WSR 22-06-071
EXPEDITED RULES
DEPARTMENT OF HEALTH
(Board of Osteopathic Medicine and Surgery)
[Filed February 28, 2022, 1:16 p.m.]
Title of Rule and Other Identifying Information: Chapter 246-854 WAC, Osteopathic physicians' assistants; and chapter 246-855 WAC, Osteopathic physicians' acupuncture assistants. The board of osteopathic medicine and surgery (board) is proposing to repeal chapters 246-854 and 246-855 WAC. SHB 2378 (chapter 80, Laws of 2020) repealed board authority for osteopathic physicians' assistants and osteopathic physicians' acupuncture assistants and transferred the authority to the Washington medical commission.
Purpose of the Proposal and Its Anticipated Effects, Including Any Changes in Existing Rules: Section 59 of SHB 2378 repealed chapter 18.57A RCW in its entirety. As a result of this law being repealed, the board proposes to repeal chapter 246-854 WAC, Osteopathic physicians' assistants; and chapter 246-855 WAC, Osteopathic physicians' acupuncture assistants, as they are no longer supported by statute and under the authority of the board. All physician assistants now fall under the authority of the Washington medical commission and its rules.
Reasons Supporting Proposal: SHB 2378 moves the regulation for osteopathic physician assistants to the Washington medical commission. With this move, the legislation repealed chapter 18.57A RCW in its entirety, which left no statutory authority for chapter 246-854 WAC, Osteopathic physicians' assistants; and chapter 246-855 WAC, Osteopathic physicians' acupuncture assistants, to remain in place.
SHB 2378 eliminates the osteopathic physician assistant license under the authority of the board as of July 1, 2022. All existing licenses will be converted to physician assistant licenses under the Washington medical commission on their renewal dates.
Statutory Authority for Adoption: SHB 2378 (chapter 80, Laws of 2020).
Statute Being Implemented: SHB 2378 (chapter 80, Laws of 2020).
Rule is not necessitated by federal law, federal or state court decision.
Name of Proponent: Washington state board of osteopathic medicine and surgery, governmental.
Name of Agency Personnel Responsible for Drafting: Becky McElhiney, 111 Israel Road S.E., Tumwater, WA 98501, 360-236-4766; Implementation and Enforcement: Renee Fullerton, 111 Israel Road S.E., Tumwater, WA 98501, 360-236-2850.
This notice meets the following criteria to use the expedited repeal process for these rules:
The statute on which the rule is based has been declared unconstitutional by a court with jurisdiction, there is a final judgment, and no statute has been enacted to replace the unconstitutional statute.
Explanation of the Reason the Agency Believes the Expedited Rule-Making Process is Appropriate: SHB 2378 (chapter 80, Laws of 2020) repeals chapter 18.57A RCW, which requires the board to also repeal rules to implement the bill.
NOTICE
THIS RULE IS BEING PROPOSED UNDER AN EXPEDITED RULE-MAKING PROCESS THAT WILL ELIMINATE THE NEED FOR THE AGENCY TO HOLD PUBLIC HEARINGS, PREPARE A SMALL BUSINESS ECONOMIC IMPACT STATEMENT, OR PROVIDE RESPONSES TO THE CRITERIA FOR A SIGNIFICANT LEGISLATIVE RULE. IF YOU OBJECT TO THIS USE OF THE EXPEDITED RULE-MAKING PROCESS, YOU MUST EXPRESS YOUR OBJECTIONS IN WRITING AND THEY MUST BE SENT TO Renee Fullerton, Department of Health, P.O. Box 47852, Olympia, WA 98504-7852, phone 360-236-4766, fax 360-236-2901, email https://fortress.wa.gov/doh/policyreview, AND RECEIVED BY May 2, 2022.
February 28, 2022
Renee Fullerton
Executive Director
OTS-3559.1
REPEALER
The following chapter of the Washington Administrative Code is repealed:
WAC 246-854-005
Definitions.
WAC 246-854-007
Application withdrawals.
