WSR 23-02-037
(Nursing Care Quality Assurance Commission)
[Filed December 29, 2022, 9:50 a.m.]
Subject of Possible Rule Making: WAC 246-840-010, 246-840-700, and 246-840-910 through 246-840-970. The nursing care quality assurance commission (commission) is considering amendments to blood glucose testing and monitoring rules in response to SHB 1124 (chapter 14, Laws of 2022).
Statutes Authorizing the Agency to Adopt Rules on this Subject: SHB 1124 (chapter 14, Laws of 2022) codified in RCW 18.79.260, 18.79.010, and 18.79.110.
Reasons Why Rules on this Subject may be Needed and What They Might Accomplish: SHB 1124, Glucose testing and monitoring, makes two changes that require rule making by the commission. The bill expands the allowance for the registered nurse (RN) to delegate glucose monitoring and testing beyond community-based and home settings to all settings where the nursing assistant-registered, nursing assistant-certified, and home care aids work, and it removes from statute the timelines for RN supervision and evaluation of the delegated task of administering insulin and directs the commission to determine the interval in rule. Rules on blood glucose monitoring and nurse delegation may be needed to comply with SHB 1124 and the rule-making process will provide the opportunity for interested party engagement, rule clarification, and possible amendments to address SHB 1124.
Process for Developing New Rule: Collaborative.
Interested parties can participate in the decision to adopt the new rule and formulation of the proposed rule before publication by contacting Jessilyn Dagum, P.O. Box 47864, Olympia, WA 98504-7864, phone 360-236-3538, fax 360-236-4738, TTY 711, email, website
Additional comments: The commission will notify interested parties of rule making by posting information on the department of health website, the commission website, and by use of GovDelivery. Interested parties may sign up to receive commission rule-making notices at and select the "Subscribe" button at the bottom of the page and then select "Nursing Commission." The commission will hold virtual meetings at varying times to encourage participation.
December 29, 2022
Paula R. Meyer, MSN, RN, FRE
Executive Director