WSR 25-03-092
AGENDA
DEPARTMENT OF HEALTH
STATE BOARD OF HEALTH
[Filed January 16, 2025, 4:51 p.m.]
January 2025
Rules Agenda
This report details current and anticipated rule-making activities for the department of health (DOH) and the state board of health (SBOH). If you have any questions regarding this report or DOH rule-making activities, please contact Tami Thompson at 360-628-0096. If you have any questions regarding SBOH rule-making activities, please contact Michelle Davis at 360-236-4105.
This agenda is for information purposes, and the anticipated rule-making actions are estimates. Any errors in this agenda do not affect the rules and rule-making notices filed with the office of the code reviser and published in the Washington State Register. There may be additional rule-making activities that cannot be forecasted as DOH and SBOH initiates rule making to implement new state laws, meet federal requirements, or meet unforeseen circumstances. See the "Key" below for explanations of terms and acronyms.
KEY:
Blank cells in tables mean the anticipated filing date is not known at the time this rules agenda is filed.
CR: "Code reviser" on the notice forms created by the office of the code reviser for use by all state agencies.
CR-101: Preproposal statement of inquiry filed under RCW 34.05.310.
CR-102: Proposed rule-making notice filed under RCW 34.05.320 or 34.05.340.
CR-103: Rule-making order permanently adopting a rule and filed under RCW 34.05.360 and 34.05.380.
CR-105: Expedited rule making filed under RCW 34.05.353.
RCW: Revised Code of Washington.
WAC: Washington Administrative Code.
WSR: Washington State Register official filing reference number given by the office of the code reviser when a notice is filed.
SBOH
Rule Making
Authority
WAC and Rule Title
CR-101 WSR #
CR-102 WSR #
CR-103 WSR #
CR-105 WSR #
Program
Contact
SBOH
Chapter 246-650 WAC, Newborn screening.
SBOH is considering adding ornithine transcarbamylase deficiency to the list of mandatory conditions for newborn screening conducted by DOH.
22-05-012
Anticipate filing
 
 
Molly Dinardo
564-669-3455
Kelly Kramer
564-233-5340
SBOH
Chapter 246-260 WAC, Water recreation facilities; and chapter 246-262 WAC, Recreational water contact facilities.
SBOH will consider adopting requirements from the Centers for Disease Control and Prevention Model Aquatics Health Code, modifying the rules to keep pace with changing water recreation technologies, and to improve clarity and usability including possible consolidation of all water recreation rules into a single chapter.
17-01-048
 
 
 
Ashley Noble
360-236-3736
Ashlie Laydon
ashlie.laydon@doh.wa.gov
SBOH
Chapter 246-760 WAC, Auditory screening standards in schools.
SBOH is considering amending the auditory screening sections of chapter 246-760 WAC to align with current national evidence-based practices and assess potential options regarding whether to include otoacoustic emission screening technology in SBOH's rules. SBOH may also consider other technical or editorial changes as needed.
23-22-004
Anticipate filing
 
 
Molly Dinardo
564-669-3455
SBOH
Chapter 246-650 WAC, Newborn screening.
SBOH is considering adding Guanidinoacetate methyltransferase deficiency and Arginase 1 deficiency to the list of mandatory conditions for newborn screening conducted by DOH.
23-24-016
Anticipate filing
 
 
Molly Dinardo
564-669-3455
Kelly Kramer
564-233-5340
SBOH
Primary and secondary school environmental health and safety regulations.
SBOH is considering creating a new chapter (chapter 246-370 WAC) of draft rules for school environmental health and safety. SBOH will consider establishing minimum statewide health and safety standards for schools, formalizing school environmental health and safety inspection procedures, and repealing chapters 246-366 and 246-366A WAC.
24-13-117
 
 
 
Andrew Kamali
360-584-6737
SBOH
Chapter 246-282 WAC, Sanitary control of shellfish.
SBOH is considering amending rules to modify harvest control requirements, update definitions, seed size, and make other technical and editorial changes as needed.
22-06-034
 
 
 
Shay Bauman
564-669-8929
Kseniya Efremova
360-236-3449
SBOH
Sanitary control of shellfish, minimum performance standards, WAC 246-282-005.
DOH, under delegated authority, is proposing to amend WAC 246-282-005 (1)(a) to adopt by reference the 2023 version of the National Shellfish Sanitation Program's (NSSP) Guide for the Control of Molluscan Shellfish (guide). This rule making is necessary to update the publication date of the NSSP guide adopted by reference from 2019 to the most recently adopted 2023 version.
 
