Department of HealthRules Comment
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Increasing the Washington physician health program (WPHP) surcharge assessed to physicians, physician assistants, osteopathic physicians, podiatric physicians, dentists, and veterinarians, and correcting the HEAL-WA fee for speech-language pathologists.
The Department of Health (department) is proposing amendments to WAC 246-817-990, 246-853-990, 246-918-990, 246-919-990, 246-922-990, and 246-933-990 to update fee changes made by House Bill (HB) 1972 (chapter 15, Laws of 2024) codified in RCW 18.71.310, 18.71A.020, 18.57.015, 18.22.250, 18.32.534, and 18.92.047. The department is also proposing to correct an error in the fee table in WAC 246-828-990 to ensure it accurately reflects the fees that are being charged for the speech-language pathologist inactive license.
HSQA - ASST. SECRETARY OFFICE Heather M Cantrell Add Comment 2/3/2025 11:59:00 PM No Comments
Dialysate and Dialysis Device Manufacturers and Wholesalers in Home Dialysis Programs.
The Pharmacy Quality Assurance Commission (commission) is proposing to amend WAC 246-945-090, 246-945-091, 246-945-092, and 246-945-093 to include manufacturers and wholesalers of dialysis devices and approved legend drugs, including dialysate, in home dialysis program rules under the commission’s jurisdiction. This supplemental further amends WAC 246-945-090 to add the word “may” and list the dialysis devices manufacturers and wholesalers may sell, deliver, possess, or dispense to home dialysis patients, and to amend WACs 246-945-091, 246-945-092, and 246-945-093 to conform to the list of dialysis devices.
HSQA - HEALTH PROFESSIONS Julia R Katz Add Comment 1/23/2025 11:59:00 PM No Comments
Dialysate and Dialysis Device Manufacturers and Wholesalers in Home Dialysis Programs.
Significant Analysis - Supplemental
HSQA - HEALTH PROFESSIONS Julia R Katz Add Comment 1/23/2025 11:59:00 PM No Comments
Hospital licensing regulations (construction standards only) - Aligning with Nationally Recognized Industry Standards.
The Department of Health (department) is proposing amendments to WAC 246-320-500, 246-320-505, and 246-320-600 to align hospital licensing construction standards with the 2022 editions of the Guidelines for Design and Construction of Hospitals and the Guidelines for Design and Construction of Outpatient Facilities (2022 Guidelines), developed and published by the Facilities Guidelines Institute (FGI). Additionally, the department is proposing to increase the construction cost threshold for projects that require a pre-submission conference with the department from $250,000 to $500,000. For clarity and readability, the department is proposing to reformat WAC 246-320-600 by adopting the 2022 Guidelines by reference and publishing a separate document outlining Washington’s amendments to the 2022 Guidelines.
HSQA - COMM. HLTH SYST. Susan R Upton Add Comment 1/22/2025 11:59:00 PM No Comments
Hospital licensing regulations (construction standards only) - Aligning with Nationally Recognized Industry Standards.
Significant Analysis
HSQA - COMM. HLTH SYST. Susan R Upton Add Comment 1/22/2025 11:59:00 PM No Comments
Updating the definition of veteran in WAC 246-12-530 and 246-12-560.
The Department of Health (department) is proposing changes to replace the term “honorable discharge” with “qualifying discharge”.
HSQA - HEALTH PROFESSIONS Brandon M Williams Add Comment 2/3/2025 11:59:00 PM No Comments
Permanent Closure Reporting Requirements for pharmacies, health care entities, hospital pharmacy associated clinics, wholesalers, and manufacturers. WAC 246-945-480 and WAC 246-945-231
The Pharmacy Quality Assurance Commission (commission) is proposing to amend WAC 246-945-480 to require additional reporting requirements provided to customers and the commission in advance of permanent closures. The commission is proposing to add WAC 246-945-231 to consolidate the reporting requirement for pharmaceutical firms to report disciplinary action to the commission and add WAC 246-945-592 to establish reporting requirements for permanently closing manufacturers and wholesalers.
HSQA - HEALTH PROFESSIONS Julia R Katz Add Comment 1/23/2025 11:59:00 PM No Comments
Permanent Closure Reporting Requirements for pharmacies, health care entities, hospital pharmacy associated clinics, wholesalers, and manufacturers. WAC 246-945-480 and WAC 246-945-231
Significant Analysis
HSQA - HEALTH PROFESSIONS Julia R Katz Add Comment 1/23/2025 11:59:00 PM No Comments
Substance Use Disorder Profession (SUDP) - proposing updates to reduce barriers to entering and remaining in the SUDP workforce and to streamline and shorten the credentialing process. Amending chapter 246-811 WAC, including repealing sections and creating new sections.
