Preproposals

Subject of Possible Rule Making: WAC 182-550-3830 Adjustments to inpatient rates, 182-550-7550 OPPS payment enhancements; other related rules as appropriate. Statutes Authorizing the Agency to Adopt Rules on this Subject: RCW 74.09.5225 (3)(a), 41.05.021 , 41.05.160 . Reasons Why Rules on this Subject may be Needed and What They Might Accomplish: The health care authority (agency) is amending these rules to reduce the sole community hospital rate multiplier to 1.25, effective July 1, 2024. Durin

Subject of Possible Rule Making: Implementation of E2SHB 1357 (2023) and SSB 6228 (2024) and updates to prior authorization rules, prior authorization modernization and substance use disorder treatment. Statutes Authorizing the Agency to Adopt Rules on this Subject: RCW 48.02.060 , 48.43.0161 , 48.43.520 , 48.43.761 , 48.43.762 ; and section 11, chapter 366, Laws of 2024. Reasons Why Rules on this Subject may be Needed and What They Might Accomplish: In 2023, the legislature modernized prior aut

Subject of Possible Rule Making: Chapter 51-54A WAC, Amendment of the 2024 International Fire Code. Statutes Authorizing the Agency to Adopt Rules on this Subject: RCW 19.27.031 and 19.27.074 . Reasons Why Rules on this Subject may be Needed and What They Might Accomplish: The state building code council regularly reviews the Washington state building code, as outlined in chapter 51-04 WAC and RCW 19.27.074 , to evaluate revisions made to the codes by the national model code organizations, and t

Subject of Possible Rule Making: Chapter 51-11C WAC, Adoption and Amendments of the 2024 Washington State Energy Code, Commercial. Statutes Authorizing the Agency to Adopt Rules on this Subject: RCW 19.27A.025 , 19.27A.160 . Reasons Why Rules on this Subject may be Needed and What They Might Accomplish: The state building code council (council) regularly reviews the Washington state building code, as outlined in chapter 51-04 WAC and RCW 19.27A.025 , to evaluate revisions made to the codes by th

Subject of Possible Rule Making: Chapter 51-52 WAC, Adoption and amendment of the 2024 International Mechanical Code and International Fuel Gas Code with Washington state amendments. Statutes Authorizing the Agency to Adopt Rules on this Subject: RCW 19.27.031 , 19.27.074 . Reasons Why Rules on this Subject may be Needed and What They Might Accomplish: The building code council is reviewing the 2024 changes to the national model code and associated codes and standards and soliciting changes to t

Subject of Possible Rule Making: Chapter 51-50 WAC, Adoption and amendment of the 2024 International Building Code. Statutes Authorizing the Agency to Adopt Rules on this Subject: RCW 19.27.031 and 19.27.074 . Reasons Why Rules on this Subject may be Needed and What They Might Accomplish: The state building code council regularly reviews the Washington state building code, as outlined in chapter 51-04 WAC and RCW 19.27.074 , to evaluate revisions made to the codes by the national model code orga

Subject of Possible Rule Making: Relating to health care benefit managers (HCBMs) including, but not limited to, implementation of E2SSB 5213 (chapter 242, Laws of 2024). Statutes Authorizing the Agency to Adopt Rules on this Subject: RCW 48.200.900 , 48.02.060 . Reasons Why Rules on this Subject may be Needed and What They Might Accomplish: E2SSB 5213 (chapter 242, Laws of 2024) amends state law concerning the business practices of HCBMs and pharmacy benefit managers (PBMs, which are a type of

Subject of Possible Rule Making: Reporting and classification amendments. Chapter 296-17 WAC, General reporting rules, audit and recordkeeping, rates and rating system for Washington workers' compensation insurance; and chapter 296-17A WAC, Classifications for Washington workers' compensation insurance. Statutes Authorizing the Agency to Adopt Rules on this Subject: RCW 51.16.035 and 51.04.020 . Reasons Why Rules on this Subject may be Needed and What They Might Accomplish: 2025 Reporting and cl

Subject of Possible Rule Making: Implementation of SSB 5986 and updates to the Balance Billing Protection Act (BBPA) rules in chapter 284-43B WAC. Statutes Authorizing the Agency to Adopt Rules on this Subject: RCW 48.49.110 , 48.02.060 ; amending RCW 48.49.060 , section (3), chapter 218, Laws of 2024. Reasons Why Rules on this Subject may be Needed and What They Might Accomplish: SSB 5986 was signed into law on March 19, 2024. The legislation adds ground ambulance balance billing protections to