25-02-007
Anticipate filing
 
Shay Bauman
564-669-8929
Kseniya Efremova
360-236-3449
SBOH
Per- and polyfluoroalkyl substances (PFAS)—State action levels, state maximum contaminant levels, and public notifications for Group A public water supplies in chapter 246-290 WAC.
SBOH is considering amending WAC 246-290-315 State action levels (SALs) and state minimum contaminant levels, and 246-290-71006 Public notice for contaminants with a SAL and other unregulated contaminants, to align with the federal Environmental Protection Agency's (EPA) new federal standards for PFAS.
24-20-093
Anticipate filing
 
 
Shay Bauman
564-669-8929
Kseniya Efremova
360-236-3449
SBOH
Chapter 246-101 WAC, Notifiable conditions.
SBOH is considering updating the COVID-19 reporting requirements in the rule to alleviate the current reporting burdens for regulated entities, while maintaining necessary data for disease surveillance. No other changes will be considered or made to the rule at this time.
Anticipate filing
 
 
 
Molly Dinardo
564-669-3455
DOH
Rule Making
Authority
WAC and Rule Title
CR-101
WSR #
CR-102
WSR #
CR-103
WSR #
CR-105
WSR #
Program
Contact
Board of Denturists
Removing barriers for denturist licensure.
The board of denturists (board) is considering updates to reduce licensure barriers and will address jurisprudence exam and examination requirements for denturists. The board is considering adopting substantial equivalency standard rules within WAC 246-812-120, 246-812-125, 246-812-159, and other applicable rules in order to comply with 2SHB 1724 (chapter 425, Laws of 2023).
24-10-064
Anticipate filing
 
 
Adriana Barcena
360-236-4865
Board of Hearing and Speech
Chapter 246-828, reducing licensure barriers and clarifying speech-language pathology assistant certification requirements.
The board of hearing and speech is proposing amendments to WAC 246-828-020 Examinations, 246-828-510 Continuing education, and 246-828-617 Requirements for speech-language pathology assistant certification.
24-08-058
25-02-001
Anticipate filing
 
Kim-Boi Shadduck
360-236-2912
Board of Massage
WAC 246-830-035 Licensing by endorsement for out-of-state applicants. 
DOH, in coordination with the board of massage, is examining and may consider amending this section of the massage therapist rules related to licensing by endorsement for out-of-state applicants.
23-07-064
Anticipate filing
 
 
Devin Brooks
360-236-4945
Board of Massage
WAC 246-830-430 Education and training.
The board of massage, in coordination with DOH, is considering amendments to the education and training rules to include parameters on online and virtual education and adding health equity awareness training to initial licensure requirements for new massage licensees.
23-12-002
Anticipate filing
 
 
Devin Brooks
360-236-4945
Board of Naturopathy
Naturopathic licensure requirements. WAC 246-836-020 Requirements for licensure, and 246-836-040 Jurisprudence examinations.
The board of naturopathy is considering amendments to licensure requirements relating to the jurisprudence examination as a condition for licensure and to clarify, update, and simplify rules to comply with 2SHB 1724, (chapter 425, Laws of 2023), codified as RCW 18.130.077.
24-10-050
Anticipate filing
 
 
Rachel Phipps
564-233-1277
Board of Nursing
ARNP education requirements for licensure, updating definition of graduate-level education; WAC 246-840-010, 246-840-340, and 246-840-342.
24-05-022
24-20-129
Anticipate filing
 
Jessilyn Dagum
360-236-3538
Board of Nursing
Nursing assistant skills testing, chapter 246-841A WAC.
The board of nursing is considering amendments and technical changes to existing rule sections and the establishment of new rule sections to implement skills testing by training programs.
24-20-087
Anticipate withdrawing
 
 
 
Jessilyn Dagum
360-236-3538
Board of Nursing
Education and experience requirements for nurse administrators of baccalaureate nursing education programs in Washington state, amending WAC 246-840-517 and other related sections in chapter 246-840 WAC.
The board of nursing is considering amendments to education and experience requirements for nurse administrators of baccalaureate nursing education programs in response to E2SSB 5582 (chapter 126, Laws of 2023), codified as RCW 18.79.150.
24-21-151
Anticipate filing
 
 
Jessilyn Dagum
360-236-3538
Board of Nursing
Registered nurse and licensed practical nurse licensing and continuing competency rules.
The board of nursing (board) is considering amendments to WAC 246-840-015 through 246-840-260 to clarify and update outdated language, rewrite and reformat existing rules to reflect current best practices, and restructure sections as necessary, as part of the board's five-year formal rule review process in accordance with RCW 43.70.041. The board is conducting this review in a phased approach. This rule making is phase 1 of the board's formal review process. The board will consider additional topics to reduce barriers and simplify regulations for multistate licensure applicants, reduce barriers for applicants educated outside the United States, and explore limiting NCLEX attempts before remediation. The board also plans to address impacts from upcoming proposals from bills passed in the 2025 legislative session during this phase.
24-24-011
 
 
 
Jessilyn Dagum
360-236-3538
Board of
Nursing Home Administrators
Administrator-in-training (AIT) programs and endorsement.
The board of nursing home administrators (board) is considering amendments to WAC 246-843-090, 246-843-095, and 246-843-230 to consider aligning with the National Association of Long-Term Care Administrator Boards' AIT program which could make the instructions easier to understand and make language consistent with other states' AIT programs. The board is also considering amending language for endorsement requirements to align with RCW 18.130.077.
24-21-101
 
