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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Dietitians and Nutritionists requirements in chapter 246-822 WAC.
The Department of Health is proposing amending, repealing, and creating new rule sections to clarify, streamline, update, and modernize rules for licensing dietitians and nutritionists. This supplemental proposal includes an additional definition in WAC 246-822-010, clarification of application and education requirements for dietitians and nutritionists in WAC 246-822-120, 246-822-130, 246-822-132, 246-822-135, 246-822-141, 246-822-145, and 246-822-160, updated requirements for dietitian qualified supervisors in WAC 246-822-147, and takes out unnecessary terms in WAC 246-822-175 Providing services.
HSQA - HEALTH PROFESSIONS Kim-boi Shadduck Add Comment 6/5/2024 21 Comments
Dietitians and Nutritionists requirements in chapter 246-822 WAC.
Significant Analysis - Supplemental
HSQA - HEALTH PROFESSIONS Kim-boi Shadduck Add Comment 6/5/2024 No Comments
Kidney disease treatment center temporary emergency exemptions.
The Department of Health is proposing a new section, WAC 246-310-825 Kidney disease treatment centers— Temporary emergency situation exemption, and amending existing kidney disease treatment center rules, WAC 246-310-800 through 246-310-833, to implement Substitute Senate Bill (SSB) 5569 (chapter 48, Laws of 2023), codified at RCW 70.38.280. The department is also proposing amendments to address impacts to the need methodology based upon new temporary emergency situation exemption, as well as clean-up language to ensure consistency in kidney disease treatment center rules.
HSQA - COMM. HLTH SYST. Ross D Valore Add Comment 6/5/2024 No Comments
Kidney disease treatment center temporary emergency exemptions.
Significant Analysis
HSQA - COMM. HLTH SYST. Ross D Valore Add Comment 6/5/2024 No Comments
Discharge or transfer of patients from acute care hospitals to 23-hour crisis relief centers in Washington state.
The Department of Health is proposing to amend WAC 246-320-111, Hospital Responsibilities, in order to implement Second Substitute Senate Bill (2SSB) 5120 (chapter 433, Laws of 2023), an act concerning the establishment of 23-hour crisis relief centers in Washington state.
HSQA - COMM. HLTH SYST. Daniel R Overton Add Comment 6/5/2024 No Comments
Discharge or transfer of patients from acute care hospitals to 23-hour crisis relief centers in Washington state.
Significant Analysis
HSQA - COMM. HLTH SYST. Daniel R Overton Add Comment 6/5/2024 No Comments
Chapter 246-500 WAC – Handling of Human Remains.
The State Board of Health is proposing amending parts of the rule to align with the changes to RCW 68.50.230 prescribed in Substitute House Bill 1974, which passed during the 2024 legislative session.
SBOH - STATE BRD OF HEALTH Shay Bauman Comments Closed 5/31/2024 No Comments
Behavioral health agency regulations as they relate to 23-hour crisis relief centers in Washington state.
The Department of Health (department) is proposing to amend the behavioral health agency regulations in chapter 246-341 WAC, including WAC 246-341-0110, 246-341-0200, 246-341-0365, 246-341-0901, 246-341-0912, 246-341-1140 and new WAC 246-341-0903, in order to implement Second Substitute Senate Bill (2SSB) 5120 (chapter 433, Laws of 2023), an act concerning the establishment of 23-hour crisis relief centers in Washington state. The department is also proposing amendments in WAC 246-341-0200, 246-341-0515 and 246-341-0901 to align the regulations with statutory changes passed by the 2023 legislature, including Second Substitute House Bill (2SHB) 1724 (chapter 425, Laws of 2023) and Second Substitute Senate Bill (2SSB) 5555 (chapter 469, Laws of 2023 partial veto). Finally, the department is conducting general clean-up, where needed, throughout these WAC sections.
HSQA - COMM. HLTH SYST. Daniel R Overton Add Comment 6/5/2024 1 Comment
Behavioral health agency regulations as they relate to 23-hour crisis relief centers in Washington state.
Significant Analysis
HSQA - COMM. HLTH SYST. Daniel R Overton Add Comment 6/5/2024 No Comments
Behavioral health agency regulations as they relate to 23-hour crisis relief centers in Washington state.
