WSR 25-17-010
AGENDA
DEPARTMENT OF HEALTH
STATE BOARD OF HEALTH
[Filed August 7, 2025, 5:20 p.m.]
July 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 #
ProgramContact
SBOH
Local board of health composition, amends chapter 246-90 WAC.
Implements the requirements of ESHB 1946. Amending the rule to clarify timelines for which local boards of health must include tribal representatives on local boards of health and ensure a balanced mix of elected and nonelected members.
Anticipate filing
 
 
 
Molly Dinardo
564-669-3455
SBOH
Notifiable conditions, amends chapter 246-101 WAC.
Updating the COVID-19 reporting requirements while maintaining necessary data for disease surveillance. CR-101s will be combined into a single rule-making proposal.
25-08-026
Anticipate filing
 
 
Molly Dinardo
564-669-3455
SBOH
Water recreation facilities, amends chapters 246-260 and 246-262 WAC.
Updates and consolidates rules related to Water recreation facilities and recreational water contact facilities and improves alignment with the Centers for Disease Control and Prevention Model Aquatics Health Code.
17-01-048
 
 
 
Ashley Noble
360-236-3736
Ashlie Laydon
ashlie.laydon@doh.wa.gov
SBOH
Sanitary control of shellfish, amends chapter 246-282 WAC.
Amends commercial shellfish operations harvest control requirements, updates definitions, seed size, and makes other technical and editorial changes.
22-06-034
Anticipate filing
 
 
Shay Bauman
564-669-8929
SBOH
Large Group A water systems, amends WAC 246-290-315 and 246-290-71006.
Updates per- and polyfluoroalkyl substances; state action levels, state maximum contaminant levels and public notifications for Group A public water supplies to align with the federal Environmental Protection Agency's new standards.
24-20-093
Anticipate filing
 
 
Shay Bauman
564-669-8929
Zehra Siddiqui
360-236-3010
SBOH
Newborn screening, amends chapter 246-650 WAC.
Adding ornithine transcarbamylase deficiency, guanidinoacetate methyltransferase deficiency, and arginase 1 deficiency to the list of mandatory conditions for newborn screening conducted by DOH.
22-05-012
23-24-016
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
Denturist licensing standards.
Amends WAC 246-812-120, 246-812-125, 246-812-159, and other applicable rules to comply with 2SHB 1724 (chapter 425, Laws of 2023), regarding removing barriers for denturist licensure including the jurisprudence exam and examination requirements for denturists.
24-10-064
25-12-045
Anticipate filing
 
Adriana Barcena
360-236-4865
Board of Hearing and Speech
Hearing aids.
Amends WAC 246-828-025, 246-828-090, 246-828-095, 246-828-100, 246-828-320, and 246-828-330, regarding prescription hearing aid requirements for initial fitting and hearing tests.
25-12-078
Anticipate filing
 
 
Kim-Boi Shadduck
360-236-2912
Board of Massage
Massage licensure standards.
Amends WAC 246-830-035 Licensing by endorsement for out-of-state applicants.
23-07-064
Anticipate filing
 
 
Sabine Meuse
360-878-7466
Board of Massage
Online education for massage therapists.
Amends WAC 246-830-430 Education and training, 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
 
 
Sabine Meuse
360-878-7466
Board of Naturopathy
Exam fees.
Amends WAC 246-836-990 to remove the jurisprudence examination fee from rule to align with changes to naturopathic licensure requirements.
25-10-030
25-15-147
Anticipate filing
 
Heather Cantrell
360-236-4637
Board of Nursing
Nursing assistant rules.
Amends chapter 246-841A WAC to implement skills testing in training programs, make changes to the specialty curricula rule requirements, and other related rules as appropriate. The board will also consider updates to this chapter resulting from legislation passed in the 2025 legislative session.
25-05-087
Anticipate filing
 
 
Jessilyn Dagum
360-236-3538
Board of Nursing
Nurse administrator education and experience requirements.
Amends chapter 246-840 WAC 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
25-12-079
Anticipate filing
 
