075
Background checkTemporary practice permit.
WAC 246-854-076
Temporary practice permitMilitary spouse eligibility and issuance.
WAC 246-854-080
Osteopathic physician assistantRequirements for licensure.
WAC 246-854-081
How to return to active status when a license has expired.
WAC 246-854-082
Requirements for obtaining an osteopathic physician assistant license for those who hold an active allopathic physician assistant license.
WAC 246-854-085
Osteopathic physician assistant interim permitQualifications and requirements.
WAC 246-854-086
Reentry to practice requirements.
WAC 246-854-095
Scope of practiceAllopathic alternate physician.
WAC 246-854-105
Practice limitations due to disciplinary action.
WAC 246-854-110
Osteopathic physician assistant renewal and continuing medical education cycle.
WAC 246-854-112
Retired active license.
WAC 246-854-115
Continuing medical education requirements.
WAC 246-854-116
Mandatory one-time training in suicide assessment, treatment, and management.
WAC 246-854-200
Sexual misconduct.
WAC 246-854-210
Abuse.
WAC 246-854-220
Use of laser, light, radiofrequency, and plasma devices as applied to the skin.
WAC 246-854-230
Nonsurgical medical cosmetic procedures.
WAC 246-854-240
Intent and scope.
WAC 246-854-241
Exclusions.
WAC 246-854-242
Definitions.
WAC 246-854-255
Patient notification, secure storage, and disposal.
WAC 246-854-260
Use of alternative modalities for pain treatment.
WAC 246-854-265
Continuing education requirements for opioid prescribing.
WAC 246-854-270
Patient evaluation and patient record.
WAC 246-854-275
Treatment planAcute nonoperative pain.
WAC 246-854-280
Treatment planAcute perioperative pain.
WAC 246-854-285
Patient evaluation and patient record.
WAC 246-854-290
Treatment planSubacute pain.
WAC 246-854-295
Patient evaluation and patient record.
WAC 246-854-300
Treatment plan.
WAC 246-854-305
Written agreement for treatment.
WAC 246-854-310
Periodic review.
WAC 246-854-315
ConsultationRecommendations and requirements.
WAC 246-854-320
ConsultationExemptions for exigent and special circumstances.
WAC 246-854-325
ConsultationExemptions for the osteopathic physician assistant.
WAC 246-854-330
Pain management specialist.
WAC 246-854-335
Tapering requirements.
WAC 246-854-340
Patients with chronic pain, including those on high doses, establishing a relationship with a new practitioner.
WAC 246-854-345
Special populationsPatients twenty-five years of age or under, pregnant patients, and aging populations.
WAC 246-854-350
Episodic care of chronic opioid patients.
WAC 246-854-355
Coprescribing of opioids with certain medications.
WAC 246-854-360
Coprescribing of opioids for patients receiving medication assisted treatment.
WAC 246-854-365
Coprescribing of naloxone.
WAC 246-854-370
Prescription monitoring programRequired registration, queries, and documentation.
OTS-3560.1
REPEALER
The following chapter of the Washington Administrative Code is repealed:
WAC 246-855-010
Acupuncture—Definition.
WAC 246-855-020
Acupuncture assistant education.
WAC 246-855-030
Acupuncture—Program approval.
WAC 246-855-040
Osteopathic acupuncture physicians' assistant's examination.
WAC 246-855-050
Investigation.
WAC 246-855-060
English fluency.
WAC 246-855-070
Supervising physicians' knowledge of acupuncture.
WAC 246-855-080
Utilization.
WAC 246-855-090
Prohibited techniques and tests.
WAC 246-855-100
AIDS education and training.
WAC 246-855-110
Application for registration.