Washington State

House of Representatives

Office of Program Research



Health Care & Wellness Committee

HB 2203

This analysis was prepared by non-partisan legislative staff for the use of legislative members in their deliberations. This analysis is not a part of the legislation nor does it constitute a statement of legislative intent.

Brief Description: Concerning acupuncture and Eastern medicine.

Sponsors: Representatives Thai, Harris, Cody, Pettigrew, Chambers, Tharinger, Stonier, Riccelli, Robinson, Ryu, Ormsby, Wylie and Doglio.

Brief Summary of Bill

  • Changes the definition of Acupuncture and Eastern medicine.

  • Allows acupuncturists and Eastern medicine practitioners, if education and training requirements are met, to inject local anesthetics for reducing pain during point injection therapy and use oxygen and epinephrine for potential emergency purposes.

  • Allows acupuncturists to practice intramuscular and dry needling, ear acupuncture, and use contact needling and noninsertion tools.

Hearing Date: 1/15/20

Staff: Kim Weidenaar (786-7120).


Scope of Practice.

Acupuncture or Eastern Medicine is defined as a health care service utilizing acupuncture or Eastern medicine diagnosis and treatment to promote health and treat organic or functional disorders. It includes:

Prior to providing point injection therapy services, an acupuncturist or acupuncture and Eastern medicine practitioner must obtain education and training necessary to provide the service.

Sunrise Review.

In 2019 the Department of Health conducted a sunrise review analyzing changes to the scope of practice for acupuncturists, including increasing point injection therapy injectables, clarifying substance use disorder treatments, and providing for the practice of dry needling. The draft report recommended the inclusion of local anesthetics, oxygen, and epinephrine to the practice of point injection therapy with restrictions but did not make recommendations as to some of the other clarifications.

Summary of Bill:

Acupuncture and Eastern Medicine is defined as the holistic system of medicine often referred to as traditional Chinese medicine, Eastern medicine, and by other terms, which includes a variety of traditional and modern therapeutic treatments, such as the practice of acupuncture techniques and herbal medicine to maintain and promote wellness prevent, manage, and reduce pain, treat substance use disorder, and promote health and treat organic or functional disorders. It includes:

The practice of point injection therapy includes the injection of local anesthetics for pain reduction and the use of oxygen and epinephrine for potential emergency purposes. Prior to administering local anesthetics, epinephrine, or oxygen, an acupuncturist or Eastern medicine practitioner must complete education and training requirements established in rule. The Department of Health must establish these requirements in rule by July 1, 2021.

Appropriation: None.

Fiscal Note: Available.

Effective Date: The bill takes effect 90 days after adjournment of the session in which the bill is passed.