WSR 15-07-005
(Chiropractic Quality Assurance Commission)
[Filed March 6, 2015, 2:18 p.m., effective April 6, 2015]
Effective Date of Rule: Thirty-one days after filing.
Purpose: WAC 246-808-150, the chiropractic quality assurance commission (commission) amended the continuing education (CE) requirements for Washington state licensed chiropractors to include three CE hours of suicide training, added CE categories, outlined acceptable documentation to verify completion of CE, expanded multimedia options, and amended the number of CE hours that may be obtained for some categories of CE.
Citation of Existing Rules Affected by this Order: Amending WAC 246-808-150.
Statutory Authority for Adoption: RCW 18.25.0171, 18.25.070, ESHB 2315 (chapter 71, Laws of 2014).
Adopted under notice filed as WSR 14-22-106 on November 5, 2014.
Changes Other than Editing from Proposed to Adopted Version: Two minor changes were made to subsections (3) and (3)(a) after the rules hearing to mirror ESHB 2315 (chapter 71, Laws of 2014): Subsection (3) revised the proposed language from, the training must be received "no later than" the first full reporting period to "during" the first full reporting period, and, subsection (3)(a) adds that qualified training must be empirically supported training.
A final cost-benefit analysis is available by contacting Leann Yount, Program Manager, Chiropractic Quality Assurance Commission, P.O. Box 47858, Olympia, WA 98504-7858, phone (360) 236-4856, fax (360) 236-2901, e-mail
Number of Sections Adopted in Order to Comply with Federal Statute: New 0, Amended 0, Repealed 0; Federal Rules or Standards: New 0, Amended 0, Repealed 0; or Recently Enacted State Statutes: New 0, Amended 1, Repealed 0.
Number of Sections Adopted at Request of a Nongovernmental Entity: New 0, Amended 0, Repealed 0.
Number of Sections Adopted on the Agency's Own Initiative: New 0, Amended 1, Repealed 0.
Number of Sections Adopted in Order to Clarify, Streamline, or Reform Agency Procedures: New 0, Amended 1, Repealed 0.
Number of Sections Adopted Using Negotiated Rule Making: New 0, Amended 0, Repealed 0; Pilot Rule Making: New 0, Amended 0, Repealed 0; or Other Alternative Rule Making: New 0, Amended 1, Repealed 0.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: December 11, 2014.
Gary L. Smith, DC, DACBR
Commission Chair
AMENDATORY SECTION (Amending WSR 06-03-057, filed 1/11/06, effective 2/11/06)
WAC 246-808-150 Commission approved continuing education.
(1) Chiropractors must complete twenty-five hours of continuing education per year under RCW 18.25.070 and chapter 246-12 WAC, Part 7.
(2) The commission approves the following subject material for continuing chiropractic education credit:
(a) Diagnosis and treatment of the spine or ((immediate)) extremity articulations within the scope of practice;
(b) X-ray/diagnostic imaging;
(c) Adjustive technique;
(d) Detection of a subluxation;
(e) Physical examination;
(f) Hygiene;
(g) Symptomatology;
(h) Neurology;
(i) Pathology;
(j) Orthopedics;
(k) Patient/case management, documentation, coding;
(l) Impairment within the scope of practice;
(m) CPR (not to exceed a total of four hours);
(n) Dietary and nutrition advice; ((and))
(o) Chiropractic philosophy ((and business management (not to exceed a total of eight hours))); and
(p) Governmental regulations relevant to chiropractic and public health (not to exceed a total of twelve hours).
(3) Beginning June 12, 2014, as part of the continuing education, chiropractors are required to obtain three hours in suicide screening and referral from a qualified suicide prevention training program. This is a one-time suicide prevention training that must be completed during the first full reporting period after June 12, 2014, or the first full continuing education reporting period after initial licensure, whichever is later.
(a) A qualified training program is empirically supported training in suicide screening and referral that is at least three hours in length which may be provided in one or more sessions.
(b) The hours spent completing a training program in suicide screening and referral under this section count toward meeting any applicable continuing education requirements.
(c) Nothing in this subsection is intended to expand or limit the chiropractic scope of practice.
(4) Subject matter not approved for continuing education credit:
(a) Subject matter not directly relating to the chiropractic clinical scope of practice; and
(b) Conduct prohibited by Washington state statutes or rules governing chiropractic practice.
(((4))) (5) A chiropractor may earn a maximum of twelve hours for:
(a) Completing a multimedia chiropractic education program, which includes, but is not limited to, the internet, teleseminars, employer led training offering continuing education hours, and video presentations.
(b) Serving as teachers or lecturers in continuing education programs approved under subsection (2) of this section. A chiropractor may receive credit on the same basis as ((the doctors)) those attending the program.
(((5) The individual or organization responsible for a continuing education presentation must provide documentation of attendance to participants, including course content and number of hours.))
(6) A chiropractor must provide acceptable documentation of attendance upon commission request or audit. Acceptable forms of documentation include:
(a) Transcripts;
(b) Letters from the course instructors;
(c) Certificate of completion; or
(d) Other formal documentation which includes:
(i) Participant's name;
(ii) Course title;
(iii) Course content;
(iv) Date(s) of course;
(v) Provider's name(s); and
(vi) Signature of the program sponsor or course instructor. Multimedia courses are exempt from the signature requirement.
(7) Chiropractors in active status who reside and practice outside Washington must meet all the requirements ((of this section)).