Jessilyn Dagum
360-236-3538
Board of Nursing
Registered nurse (RN) and licensed practical nurse (LPN) chapter update.
Amends WAC 246-840-015 through 246-840-260 for RN and LPN licensing and continuing competency rules 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 of nursing's five-year formal rule review process in accordance with RCW 43.70.041 Phase 1.
24-24-011
Anticipate filing
 
 
Jessilyn Dagum
360-236-3538
Board of Nursing
Advanced practice and pain management chapter update.
Amends WAC 246-840-010 and 246-840-300 through 246-840-4990 for advanced practice and pain management rules conducted in accordance with the board of nursing's five-year formal rule review process under RCW 43.70.041 Phase 2.
25-15-033
Anticipate filing
 
 
Jessilyn Dagum
360-236-3538
Board of
Nursing Home Administrators
Reducing licensure barriers for nursing home administrators.
Amends WAC 246-843-090, 246-843-095, and 246-843-230 to reduce barriers for licensure and align with RCW 18.130.077.
24-21-101
25-15-075
Anticipate filing
 
Shelbee Scrimo
360-236-4723
Chiropractic Quality Assurance Commission
Chiropractor credentialing.
Amends 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 to address chiropractic credentialing requirements.
23-05-053
 
 
 
Betty Moe
360-764-6251
Chiropractic Quality Assurance Commission
Classification of chiropractic procedures and instrumentation.
Amends WAC 246-808-505 to better align the rule language with statutory language and to modernize and streamline current language.
25-10-041
Anticipate filing
 
 
Betty Moe
360-764-6251
Dental Quality Assurance Commission
Expanded function dental auxiliaries licensure requirements.
Amends WAC 246-817-195 to allow the amalgam clinical patient requirement to be optional. The dental quality assurance commission may consider amendments to other relevant licensure requirement rule sections in chapter 246-817 WAC.
25-03-075
Anticipate filing
 
 
Debbie Gardner
360-236-4277
Dental Quality Assurance Commission
Dental licensure without exam.
Amends WAC 246-817-135, 246-817-160, and 246-817-160 to clarify clinical and didactic education and training requirements for foreign-trained dentists and graduates of nonaccredited schools or programs.
24-15-022
Anticipate filing
 
 
Debbie Gardner
360-236-4277
Dental Quality Assurance Commission
Dental assistant registration.
Amends WAC 246-817-190 to add minimum age requirements for dental assistant registration.
24-16-138
25-05-022
Continuance filed under 25-11-083
Anticipate filing
 
Debbie Gardner
360-236-4277
Dental Quality Assurance Commission
Dental interstate compact.
Adds 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.
24-21-097
Anticipate filing
 
 
Debbie Gardner
360-236-4637
Dental Quality Assurance Commission
Dental sedation continuing education.
Amends 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
Washington Healthcare Emergency and Logistics Tracking Hub (WA HEALTH) statewide emergency and logistics tracking system.
Amends Title 246 WAC to require acute care hospitals licensed under chapter 70.41 RCW and behavioral health facilities to report hospital data to the department through WA HEALTH.
24-03-126
 
 
 
Tyler Nowlan
360-790-1453
DOH
Brief adjudicated proceedings.
Amends WAC 246-10-501 and 246-11-420 to expand applicability of brief adjudicated proceedings to additional categories of applicants in department rules and boards and commissions rules to streamline the adjudicative process while maintaining fairness to applicants.
25-11-080
25-16-028
Anticipate filing
 
Erin Brewster
360-535-7315
DOH
Suicide prevention.
Amends chapter 246-12 WAC to establish in rule the minimum standards for advanced suicide prevention trainings for certain professions as required by ESHB 2411.
21-04-054
Anticipate filing
 
 
Kelsey Cato
564-669-1196
DOH
Administrative Procedure Act.
Amends chapter 246-12 WAC with respect to DOH's process of emailing renewal notices instead of mailing them.
Anticipate filing
 
 
 
Stacey Saunders
360-236-2813
DOH
Medical cannabis product compliance.
Amends chapter 246-70 WAC to update the term "marijuana" to "cannabis," examine the definition of a compliant product, review compliant product labeling, and align quality assurance standards with the Washington state liquor and cannabis board.
22-23-001
Anticipate filing
 
