Washington Administrative Code

(1) For the purposes of Table Lab-1:(a) "At least annually" means deidentified negative screening results may be submitted in a single report no less than once per year, but may be submitted more frequently as a single report or as individual screening results.(b) "Deidentified n…

(1) A laboratory director shall:(a) Submit laboratory reports:(i) To the local health jurisdiction or the department as required in Table Lab-1 of WAC 246-101-201, and under the requirements of WAC 246-101-220, 246-101-225, and this section; and(ii) To the local health jurisdicti…

(1) A laboratory director shall submit specimens as required in Table Lab-1 of WAC 246-101-201 in accordance with the requirements of this chapter.(2) For test results notifiable to local health jurisdictions, the local health officer may temporarily waive specimen submission req…

A laboratory director shall provide the following information with each specimen submitted under this chapter to the Washington state public health laboratories:(1) Patient's first and last name;(2) Patient's physical address including zip code;(3) Patient's date of birth;(4) Pat…

A laboratory director shall:(1) Submit laboratory reports as required under this chapter by secure electronic data transmission.(2) Call the local health jurisdiction in which the case occurred immediately and confirm receipt of a presumptive or final test result for a condition …

(1) A laboratory director shall provide the following information in each laboratory report required under this chapter:(a) Patient's first and last name;(b) Patient's physical address including zip code;(c) Patient's date of birth;(d) Patient's sex;(e) Patient's ethnicity, as re…

(1) A laboratory shall maintain the confidentiality of health care information consistent with chapter 70.02 RCW and any other applicable confidentiality laws.(2) A laboratory director shall establish and implement policies and procedures to maintain confidentiality of health car…

(1) A veterinarian shall cooperate with public health authorities in their:(a) Investigation of human and animal cases, outbreaks, suspected outbreaks, and clusters of zoonotic disease; and(b) Implementation of infection control measures.(2) Cooperation with public health authori…

(1) For the purposes of this section "food establishment" has the same meaning as defined and referenced under WAC 246-215-01115.(2) The person in charge of a food establishment shall:(a) Notify the local health jurisdiction of potential foodborne disease as required in WAC 246-2…

(1) For the purposes of this section "child care facility" means an agency that regularly provides early childhood education and early learning services for a group of children for less than twenty-four hours a day and is subject to licensing under chapter 74.15 or 43.216 RCW, or…

A school shall:(1) Notify the local health jurisdiction of cases, outbreaks, and suspected outbreaks of notifiable conditions in Table HC-1 of WAC 246-101-101 that may be associated with the school.(2) Cooperate with the local health jurisdiction in monitoring influenza.(3) Consu…

(1) Members of the general public shall cooperate with:(a) Public health authorities in their investigation and control of cases, outbreaks, and suspected outbreaks; and(b) Implementation of infection control measures.(2) Members of the general public may notify the local health …

(1) A local health officer or local health jurisdiction shall:(a) Review and determine appropriate action for:(i) Each case of a notifiable condition submitted to the local health jurisdiction;(ii) Any condition considered a threat to public health; and(iii) Each outbreak or susp…

(1) A local health jurisdiction shall:(a) Maintain a twenty-four-hour telephone number to receive confirmation calls of case reports or laboratory reports submitted under this chapter for:(i) Immediately notifiable conditions; and(ii) Conditions designated as notifiable within tw…

A local health officer shall provide the following information for each notification, investigation report, and outbreak report submitted under WAC 246-101-510:(1) Notifications must include:(a) Patient's first and last name;(b) Patient's notifiable condition;(c) Date local healt…

(1) Local health officers and local health jurisdiction employees shall maintain the confidentiality of health care information consistent with chapter 70.02 RCW, RCW 42.56.360(2), and any other applicable confidentiality laws.(2) Local health officers or local health jurisdictio…

(1) The local health officer and local health jurisdiction personnel shall maintain individual case reports, laboratory reports, investigation reports, and other data and supporting information for AIDS and HIV as confidential records consistent with the requirements of RCW 70.02…

A local health jurisdiction shall:(1) Maintain a surveillance system for influenza during the influenza season which may include:(a) Monitoring of excess school absenteeism;(b) Requesting information from health care providers and health care facilities regarding influenza-like i…

(1) The department shall:(a) Upon request, provide consultation and technical assistance to local health jurisdictions, the department of labor and industries, and the department of agriculture when they are investigating notifiable conditions.(b) Upon request, provide consultati…

(1) The state health officer and department employees shall maintain the confidentiality of health care information in accordance with chapter 70.02 RCW, RCW 42.56.360(2), and any other applicable confidentiality laws.(2) The state health officer shall establish and implement con…

The department shall:(1) Distribute periodic epidemiological summary reports and an annual review of public health issues to local health officers, local health jurisdictions, and the department of labor and industries.(2) Make available case investigation documentation for notif…

The department shall: (1) Maintain a surveillance system for monitoring antibiotic resistant disease that may include:(a) Development of a sentinel network of laboratories to provide information regarding antibiotic resistant disease; and (b) Sample checks with health care provid…

The following provisions apply to the use of AIDS and HIV notifiable conditions case reports, laboratory reports, and investigation reports, related information, and data and is in addition to the requirements established under WAC 246-101-610:(1) Department personnel shall not d…

The department shall enter into a data sharing agreement with the office of the superintendent of public instruction (the superintendent) to access data from databases maintained by the superintendent containing student health information for the purpose of identifying cases of a…

(1) The department of labor and industries shall:(a) Be responsible for the investigation of cases identified as notifiable to the department of labor and industries under this chapter;(b) Provide consultation and technical assistance to local health jurisdictions and the departm…

