Department of HealthRules Comment
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You can read and comment on all Department of Health proposed rules (CR-102 notices) during the official comment period. Some draft rules may be posted here also. When you comment on a rule through this website your comments become part of the public record. Your comments help in the decision to adopt the rule as proposed or to revise the proposal if appropriate. Everyone who comments on a proposed rule will get a copy of the Department's official response to the comments.

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Substance abuse monitoring program for osteopathic physicians.
The Board of Osteopathic Medicine and Surgery is proposing amendments to WAC 246-853-290, 246-853-300, 246-853-310, and 246-853-320 to update the rules regarding health profession monitoring programs. The proposed changes reflect updated language changes made by Substitute Senate Bill (SSB) 5496 (chapter 43, Laws of 2022). In partnership with the Secretary of Health, technical amendments are also being proposed to WAC 246-853-990 to reflect changes to the updated rules and statute.
HSQA - HEALTH PROFESSIONS Rebecca A Mcelhiney Add Comment 4/22/2024 No Comments
Military spouses - removing barriers to temporary practice permits.
The Department of Health is proposing amendments to WAC 246-12-051, How to obtain a temporary practice permit - Military spouse, to update language changes made by Second Substitute House Bill (2SHB) 1009 (chapter 165, Laws of 2023).
HSQA - HEALTH PROFESSIONS Tommy Simpson Add Comment 5/6/2024 No Comments
Home care aide workforce - reducing barriers. The Department of Health (department) is considering rulemaking to implement legislation to increase the home care aide workforce by amending WACs 246-980-010, 246-980-025, 246-980-040, 246-980-100, 246-980-110, 246-980-115, and 246-980-140 and creating WAC 246-980-045.
The department is considering amending chapter 246-980 WAC to align with statutory changes and implement Engrossed Second Substitute House Bill (E2SHB)1694, (chapter 424, Laws of 2023) and Engrossed Second Substitute Senate Bill (E2SSB) 5278, (chapter 323, Laws of 2023). These bills address date of hire, the home care aide workforce, certification examinations, and other aspects of the profession.
HSQA - HEALTH PROFESSIONS Jennifer L Osbun Comments Closed 4/16/2024 1 Comment
Home care aide workforce - reducing barriers. The Department of Health (department) is considering rulemaking to implement legislation to increase the home care aide workforce by amending WACs 246-980-010, 246-980-025, 246-980-040, 246-980-100, 246-980-110, 246-980-115, and 246-980-140 and creating WAC 246-980-045.
Significant Analysis
HSQA - HEALTH PROFESSIONS Jennifer L Osbun Comments Closed 4/16/2024 No Comments
Reporting emergency medical services (EMS) data to the Washington EMS Information System (WEMSIS) system.
The Department of Health is proposing amendments to existing sections and the addition of two new sections to chapter 246-976 WAC relating to EMS Data Systems to meet the requirements of Section 19 of Substitute Senate Bill (SSB) 5380 (chapter 314, Laws of 2019).
HSQA - COMM. HLTH SYST. James D Jansen Comments Closed 4/16/2024 No Comments
Reporting emergency medical services (EMS) data to the Washington EMS Information System (WEMSIS) system.
Significant Analysis
HSQA - COMM. HLTH SYST. James D Jansen Comments Closed 4/16/2024 1 Comment
Substance use disorder monitoring program for nursing professions, amending WAC 246-840-750 through 246-840-780 and adding WAC 246-840-790.
The Washington State Board of Nursing (board) proposes amendments and an addition to rules relating to the board’s substance use disorder (SUD) monitoring program in response to Substitute House Bill (SHB) 1255 (chapter 141, Laws of 2023), Nursing — Substance Use Disorder Monitoring Program Participation, including application requirements for a stipend.
WABON - WA BOARD OF NURSING Bonnie L King Add Comment 4/29/2024 No Comments
Substance use disorder monitoring program for nursing professions, amending WAC 246-840-750 through 246-840-780 and adding WAC 246-840-790.
Significant Analysis
WABON - WA BOARD OF NURSING Bonnie L King Add Comment 4/29/2024 No Comments
Audiologist and Speech-Language Pathology Interstate Compact (ASLP-IC) fees and renewal cycle.
The Department of Health, in consultation with the Board of Hearing and Speech, is proposing a new section of rule, WAC 246-828-991, to implement House Bill (HB) 1001, (chapter 53, Laws of 2023). HB 1001 entered Washington into the ASLP-IC interstate licensure compact for audiologists and speech-language pathologists and gives member states the discretion to charge a fee for granting compact privileges. The proposed rule specifies the fees and renewal cycle for compact practice privileges in Washington state.