Subject of Possible Rule Making: WAC 182-550-3800 Rebasing; other related rules as appropriate. Statutes Authorizing the Agency to Adopt Rules on this Subject: RCW 41.05.021 , 41.05.160 . Reasons Why Rules on this Subject may be Needed and What They Might Accomplish: The health care authority (agency) is amending these rules to provide more general language due to frequent changes of percentages and dollar amounts. During the course of this review, the agency may identify additional related chan

Subject of Possible Rule Making: WAC 182-550-4400 Services — Exempt from DRG payment; other related rules as appropriate. Statutes Authorizing the Agency to Adopt Rules on this Subject: RCW 41.05.021 , 41.05.160 . Reasons Why Rules on this Subject may be Needed and What They Might Accomplish: The health care authority (agency) is amending this rule to add gender affirming surgery services to being exempt from diagnosis-related group payment. During the course of this review, the agency may ident

Subject of Possible Rule Making: Establishing the use of nitrous oxide in office based surgical settings. The Washington medical commission (commission) is considering amending WAC 246-919-601 to exempt the use of nitrous oxide in office-based surgical settings under certain circumstances. Additionally, the commission is considering adding a new subsection to further address the use of nitrous oxide in such settings. Statutes Authorizing the Agency to Adopt Rules on this Subject: RCW 18.71.017 .

Subject of Possible Rule Making: Updating chapter 110-145 WAC, Licensing requirements for group care facilities. Statutes Authorizing the Agency to Adopt Rules on this Subject: RCW 74.15.030 . Reasons Why Rules on this Subject may be Needed and What They Might Accomplish: The department of children, youth, and families licensing division (LD) is updating chapter 110-145 WAC, Licensing requirements for group care facilities, and any related WAC to align with the D.S. Settlement Agreement. LD will

Subject of Possible Rule Making: WAC 182-546-4700 Ambulance transportation — Ambulance transport fund — Purpose; other related rules as appropriate. Statutes Authorizing the Agency to Adopt Rules on this Subject: RCW 74.70.901 (SB 5122, chapter 11, Laws of 2023), 41.05.021 , 41.05.160 . Reasons Why Rules on this Subject may be Needed and What They Might Accomplish: The health care authority (agency) is amending this rule to extend the expiration date for the ambulance transport fund from July 1,

Subject of Possible Rule Making: In an effort to modernize technology, the gambling commission (commission) has authorized staff to replace the current legacy IT systems. The commission has authorized staff to identified several chapters of Title 230 WAC that will need to be amended or updated as we approach implementation of the new IT systems. Statutes Authorizing the Agency to Adopt Rules on this Subject: RCW 9.46.070 . Reasons Why Rules on this Subject may be Needed and What They Might Accom

Subject of Possible Rule Making: Expiration date for organization licenses. Statutes Authorizing the Agency to Adopt Rules on this Subject: RCW 9.46.070 . Reasons Why Rules on this Subject may be Needed and What They Might Accomplish: RCW 9.46.070 authorizes the gambling commission (commission) to issue licenses for a period not to exceed one year to certain organizations. Currently, those licenses expire at the end of a quarter, depending on when their license was initially approved. However, t

Subject of Possible Rule Making: WAC 51-11C-40314, 2021 Washington State Energy Code, Commercial Provisions, Use of electric resistance and fossil fuel-fired HVAC heating equipment. Statutes Authorizing the Agency to Adopt Rules on this Subject: RCW 19.27A.020 , 19.27A.025 , and 19.27A.160 . Reasons Why Rules on this Subject may be Needed and What They Might Accomplish: The building code council was petitioned to amend Items 5 and 7 of Section C403.1.4 in the 2021 Washington State Energy Code, C

Subject of Possible Rule Making: Testing requirements for proprietary treatment products in WAC 246-272A-0110. The department of health (department) is considering to amend WAC 246-272A-0110, Table I, Category 2 to add NSF/ANSI 40 testing for Category 2 products. Statutes Authorizing the Agency to Adopt Rules on this Subject: RCW 43.20.050 (3) and (4). Reasons Why Rules on this Subject may be Needed and What They Might Accomplish: Category 2 products treat high-strength sewage from restaurants a

Subject of Possible Rule Making: The Washington utilities and transportation commission (UTC) is directed, under ESHB 1589 (chapter 351, Laws of 2024), to adopt rules to implement consolidated planning requirements for large combination electric and natural gas utilities that allow for integrated system plans that may include existing statutorily required plans. UTC is also directed to adopt by rule a cost test for emissions reduction measures achieved by large combination utilities to comply wi