 
 
Shelbee Scrimo
360-236-4723
Board of Physical Therapy
Physical therapy initial license and endorsement requirements for 2SHB 1724.
The board of physical therapy is proposing amendments to WAC 246-915-030, 246-915-039, 246-915-040, and 246-915-085 to implement 2SHB 1724.
23-24-101
24-21-14
25-03-003
Continuance
Anticipate filing
 
Allyson McIver
360-236-2878
Board of Physical Therapy
Physical therapy compact update, WAC 246-915A-010.
The compact recently made additional updates to the compact rules and the board of physical therapy will need to update the date in rule.
 
 
Anticipate filing
24-20-033
Allyson McIver
360-236-2878
Chiropractic Quality Assurance Commission
WAC 246-808-010, 246-808-105 through 246-808-140, 246-808-180 through 246-808-190, 246-808-510, 246-808-535, and 246-808-801 through 246-808-830.
Amending the chiropractic credentialing requirements.
23-05-053
Anticipate filing
 
 
Betty Moe
360-236-2868
Dental Quality Assurance Commission
WAC 246-817-905 Exclusions; dental opioid prescribing exclusions for residential habilitation centers (RHC), WAC 246-817-905.
The dental quality assurance commission is considering adding RHCs to the list of opioid prescribing exclusions.
23-22-030
24-20-025
Anticipate filing
 
Debbie Gardner
360-236-4277
Dental Quality Assurance Commission
Dental licensure without exam, WAC 246-817-135 and 246-817-160.
The dental quality assurance commission (commission) is considering amending WAC 246-817-135 to remove requirements pertaining to federal or state tax numbers when applying for licensure without an examination. The commission is also considering amending WAC 246-817-160 to clarify clinical and didactic education and training requirements for foreign-trained dentists and graduates of non-accredited schools or programs.
24-15-022
Anticipate filing
 
 
Debbie Gardner
360-236-4277
Dental Quality Assurance Commission
Dental assistant registration, WAC 246-817-190.
Adding minimum age requirements for dental assistant registration. The dental quality assurance commission is considering amending WAC 246-187-190 Dental assistant registration, to include a minimum age requirement for dental assistant registration.
24-16-138
Anticipate filing
 
 
Debbie Gardner
360-236-4277
Dental Quality Assurance Commission
Licensure requirements for expanded function dental auxiliaries, WAC 246-817-195.
The dental quality assurance commission is considering amending WAC 246-817-195 Licensure requirements for expanded function dental auxiliaries, to allow the amalgam clinical patient requirement to be optional.
Anticipate filing
 
 
 
Debbie Gardner
360-236-4637
Dental Quality Assurance Commission
Dentist compact (compact).
The dental quality assurance commission and DOH are considering adding new section(s) to chapter 246-817 WAC to implement provisions of ESHB 1576 (chapter 297, Laws of 2023), codified as chapter 18.33 RCW, which creates a new interstate compact for dentists and gives member states the discretion to charge a fee for granting compact privileges.
24-21-097
Anticipate filing
 
 
Debbie Gardner
360-236-4637
Dental Quality Assurance Commission
Clarifying continuing education requirements for dentists administering sedation.
The dental quality assurance commission is considering amending WAC 246-817-773 Continuing education for dentists administering sedation, to ensure clear continuing education requirements.
24-21-038
Anticipate filing
 
 
Debbie Gardner
360-236-4637
DOH
Public records.
DOH is considering creating a new chapter within Title 246 WAC regarding public records. DOH is considering amending and relocating its existing public records rules in chapter 246-08 WAC and adopting new rules as necessary. Changes under consideration are a result of changes in statutes, changes in internal operations, staffing reorganization, and an effort to provide clear, concise, and reasonable rules.
23-15-012 (Withdrawn)
New filing
24-22-127
25-02-093
 
 
Melanee Auldredge
360-819-6768
DOH
Title 246 WAC; increasing the Washington physician health program surcharge assessed to physicians, physician assistants, osteopathic physicians, podiatric physicians, dentists, and veterinarians, and correcting the HEAL-WA fee for speech-language pathologists.
DOH is proposing amendments to WAC 246-817-990, 246-853-990, 246-918-990, 246-919-990, 246-922-990, and 246-933-990 to update fee changes made by HB 1972 (chapter 15, Laws of 2024), codified in RCW 18.71.310, 18.71A.020, 18.57.015, 18.22.250, 18.32.534, and 18.92.047. DOH is also proposing to correct an error in the fee table in WAC 246-828-990 for speech-language pathologist inactive license.
 