Small Business Economic Impact Statement
HSQA - COMM. HLTH SYST. Daniel R Overton Add Comment 6/5/2024 No Comments
Osteopathic Physicians and surgeons five-year rule review.
In accordance with RCW 43.70.041, the Board of Osteopathic Medicine and Surgery (board) and the Department of Health have conducted a five-year rule review of chapter 243-853 WAC, Osteopathic Medicine and Surgery. As a result of this review, the board is proposing amendments to WAC 246-853-045 and 246-853-210 to clarify and update outdated language. In addition, the board is proposing to repeal WAC 243-853-060.
HSQA - HEALTH PROFESSIONS Rebecca A Mcelhiney Add Comment 7/22/2024 No Comments
Reference for sources of radionuclide emissions, adopting national standards in WAC 246-247-035.
The Department of Health is proposing an amendment to the federal rule publication date to conform to U.S. Environmental Protection Agency (EPA) requirements.
EPH - ASSISTANT SECRETARY Nina D Helpling Add Comment 6/25/2024 No Comments
Drinking Water State Revolving Fund (DWSRF) Loan Program, Chapter 246-296 WAC.
The Department of Health is proposing rule amendments to incorporate the federal requirements of the Bipartisan Infrastructure Law (BIL) - Public Law 117-58 – Bipartisan Infrastructure Investment and Jobs Act. The proposed rules redefine the definition of a disadvantaged community and change the state revolving fund priority point system for project rating and ranking proportionate with need.
EPH - ASSISTANT SECRETARY Nina D Helpling Add Comment 6/25/2024 No Comments
Drinking Water State Revolving Fund (DWSRF) Loan Program, Chapter 246-296 WAC.
Significant Analysis
EPH - ASSISTANT SECRETARY Nina D Helpling Add Comment 6/25/2024 No Comments
Hospital Fees. Updates to acute care and psychiatric hospital facility fees.
The Department of Health (department) is proposing amendments to WACs 246-320-199 and 246-322-990 to update fees for acute care hospitals licensed under chapter 246-320 WAC and private psychiatric hospitals licensed under chapter 246-322 WAC. The department is also proposing changes to clarify and standardize language.
HSQA - ASST. SECRETARY OFFICE Heather M Cantrell Add Comment 6/25/2024 No Comments
Hospital Fees. Updates to acute care and psychiatric hospital facility fees.
Hospital Acute Care Fee Fee Analysis
HSQA - ASST. SECRETARY OFFICE Heather M Cantrell Add Comment 6/25/2024 No Comments
Hospital Fees. Updates to acute care and psychiatric hospital facility fees.
Psychiatric Hospital Fee Fee Analysis
HSQA - ASST. SECRETARY OFFICE Heather M Cantrell Add Comment 6/25/2024 No Comments
Prescription Monitoring Program (PMP) - Clarifying terms and information about prescription history for the PMP.
The Department of Health (department) is proposing updates to WAC 246-470-010, 246-470-030, and 246-470-050. Specifically, the department is proposing to add definitions of “dispense” and “delivery” and “ultimate user” and amend a few areas to keep language consistent around the terms “deliver” and “dispense”. The department is also proposing to clarify prescribers’ ability to request their prescribing history.
HSQA - HEALTH PROFESSIONS Jennifer H Kang Add Comment 6/25/2024 No Comments
Creating licensing requirements for organ transport services and vehicles.
The Department of Health is proposing a new rule in response to legislative requirements under Substitute House Bill (SHB) 1271 (chapter 290, Laws of 2023) to establish the minimum standards for organ transport vehicles and equipment in WAC 246-976-360.
HSQA - COMM. HLTH SYST. Jason W Norris Add Comment 6/25/2024 No Comments
Creating licensing requirements for organ transport services and vehicles.
Significant Analysis
HSQA - COMM. HLTH SYST. Jason W Norris Add Comment 6/25/2024 No Comments
Incorporation by reference of federal statutes or regulations and national consensus codes in pharmacy rules.
The Pharmacy Quality Assurance Commission is proposing revisions to update references to regulations from other entities that have been incorporated into chapter 246-945 WAC and to make other clarifying changes that do not change the effect of the rule.
HSQA - HEALTH PROFESSIONS Haleigh E Mauldin Add Comment 7/22/2024 No Comments


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