WAC 246-854-010
Approved training and additional skills or procedures.
WAC 246-854-015
Use and supervision of an osteopathic physician assistant.
WAC 246-854-021
Delegation agreements.
WAC 246-854-025
Remote site.
WAC 246-854-030
Prescriptions.
WAC 246-854-035
Osteopathic physician assistantScope of practice.
WAC 246-854-075
Background checkTemporary practice permit.
WAC 246-854-076
Temporary practice permitMilitary spouse eligibility and issuance.
WAC 246-854-080
Osteopathic physician assistantRequirements for licensure.
WAC 246-854-081
How to return to active status when a license has expired.
WAC 246-854-082
Requirements for obtaining an osteopathic physician assistant license for those who hold an active allopathic physician assistant license.
WAC 246-854-085
Osteopathic physician assistant interim permitQualifications and requirements.
WAC 246-854-086
Reentry to practice requirements.
WAC 246-854-095
Scope of practiceAllopathic alternate physician.
WAC 246-854-105
Practice limitations due to disciplinary action.
WAC 246-854-110
Osteopathic physician assistant renewal and continuing medical education cycle.
WAC 246-854-112
Retired active license.
WAC 246-854-115
Continuing medical education requirements.
WAC 246-854-116
Mandatory one-time training in suicide assessment, treatment, and management.
WAC 246-854-200
Sexual misconduct.
WAC 246-854-210
Abuse.
WAC 246-854-220
Use of laser, light, radiofrequency, and plasma devices as applied to the skin.
WAC 246-854-230
Nonsurgical medical cosmetic procedures.
WAC 246-854-240
Intent and scope.
WAC 246-854-241
Exclusions.
WAC 246-854-242
Definitions.
WAC 246-854-255
Patient notification, secure storage, and disposal.
WAC 246-854-260
Use of alternative modalities for pain treatment.
WAC 246-854-265
Continuing education requirements for opioid prescribing.
WAC 246-854-270
Patient evaluation and patient record.
WAC 246-854-275
Treatment planAcute nonoperative pain.
WAC 246-854-280
Treatment planAcute perioperative pain.
WAC 246-854-285
Patient evaluation and patient record.
WAC 246-854-290
Treatment planSubacute pain.
WAC 246-854-295
Patient evaluation and patient record.
WAC 246-854-300
Treatment plan.
WAC 246-854-305
Written agreement for treatment.
WAC 246-854-310
Periodic review.
WAC 246-854-315
ConsultationRecommendations and requirements.
WAC 246-854-320
ConsultationExemptions for exigent and special circumstances.
WAC 246-854-325
ConsultationExemptions for the osteopathic physician assistant.
WAC 246-854-330
Pain management specialist.
WAC 246-854-335
Tapering requirements.
WAC 246-854-340
Patients with chronic pain, including those on high doses, establishing a relationship with a new practitioner.
WAC 246-854-345
Special populationsPatients twenty-five years of age or under, pregnant patients, and aging populations.
WAC 246-854-350
Episodic care of chronic opioid patients.
WAC 246-854-355
Coprescribing of opioids with certain medications.
WAC 246-854-360
Coprescribing of opioids for patients receiving medication assisted treatment.
WAC 246-854-365
Coprescribing of naloxone.
WAC 246-854-370
Prescription monitoring programRequired registration, queries, and documentation.
OTS-3560.1
REPEALER
The following chapter of the Washington Administrative Code is repealed:
WAC 246-855-010
Acupuncture—Definition.
WAC 246-855-020
Acupuncture assistant education.
WAC 246-855-030
Acupuncture—Program approval.
WAC 246-855-040
Osteopathic acupuncture physicians' assistant's examination.
WAC 246-855-050
Investigation.
WAC 246-855-060
English fluency.
WAC 246-855-070
Supervising physicians' knowledge of acupuncture.
WAC 246-855-080
Utilization.
WAC 246-855-090
Prohibited techniques and tests.
WAC 246-855-100
AIDS education and training.
WAC 246-855-110
Application for registration.