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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Expanding access to drugs stored outside of the pharmacy by unlicensed health care facility staff.
The Pharmacy Quality Assurance Commission is proposing to amend WAC 246-945-455 which currently limits access to drugs stored outside of the pharmacy to only licensed health care professionals and may disrupt supply chain management in health care facilities.
HSQA - HEALTH PROFESSIONS Haleigh E Mauldin Comments Closed 10/4/2024 12:00:00 AM No Comments
Expanding access to drugs stored outside of the pharmacy by unlicensed health care facility staff.
Significant Analysis
HSQA - HEALTH PROFESSIONS Haleigh E Mauldin Comments Closed 10/4/2024 12:00:00 AM No Comments
Occupational Therapy temporary permits and fee updates.
The Occupational Therapy Practice Board (board) and the Department of Health (department) are proposing rule amendments to WAC 246-847-117 in response to Second Substitute House Bill (2SHB) 1009 (chapter 165, Laws of 2023), to reducing barriers for military spouses entering and remaining in the occupational therapy (OT) workforce. Additionally, the board and the department are proposing amendments to WAC 246-847-990 to create a new fee to cover the cost of the proposal.
HSQA - HEALTH PROFESSIONS Kathy A Weed Add Comment 10/11/2024 12:00:00 AM No Comments
Occupational Therapy temporary permits and fee updates.
Significant Analysis
HSQA - HEALTH PROFESSIONS Kathy A Weed Add Comment 10/11/2024 12:00:00 AM No Comments
Occupational Therapy temporary permits and fee updates.
Fee Analysis
HSQA - HEALTH PROFESSIONS Kathy A Weed Add Comment 10/11/2024 12:00:00 AM No Comments
Reducing licensure barriers for genetic counselors and updating rules to align with recent legislation.
The Department of Health is proposing amendments to WAC 246-825-080, to comply with RCW 18.130.077.
HSQA - HEALTH PROFESSIONS Kim-boi Shadduck Add Comment 10/16/2024 12:00:00 AM No Comments
Reducing licensure barriers for occupational therapy profession and amending code of ethics sections.
The Occupational Therapy Practice Board (board) is proposing rule amendments to reduce barriers to entering and remaining in the occupational therapy (OT) workforce and to streamline and shorten the credentialing process. The board is proposing revisions to WAC 246-847-051, 246-847-068, 246-847-070, 246-847-080, 246-847-125, and adding a new section, 246-847-127. Additionally, the board is proposing amendments to WAC 246-847-065 to amend continuing education requirements so they align with the national certifying board and WAC 246-847-170 to ensure care is provided ethically and professionally.
HSQA - HEALTH PROFESSIONS Kathy A Weed Add Comment 10/11/2024 12:00:00 AM No Comments
Reducing licensure barriers for occupational therapy profession and amending code of ethics sections.
Significant Analysis
HSQA - HEALTH PROFESSIONS Kathy A Weed Add Comment 10/11/2024 12:00:00 AM No Comments
Military spouse temporary practice permits.
The Washing Medical Commission is proposing changes to WAC 246-918-076 (physician assistants) and WAC 246-919-397 (physicians) to incorporate RCW 18.340.020.
WMC - WASHINGTON MEDICAL COMMISSION Daidria A Boyd Comments Closed 10/4/2024 12:00:00 AM No Comments
Respiratory Care Practitioner licensure and endorsement and temporary permits - reducing barriers.
The Department of Health (department) is proposing rule amendments to reduce barriers to entering and remaining in the respiratory care practitioner (RCP) workforce and to streamline and shorten the credentialing process. Additionally, the department is proposing amendments to the temporary permit rules to reduce barriers for military spouses entering and remaining in the RCP workforce. The department is proposing revisions to WAC 246-928-560, 246-928-570, and adding a new section, WAC 246-928-575, for applicants with a current national certification.
HSQA - HEALTH PROFESSIONS Kathy A Weed Add Comment 10/16/2024 12:00:00 AM No Comments
Respiratory Care Practitioner licensure and endorsement and temporary permits - reducing barriers.