The Department of Health (department) is proposing rule amendments to implement legislation, including Second Substitute House Bill (2SHB) 1724 (chapter 425, Laws of 2023), Engrossed Second Substitute House Bill (E2SHB) 2247 (chapter 371, Laws of 2024), and Second Substitute Senate Bill (2SSB) 6228 (chapter 366, Laws of 2024). The department proposes amending requirements including: ethical and professional standards; the application process; education requirements; supervised experience requirements; approved supervisor requirements; continuing education requirements; and fees.
HSQA - HEALTH PROFESSIONS Claire A Wilson Add Comment 2/5/2025 11:59:00 PM 1 Comment
Substance Use Disorder Profession (SUDP) - proposing updates to reduce barriers to entering and remaining in the SUDP workforce and to streamline and shorten the credentialing process. Amending chapter 246-811 WAC, including repealing sections and creating new sections.
Significant Analysis
HSQA - HEALTH PROFESSIONS Claire A Wilson Add Comment 2/5/2025 11:59:00 PM No Comments
Hearing and Speech – Implementing legislation, reducing licensure barriers for Hearing and Speech professions and clarifying requirements for speech-language pathology assistant certification in chapter 246-828 WAC.
The Board of Hearing and Speech (board) is proposing amendments to implement section 8 of Second Substitute House Bill (2SHB) 1724 (chapter 425, Laws of 2023), codified as RCW 18.130.077, to reduce barriers to entering and remaining in the hearing and speech workforce and to shorten the credentialing process. The board is proposing revisions to WAC 246-828- 020, 246-929-510, and creating a new section, WAC 246-828-035, Licensure by endorsement. Additionally, the board is proposing amendments to WAC 246-828-617 to clarify the requirements for speech-language pathology assistant certification.
HSQA - HEALTH PROFESSIONS Kim-boi Shadduck Add Comment 1/29/2025 11:59:00 PM No Comments
Hearing and Speech – Implementing legislation, reducing licensure barriers for Hearing and Speech professions and clarifying requirements for speech-language pathology assistant certification in chapter 246-828 WAC.
Significant Analysis
HSQA - HEALTH PROFESSIONS Kim-boi Shadduck Add Comment 1/29/2025 11:59:00 PM No Comments
Sanitary Control of Shellfish, Minimum Performance Standards, WAC 246-282-005.
The Department of Health (department) is proposing to amend WAC 246-282-005(1)(a) to adopt by reference the 2023 version of the National Shellfish Sanitation Program’s (NSSP) Guide for the Control of Molluscan Shellfish (guide). This rulemaking is necessary to update the publication date of the NSSP guide adopted by reference from 2019 to the 2023 version.
EPH - ASSISTANT SECRETARY Kseniya M Efremova Add Comment 2/5/2025 11:59:00 PM No Comments
Department of Health Public Records Requirements
The Department of Health (department) is proposing to relocate the public records requirements, currently located in chapter 246-08 WAC, to a new chapter in Title 246 WAC—chapter 246-02 WAC—and expand and clarify the requirements to reflect current state law and agency procedures. The department is also proposing to update the references to the public records rules in WAC 246-08-480 and repeal the outdated rules regarding public records in WAC 246-08-420, 246-08-440, 246-08-450, and 246-08-990.
CENTER - FACILITIES, RISK, ADJUDICATION Melanee A Auldredge Add Comment 2/5/2025 11:59:00 PM 1 Comment
Naturopathic license requirements in WAC 246-836-020, Requirements for licensure, and WAC 246-836-040, Jurisprudence examinations.
The Board of Naturopathy (board) is proposing amendments to licensure requirements relating to jurisprudence examinations as a condition for licensure for naturopathic physicians and to clarify, update, and simplify rules to comply with RCW 18.130.077.
HSQA - HEALTH PROFESSIONS Rachel M Phipps Add Comment 1/31/2025 11:59:00 PM No Comments
Naturopathic license requirements in WAC 246-836-020, Requirements for licensure, and WAC 246-836-040, Jurisprudence examinations.
Significant Analysis
HSQA - HEALTH PROFESSIONS Rachel M Phipps Add Comment 1/31/2025 11:59:00 PM No Comments
Physical Therapists and Physical Therapist Assistants - Reducing licensure barriers.
Hearing Continuance - At the February 24, 2025 hearing the Board will continue the public hearing that was originated on December 9, 2024. The Board of Physical Therapy (board) is proposing amendments to WAC 246-915-030, 246-915-040, 246-915-085, and 246-915-120 in order to comply with Section 8 of Second Substitute House Bill (2SHB) 1724 (chapter 425, Laws of 2023), codified as RCW 18.130.077 and to make general and housekeeping updates to these sections. Additionally, the board is proposing amendments to WAC 246-915-040 to further expand upon the endorsement pathway required under 2SHB 1724 and amendments to WAC 246-915-120 to streamline the foreign educated applicant application process.
HSQA - HEALTH PROFESSIONS Allyson G Mciver Add Comment 2/17/2025 11:59:00 PM No Comments


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