 
Anticipate filing
24-24-026
Heather Cantrell
360-236-4637
DOH
Title 246 WAC; establishing a new chapter relating to rapid health information network data reporting.
17-21-075
Anticipate filing
 
 
Samantha Zee
Samantha.zee.wa.gov [Samantha.zee@doh.wa.gov]
DOH
Certified peer specialist and trainee credential, Title 246 WAC.
DOH is considering rule making to establish the new certified peer specialist and trainee credentials under SSB 5555 (chapter 469, Laws of 2023).
23-16-037
24-23-063
Anticipate filing
 
Ted Dale
360-236-2991
DOH
Chapter 246-08 WAC, Practice and procedure, rules regarding DOH adjudicative proceedings for declaratory orders; public record requests; agency indexes; and general agency administrative processes.
DOH is reviewing existing rules within the chapter to identify amendments that may be necessary as a result of changes in statutes; changes in internal operations; opportunities to streamline processes to reduce regulatory burden without compromising public health and safety; and to provide clear, concise, and reasonable rules.
This rule making excludes WAC 246-08-390 Acquisition, security, disclosure and destruction of health information, and 246-08-400 How much can a health care provider charge for searching and duplicating health care records.
19-16-114
 
 
 
Tami Thompson
360-628-0096
DOH
Chapter 246-12 WAC.
Advanced suicide education standards.
21-04-054
Anticipate filing
 
 
Kelsey Cato
564-669-1196
DOH
Updating the definition of veteran in WAC 246-12-530 and 246-12-560.
DOH is proposing changes to replace the term "honorable discharge" with "qualifying discharge."
 
 
Anticipate filing
24-24-083
Brandon Williams
360-913-4643
DOH
Chapter 246-70 WAC, Cannabis product compliance.
DOH is opening this chapter to consider updating the term "marijuana" to "cannabis," examine the definition of compliant product, review compliant product labeling, and align quality assurance standards with the Washington state liquor and cannabis board.
22-23-001
Anticipate filing
 
 
Loralei Walker
360-236-2820
DOH
X-ray in healing arts, chapter 246-225 WAC.
DOH will consider amending existing rules and adopting new rules to address advancements in technology for radiation therapy and fluoroscopic X-ray and plan review shielding requirements.
24-03-137
Anticipate filing
 
 
Ashlie Laydon
ashlie.laydon@doh.wa.gov
Richard Montemarano
360-236-3238
DOH
Chapter 246-272B WAC, LOSS penalty schedule.
DOH is considering amending chapter 246-272B WAC to adopt a penalty schedule for the issuance of civil penalties.
24-13-109
24-21-102
Anticipate filing
 
Ashlie Laydon
ashlie.laydon@doh.wa.gov
Andrew Jones
360-236-3378
DOH
Chapter 246-275 WAC. Establishing a new chapter for on-site nonpotable water systems.
21-17-04
 
 
 
Kseniya Efremova
360-236-3449
DOH
Testing requirements for proprietary treatment products in WAC 246-272A-0110.
DOH is proposing to add NSF/ANSI 40 testing to WAC 246-272A-0110, Table I for Category 2 products.
24-11-058
24-22-133
Anticipate filing
 
Peter Beaton peter.beaton@doh.wa.gov
DOH
WAC 246-290-990, Public water system fees.
DOH is considering amending public water system fees to cover operating costs.
24-08-068
 
 
 
Peter Beaton peter.beaton@doh.wa.gov
DOH
Certificate of need, adult elective percutaneous coronary intervention program.
DOH is considering amendments to WAC 246-310-700 through 246-310-755, in response to a rule-making petition to amend the adult elective PCI certificate of need requirements.
24-03-083
Anticipate filing
 
 
Eric Hernandez
eric.hernandez@doh.wa.gov
DOH
WAC 246-320-010, 246-320-500, 246-320-505, 246-320-600, and other sections of chapter 246-320 WAC relevant to construction standards.
DOH is considering amending the hospital licensing regulations to align with the current national construction standards.
23-15-082
24-24-082
Anticipate filing
 
Susan Upton
360-236-2948
DOH
Behavioral health agency and residential treatment facility fee updates.
DOH is considering rule amendments to update behavioral health agency (BHA) and residential treatment facility (RTF) fees. Updates to BHA fees, WAC 246-341-0365, and RTF fees, WAC 246-337-990, may also consider changes to clarify and standardize language.
24-15-132
Anticipate filing
 
 
Heather Cantrell
360-236-4637
DOH
Acute care hospital at home.
DOH is considering rule making to establish standards for hospital at-home services and implement SHB 2295 by amending WAC 246-320-010 and 246-320-199; and creating a new section or sections in chapter 246-320 WAC.
24-16-059
Anticipate filing
 
 
Tiffani Buck
564-233-1121
DOH
Chapter 246-329 WAC, Childbirth centers.
DOH is considering updates to clarify, consolidate, and modernize the chapter.
22-06-058
Anticipate filing
 
 
John Hilger
360-236-2929
DOH
Residential treatment facilities, uniform facilities enforcement framework, chapter 246-337 WAC.
25-03-002
 
