Subject of Possible Rule Making: WAC 182-533-0400 Maternity care and newborn delivery, 182-533-0600 Planned home births and births in birthing centers, possibly other sections within chapter 182-531 WAC, Physician-related services; chapter 182-548 WAC, Federally qualified health centers; chapter 182-549 WAC, Rural health clinics; and other related rules as appropriate.

Reasons Why Rules on this Subject may be Needed and What They Might Accomplish: Effective January 1, 2027, the American Medical Association (AMA) is replacing the global obstetrics codes with itemized billing. The health care authority (HCA) is amending these chapters to update language references to global services and fees. During this review and as additional information is released by AMA, HCA may identify additional related changes that improve clarity or update policy.

Other Federal and State Agencies that Regulate this Subject and the Process Coordinating the Rule with These Agencies: The Centers for Medicare and Medicaid Services.

Process for Developing New Rule: HCA welcomes the public to take part in developing this rule. If interested, contact the person identified below to receive an early rule draft to review. After the early review, HCA will send a notice of proposed rule making (CR-102) to everyone receiving this notice and anyone who requests a copy.

Interested parties can participate in the decision to adopt the new rule and formulation of the proposed rule before publication by contacting Valerie Freudenstein, Rule-making Questions, P.O. Box 42716, Olympia, WA 98504-2716, phone 360-725-5128, fax 360-586-9727, telecommunication relay services (TRS) 711, email valerie.freudenstein@hca.wa.gov, website www.hca.wa.gov/about-hca/rulemaking; or Melissa Sarikaya, Program Questions, P.O. Box 42716, Olympia, WA 98504-2716, phone 360-725-5297, fax 360-586-9727, TRS 711, email melissa.sarikaya@hca.wa.gov, website www.hca.wa.gov/about-hca/rulemaking.