 
Annie Kause
360-236-2940
DOH
X-ray in healing arts, chapter 246-225 WAC.
Considering amending existing rules and creating new rules to address advancements in technology for radiation therapy, 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
On-site nonpotable water systems, chapter 246-275 WAC.
Considering establishing a new chapter for on-site nonpotable water systems.
24-09-067
Anticipate filing
 
 
Kseniya Efremova
360-236-3449
DOH
Office of environmental health and safety program fees.
Considering adjusting fees to cover operating costs for: 
• WAC 246-205-990 for decontamination of illegal drug manufacturing or storage sites;
• WAC 246-260-9901 for water recreation facilities;
• WAC 246-262-990 for recreational water contact facilities;
• WAC 246-272-1000 through 246-272-6000 for onsite sewage systems;
• WAC 246-272-3000 for large onsite sewage systems;
• WAC 246-282-990 for commercial shellfish;
• WAC 246-358-990 for temporary worker housing;
• WAC 246-360-990 and 246-360-020 for transient accommodations;
• WAC 246-380-990 for food service; and
• Creating a new fee section in chapter 246-215 WAC for food service. 
This may include updating or restructuring existing fees, making editorial updates, repealing obsolete fees, or creating new fees.
25-15-015
Anticipate filing
 
 
Zehra Siddiqui
260-236-3010
DOH
Office of radiation protection program fees.
Amends chapter 246-254 WAC to consider adjusting fees to cover operating costs. This may include updating or restructuring existing fees, making editorial updates, repealing obsolete fees, or creating new fees.
25-15-013
Anticipate filing
 
 
Zehra Siddiqui
260-236-3010
DOH
Office of drinking water program fees.
Considering adjusting fees to cover operating costs for:
• WAC 246-290-990 Water system evaluation, project review, and approval fees;
• WAC 246-292-995 Certified operator and public water system certification fees; and
• WAC 246-294-070 Operating permit fees.
This may include updating or restructuring existing fees, making editorial updates, repealing obsolete fees, or creating new fees.
25-15-014
Anticipate filing
 
 
Zehra Siddiqui
260-236-3010
DOH
Certificate of need (CN), adult elective percutaneous coronary intervention (PCI) program.
Amends WAC 246-310-700 though 246-310-755; repeals WAC 246-310-710, 246-310-725, and 246-310-730; and adds new WAC 246-310-760. The purpose of the proposed rules is to update, modernize, and develop progressive enforcement tools for the adult elective PCI CN requirements.
24-03-083
25-15-150
Anticipate filing
 
Eric Hernandez
eric.hernandez@doh.wa.gov
DOH
Emergency medical treatment for pregnant persons.
Amends WAC 246-320-010 and 246-320-281 and other related rules if appropriate in accordance with recently passed legislation and the Governor's Directive 25-01 to ensure access to treatment, including abortion care, for emergency medical conditions in hospital emergency departments and protection of a pregnant person's right to exercise informed consent in prioritizing their health and safety when receiving treatment for emergency medical conditions in hospital emergency departments.
25-12-043
Anticipate filing
 
 
Ian Corbridge
ochsfacilities@doh.wa.gov
DOH
Behavioral health hospitals.
Updating chapter 246-322 WAC to "Behavioral health hospitals," and adding some rules from chapter 246-324 WAC. Repealing chapter 246-324 WAC, Private alcohol and chemical dependency hospitals.
Anticipate filing
 
 
 
Dan Overton
360-236-2953
DOH
Birthing centers; inspections for accredited centers.
Considering amendments to chapter 246-329 WAC to implement SHB 1824 (chapter 69, Laws of 2025) to reduce the frequency of audits and authority to inspect state licensure surveys, aligning standards with applicable accrediting bodies that are substantially equivalent.
Anticipate filing
 
 
 