 
 
Dan Overton
360-236-2953
DOH
23-Hour crisis relief centers for minors in Washington state.
DOH is considering amending the BHA regulations in chapter 246-341 WAC including, but not limited to, WAC 246-341-0903 to implement E2SSB 5853 (chapter 367, Laws of 2024), an act relating to extending the crisis relief center model to provide behavioral health crisis services for minors.
24-13-112
 
 
 
Dan Overton
360-236-2953
DOH
BHA reporting requirement, chapter 246-341 WAC; 2SSB 6228 (2024).
24-20-032
Anticipate filing
 
 
Dan Overton
360-236-2953
DOH
Residential treatment facilities and psychiatric hospitals.
DOH is considering rules to implement SHB 2075 (2024) for Indian health care provider attestation in chapters 246-337 and 246-322 WAC.
24-24-023
Anticipate filing
 
 
Michelle Weatherly
360-236-2992
DOH
BHA, Uniform facilities enforcement framework, chapter 246-341 WAC.
Anticipate filing
 
 
 
Michelle Weatherly
360-236-2992
DOH
WAC 246-358-990, temporary worker housing fees.
DOH is considering updating or creating new fees to cover operating costs for the temporary worker housing program.
24-03-138
 
 
 
Juan Gamez
360-628-6620
Peter Beaton
peter.beaton@doh.wa.gov
DOH
Private detention facilities.
DOH is considering creating new chapter 246-385 WAC to set operational health and safety standards for private detention facilities.
23-23-079
 
 
 
Kseniya Efremova
360-236-3449
DOH
Chapter 246-453 WAC, Hospital charity care.
DOH is considering amendments to implement new requirements in SSB 6273 (chapter 623, Laws of 2018) and SHB 1616 (chapter 197, Laws of 2022). Updates may be needed to ensure that the rules are current and align with best practices. DOH will also consider adding a new section to address requirements for clarity and conciseness.
22-20-069
Anticipate filing
 
 
Carrie Baranowski
360-236-4210
DOH
WAC 246-454-010, 246-454-020, 246-454-090, and 246-454-110, Hospitals—System of accounting, financial reporting, budgeting, cost allocation.
DOH is considering amendments to existing rules to implement new requirements in E2SHB 1272. Updates may be needed to ensure that the rules are current and align with best practices. DOH will also consider adding a new section to address requirements for clarity and conciseness.
21-23-082 (Withdrawn)
New filing
24-15-024
24-22-090
Anticipate filing
 
Carrie Baranowski
360-236-4210
DOH
Chapter 246-490 WAC, Vital statistics; and chapter 246-491, Vital statistics—Certificates.
DOH is considering amending and repealing existing rules, and creating new rules related to vital records. The rules may establish registration and amendment requirements for vital records; update or add program processes to align with statutory changes; adopt fees associated with amendment and delayed birth applications; add or adjust fees associated with the issuance of certifications and informational copies; add or remove data items collected in a vital record; expand use of electronic registration of a vital event; make editorial and technical changes to align with statutory changes; and repeal obsolete sections of rule.
23-04-062
Anticipate filing
 
 
Kelly Thomson
360-236-2274
DOH
Chapter 246-780 WAC; electronic benefit payments for farmers market nutrition program, also to be known as e-FMNP.
DOH is considering updating the chapter to allow for e-FMNP.
23-07-101
24-22-091
Anticipate filing
 
Karen Mullen
360-515-8279
Me'Kyel Bailey
360-764-9161
DOH
Chapter 246-790 WAC, Special supplemental nutrition program for women, infants, and children (WIC).
DOH is considering changes to the rule which would allow for more variety in WIC vendor types.
23-22-061
 
 
 
Karen Mullen
360-515-8279
Me'Kyel Bailey
360-764-9161
DOH
WAC 246-803-240 and 246-803-130.
Occupational English test for acupuncture and Eastern medicine.
Anticipate filing
 
 
 
Adriana Barcena
360-236-4865
DOH
Chiropractic fees and renewal cycle updates.
DOH is considering revisions to WAC 246-808-990 to update chiropractic and X-ray technician licensure, registration, and renewal fees, including any clarifying updates.
24-16-084
 
 
 
Betty Moe
360-236-2868
DOH
Chapter 246-809 WAC.
DOH is considering rule making to implement recommendations developed under 2SHB 1724 (chapter 425, Laws of 2023) to support the behavioral health workforce and lower barriers to licensure. Professions potentially impacted by this rule making include mental health counselors, marriage and family therapists, social workers, and associates.
24-10-012
Anticipate filing
 
 
Lana Crawford
564-669-1455
DOH
Chapter 246-809 WAC.
DOH is considering amending, repealing, or creating new sections in chapter 246-809 WAC to implement recent legislation by establishing: (1) A directory to help mental health counselor, marriage and family therapist, and social worker associates find supervisors; (2) standards for supervision of associates; (3) a stipend program to offset some costs of supervision; and (4) other changes as appropriate.
24-02-038
(Withdrawn)
New filing
24-10-010
Anticipate filing
 