HSQA - HEALTH PROFESSIONS Kim-boi Shadduck Add Comment 5/2/2024 No Comments
Audiologist and Speech-Language Pathology Interstate Compact (ASLP-IC) fees and renewal cycle.
Fee Analysis
HSQA - HEALTH PROFESSIONS Kim-boi Shadduck Add Comment 5/2/2024 No Comments
Athletic Trainer scope of practice for medication purchase, storage, and administration in chapter 246-916 WAC.
The Department of Health, in consultation with the Athletic Training Advisory Committee, is proposing to create a new section of rule, WAC 246-916-070 Medications, to define terms used and establish education and training requirements for athletic trainers in response to Substitute House Bill (SHB) 1275, (chapter 143, Laws of 2023).
HSQA - HEALTH PROFESSIONS Allyson G Mciver Add Comment 5/2/2024 No Comments
Athletic Trainer scope of practice for medication purchase, storage, and administration in chapter 246-916 WAC.
Significant Analysis
HSQA - HEALTH PROFESSIONS Allyson G Mciver Add Comment 5/2/2024 No Comments
Classifying wildlife capture drugs as approved legend drugs for the Washington State Department of Fish and Wildlife (WDFW).
The Pharmacy Quality Assurance Commission is proposing to amend WAC 246-945-507 to add four intramammary antibiotics to the list of approved legend drugs in chapter 246-945 WAC in response to a petition request from a veterinarian at WDFW to do so.
HSQA - HEALTH PROFESSIONS Julia R Katz Comments Closed 4/18/2024 No Comments
Removing fenfluramine from the list of Schedule IV substances.
The Pharmacy Quality Assurance Commission (commission) is proposing to add a new subsection to WAC 246-945-055 to utilize the commission’s authority, under RCW 60.50.201, to delete substances designated as a Schedule IV controlled substance. The commission is also proposing to create a new section, WAC 246-945-05001, to establish a list of exempted substances from RCW 69.50.204, 69.50.206, 69.50.208, 69.50.210, and 69.50.212, including fenfluramine.
HSQA - HEALTH PROFESSIONS Julia R Katz Comments Closed 4/18/2024 No Comments
General provisions for opioid prescribing and tapering rules for allopathic physicians and physician assistants.
The Washington Medical Commission (commission) is proposing amendments to the commission’s opioid prescribing rules to exclude patients with sickle cell disease, to clarify tapering considerations, and to clarify the use of biological specimen testing. Amending WAC 246-918-801 Exclusions, WAC 246-918-870 Periodic Review—Chronic pain, and WAC 246-918-900 Tapering considerations—Chronic pain for physician assistants as well as WAC 246-919-851 Exclusions, WAC 246-919-920 Periodic Review—Chronic pain, and WAC 246-919-950 Tapering considerations—Chronic pain for allopathic physicians.
WMC - WASHINGTON MEDICAL COMMISSION Daidria A Boyd Add Comment 4/19/2024 1 Comment
General provisions for opioid prescribing and tapering rules for allopathic physicians and physician assistants.
Significant Analysis
WMC - WASHINGTON MEDICAL COMMISSION Daidria A Boyd Add Comment 4/19/2024 No Comments
Postgraduate medical training for physicians.
The Washington Medical Commission is proposing amendments to WAC 246-919-330(4) to remove two requirements that have become a barrier to licensure.
WMC - WASHINGTON MEDICAL COMMISSION Daidria A Boyd Add Comment 4/19/2024 No Comments
Postgraduate medical training for physicians.
Significant Analysis
WMC - WASHINGTON MEDICAL COMMISSION Daidria A Boyd Add Comment 4/19/2024 No Comments
Delegation of glucose monitoring and testing by a registered nurse (RN).
The Washington State Board of Nursing is proposing new sections of rule, WAC 246-840-835 and 246-840-935, and amendments to WAC 246-840-930 and 246-840-940 to implement Substitute House Bill 1124 (chapter 14, Laws of 2022).
WABON - WA BOARD OF NURSING Jessilyn M Dagum Add Comment 4/24/2024 No Comments
Delegation of glucose monitoring and testing by a registered nurse (RN).
Significant Analysis
WABON - WA BOARD OF NURSING Jessilyn M Dagum Add Comment 4/24/2024 No Comments


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