WSR 24-02-057
PERMANENT RULES
DEPARTMENT OF HEALTH
[Filed December 28, 2023, 4:11 p.m., effective January 31, 2024]
Effective Date of Rule: January 31, 2024.
Purpose: Multistate nursing license fee (new) and increase to nursing center surcharge fee. The department of health (department), in consultation with the Washington state board of nursing (board), is adopting amendments to WAC 246-840-990 to establish the multistate nursing license fee and increase the nursing center surcharge fee as directed by SSB 5499 (chapter 123, Laws of 2023).
Citation of Rules Affected by this Order: Amending WAC 246-840-990.
Statutory Authority for Adoption: RCW 18.79.202, 43.70.110, 43.70.250, 43.70.280; and SSB 5499 (chapter 123, Laws of 2023).
Adopted under notice filed as WSR 23-22-060 on October 25, 2023.
Changes Other than Editing from Proposed to Adopted Version: Nonsubstantive technical changes were made to reflect the correct nursing center surcharge.
Number of Sections Adopted in Order to Comply with Federal Statute: New 0, Amended 0, Repealed 0; Federal Rules or Standards: New 0, Amended 0, Repealed 0; or Recently Enacted State Statutes: New 0, Amended 1, Repealed 0.
Number of Sections Adopted at the Request of a Nongovernmental Entity: New 0, Amended 0, Repealed 0.
Number of Sections Adopted on the Agency's own Initiative: New 0, Amended 0, Repealed 0.
Number of Sections Adopted in Order to Clarify, Streamline, or Reform Agency Procedures: New 0, Amended 0, Repealed 0.
Number of Sections Adopted using Negotiated Rule Making: New 0, Amended 0, Repealed 0; Pilot Rule Making: New 0, Amended 0, Repealed 0; or Other Alternative Rule Making: New 0, Amended 1, Repealed 0.
Date Adopted: December 28, 2023.
Kristin Peterson, JD
Chief of Policy
for Umair A. Shah, MD, MPH
Secretary
OTS-4971.3
AMENDATORY SECTION(Amending WSR 22-15-074, filed 7/18/22, effective 12/1/22)
WAC 246-840-990Fees and renewal cycle.
(1) A licensed practical nurse (LPN) or a registered nurse (RN) must renew ((his or her))their single or multistate license every year on the licensee's birthday.
(2) When applying for a license an applicant for an initial or renewal LPN license or RN license must pay, in addition to the application fee, the University of Washington (UW) health sciences online library access (HEAL-WA) surcharge and the central nursing resource center (nursing center) surcharge, as required in RCW 43.70.110.
(3) An advanced registered nurse practitioner (ARNP) must renew ((his or her))their license every two years on the licensee's birthday. An ARNP must also hold a valid single or multistate RN license and pay all associated fees every year on the licensee's birthday.
(4) A nursing technician must renew ((his or her))their registration every year on the practitioner's birthday. The renewal must be accompanied by an attestation as required in RCW 18.79.370 that includes the nursing technician's anticipated graduation date. If the anticipated graduation date is within one year, the registration will expire 30 days after the anticipated graduation date. The expiration date may be extended to 60 days after graduation if the nursing technician can show good cause as defined in WAC 246-840-010(15).
(5) A practitioner who holds more than one credential will be charged separate fees for each credential, in compliance with WAC 246-12-020 through 246-12-051 and RCW 43.70.110.
(6) The following nonrefundable fees will be charged:
((Application Fees
 
 
 
 
 
 
 
 
 
Registered
Nurse
Licensed
Practical
Nurse
Advanced
Registered Nurse
Practitioner1
Nursing
Technician
Application Fee
114
 
69
 
130
 
25
 
HEAL-WA Surcharge
16
 
16
 
0
 
0
 
Nursing Center Surcharge
5
 
5
 
0
 
0
 
Total
135
 
90
 
130
 
25
 
1Pays a $125 application fee per specialty license. If not currently a licensed RN, must also pay RN application fees.
 
 
 
 
 
 
 
 
 
On-Time Renewal
 
 
 
 
 
 
 
 
 
Registered
Nurse
Licensed
Practical
Nurse
Advanced
Registered Nurse
Practitioner2
Nursing
Technician
Renewal Fee
114
 
69
 
130
 
25
 
HEAL-WA Surcharge
16
 
16
 
0
 
0
 
Nursing Center Surcharge
5
 
5
 
0
 
0
 
Total
135
 
90
 
130
 
25
 
2Pays a $125 renewal fee per specialty license once every two years. Must also renew RN license every year.
 