 
Brandon Williams
360-913-4643
DOH
Chapter 246-810 WAC.
DOH is considering rule making to: (1) Implement 2SHB 1724 (chapter 425, Laws of 2023), which created two new agency-affiliated counselor credential types; (2) implement E2SHB 1504 (chapter 170, Laws of 2021), which allowed student interns to become agency affiliated counselors; and (3) update the chapter as appropriate.
21-21-036 (Withdrawn)
New filing
23-16-044
24-22-101
Anticipate filing
 
Carmen Leso
360-742-1463
DOH
Chapter 246-811 WAC.
DOH is considering rule making to implement recommendations developed under 2SHB 1724 (chapter 425, Laws of 2023) to support the behavioral health workforce and lower barriers to licensure. Professions potentially impacted by this rule making include substance use disorder professionals and trainees.
24-10-011
25-01-103
Anticipate filing
 
Claire Wilson
564-669-0392
DOH
Dental hygienists continuing education.
DOH is considering rule making that would amend WAC 246-815-140.
Anticipate filing
 
 
 
Kitty Einert
360-236-4843
DOH
Dentists and dental hygienist silver diamine fluoride, WAC 246-814-020.
DOH is considering rule making that would amend WAC 246-814-020 Practices authorized.
Anticipate filing
 
 
 
Kitty Einert
360-236-4843
DOH
Dental hygienists infection control.
DOH is considering rule making that would amend chapter 246-815 WAC.
Anticipate filing
 
 
 
Kitty Einert
360-236-4843
DOH
Dental hygienist compact (compact).
DOH, in consultation with the dental hygiene examining committee, is considering establishing new section(s) of rule in chapter 246-815 WAC in order to implement ESHB 1576 (chapter 297, Laws of 2023), codified as chapter 18.33 RCW, which creates a new interstate compact for dental hygienists and gives member states the discretion to charge a fee for granting compact privileges.
24-21-056
Anticipate filing
 
 
Kitty Einert
360-236-4843
DOH
Chapter 246-819 WAC, Dental therapist.
DOH is considering establishing a new chapter of rules, chapter 246-819 WAC, for the dental therapist profession to implement ESHB 1678 (chapter 460, Laws of 2023).
23-22-058
Anticipate filing
 
 
Bruce Bronoske
360-236-4843
Kitty Einert
360-236-4843
DOH
Athletic trainers; amending WAC 246-916-030 to update the endorsement section in response to 2SHB 1724.
DOH is proposing rule making to update substantial equivalency standard rules.
24-13-078 (Withdrawn)
New filing
24-21-034
Anticipate filing
 
 
Allyson McIver
360-236-2878
DOH
Dietitians or nutritionists, chapter 246-822 WAC.
DOH is considering rule making to implement 2SHB 1724 and consider national credentials for dietitians and nutritionists.
Anticipate filing
 
 
 
Kim-Boi Shadduck
360-236-2912
DOH
Medical assistant medication administration requirements and apprenticeship programs.
DOH is considering rule amendments to WAC 246-827-0010, 246-827-0200, and 246-827-0240 to align with statutes updated by ESHB 1073 (chapter 134, Laws of 2023) and ESSB 5983 (chapter 248, Laws of 2024), and ensure that the rules are current and align with best practices. DOH will also consider adding new WAC 246-827-0340 to address the medication administration requirements for the medical assistant-registered credential.
23-20-118
(Withdrawn)
New filing
24-14-096
24-22-100
Anticipate filing
 
Becky McElhiney
360-236-4766
DOH
Medical assistant- emergency medical technician; establishing the credential.
DOH is considering rule amendments and adding new sections to chapter 246-827 WAC, Medical assistants, to implement SSB 5940 (chapter 217, Laws of 2024).
24-15-100
Anticipate filing
 
 
Becky McElhiney
360-236-4766
DOH
Chapter 246-850 WAC, Orthotics and prosthetics rules.
DOH, along with the orthotics and prosthetics advisory committee, is considering amendments to comply with recent legislation. To align chapter 246-850 WAC with 2SHB 1724 (chapter 425, Laws of 202 [2023]), DOH is considering amending the jurisprudence examination as a requirement for licensure and possibly incorporating knowledge of professional jurisprudence into continuing competency requirements for orthotists and prosthetists. As part of this project, DOH will consider amending WAC 246-850-060, 246-850-140, and 246-850-150.
24-21-096
Anticipate filing
 
 
Rachel Phipps
564-233-1277
DOH
Anesthesiologist assistant profession fees.
DOH, in consultation with the Washington medical commission, is considering rule making to establish a new section in new chapter 246-921 WAC to create licensing and regulation fees for anesthesiologist assistants.
24-23-060
Anticipate filing
 
