WSR 23-08-014
[Filed March 23, 2023, 4:43 p.m.]
Subject of Possible Rule Making: Chapter 246-916 WAC, Athletic trainers. The department of health (department) is considering adopting the health equity continuing education (CE) model rules, WAC 246-12-800 through 246-12-830, to comply with RCW 43.70.613. The department will also consider whether additional CE hours and course topics should be included.
Statutes Authorizing the Agency to Adopt Rules on this Subject: RCW 18.250.020, 43.70.040, 43.70.613, 18.130.040.
Reasons Why Rules on this Subject may be Needed and What They Might Accomplish: In 2021, ESSB 5229 (chapter 276, Laws of 2021), codified as RCW 43.70.613, was passed. The bill requires, by January 1, 2024, that each health profession credentialed under RCW 18.130.040 with a CE requirement adopt rules requiring completion of health equity CE training at least once every four years.
RCW 43.70.613 (3)(b) also directed the department to create model rules establishing minimum standards for health equity CE programs. The department filed final rules for health equity CE minimum standards on November 23, 2022, under WSR 22-23-167. Any rules developed by the department for athletic trainers must meet or exceed the minimum standards in the model rules found at WAC 246-12-800 through 246-12-830.
The goal of health equity CE training is to equip health care workers with the skills to recognize and reduce health inequities in their daily work. The content of the health equity trainings include instruction on skills to address structural factors, such as bias, racism, and poverty, which manifest as health inequities.
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 Bruce Bronoske, Jr., P.O. Box 47852, Olympia, WA, 98504-7852, phone 360-236-4843, fax 360-236-2901, TTY 711, email, website
Additional comments: Interested parties can participate in the drafting of the proposed rules. The department will be conducting rules workshops with interested parties and subject matter experts. The department will use existing GovDelivery lists and other known contact information to inform interested parties of opportunities to provide input on proposed rule language. To find out more information about our rule making, visit To subscribe to GovDelivery, please visit and select the "Subscribe" button at the bottom of the page. After signing in, please click open the box labeled "Health Systems Quality Assurance." Next, click open the box labeled "Health Professions" and then click on "Athletic Training." You may also check the box next to one or more of the other professions listed to receive information related to that specific profession. The department may consider adding additional interested parties from underserved populations who may be affected by this legislation and who receive services provided by athletic trainers.    
March 23, 2023
Kristin Peterson, JD
Chief of Policy
for Umair A. Shah, MD, MPH