Significant Analysis
HSQA - HEALTH PROFESSIONS Kathy A Weed Add Comment 10/16/2024 12:00:00 AM 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 in this supplemental to clarify the use of biological specimen testing. The proposed rules amend 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 Comments Closed 10/4/2024 12:00:00 AM 37 Comments
General provisions for opioid prescribing and tapering rules for allopathic physicians and physician assistants.
Significant Analysis
WMC - WASHINGTON MEDICAL COMMISSION Daidria A Boyd Comments Closed 10/4/2024 12:00:00 AM 1 Comment
Security screening systems, chapter 246-230 WAC.
The Department of Health is proposing to create a new chapter that establishes radiation safety standards for the use of ionizing radiation for security purposes, while making every reasonable effort to maintain exposures to radiation as low as reasonably achievable to protect public health and safety.
EPH - ASSISTANT SECRETARY Ashlie E Laydon Add Comment 11/20/2024 11:59:00 PM No Comments
Security screening systems, chapter 246-230 WAC.
Significant Analysis
EPH - ASSISTANT SECRETARY Ashlie E Laydon Add Comment 11/20/2024 12:00:00 AM No Comments
Clarifying “culturally congruent care” in chapter 246-835 WAC, Birth Doula.
The Department of Health is proposing amendments to WAC 246-835-010 and 246-835-025 to update the definition of “culturally congruent care” and to clarify education and training requirements related to “culturally congruent care” and “culturally congruent ancestral practices”.
HSQA - HEALTH PROFESSIONS Kim-boi Shadduck Add Comment 11/26/2024 11:59:00 PM No Comments
Dental: Adding facility types to the list of opioid prescribing exclusions for dentists.
The Dental Quality Assurance Commission is proposing amendments to WAC 246-817-905 to expand the types of patients who are exempt from opioid prescribing rules. The proposed language aligns with the Washington Medical Commission’s (WMC) recently adopted rules to ensure consistency and alignment with best practices.
HSQA - HEALTH PROFESSIONS Deborra L Gardner Add Comment 12/2/2024 11:59:00 PM 1 Comment
Dental: Adding facility types to the list of opioid prescribing exclusions for dentists.
Significant Analysis
HSQA - HEALTH PROFESSIONS Deborra L Gardner Add Comment 12/2/2024 11:59:00 PM No Comments
Physical therapy licensure compact - updating the reference date to match the most recent Physical Therapy Compact Commission rules.
The Board of Physical Therapy is proposing to update the effective date in WAC 246-915A-010 to match the date of the most recent Physical Therapy Compact rules per RCW 18.74.500 Article IX(2). This proposed amendment will update the effective date in WAC 246-915A-010 to June 17, 2024 in rule.
HSQA - HEALTH PROFESSIONS Allyson G Mciver Add Comment 12/2/2024 11:59:00 PM No Comments
Medical Test Site (MTS) Federal rule compliance updates.
The Department of Health is proposing amendments to sections WAC 246-338-022, 246-338-040, 246-338-050, 246-338-060, 246-338-070, 246-338-080, and 246-338-090 to incorporate existing minimum standards that are missing, make technical corrections to rules, and adopt new federal requirements.
HSQA - COMM. HLTH SYST. Jessica L Holloway Add Comment 12/2/2024 11:59:00 PM No Comments
Standards for Designation of 988 Contact Hubs - chapter 246-350 WAC.
The Department of Health is proposing a new chapter of rules to implement Engrossed Second Substitute House Bill (E2SHB) 1477 (chapter 302, Laws of 2021). The rules establish standards for designation of crisis call centers as crisis hubs within the 988 national suicide prevention and mental health crisis hotline system.
PCH - OFFICE OF ASST SECRETARY Me'kyel Z Bailey Add Comment 11/5/2024 11:59:00 PM No Comments
Standards for Designation of 988 Contact Hubs - chapter 246-350 WAC.
Significant Analysis
PCH - OFFICE OF ASST SECRETARY Me'kyel Z Bailey Add Comment 11/5/2024 11:59:00 PM No Comments


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