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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Eligibility for examination as a veterinary technician - Qualifications for on-the-job experience for out-of-state-applicants. Amending WAC 246-935-060.
The Veterinary Board of Governors (board) is proposing amendments to WAC 246-935-060 regarding direct experience in the veterinary technician's scope of practice for out-of-state applicants. The board is proposing that out-of-state applicants applying under the requirements of WAC 246-935-060 must have 6,000 hours of experience in no more than five years, as a credentialed animal health or veterinary technician.
HSQA - HEALTH PROFESSIONS Poppy J Budrow Comments Closed 9/3/2026 11:59:00 PM No Comments
Eligibility for examination as a veterinary technician - Qualifications for on-the-job experience for out-of-state-applicants. Amending WAC 246-935-060.
Significant Analysis
HSQA - HEALTH PROFESSIONS Poppy J Budrow Comments Closed 9/3/2026 11:59:00 PM No Comments
Minimum horizontal separations for on-site sewage systems (OSS).
The State Board of Health (board) is proposing to amend WAC 246-272A-0210 to clarify the minimum horizontal separations (setbacks) for surface water used as a public and nonpublic drinking water source. The board is also proposing to make several technical, grammatical, and editorial corrections in WAC 246-272A-0010, 246-272A-0110, 246-272A-0120(5)(b)(ii), 246-272A-0210, and 246-272A-0240(2)(c).
SBOH - STATE BRD OF HEALTH Shay Bauman Add Comment 9/17/2026 11:59:00 PM No Comments
Minimum horizontal separations for on-site sewage systems (OSS).
Significant Analysis
SBOH - STATE BRD OF HEALTH Shay Bauman Add Comment 9/17/2026 11:59:00 PM No Comments
Applied Behavior Analysis Continuing Supervision and Educational Programs.
The Department of Health, in consultation with the Washington State Applied Behavior Analysis Advisory Committee, is proposing amendments to WAC 246-805-210, 246-805-240, and 246-805-330 to remove barriers for education and update the requirements for continuing supervision for certified behavior technicians (CBT) and licensed assistant behavior analysts (LABA).
HSQA - HEALTH PROFESSIONS Shelbee A Scrimo Add Comment 9/22/2026 11:59:00 PM No Comments
Applied Behavior Analysis Continuing Supervision and Educational Programs.
Significant Analysis
HSQA - HEALTH PROFESSIONS Shelbee A Scrimo Add Comment 9/22/2026 11:59:00 PM No Comments
Osteopathic physician and surgeon fees in WAC 246-853-990 - Update.
The Department of Health (department), in consultation with the Board of Osteopathic Medicine & Surgery (board), is proposing amendments to WAC 246-853-990 to remove the Washington Osteopathic Principals and Practices (OP&P) exam and re-exam fee, add the Washington Physicians Health Program (WPHP) impaired practitioner surcharge to initial licensure for osteopathic physicians, and to decrease fees to appropriate levels for program’s operating costs and reserve levels.
HSQA - ASST. SECRETARY OFFICE Heather M Cantrell Comments Closed 9/8/2026 11:59:00 PM No Comments
Osteopathic physician and surgeon fees in WAC 246-853-990 - Update.
Fee Narrative and Addendum
HSQA - ASST. SECRETARY OFFICE Heather M Cantrell Comments Closed 9/8/2026 11:59:00 PM No Comments
Chapter 246-453 WAC, Hospital Charity Care
The Department of Health (department) is proposing to add four new sections, make housekeeping changes, and add an expiration date to WAC 246-453-050. Amendments are proposed throughout chapter 246-453 WAC to implement requirements in Substitute Senate Bill 6273 (chapter 623, Laws of 2018) and Substitute House Bill 1616 (chapter 197, Laws of 2022), codified at chapter 70.170 RCW and to integrate housekeeping changes from other recent legislation and align the rules with current best practices.
HSQA - COMM. HLTH SYST. Carrie A Baranowski Comments Closed 9/8/2026 11:59:00 PM No Comments
Chapter 246-453 WAC, Hospital Charity Care
Significant Analysis
HSQA - COMM. HLTH SYST. Carrie A Baranowski Comments Closed 9/8/2026 11:59:00 PM 1 Comment
Chapter 246-275 WAC, On-site nonpotable water systems (ONWS).
The Department of Health (department) is proposing to adopt a new chapter in Title 246, Department of Health. The proposed rules establish general administrative procedures, treatment and performance requirements, allowable source water, end uses and implementation scales, design and construction standards, monitoring, reporting, and recordkeeping requirements, as well as operation and maintenance requirements for ONWS. The proposed rules also establish procedures for enforcement and violations, as well as set fees.
EPH - ASSISTANT SECRETARY Kseniya M Efremova Add Comment 9/22/2026 11:59:00 PM No Comments
Chapter 246-275 WAC, On-site nonpotable water systems (ONWS).
Significant Analysis
EPH - ASSISTANT SECRETARY Kseniya M Efremova Add Comment 9/22/2026 11:59:00 PM No Comments
Temporary Worker Housing — WACs 246-358-010, 246-358-025, 246-358-027, 246-358-080, 246-358-990, 246-359-550.
The Department of Health is proposing amendments to WACs 246-358-010, 246-358-025, 246-358-027, 246-358-080, 246-358-990, and 246-359-550 to add a definition for ‘site operation date’, add the term in the applicable section, remove gendered language, make editorial updates to align with the Code Reviser’s 2025 Bill Drafting Guide without changing the effect of the rules, and align requirements for carbon monoxide alarms and smoke detectors with the state building code, chapter 51-51 WAC.
EPH - ASSISTANT SECRETARY Zehra E Siddiqui Add Comment 9/22/2026 11:59:00 PM No Comments
Radiation Material Medical Use Notification Rule Update.
The Department of Health is proposing to incorporate the missing notification language from the federal requirements in 10 CFR 35.14(a), Subpart A by text into WAC 246-240-025. The proposed amendment also corrects subsection numbers, and adds a comma to correct the mailing address. This rulemaking is necessary to ensure consistency between federal and state rules.
EPH - ASSISTANT SECRETARY Zehra E Siddiqui Add Comment 10/6/2026 11:59:00 PM No Comments
Substance Use Disorder Monitoring Program Provisions for Nursing Assistants.
The Washington State Board of Nursing is proposing a new rule section, WAC 246-841A-840 to implement House Bill (HB) 2340 (chapter 59, Laws of 2026) that updates RCW 18.79.440, establishing the same program for nursing assistants as currently available to registered nurses and licensed practical nurses. The new rule section extends substance use disorder (SUD) monitoring program provisions to nursing assistants.
WABON - WA BOARD OF NURSING Bonnie L King Add Comment 11/2/2026 11:59:00 PM No Comments
Medical assistant credentialing requirements.
The Department of Health is proposing rule amendments under chapter 246-827 WAC to update medical assistant credentialing requirements and ensure the rules are current and align with best practices.
HSQA - HEALTH PROFESSIONS Rebecca A Cornwall Add Comment 10/6/2026 11:59:00 PM No Comments


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