Subject of Possible Rule Making: WAC 4-30-053 Client records. Statutes Authorizing the Agency to Adopt Rules on this Subject: RCW 18.04.055 . Reasons Why Rules on this Subject may be Needed and What They Might Accomplish: The board of accountancy proposes adoption of WAC 4-30-053 to provide guidance to consumers regarding client records. Other Federal and State Agencies that Regulate this Subject and the Process Coordinating the Rule with These Agencies: None. Process for Developing New Rule: Ag

Subject of Possible Rule Making: WAC 484-50-010 Public records. Statutes Authorizing the Agency to Adopt Rules on this Subject: RCW 42.56.440 , 43.60A.290 . Reasons Why Rules on this Subject may be Needed and What They Might Accomplish: The updated rules are consistent with language changes to RCW 42.56.440 and 43.60A.290 . Other Federal and State Agencies that Regulate this Subject and the Process Coordinating the Rule with These Agencies: Not applicable. Process for Developing New Rule: Agency

Subject of Possible Rule Making: WAC 484-10-035 Veterans' affairs advisory committee (VAAC). Statutes Authorizing the Agency to Adopt Rules on this Subject: RCW 43.60A.080 . Reasons Why Rules on this Subject may be Needed and What They Might Accomplish: The proposed rules will update outdated language, address changes in meeting structure, acknowledge homes liaisons and community town halls, and update the process for removing a VAAC member as a result of not attending regular meetings. Other Fe

Subject of Possible Rule Making: Title 314 WAC; the Washington state liquor and cannabis board (LCB) is considering amending WAC 314-55-115(1) and amending, repealing, or creating other sections of Title 314 WAC as necessary to allow cannabis licensees who buy cannabis from other cannabis licensees more flexibility than currently exists when paying via check. Rules currently require the check to be provided prior to or at the time of delivery. Statutes Authorizing the Agency to Adopt Rules on th

Subject of Possible Rule Making: Implementing chapter 319, Laws of 2024, flexible and part-time work for general and limited authority Washington peace officers. Statutes Authorizing the Agency to Adopt Rules on this Subject: RCW 41.50.050 ; and chapter 319, Laws of 2024. Reasons Why Rules on this Subject may be Needed and What They Might Accomplish: Making necessary changes to implement chapter 319, Laws of 2024, which allows law enforcement agencies to have general and limited authority and Wa

Subject of Possible Rule Making: Labor standards for adult entertainment establishments; new section under chapter 296-128 WAC. Statutes Authorizing the Agency to Adopt Rules on this Subject: Chapter 49.46 RCW. Reasons Why Rules on this Subject may be Needed and What They Might Accomplish: ESSB 6105, to be codified under chapter 49.46 RCW, addresses protections for entertainers at adult entertainment establishments. ESSB 6105 includes the following labor standard requirements for an adult entert

Subject of Possible Rule Making: Chapter 296-831 WAC, Adult entertainer safety. Statutes Authorizing the Agency to Adopt Rules on this Subject: Chapter 49.17 RCW; RCW 49.17.470 . Reasons Why Rules on this Subject may be Needed and What They Might Accomplish: This rule making will implement the requirements of section 1 of ESSB 6105 (chapter 304, Laws of 2024) codified under RCW 49.17.470 . Specifically, this rule making will address some of the following: • Requirements that an adult entertainme

Subject of Possible Rule Making: WAC 4-30-057 Limitations on CPA inactive and CPA retired and 4-30-058 Other authorized titles. Statutes Authorizing the Agency to Adopt Rules on this Subject: RCW 18.04.055 . Reasons Why Rules on this Subject may be Needed and What They Might Accomplish: The board of accountancy proposes amending WAC 4-30-058 to clarify authorized title usage. The board of accountancy proposes adoption of new WAC 4-30-057 to provide guidance on CPA inactive and CPA retired. Other

Subject of Possible Rule Making: WAC 4-30-010 Definitions, 4-30-024 Public records, 4-30-034 Responding to board inquiries, 4-30-040 Integrity and objectivity, 4-30-042 Independence, 4-30-044 Contingent fees, 4-30-045 Commission and referral fees, 4-30-046 General standards, 4-30-048 Compliance with standards, 4-30-049 Accounting principles, 4-30-050 Confidential client information, 4-30-052 Acts discreditable, 4-30-054 Advertising and other forms of solicitation, 4-30-056 Form of organization a