John Hilger
360-236-2929
DOH
Uniform facility enforcement framework and background check standardization for ambulatory surgical facilities, in-home services agencies, residential treatment facilities, and behavioral health agencies.
Amends rules and establishes new sections in chapter 246-330, 246-335, 246-337, and 246-341 WAC in response to ESSB 5271 (chapter 121, Laws of 2024). DOH will also consider standardizing background check requirements for these facility types.
Anticipate filing
 
 
 
Julie Tomaro
360-236-29
DOH
Ambulatory surgical facilities.
Considering amendments to chapter 246-330 WAC as related to construction review services.
Anticipate filing
 
 
 
John Hilger
360-236-2929
DOH
In-home services agencies; aligning with statute.
Amends WAC 246-335-510 and 246-335-610 to update audio-only telehealth appointments in rules for SB 5821 (chapter 215, Laws of 2024).
 
 
Anticipate filing
25-15-031
John Hilger
360-236-2929
DOH
In-home services agencies; fee updates.
DOH is considering rule amendments to update fees for in-home services agencies and to clarify and standardize language in WAC 246-335-990.
25-08-070
Anticipate filing
 
 
Heather Cantrell
360-236-4637
DOH
23-Hour crisis relief centers (CRC) for minors in Washington state.
Updates 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 CRC model to provide behavioral health crisis services for minors.
24-13-112
25-16-075
 
 
Dan Overton
360-236-2953
DOH
Private detention facilities.
Considering creating a new chapter 246-385 WAC to set operational health and safety standards for private detention facilities. E2SHB 1232 amended chapter 70.395 RCW and expanded the scope to include a juvenile facility. 
23-23-079
 
 
 
Kseniya Efremova
360-236-3449
DOH
Hospital charity care.
Amends chapter 246-453 WAC to implement new requirements in SSB 6273 (chapter 623, Laws of 2018) and SHB 1616 (chapter 197, Laws of 2022), which update definitions, income eligibility, and discounts for the program. DOH may also add a new section to address requirements for clarity and conciseness.
22-20-069
Anticipate filing
 
 
Carrie Baranowski
360-236-4210
DOH
Rapid health information network data reporting requirements, including a fee.
Amends chapter 246-460 WAC to remove the list of data elements and move them to a department guide and establishes a fee for nonstandard reporting from researchers.
25-17-001
Anticipate filing
 
 
Cynthia Harry
206-472-4530
DOH
Vital records.
Amends, repeals, and creates new rules in chapter 246-490 WAC, Vital statistics; and chapter 246-491 WAC, Vital statistics—Certificates.
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
Vital records birth certification fee waiver.
Amends WAC 246-491-350 to implement a new birth certificate fee waiver process authorized by SSB 5030.
25-14-024
Anticipate filing
 
 
Kelly Thomson
360-236-2274
DOH
Farmers market nutrition program.
Amends chapter 246-780 WAC to implement ESSB 5224 and allow mobile markets to participate in the farmers market nutrition program.
25-12-055
Anticipate filing
 
 
Karen Mullen
360-515-8279
Me'Kyel Bailey
360-764-9161
DOH
Occupational English test for acupuncture and Eastern medicine.
Amends WAC 246-803-240 and 246-803-130.
25-04-007
Anticipate filing
 
 
Adriana Barcena
360-236-4865
DOH
Cooccurring disorder specialist (CODS) enhancement.
Amends chapter 246-804 WAC to update curriculum standards, develop application processes, and clarify definitions for the CODS enhancement program.
25-13-086
Anticipate filing
 
 
Claire Wilson
564-669-0392
DOH
X-ray technician fee update.
Amends WAC 246-808-990 to update chiropractic and X-ray technician licensure, registration, renewal, and other fees, including clarifying updates.
24-16-084
25-12-015
25-16-076
 
Betty Moe
360-236-2822
DOH
Mental health counselor associate health sciences library (HEAL-WA) access fee.
Amends WAC 246-809-990 to add the fee for access to the University of Washington HEAL-WA for licensed mental health counselor associates, in accordance with HB 1190 (chapter 19, Laws of 2025).
 
