WSR 21-11-025
(Board of Osteopathic Medicine and Surgery)
[Filed May 11, 2021, 3:19 p.m.]
Subject of Possible Rule Making: WAC 246-853-650 Safe and effective analgesia and anesthesia administration in office-based settings, the board of osteopathic medicine and surgery (board) is considering rule amendments in response to a rule petition requesting changes to the definition of the term "minimal sedation." To ensure the entire rule is current and aligns with best practices, the board will also consider other necessary changes to the rule.
Statutes Authorizing the Agency to Adopt Rules on this Subject: RCW 18.57.005 and 18.130.050.
Reasons Why Rules on this Subject may be Needed and What They Might Accomplish: In response to a rule petition, the board is considering updates and amendments to WAC 246-853-650. The petition requested the definition of "minimal sedation" include demand flow nitrous oxide systems with a fixed 50/50 mix of oxygen and nitrous oxide. This change will be considered. In review of the rule, the board has determined other general updates may also be needed. All amendments to the rule will ensure providers are regulated by current best practice standards in office-based analgesia and anesthesia administration.
Other Federal and State Agencies that Regulate this Subject and the Process Coordinating the Rule with These Agencies: None.
Process for Developing New Rule: Collaborative rule making.
Interested parties can participate in the decision to adopt the new rule and formulation of the proposed rule before publication by contacting Tracie Drake, P.O. Box 47852, phone 360-236-4766, fax 360-236-2901, TTY 711, email, website
Additional comments: To join the interested parties email list, please visit
May 11, 2021
Renee Fullerton
Executive Director