Subject of Possible Rule Making: WAC 182-531-1675 Washington apple health—Gender affirming interventions for gender dysphoria; other related rules as appropriate.

Reasons Why Rules on this Subject may be Needed and What They Might Accomplish: The health care authority (agency) intends to amend this rule to reflect current standards of care. During the course of this review, the agency may identify additional related changes that are required in order to improve clarity or update policy.

Other Federal and State Agencies that Regulate this Subject and the Process Coordinating the Rule with These Agencies: Not applicable.

Process for Developing New Rule: The agency welcomes the public to take part in developing this rule. If interested, contact the person identified below to receive an early rule draft to review. After the early review, the agency will send a notice of proposed rule making (CR-102) to everyone receiving this notice and anyone who requests a copy.

Interested parties can participate in the decision to adopt the new rule and formulation of the proposed rule before publication by contacting Melinda Froud, Rule-Making Questions, P.O. Box 42716, Olympia, WA 98504-2716, phone 360-725-1408, fax 360-586-9727, telecommunication[s] relay service (TRS) 711, email melinda.froud@hca.wa.gov, website www.hca.wa.gov/about-hca/rulemaking; or Lisa Little, Program Questions, P.O. Box 45502, Olympia, WA 98504-5502, phone [360-]725-2033, fax 360-586-9727, TRS 711, email lisa.little@hca.wa.gov, website www.hca.wa.gov/about-hca/rulemaking.