WSR 24-21-150
PERMANENT RULES
DEPARTMENT OF HEALTH
[Filed October 22, 2024, 3:09 p.m., effective November 22, 2024]
Effective Date of Rule: Thirty-one days after filing.
Purpose: Nursing fee rule housekeeping correction to totals. The department of health (department), in consultation with the Washington state board of nursing (board), has permanently adopted amendments to WAC 246-840-990 to make a housekeeping change to correct fee total amounts.
In January 2024, the department in consultation with the board, adopted amendments to WAC 246-840-990. These amendments were introduced to establish the multistate nursing license fee and increase the nursing center surcharge fee as directed by SSB 5499 (chapter 123, Laws of 2023). The nursing center surcharge fee increased from five to eight dollars per year for all initial licenses and renewal licenses for registered nurses and licensed practical nurses.
It was discovered that the fee totals for retired active and inactive licenses in WAC 246-840-990 were incorrect and did not include the increased surcharge fee. The department, in consultation with the board, has adopted further amendments to WAC 246-840-990 to ensure the fee totals accurately reflect the updated surcharge fee. There is no change to the fees being charged. The changes only correct a technical error in the total lines.
Citation of Rules Affected by this Order: Amending WAC 246-840-990.
Adopted under notice filed as WSR 24-14-126 on July 2, 2024.
Number of Sections Adopted in Order to Comply with Federal Statute: New 0, Amended 0, Repealed 0; Federal Rules or Standards: New 0, Amended 0, Repealed 0; or Recently Enacted State Statutes: New 0, Amended 0, Repealed 0.
Number of Sections Adopted at the Request of a Nongovernmental Entity: New 0, Amended 0, Repealed 0.
Number of Sections Adopted on the Agency's own Initiative: New 0, Amended 1, Repealed 0.
Number of Sections Adopted in Order to Clarify, Streamline, or Reform Agency Procedures: New 0, Amended 0, Repealed 0.
Number of Sections Adopted using Negotiated Rule Making: New 0, Amended 0, Repealed 0; Pilot Rule Making: New 0, Amended 0, Repealed 0; or Other Alternative Rule Making: New 0, Amended 1, Repealed 0.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: October 22, 2024.
Kristin Peterson, JD
Chief of Policy
for Umair A. Shah, MD, MPH
Secretary
OTS-5474.1
AMENDATORY SECTION(Amending WSR 24-02-057, filed 12/28/23, effective 1/31/24)
WAC 246-840-990Fees and renewal cycle.
(1) A licensed practical nurse (LPN) or a registered nurse (RN) must renew 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 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 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 | 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))68 | | ((65))68 | | | |
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))113 | | ((110))113 | | | |
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))183 | | ((180))183 | | | |
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))68 | | ((65))68 | | 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))113 | | ((110))113 | | 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))153 | | ((150))153 | | 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 |