Subject of Possible Rule Making: WAC 182-501-0070 Health care coverage—Noncovered services, 182-502-0002 Eligible provider types, 182-502-0003 Noneligible provider types, 182-531-0050 Physician-related services definitions, 182-556-0200 Chiropractic services for children, and 182-556-0250 Acupuncture; other related rules as appropriate.

Statutes Authorizing the Agency to Adopt Rules on this Subject: ESSB 5693, section 211 (94) and (95), chapter 297, Laws of 2022; ESSB 5187, section 211 (42) and (43), chapter 475, Laws of 2023; RCW 41.05.021, 41.05.160.

Reasons Why Rules on this Subject may be Needed and What They Might Accomplish: The health care authority (HCA) is revising these rules to provide an adult chiropractic benefit, in alignment with ESSB 5693, section 211(95) and ESSB 5187, section 211(43). In addition, HCA is adding rules to provide adult acupuncture benefits, in alignment with ESSB 5693, section 211(94) and ESSB 5187, section 211(42). HCA is revising WAC 182-501-0070 to remove acupuncture, naturopathy, and chiropractic for adults from noncovered services. During this review, HCA may identify additional related changes that are required in order to improve clarity or update policy.

Process for Developing New Rule: HCA 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, HCA 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 Valerie Freudenstein, Rule-Making Questions, P.O. Box 42716, Olympia, WA 98504-2716, phone 360-725-1344, fax 360-586-9727, telecommunications relay service (TRS) 711, email valerie.freuedenstein@hca.wa.gov, website www.hca.wa.gov/about-hca/rulemaking; or Joan Chappell, Program Questions, P.O. Box 45506, Olympia, WA 98504-5506, phone 360-725-1071, fax 360-586-9727, TRS 711, email joan.chappell@hca.wa.gov, website www.hca.wa.gov/about-hca/rulemaking.