CERTIFICATION OF ENROLLMENT

                   SUBSTITUTE HOUSE BILL 1535

                        55th Legislature

                      1997 Regular Session

Passed by the House March 6, 1997   Yeas 94   Nays 0 Speaker of the       House of Representatives Passed by the Senate April 10, 1997   Yeas 48   Nays 0

CERTIFICATE I, Timothy A. Martin, Chief Clerk of the House of Representatives of the State of Washington, do hereby certify that the attached is SUBSTITUTE HOUSE BILL 1535  as passed by the House of Representatives and the Senate on the dates hereon set forth.

President of the Senate

Chief Clerk

Approved Place Style On Codes above, and Style Off Codes below.

FILED

Governor of the State of Washington

Secretary of State                   State of Washington

          _______________________________________________

                    SUBSTITUTE HOUSE BILL 1535

          _______________________________________________

             Passed Legislature - 1997 Regular Session

State of Washington      55th Legislature     1997 Regular Session

By House Committee on Health Care (originally sponsored by Representatives Sherstad, Cody, Dyer, Murray, Cooke, O'Brien, Cooper, Wolfe, Cole, Veloria, Butler, Ogden, Anderson, Mason and Van Luven)

Read first time 02/25/97.

Declaring a naturopath a health care practitioner for certain purposes. 

    AN ACT Relating to naturopathic health care practitioners; and reenacting and amending RCW 18.135.020.

BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF WASHINGTON:

    Sec. 1.  RCW 18.135.020 and 1994 sp.s. c 9 s 719 and 1994 c 76 s 1 are each reenacted and amended to read as follows:

    As used in this chapter:

    (1) "Secretary" means the secretary of health.

    (2) "Health care assistant" means an unlicensed person who assists a licensed health care practitioner in providing health care to patients pursuant to this chapter.  However persons trained by a federally approved end-stage renal disease facility who perform end-stage renal dialysis are exempt from certification under this chapter.

    (3) "Health care practitioner" means:

    (a) A physician licensed under chapter 18.71 RCW;

    (b) An osteopathic physician or surgeon licensed under chapter 18.57 RCW; or

    (c) Acting within the scope of their respective licensure, a podiatric physician and surgeon licensed under chapter 18.22 RCW ((or)), a registered nurse or advanced registered nurse practitioner licensed under chapter 18.79 RCW, or a naturopath licensed under chapter 18.36A RCW.

    (4) "Supervision" means supervision of procedures permitted pursuant to this chapter by a health care practitioner who is physically present and is immediately available in the facility during the administration of injections, as defined in this chapter, but need not be present during procedures to withdraw blood.

    (5) "Health care facility" means any hospital, hospice care center, licensed or certified health care facility, health maintenance organization regulated under chapter 48.46 RCW, federally qualified health maintenance organization, renal dialysis center or facility federally approved under 42 C.F.R. 405.2100, blood bank federally licensed under 21 C.F.R. 607, or clinical laboratory certified under 20 C.F.R. 405.1301‑16.

    (6) "Delegation" means direct authorization granted by a licensed health care practitioner to a health care assistant to perform the functions authorized in this chapter which fall within the scope of practice of the delegator and which are not within the scope of practice of the delegatee.

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