 
 
Anticipate filing
Lana Crawford
564-669-1455
DOH
Silver diamine fluoride.
Amends WAC 246-814-020 Practices authorized, and 246-814-030 Application process and documentation of training required for endorsement. Updates dental hygienist and dental assistant usage of silver diamine fluoride and participation in regional health coalition meetings.
25-04-089
Anticipate filing
 
 
Kitty Einert
360-236-4843
DOH
Dental hygienists' continuing education.
Amend WAC 246-815-140.
Anticipate filing
 
 
 
Kitty Einert
360-236-4843
DOH
Dental hygienists' infection control.
Amends chapter 246-815 WAC.
Anticipate filing
 
 
 
Kitty Einert
360-236-4843
DOH
Dental hygienist compact.
Establishes new section(s) of rule in chapter 246-815 WAC 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
Dental therapist profession.
Establishes a new profession in chapter 246-819 WAC for the dental therapist profession in order to implement ESHB 1678 (chapter 460, Laws of 2023).
23-22-058
25-14-117
Anticipate filing
 
Kitty Einert
360-236-4843
DOH
Dental therapy sedation.
Adding requirements to chapter 246-819 WAC.
Anticipate filing
 
 
 
Kitty Einert
360-236-4843
DOH
Dental therapy scope of practice.
Adding requirements to chapter 246-819 WAC.
Anticipate filing
 
 
 
Kitty Einert
360-236-4843
DOH
Dietitians and nutritionists credentials.
Amends chapter 246-822 WAC to implement 2SHB 1724 and consider national credentials for dietitians and nutritionists.
25-07-028
25-15-032
Anticipate filing
 
Kim-Boi Shadduck
360-236-2912
DOH
Anesthesiology assistant licensing fees.
Establishes licensing fees for anesthesiologist assistants in WAC 246-921-990.
24-23-060
25-15-148
Anticipate filing
 
Heather Cantrell
360-236-4637
DOH
Certified peer support specialist.
Amends chapter 246-929 WAC to implement recent legislative changes under 2SHB 1427 (chapter 360, Laws of 2025). The proposed amendments update the credential's titles from "certified peer specialist" and "certified peer specialist trainee" to "certified peer support specialist" and "certified peer support specialist trainee."
 
25-15-161
Anticipate filing
 
Ted Dale
360-236-2991
DOH
Sex offender treatment provider (SOTP) chapter rewrite.
Amends chapter 246-930 WAC based on recommendations from the newly established SOTP advisory committee.
22-04-057
Anticipate filing
 
 
Lana Crawford
564-669-1455
DOH
Ground ambulance services.
Amends WAC 246-976-260 and 246-976-270 in response to SSB 5986 (chapter 218, Laws of 2024), regarding out-of-network health care charges (balance billing) for ground ambulance services.
25-08-002
25-14-020
Anticipate filing
 
Jason Norris
360-236-2830
DOH
Home care aides; standardizing basic training requirements and exemptions for certification for SHB 1142. Amending chapter 246-980 WAC.
Anticipate filing
 
 
 
Jenni Osbun
360-236-2737
Board of Optometry
Optometry examination and licensure requirements; correcting RCW citations in WAC 246-851-490.
The board of optometry is proposing amendments to WAC 246-851-490 to correct cross references to subsections in RCW 18.53.010.
 
 
Anticipate filing
25-15-095
Amber Freeberg
564-669-8562
Occupational Therapy Practice Board
Occupational therapy continuing competency hours.
Amendments to clarify language in WAC 246-847-055 and 246-847-067 and align references.
 
 
 
Anticipate filing
Kathy Weed
360-236-4883
Pharmacy Quality Assurance Commission
Transfer practices for a dispensed prescription drug for the purpose of redispensing or subsequent administration to a patient.
Amends chapter 246-945 WAC regarding alternate distribution models for a dispensed prescription drug for redispensing or subsequent administration to a patient.
23-20-115
Anticipate filing
 
 
Joshua Munroe
360-502-5058
Pharmacy Quality Assurance Commission
Uniform facility enforcement framework for pharmacy. 
Amends and establishes 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
25-10-089
Anticipate filing
 
Julia Katz
360-791-1167
Pharmacy Quality Assurance Commission
Clarifying the utilization of pharmacy ancillary personnel.
Amends 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
Pharmacy Quality Assurance Commission
Drug Supply Chain Security Act (DSCSA).
Proposing new WAC 246-945-003 to incorporate federal statutory language in DSCSA.
 