 
Heather Cantrell
360-236-4637
DOH
Certification of magnetic resonance imaging technologists, chapter 246-926 WAC.
DOH is considering adding new sections to and updating sections of chapter 246-926 WAC, Radiologic imaging professionals, to implement SHB 2355 (chapter 94, Laws of 2024), which establishes certification of magnetic resonance imaging (MRI) technologists. DOH will also consider minor housekeeping edits and or updates related specifically to establishing and regulating MRI techs.
24-13-114
Anticipate filing
 
 
Tommy Simpson III
564-669-8421
DOH
Chapter 246-930 WAC, Sex offender treatment providers (SOTP).
Chapter rewrite based on recommendations from newly established SOTP advisory committee.
22-04-057
 
 
 
Lana Crawford
564-669-1455
DOH
Chapter 246-980 WAC, Home care aides.
DOH, to align with SB 5811 (chapter 322, Laws of 2024), is considering updating the rules to reflect effective statute for continuing education requirements to individuals' family members.
Anticipate filing
 
 
 
Jenni Osbun
360-236-2737
Examining Board of Psychology
Chapter 246-924 WAC.
The examining board of psychology (board) is considering rule making to implement recommendations developed under 2SHB 1724 (chapter 425, Laws of 2023) to support the behavioral health workforce and lower barriers to licensure. Additionally, the board will consider updating licensure requirements for psychologists.
24-11-005
Anticipate filing
 
 
Nancy Delgado
360-236-4951
Pharmacy Quality Assurance Commission
Chapter 246-945 WAC; adding a new section pertaining to medication assistance and the settings in which medication assistance occurs.
The pharmacy quality assurance commission and DOH are filing jointly to reinstate rules on medication assistance as permitted under chapter 69.41 RCW.
22-02-015
24-21-154
Anticipate filing
 
Joshua Munroe
360-502-5058
Pharmacy Quality Assurance Commission
Pharmacy mobile opioid treatment program units.
The pharmacy quality assurance commission (commission) is considering amending WAC 246-945-060 and 246-945-250; and adding new sections in chapter 246-945 WAC to exempt mobile opioid treatment program (OTP) units from having to obtain separate registrations, as long as they are covered under the OTP site's controlled substance registration, and to develop more comprehensive facility requirements for analytical laboratories and dog handlers among other facilities that are licensed under the other controlled substance registration.
23-18-046
Anticipate filing
 
 
Haleigh Mauldin
360-890-0720
Pharmacy Quality Assurance Commission
Chapter 246-945 WAC.
Transfer practices for a dispensed prescription drug for the purpose of redispensing or subsequent administration to a patient.
23-20-115
Anticipate filing
 
 
Joshua Munroe
360-502-5058
Pharmacy Quality Assurance Commission
Dialysate and dialysis device manufacturers and wholesalers in home dialysis programs.
The pharmacy quality assurance commission (commission) is considering amending WAC 246-945-090, 246-945-091, 246-945-092, and 246-945-093; and creating new sections in chapter 246-945 WAC to include manufacturers and distributors of dialysate and dialysis devices in home dialysis program rules under the commission's jurisdiction. The amendments under consideration are in response to statutory changes made by SHB 1675 (chapter 23, Laws of 2022).
23-21-010
24-14-140
Supplemental 24-24-028
Anticipate filing
 
Julia Katz
360-791-1167
Pharmacy Quality Assurance Commission
Chapter 246-945 WAC, Prescription drug label accessibility standards; WAC 246-945-016 and 246-945-417.
The pharmacy quality assurance commission is opening these rules to consider including prescription label accessibility standards and is also considering new sections to chapter 246-945 WAC on the subject of prescription drug label accessibility.
22-09-065
24-17-046
Anticipate filing
 
Joshua Munroe
360-502-5058
Pharmacy Quality Assurance Commission
Pharmacy wholesaler reporting of suspicious orders and zero reports.
The pharmacy quality assurance commission is considering amending WAC 246-945-585 Wholesaler—Suspicious orders and due diligence; and creating a new section of rule in chapter 246-945 WAC to clarify expectations for wholesalers submitting suspicious order and zero order reports to the commission.
23-10-012
Anticipate filing
 
 
Haleigh Mauldin
360-890-0720
Pharmacy Quality Assurance Commission
Permanent facility closure reporting requirements.
The pharmacy quality assurance commission (commission) is considering amending WAC 246-945-480; and creating new sections in chapter 246-945 WAC to improve notifications and prescription transfer directions provided to patients when the facility closes permanently. This action is in response to a rule petition filed by an interested party and approved by the commission at its December 2023 business meeting.
24-13-061
25-01-067
Anticipate filing
 
Julia Katz
360-791-1167
Pharmacy Quality Assurance Commission
Uniform facility enforcement framework for pharmacy.
The pharmacy quality assurance commission is considering amending and establishing a new section in chapter 246-945 WAC to implement a uniform enforcement tool for pharmaceutical firms provided by ESSB 5271 (chapter 121, Laws of 2024). Other amendments to sections in chapter 246-945 WAC to implement ESSB 5271 may also be considered.
24-15-057
Anticipate filing
 