 
 
 
 
 
 
 
 
Late Renewal - Up to One Year Past the Expiration
 
 
 
 
 
 
Registered
Nurse
Licensed
Practical
Nurse
Advanced
Registered Nurse
Practitioner3
Nursing
Technician
Renewal Fee
114
 
69
 
130
 
25
 
HEAL-WA Surcharge
16
 
16
 
0
 
0
 
Nursing Center Surcharge
5
 
5
 
0
 
0
 
Late Renewal Penalty
50
 
50
 
50
 
25
 
Total
185
 
140
 
180
 
50
 
3Pays $50 per specialty license in late fees.
 
 
 
 
 
 
 
 
 
Late Renewal - One Year or More Expired
 
 
 
 
 
 
 
 
Registered
Nurse
Licensed
Practical
Nurse
Advanced
Registered Nurse
Practitioner
 
 
Renewal Fee
114
 
69
 
130
 
 
 
HEAL-WA Surcharge
16
 
16
 
0
 
 
 
Nursing Center Surcharge
5
 
5
 
0
 
 
 
Late Renewal Penalty
50
 
50
 
50
 
 
 
Expired Licenses Reissuance
70
 
70
 
0
 
 
 
Total
255
 
210
 
180
 
 
 
 
 
 
 
 
 
 
 
 
Retired Active Renewal
 
 
 
 
 
 
 
 
 
Registered
Nurse
Licensed
Practical
Nurse
 
 
 
 
Renewal Fee
44
 
44
 
 
 
 
 
HEAL-WA Surcharge
16
 
16
 
 
 
 
 
Nursing Center Surcharge
5
 
5
 
 
 
 
 
Total
65
 
65
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Retired Active Renewal—Late Renewal - Up to One Year Past the Expiration
 
 
Registered
Nurse
Licensed
Practical
Nurse
 
 
 
 
Renewal Fee
44
 
44
 
 
 
 
 
HEAL-WA Surcharge
16
 
16
 
 
 
 
 
Nursing Center Surcharge
5
 
5
 
 
 
 
 
Late Renewal Penalty
45
 
45
 
 
 
 
 
Total
110
 
110
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Retired Active Renewal—Late Renewal - One Year or More Expired
 
 
 
 
Registered
Nurse
Licensed
Practical
Nurse
 
 
 
 
Renewal Fee
44
 
44
 
 
 
 
 
HEAL-WA Surcharge
16
 
16
 
 
 
 
 
Nursing Center Surcharge
5
 
5
 
 
 
 
 
Late Renewal Penalty
45
 
45
 
 
 
 
 
Expired License Reissuance
70
 
70
 
 
 
 
 
Total
180
 
180
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Inactive License Renewal
 
 
 
 
 
 
 
 
 
Registered
Nurse
Licensed
Practical
Nurse
Advanced
Registered Nurse
Practitioner
 
 
Renewal Fee
44
 
44
 
40
 
 
 
HEAL-WA Surcharge
16
 
16
 
0
 
 
 
Nursing Center Surcharge
5
 
5
 
0
 
 
 
Total
65
 
65
 
40
 
 
 
 
 
 
 
 
 
 
 
 
Inactive License Renewal—Late Renewal - Up to One Year Past the Expiration
 
 
 
 
 
 
Registered
Nurse
Licensed
Practical
Nurse
Advanced
Registered Nurse
Practitioner
 
 
Renewal Fee
44
 
44
 
40
 
 
 
HEAL-WA Surcharge
16
 
16
 
0
 
 
 
Nursing Center Surcharge
5
 
5
 
0
 
 
 
Late Renewal Penalty
45
 
45
 
40
 
 
 
Total
110
 
110
 
80
 
 
 
 
 
 
 
 
 
 
 
 
Inactive License Renewal—Late Renewal - One Year or More Expired
 
 
 
 
 
 
Registered
Nurse
Licensed
Practical
Nurse
Advanced
Registered Nurse
Practitioner
 
 
Renewal Fee
44
 
44
 
40
 
 
 
HEAL-WA Surcharge
16
 
16
 
0
 
 
 
Nursing Center Surcharge
5
 
5
 
0
 
 
 
Late Renewal Penalty
45
 
45
 
40
 
 
 
Expired License Reissuance
40
 
40
 
40
 
 
 
Total
150
 
150
 
120
 
 
 
 
 
 
 
 
 
 
 
 
Other fees
 
 
 
 
 
 
 
 
 
Registered
Nurse
Licensed
Practical
Nurse
Advanced
Registered Nurse
Practitioner
Nursing
Technician
Duplicate licensee or registration
20
 
20
 
20
 
15
 
Verification of licensure
25
 
25
 
25
 
25))
 
Application Fees
 
Registered Nurse
Multistate Registered Nurse2
Licensed Practical Nurse
Multistate Licensed Practical Nurse2
Advanced Registered Nurse Practitioner1
Nursing Technician
Application Fee
114
114
69
69
130
25
HEAL-WA Surcharge
16
16
16
16
0
0
Nursing Center Surcharge
8
8
8
8
0
0
Multistate License Fee
0
65
0
65
0
0
Total
138
203
93
158
130
25
1Pays a $130 application fee per specialty license. If not currently a licensed RN, must also pay RN application fees.
2 Providers currently licensed in Washington state pay the $65 multistate license fee to convert their existing license to a multistate license.
On-Time Renewal
 