Subject of Possible Rule Making: Psychologist licensure requirements; implementation of legislation, lowering barriers to licensure, streamline credentialing, and other updates. Amending chapter 246-924 WAC, Psychologists, and possibly repealing or creating new sections. The examining board of psychology (board) is considering rule amendments to implement recent legislation, including 2SHB 1724 (chapter 425, Laws of 2023) and E2SHB 2247 (chapter 371, Laws of 2024). To implement this legislation,

Subject of Possible Rule Making: WAC 182-530-7150 Reimbursement — Compounded prescriptions, and 182-530-8150 Reimbursement — Automated maximum allowable cost (AMAC); other related rules as appropriate. Statutes Authorizing the Agency to Adopt Rules on this Subject: RCW 41.05.021 , 41.05.160 . Reasons Why Rules on this Subject may be Needed and What They Might Accomplish: The health care authority (HCA) is removing all instances of "automated maximum allowable cost" and "AMAC" from WAC 182-530-71

Subject of Possible Rule Making: Chapter 173-18 WAC, Shoreline Management Act — Streams and rivers constituting shorelines of the state; chapter 173-20 WAC, Shoreline Management Act — Lakes constituting shorelines of the state; chapter 173-22 WAC, Adoption of designations of shorelands and wetlands associated with shorelines of the state; chapter 173-26 WAC, State master program approval/amendment procedures and master program guidelines; and chapter 173-27 WAC, Shoreline management permit and e

Subject of Possible Rule Making: Chapter 181-82 WAC and WAC 181-79A-232, substitute teacher assignment and certificate requirements. Statutes Authorizing the Agency to Adopt Rules on this Subject: Chapter 28A.410 RCW. Reasons Why Rules on this Subject may be Needed and What They Might Accomplish: Clarify policy for assignment of substitute teachers. Other Federal and State Agencies that Regulate this Subject and the Process Coordinating the Rule with These Agencies: Not applicable. Process for D

Subject of Possible Rule Making: Washington State University (WSU) is updating the campus parking and traffic regulations, chapter 504-15 WAC. Statutes Authorizing the Agency to Adopt Rules on this Subject: RCW 28B.30.150 . Reasons Why Rules on this Subject may be Needed and What They Might Accomplish: The proposed amendments modify, clarify, and update WSU's parking and traffic regulations for the WSU Pullman campus. Process for Developing New Rule: Reviewed internally at many levels before pro

Subject of Possible Rule Making: Development of training to obtain beaver relocation permit. Statutes Authorizing the Agency to Adopt Rules on this Subject: RCW 77.04.012 , 77.04.055 , 77.12.240 , 77.12.120 , 77.15.190 , 77.15.194 , 77.32.050 , 77.32.090 , 77.32.585 , and 77.36.160 . Reasons Why Rules on this Subject may be Needed and What They Might Accomplish: The department of fish and wildlife (department) is developing a new permit that is specific to beaver relocation and consistent with R

Subject of Possible Rule Making: Chapter 16-470 WAC, Quarantine — Agricultural pests. The department of agriculture (department) is considering expanding the boundaries of the Japanese beetle internal quarantine. The current permanent internal quarantine specified in chapter 16-470 WAC covers 49 square miles in the southeastern corner of Yakima County and the southwestern corner of Benton County. Japanese beetle catches from the 2022 and 2023 trapping seasons indicate that a permanent expansion

Subject of Possible Rule Making: The department of social and health services (department) is considering amending WAC 388-106-1800 through 388-106-1820, long-term care services, specifically the rules related to the long-term service and supports presumptive eligibility and any related rules as may be required. Statutes Authorizing the Agency to Adopt Rules on this Subject: RCW 74.08.090 and 74.39A.030 . Reasons Why Rules on this Subject may be Needed and What They Might Accomplish: The departm

Subject of Possible Rule Making: The department of social and health services (department) is considering amending WAC 388-76-10031 License requirements—Seven or eight bed adult family homes — Licensure. This proposal refiles the project previously filed as WSR 23-17-056 that seeks to clarify requirements for homes wishing to increase capacity to seven or eight beds when the adult family home (home) serves only residents who do not require assistance with evacuation and the home does not have a

Subject of Possible Rule Making: Veterinarian and veterinary technician licensure requirements. The veterinary board of governors (board) is considering updates to licensure, reactivation, continuing education, and examination requirements, which may include adding a new section in chapters 246-933 and 246-935 WAC to implement 2SHB 1724 (chapter 425, Laws of 2023) and 2SHB 1009 (chapter 165, Laws of 2023). Statutes Authorizing the Agency to Adopt Rules on this Subject: RCW 18.92.030 ; 2SHB 1724