 
Julia Katz
360-791-1167
Pharmacy Quality Assurance Commission
Considering adding kratom to the list of Schedule I substances.
The pharmacy quality assurance commission is considering amending WAC 246-945-051; and adding new sections to chapter 246-945 WAC to add kratom and its active compounds to the list of Schedule I substances in response to a petition request to do so.
24-18-005
Anticipate filing
 
 
Joshua Munroe
360-502-5058
Pharmacy Quality Assurance Commission
Clarifying the utilization of pharmacy ancillary personnel.
The pharmacy quality assurance commission is considering amending WAC 246-945-001, 246-945-315, 246-945-317, and 246-945-320; and potentially adding a new section in chapter 246-945 WAC to clarify the utilization of pharmacy ancillary personnel and technology within the pharmacy.
24-18-032
Anticipate filing
 
 
Haleigh Mauldin
360-890-0720
Podiatric Medical Board
Removing licensure barriers for podiatric physicians and surgeons. WAC 246-922-055 Reciprocity requirements.
The podiatric medical board (board) is considering updates to reduce licensure barriers for podiatric physicians and surgeons. The board is considering amending reciprocity requirements in order to comply with 2SHB 1724 (chapter 425, Laws of 2023), codified at RCW 18.130.077.
24-16-137
Anticipate filing
Anticipate filing
 
Tommy Simpson
360-236-4910
Veterinary Board of Governors
WAC 246-933-010 Definitions and 246-933-200 Veterinary client patient relationship.
The veterinary board of governors is considering amending existing rules and potentially adding a new section of rules to establish additional standards for veterinary telemedicine services.
22-17-101
24-21-098
Currently paused
 
Poppy Budrow
564-669-0026
Veterinary Board of Governors
Animal health care tasks for and supervision of veterinary technicians and veterinary medication clerks.
The veterinary board of governors is considering updates and revisions to WAC 246-935-050 Animal health care tasks, 246-935-040 Responsibilities of a veterinarian supervising a licensed veterinary technician or unregistered assistant, 246-935-010 Definitions (veterinary technicians), and 246-937-010 Definitions (registered veterinary medication clerks).
23-18-060
Anticipate filing
 
 
Poppy Budrow
564-669-0026
Veterinary Board of Governors
Veterinarian and veterinary technician licensure requirements.
The veterinary board of governors is considering updates to licensure, reactivation, continuing education, and examination requirements, which may include adding a new section in chapters 246-933 and 246-935 WAC to implement 2SHB 1724 (chapter 425, Laws of 2023) and 2SHB 1009 (chapter 165, Laws of 2023).
24-10-093
Anticipate filing
 
 
Poppy Budrow
564-669-0026
Washington Medical Commission
New sections in chapters 246-918 and 246-919 WAC regarding collaborative drug therapy agreements.
20-16-008
 
 
 
Amelia Boyd
360-918-6336
Washington Medical Commission
Physicians and physician assistants general provision for opioid prescribing and tapering rules.
The Washington medical commission (commission) is considering amending the following rules to modernize the language, add clarity, and bring the rules more in line with current practice: WAC 246-918-801 (physician assistants) Exclusions, 246-918-845 (physician assistants) Patient evaluation and patient record—Subacute pain, 246-918-855 (physician assistants) Patient evaluation and patient record—Chronic pain, 246-918-870 (physician assistants) Periodic review—Chronic pain, 246-918-900 (physician assistants) Tapering considerations—Chronic pain, 246-919-851 (physicians) Exclusions, 246-919-895 (physicians) Patient evaluation and patient record—Subacute pain, 246-919-905 (physicians) Patient evaluation and patient record—Chronic pain, 246-919-920 (physicians) Periodic review—Chronic pain, and 246-919-950 (physicians) Tapering considerations—Chronic pain. The commission is considering amending these WAC to modernize the language, add clarity, and bring the rules more in line with current practice.
23-17-094
24-07-106
Supplemental
24-18-091
Anticipate filing
 
Amelia Boyd
360-918-6336
Washington Medical Commission
Establishing the use of nitrous oxide in office-based settings under WAC 246-919-601.
24-11-104
Anticipate filing
 
 
Amelia Boyd
360-918-6336
Washington Medical Commission
Define "qualified physician" as it pertains to advanced optometry procedures in chapter 246-919 WAC.
Anticipate filing
 
 
 
Amelia Boyd
360-918-6336
Washington Medical Commission
Opioid prescribing rules—General provisions for medical doctors and physician assistants in chapters 246-918 and 246-919 WAC.
Anticipate filing
 
 
 
Amelia Boyd
360-918-6336
Washington Medical Commission
Establishing the anesthesiologist assistant profession in new chapter 246-921 WAC.
24-18-057
Anticipate filing
 
 
Amelia Boyd
360-918-6336