(1) The director of the department of labor and industries and department of labor and industries employees shall maintain the confidentiality of health care information consistent with chapter 70.02 RCW, RCW 42.56.360(2), and any other applicable confidentiality laws. (2) The di…

The department of labor and industries shall:(1) Distribute periodic epidemiological summary reports and an annual review of public health issues to local health officers, local health jurisdictions, and the department.(2) Make available case investigation documentation for notif…

The department of labor and industries shall maintain a surveillance system for monitoring hospitalized burn patients that may include:(1) Development of a sentinel network of burn treatment centers and hospitals to provide information regarding hospitalized burn patients; and (2…

(1) For the purposes of this section, "new, emerging, or unusual animal diseases or disease clusters with potential public health significance" means zoonotic or potentially zoonotic diseases in animals that have never or rarely been observed in Washington state (new or emerging)…

(1) The state department of agriculture shall provide the following information for each animal case required under WAC 246-101-805:(a) Animal species;(b) Animal county of current residence;(c) Diagnosis or suspected diagnosis of the condition;(d) Contact name;(e) Contact address…

The purpose of the Washington state cancer registry is to monitor the incidence of cancer in the state and report applicable limited data according to federal requirements. Information collected through the cancer registry system is used by research and public health professional…

The definitions in this section apply throughout this chapter unless the context clearly indicates otherwise.(1) "Cancer case" means:(a) Any malignant or cancerous neoplasm except basal and squamous cell carcinoma of the skin;(b) Carcinoma of the external genital organ sites, inc…

(1) Reporting entities that diagnose, or provide first course treatment to a patient with a cancer case or potentially reportable cancer case shall report the cancer case to the state cancer registry.(2) If a health care provider refers patients to a health care facility with can…

The state cancer registry shall:(1) Publish a reportable list annually.(2) Publish a recommended case finding list annually.(3) Publish a list of required data items annually.(4) Publish recommended reporting guidelines as needed.[Statutory Authority: RCW 70.54.240 through 70.54.…

(1) Reporting entities shall prepare and submit case reports in a format provided by the state cancer registry.(2) Reporting entities shall submit completed case reports to the state cancer registry within six months of the date of diagnosis or date patient is first seen for firs…

(1) To assure accurate monitoring of the incidence of cancer in Washington, the state cancer registry shall review the overall quality of all cases received using national guidelines.(2) The state cancer registry shall follow up with reporting entities for additional case informa…

(1) Information collected by the state cancer registry shall be used only for statistical, scientific, medical research and public health purposes.(2) The department may release state cancer registry information for research purposes:(a) After the research project has been review…

The purpose of this rule is to protect children and the public against certain vaccine-preventable diseases. Under the authority of the board of health, this rule describes the immunization requirements of children attending schools and child care centers.[Statutory Authority: RC…

The definitions in this section apply throughout this chapter unless the context clearly indicates otherwise:(1) "Certificate of exemption (COE)" means a form for the purpose of documenting an exemption to the school or child care immunization requirements that is approved by the…

In accordance with the conditions of this chapter, a child is required to be vaccinated against, or show proof of acquired immunity for, the following vaccine-preventable diseases before attending school or a child care center:(1) Chickenpox (Varicella);(2) Diphtheria;(3) German …

The department shall develop and distribute implementation guidelines for schools and child care centers that are consistent with the national immunization guidelines described in this section and the requirements in WAC 246-105-090.(1) Unless otherwise stated in this section, a …

(1)(a) Before a child may attend a school or child care center, a parent must provide proof of immunization status using either a CIS or a COE form, or both. Information provided on these forms is to be used by a school nurse, child care health consultant, or the chief administra…

A philosophical or personal exemption may not be used to exempt a child from the measles, mumps, and rubella immunization requirement.[Statutory Authority: RCW 28A.210.140, 28A.210.080, and 28A.210.100. WSR 19-21-161, § 246-105-055, filed 10/22/19, effective 11/22/19.]

(1) Schools and child care centers shall require on or before the first day of attendance either a CIS or COE form that documents a child's immunization status as required by WAC 246-105-050:(a) For new enrollees registering for admission into preschool and kindergarten through g…

A health care provider administering immunizations, or the organizations he or she works for, either public or private, shall furnish each person immunized, or their parent, with a medically verified immunization record containing information required by this chapter.[Statutory A…

For any child excluded under subsection (1), (2), or (3) of this section, schools must use procedures consistent with chapters 180-38 and 392-380 WAC. A school or child care center shall exclude a child if one or more of the following applies:(1) Parent(s) fail to provide documen…

(1) The department shall develop and distribute implementation guidelines for schools and child care centers that:(a) Meet the requirement of WAC 246-105-040(2); and(b) Reflect national immunization guidelines for children who did not receive required immunizations prior to entry…

(1) This chapter contains model rules for adjudicative proceedings authorized to be conducted under the authority of a board having disciplining authority under the Uniform Disciplinary Act, chapter 18.130 RCW. Each board may adopt these rules as contained in this chapter or as m…

The definitions in this section apply throughout this chapter unless the context clearly requires otherwise.(1) "Adjudicative clerk's office" means the unit with responsibility for: Docketing; service of orders; and maintaining custody of the adjudicative proceeding record, whose…

(1) A person designated by the board shall sign all initiating documents issued under this chapter.(2) All final orders shall be signed by a member of the panel of board members who heard the matter.(3) All other orders shall be signed by the presiding officer conducting the proc…