Subject of Possible Rule Making: Removing barriers for denturist licensure. The board of denturists (board) is considering updates to reduce licensure barriers, and will address jurisprudence exam and examination requirements for denturists. The board is considering adopting substantial equivalency standard rules within WAC 246-812-120, 246-812-125, 246-812-159, and other applicable rules in order to comply with 2SHB 1724 (chapter 425, Laws of 2023). Statutes Authorizing the Agency to Adopt Rule

Subject of Possible Rule Making: Chapter 388-823 WAC and other related rules as may be required. Statutes Authorizing the Agency to Adopt Rules on this Subject: RCW 71A.10.020 , 71A.16.020 , and 74.08.090 . Reasons Why Rules on this Subject may be Needed and What They Might Accomplish: The developmental disabilities administration (DDA) is planning to amend chapter 388-823 WAC to comply with 2SHB 2008, which directs DDA to remove intelligence quotient (IQ) criteria from DDA enrollment processes.

Subject of Possible Rule Making: Naturopathic licensure requirements; WAC 246-836-020 Requirements for licensure and 246-836-040 Jurisprudence examinations. The board of naturopathy (board) is considering amendments to licensure requirements relating to the jurisprudence examination as a condition for licensure and to clarify, update, and simplify rules to comply with 2SHB 1724, (chapter 425, Laws of 2023), codified as RCW 18.130.077 . Statutes Authorizing the Agency to Adopt Rules on this Subje

Subject of Possible Rule Making: WAC 182-543-3300 Covered — Osteogenesis electrical stimulator (bone growth stimulator); other related rules as appropriate. Statutes Authorizing the Agency to Adopt Rules on this Subject: RCW 41.05.021 , 41.05.160 . Reasons Why Rules on this Subject may be Needed and What They Might Accomplish: The health care authority (agency) is amending WAC 182-543-3300. Rule updates will include updated medical necessity criteria based on evidence review(s). During this revi

Subject of Possible Rule Making: Title 314 WAC; the Washington state liquor and cannabis board (board) is considering repealing, amending, and creating rule sections as necessary to implement SHB 1453 (chapter 79, Laws of 2024), which exempts qualifying patients or designated providers issued a recognition card, purchasing cannabis identified by the Washington state department of health (DOH) in chapter 246-70 WAC, from a cannabis retailer issued a medical cannabis endorsement, from the cannabis

Subject of Possible Rule Making: WAC 182-513-1530 Maximum guardianship fee and related cost deductions allowed from a client's participation or room and board on or after June 1, 2018; other related rules as appropriate. Statutes Authorizing the Agency to Adopt Rules on this Subject: RCW 41.05.021 , 41.05.160 . Reasons Why Rules on this Subject may be Needed and What They Might Accomplish: The health care authority (agency) is amending this rule to update a statutory citation. During this review

Subject of Possible Rule Making: Chapter 16-470 WAC,Quarantine — Agricultural pests. As a result of a petition for rule making, the department of agriculture (department) is considering expanding the apple maggot quarantine area in Okanogan County. Statutes Authorizing the Agency to Adopt Rules on this Subject: RCW 17.24.011 and 17.24.041 . Reasons Why Rules on this Subject may be Needed and What They Might Accomplish: The apple maggot is an invasive insect pest native to Eastern North America.

Subject of Possible Rule Making: Chapter 516-21 WAC, Student conduct code. Statutes Authorizing the Agency to Adopt Rules on this Subject: RCW 28B.35.120 (12). Reasons Why Rules on this Subject may be Needed and What They Might Accomplish: Changes are proposed to clarify the student conduct process based on lessons learned and new language from Washington State University's recent code review. Other Federal and State Agencies that Regulate this Subject and the Process Coordinating the Rule with

Subject of Possible Rule Making: The department of social and health services (DSHS) is planning to amend WAC 388-310-0300 WorkFirst — Infant care exemptions for mandatory participants, 388-310-1450 Pregnancy to employment, 388-484-0006 TANF/SFA time limit extension, and other related rules as may be required. Statutes Authorizing the Agency to Adopt Rules on this Subject: RCW 74.04.050 , 74.04.055 , 74.04.057 , and 74.08.090 . Reasons Why Rules on this Subject may be Needed and What They Might