The Washington State Medical Commission (commission) regulates the competency and quality of professional health care providers under the commission's jurisdiction. The commission establishes, monitors, and enforces qualifications for licensure, consistent practice standards, continuing competency, and discipline.
The commission issues licenses for physicians (MD), physician assistants (PA), certified anesthesiologist assistants (CAA), and offers limited licenses for international medical graduates. They are responsible for licensing and disciplining these specific providers to ensure compliance with state standards. The commission currently regulates about 34,000 licenses.
The commission is authorized to conduct rulemaking for all licenses issued by the commission to allow for the voluntary relinquishment of the license. This includes licenses for MDs, PAs, and CAAs as well as licenses issued under the interstate medical licensure compact and the physician assistant licensure compact.
Under these relinquishment rules, the license cannot be relinquished in lieu of discipline or if the licensee is subject to discipline or under investigation by the commission. The relinquishment is not an adverse action and as such is not reportable to any disciplinary database, the national practitioner data bank, or other websites.
Licensees who request this relinquishment process agree to the permanent relinquishment of the property right and shall have no right to reinstatement or renewal.
PRO: Currently, the only mechanism to step away from practice is to surrender the medical license and it is still a quasi-disciplinary agreement even when the circumstances are unrelated to misconduct. A medical license is considered a constitutional property right in Washington State, which means it does not disappear when it expires. Even after the license's expiration, the commission remains responsible for the licensee and an individual can reactivate it at any time with no input from the commission. This bill takes a more human-centered approach to license relinquishment while maintaining patient safety. This bill provides a graceful way for physicians who are aging, have become medically disabled, or those with a variety of other health conditions resulting in a need to leave the practice and end their career.