 25-11-062
 
 
Joshua Munroe
360-502-5058
Pharmacy Quality Assurance Commission
Pharmacy registration for mobile opioid treatment program units.
Amends WAC 246-945-060 and 246-945-250; and adds new sections in chapter 246 945 WAC to exempt mobile opioid treatment program (OTP) units from having to obtain separate registrations when covered under the OTP site's controlled substance registration. Develops 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
Licensed pharmaceutical facility inspection requirements for modifications or remodels.
Amending WAC 246-945-230 and establishing a new section in to clarify the need and parameters to submit a modification or remodel application.
25-05-060
25-13-005
Anticipate filing
 
Julia Katz
360-791-1167
Pharmacy Quality Assurance Commission
Pharmaceutical firm reporting time frames.
Amends WAC 246-945-231 with respect to adding a time frame for pharmaceutical firms to report disciplinary action to the commission.
25-15-162
Anticipate filing
 
 
Julia Katz
360-791-1167
Pharmacy Quality Assurance Commission
Pharmacy wholesaler reporting of suspicious orders and zero reports.
Amends WAC 246-945-585 Wholesaler—Suspicious orders and due diligence; and creates a new section in chapter 246-945 WAC to clarify expectations for wholesalers submitting suspicious order and zero order reports to the commission.
23-10-012
25-14-077
Anticipate filing
 
Haleigh Mauldin
360-890-0720
Pharmacy Quality Assurance Commission
Medication assistance.
Expanding the types of actions allowed for nonpractitioners providing medication assistance services. Amending WAC 246-945-714 following the passage of SHB 1720 (chapter 26, Laws of 2025).
25-16-045
Anticipate filing
 
 
Joshua Munroe
360-502-5058
Podiatric Medical Board
Removing licensure barriers for podiatric physicians and surgeons.
Amends WAC 246-922-055 Reciprocity requirements, to comply with 2SHB 1724 (chapter 425, Laws of 2023), codified as RCW  18.130.077.
24-16-137
Anticipate filing
Anticipate filing
 
Tommy Simpson III
360-236-4910
Veterinary Board of Governors
Veterinarian telehealth requirements.
Updating telehealth requirements in chapter 246-933 WAC to establish a veterinarian-client-patient relationship.
Anticipate filing
 
 
 
Poppy Budrow
564-669-0026
Veterinary Board of Governors
Veterinary technician examination requirements.
Updating eligibility requirements in WAC 246-935-060.
Anticipate filing
 
 
 
Poppy Budrow
564-669-0026
Veterinary Board of Governors
Animal health care tasks for and supervision of veterinary technicians and veterinary medication clerks.
Amends WAC 246-935-010 Definitions, 246-935-050 Animal health care tasks, 246-935-040 Responsibilities of a veterinarian supervising a licensed veterinary technician or unregistered assistant, and 246-937-010 Definitions.
23-18-060
Anticipate filing
 
 
Poppy Budrow
564-669-0026
Washington Medical Commission
Collaborative drug therapy agreements.
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
Nitrous oxide in office-based settings.
Establishing requirements under WAC 246-919-601.
24-11-104
25-14-080
Anticipate filing
 
Amelia Boyd
360-918-6336
Washington Medical Commission
Opioid prescribing.
Amends the following opioid prescribing rules to modernize the language, add clarity, and bring the rules more in line with current practice: Amends allopathic physicians (MD), WAC 246-919-850 through 246-919-985; and physician assistants, WAC 246-918-800 through 246-918-935.
25-10-039
Anticipate filing
 
 
Amelia Boyd
360-918-6336
Washington Medical Commission
MD chapter review.
Considering amendments to WAC 246-919-010 through 246-919-520 and 246-919-602 through 246-919-700 to consider modernizing language, adding clarity, and bringing the rules more in line with current practice.
25-12-014