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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Dental assistant registration - Adding minimum age requirements.
The Dental Quality Assurance Commission (commission) is proposing amending WAC 246-817-190 to include a minimum age requirement for dental assistant registration.
HSQA - HEALTH PROFESSIONS Deborra L Gardner Add Comment 7/15/2025 11:59:00 PM No Comments
Dental assistant registration - Adding minimum age requirements.
Proposed rule language - amending WAC 246-817-190
HSQA - HEALTH PROFESSIONS Deborra L Gardner Add Comment 7/15/2025 11:59:00 PM No Comments
Chiropractic fees and renewal cycle updates.
The Department of Health in collaboration with the Chiropractic Quality Assurance Commission is proposing amendments to WAC 246-808-990 to update chiropractic and X-ray technician licensure, registration, renewal, and other fees including clarifying updates.
CQAC - CHIROPRACTIC ASSURANCE COM Betty J Moe Comments Closed 7/8/2025 11:59:00 PM 1 Comment
Chiropractic fees and renewal cycle updates.
Fee Narrative
CQAC - CHIROPRACTIC ASSURANCE COM Betty J Moe Comments Closed 7/8/2025 11:59:00 PM No Comments
Denturist rules regarding updating renewal licensure requirements of the Jurisprudence (JP) examination.
The Board of Denturists is proposing revisions to WAC 246-812-159 to ensure licensees are made aware of the profession’s regulations and standards through the successful completion of the annual JP examination.
HSQA - HEALTH PROFESSIONS Adriana Barcena Add Comment 8/11/2025 11:59:00 PM No Comments
Denturist rules regarding updating renewal licensure requirements of the Jurisprudence (JP) examination.
Significant Analysis
HSQA - HEALTH PROFESSIONS Adriana Barcena Add Comment 8/11/2025 11:59:00 PM No Comments
Pharmacy Inspection Requirements for Modifications or Remodels - amending WAC 246-945-230.
The Pharmacy Quality Assurance Commission is proposing to amend WAC 246-945-230 to clarify circumstances necessitating a remodel inspection due to pharmaceutical facility modifications or remodels.
HSQA - HEALTH PROFESSIONS Julia R Katz Add Comment 7/31/2025 11:59:00 PM No Comments
Ground Ambulance Services – Balanced billing.
The Department of Health is proposing amendments to WAC 246-976-260 and 246-976-270 in response to new legislative requirements under Substitute Senate Bill (SSB) 5986 (chapter 218, Laws of 2024) regarding Out-of-Network Health Care Charges (balance billing) for ground ambulance services.
HSQA - COMM. HLTH SYST. Jason W Norris Add Comment 8/5/2025 11:59:00 PM No Comments
Dental Therapist - New Chapter 246-819 WAC
The Department of Health is proposing a new rule, chapter 246-819 WAC, for the dental therapist profession in order to implement Engrossed Substitute House Bill (ESHB) 1678 (chapter 460, Laws of 2023) codified as chapter 18.265 RCW.
HSQA - HEALTH PROFESSIONS Katherine A Einert Add Comment 8/5/2025 11:59:00 PM No Comments
Dental Therapist - New Chapter 246-819 WAC
Significant Analysis
HSQA - HEALTH PROFESSIONS Katherine A Einert Add Comment 8/5/2025 11:59:00 PM No Comments
In-home Service Agencies – Audio-only telemedicine appointments.
The Department of Health is proposing amendments to WAC 246-335-510 and 246-335-610 to implement recent legislation by updating the required frequency of in-person or real-time audio and video virtual appointments for individuals who use audio-only telemedicine services. The update changes the rule to require in-person or real-time audio and video virtual appointments every three years instead of every two years.
HSQA - COMM. HLTH SYST. John K Hilger Add Comment 9/22/2025 11:59:00 PM No Comments
Dietitian and Nutritionist certification standards – removing certification barriers and updating rules to align with recent legislation.
The Department of Health is proposing to add two new sections to chapter 246-822 WAC to align with Second Substitute House Bill (2SHB) 1724 (chapter 425, Laws of 2023), codified as RCW 18.130.077.
HSQA - HEALTH PROFESSIONS Kim-boi Shadduck Add Comment 8/26/2025 11:59:00 PM No Comments
Pharmacy wholesaler reporting of suspicious orders and zero reports.
The Pharmacy Quality Assurance Commission (commission) is proposing to amend WAC 246-945-585, Wholesaler-Suspicious orders and due diligence, to clarify expectations for wholesalers submitting suspicious orders and zero reports to the commission. The commission is also proposing to amend WAC 246-945-590 to cross reference the definition of “suspicious order” in WAC 246-945-585.
HSQA - HEALTH PROFESSIONS Haleigh E Mauldin Add Comment 7/31/2025 11:59:00 PM No Comments
Pharmacy wholesaler reporting of suspicious orders and zero reports.
Significant Analysis
HSQA - HEALTH PROFESSIONS Haleigh E Mauldin Add Comment 7/31/2025 11:59:00 PM No Comments
Office-Based Surgery Rules for Allopathic Physicians (MD) - Use of nitrous oxide.
The Washington Medical Commission is proposing a new section, WAC 246-919-603 - Use of nitrous oxide in office-based settings, and proposing changes to WAC 246-919-601, Safe and effective analgesia and anesthesia administration in office-based surgical settings.
WMC - WASHINGTON MEDICAL COMMISSION Daidria A Boyd Add Comment 8/15/2025 11:59:00 PM No Comments
Office-Based Surgery Rules for Allopathic Physicians (MD) - Use of nitrous oxide. WAC 246-919-603 and WAC 246-919-601
Significant Analysis
WMC - WASHINGTON MEDICAL COMMISSION Daidria A Boyd Add Comment 8/15/2025 11:59:00 PM No Comments


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