WSR 09-18-057



(Health and Recovery Services Administration)

[ Filed August 28, 2009, 8:25 a.m. ]

Subject of Possible Rule Making: The department is amending WAC 388-438-0110 The alien emergency medical (AEM) program, and adding new sections to this WAC chapter.

Statutes Authorizing the Agency to Adopt Rules on this Subject: RCW 74.04.050, 74.08.090, section 1109, chapter 564, Laws of 2009 (ESHB 1244, sections 201 and 209).

Reasons Why Rules on this Subject may be Needed and What They Might Accomplish: These amendments are required to meet the 2009-2011 final legislative budget reductions in sections 201 and 209 of ESHB 1244. Specifically, the department will restrict alien medical services to a federal emergency services component and limit state-only coverage to end-stage renal dialysis, cancer treatment, and nursing facility care.

Other Federal and State Agencies that Regulate this Subject and the Process Coordinating the Rule with These Agencies: None.

Process for Developing New Rule: DSHS welcomes the public to take part in developing the rules. Anyone interested should contact the staff person identified below. At a later date, DSHS will file a proposal with the office of the code reviser with a notice of proposed rule making. A copy of the proposal will be sent to everyone on the mailing list and to 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 Kevin Sullivan, P.O. Box 45504, Olympia, WA 98504-5504, phone (360) 725-1344, fax (360) 586-9727, TTY 1-800-848-5429, e-mail

August 28, 2009

Stephanie E. Vaughn

Rules Coordinator

Washington State Code Reviser's Office