WSR 26-06-041

PROPOSED RULES

DEPARTMENT OF HEALTH

(Washington Medical Commission)

[Filed February 24, 2026, 2:26 p.m.]

Continuance of WSR 26-04-130.

Preproposal statement of inquiry was filed as WSR 24-11-104.

Title of Rule and Other Identifying Information: Office-based surgery rules for allopathic physicians (MD)—Use of nitrous oxide. The Washington medical commission (WMC) is proposing new WAC 246-919-603 Use of nitrous oxide in office-based settings, and proposing changes to WAC 246-919-601 Safe and effective analgesia and anesthesia administration in office-based surgical settings.

Hearing Location(s): On March 13, 2026, at 9:30 a.m., virtually via Teams. Register for this virtual meeting at https://tinyurl.com/da8md4yt; or attend in person at Department of Labor and Industries, 7273 Linderson Way S.W., Tumwater, WA 98501.

To join the WMC's rules interested parties email list, please visit https://public.govdelivery.com/accounts/WADOH/subscriber/new?topic_id=WADOH_153.

Date of Intended Adoption: March 13, 2026.

Submit Written Comments to: Amelia Boyd, Program Manager, P.O. Box 47866, Olympia, WA 98504-7866, email medical.rules@wmc.wa.gov, web https://fortress.wa.gov/doh/policyreview/, beginning the date and time of this filing, by March 6, 2026, at 11:59 p.m.

Assistance for Persons with Disabilities: Contact Amelia Boyd, program manager, phone 800-525-0127, TTY 711, email medical.rules@wmc.wa.gov, by March 6, 2026.

Purpose of the Proposal and Its Anticipated Effects, Including Any Changes in Existing Rules: The purpose of this filing is to correct the link for the virtual video conference for those joining remotely. The proposed rule language was filed under WSR 26-04-130 on February 4, 2026.

February 24, 2026

Kyle S. Karinen

Executive Director