Registered Nurse
Multistate Registered Nurse
Licensed Practical Nurse
Multistate Licensed Practical Nurse
Advanced Registered Nurse Practitioner2
Nursing Technician
Renewal Fee
114
114
69
69
130
25
HEAL-WA Surcharge
16
16
16
16
0
0
Nursing Center Surcharge
8
8
8
8
0
0
Multistate License Fee
0
20
0
20
0
0
Total
138
158
93
113
130
25
2Pays a $130 renewal fee per specialty license once every two years. Must also renew RN license every year.
Late Renewal - Up to One Year Past the Expiration
 
Registered Nurse
Multistate Registered Nurse
Licensed Practical Nurse
Multistate Licensed Practical Nurse
Advanced Registered Nurse Practitioner3
Nursing Technician
Renewal Fee
114
114
69
69
130
25
HEAL-WA Surcharge
16
16
16
16
0
0
Nursing Center Surcharge
8
8
8
8
0
0
Late Renewal Penalty
50
50
50
50
50
25
Multistate License Fee
0
20
0
20
0
0
Total
188
208
143
163
180
50
3Pays $50 per specialty license in late fees.
Late Renewal - One Year or More Expired
 
Registered Nurse
Multistate Registered Nurse
Licensed Practical Nurse
Multistate Licensed Practical Nurse
Advanced Registered Nurse Practitioner
 
Renewal Fee
114
114
69
69
130
 
HEAL-WA Surcharge
16
16
16
16
0
 
Nursing Center Surcharge
8
8
8
8
0
 
Late Renewal Penalty
50
50
50
50
50
 
Expired Licenses Reissuance
70
70
70
70
0
 
Multistate License Fee
0
20
0
20
0
 
Total
258
278
213
233
180
 
Retired Active Renewal
 
Registered Nurse
 
Licensed Practical Nurse
 
 
 
Renewal Fee
44
 
44
 
 
 
HEAL-WA Surcharge
16
 
16
 
 
 
Nursing Center Surcharge
8
 
8
 
 
 
Total
65
 
65
 
 
 
Retired Active Renewal—Late Renewal - Up to One Year Past the Expiration
 
Registered Nurse
 
Licensed Practical Nurse
 
 
 
Renewal Fee
44
 
44
 
 
 
HEAL-WA Surcharge
16
 
16
 
 
 
Nursing Center Surcharge
8
 
8
 
 
 
Late Renewal Penalty
45
 
45
 
 
 
Total
110
 
110
 
 
 
Retired Active Renewal—Late Renewal - One Year or More Expired
 
Registered Nurse
 
Licensed Practical Nurse
 
 
 
Renewal Fee
44
 
44
 
 
 
HEAL-WA Surcharge
16
 
16
 
 
 
Nursing Center Surcharge
8
 
8
 
 
 
Late Renewal Penalty
45
 
45
 
 
 
Expired License Reissuance
70
 
70
 
 
 
Total
180
 
180
 
 
 
Inactive License Renewal
 
Registered Nurse
 
Licensed Practical Nurse
 
Advanced Registered Nurse Practitioner
 
Renewal Fee
44
 
44
 
40
 
HEAL-WA Surcharge
16
 
16
 
0
 
Nursing Center Surcharge
8
 
8
 
0
 
Total
65
 
65
 
40
 
Inactive License Renewal—Late Renewal - Up to One Year Past the Expiration
 
Registered Nurse
 
Licensed Practical Nurse
 
Advanced Registered Nurse Practitioner
 
Renewal Fee
44
 
44
 
40
 
HEAL-WA Surcharge
16
 
16
 
0
 
Nursing Center Surcharge
8
 
8
 
0
 
Late Renewal Penalty
45
 
45
 
40
 
Total
110
 
110
 
80
 
Inactive License Renewal—Late Renewal - One Year or More Expired
 
Registered Nurse
 
Licensed Practical Nurse
 
Advanced Registered Nurse Practitioner
 
Renewal Fee
44
 
44
 
40
 
HEAL-WA Surcharge
16
 
16
 
0
 
Nursing Center Surcharge
8
 
8
 
0
 
Late Renewal Penalty
45
 
45
 
40
 
Expired License Reissuance
40
 
40
 
40
 
Total
150
 
150
 
120
 
Other fees
 
Registered Nurse
 
Licensed Practical Nurse
 
Advanced Registered Nurse Practitioner
Nursing Technician
Duplicate Licensee or Registration
20
 
20
 
20
15
Verification Licensure
25
 
25
 
25
25