WSR 18-10-027
[Filed April 24, 2018, 2:48 p.m.]
Subject of Possible Rule Making: WAC 182-531-1675 Gender dysphoria treatment program; and other rules as appropriate.
Statutes Authorizing the Agency to Adopt Rules on this Subject: RCW 41.05.021, 41.05.160.
Reasons Why Rules on this Subject may be Needed and What They Might Accomplish: In 2017, the agency began rule making on WAC 182-531-1675 filed under WSR 17-05-084 and held a public hearing on the proposed rules on June 27, 2017 (filed under WSR 17-11-140). After reviewing the comments received at the public hearing, the agency reevaluated the project and has decided to make substantial changes and restart the rule making from the beginning.
This preproposal statement of inquiry restarts the rule making. The agency is considering the following revisions to WAC 182-531-1675:
Remove the four component structure.
Streamline the requirements for qualified heath care providers.
Remove the requirement that each provider be recognized as an agency-designated center of excellence.
Remove the language regarding developing an individualized treatment plan.
Remove unnecessary administrative processes for the client and provider, including but not limited to multiple attestation forms.
Clarify which covered services require prior authorization.
Add facial masculinization and reversal of gender reassignment surgery to the list of noncovered services that the agency will review on a case-by-case basis for payment under exception to rule.
During the course of this review, the agency may identify additional changes that are required in order to improve clarity or update policy.
Process for Developing New Rule: The agency welcomes the public to take part in developing this rule. If interested, contact the person identified below to receive an early rule draft to review. After the early review, the agency will send a notice of proposed rule making (CR-102) to everyone receiving this notice and 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 Amy Emerson, P.O. Box 42716, Olympia, WA 98504-2716, phone 360-725-1348, fax 360-586-9727, TTY 1-800-848-5429, email, web site
April 24, 2018
Wendy Barcus
Rules Coordinator