Title 18 — Title 18 BUSINESSES AND PROFESSIONS
113 chapters · 2,288 sections in this title.
RCW 18.71B.120 Interstate commission—Powers and duties.
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The interstate commission shall have the duty and power to:(1) Oversee and maintain the administration of the compact;(2) Promulgate rules which shall be binding to the extent and in the manner provided for in the compact;(3) Issue, upon the request of a member state or member bo…
RCW 18.71B.130 Interstate commission—Finance powers.
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(1) The interstate commission may levy on and collect an annual assessment from each member state to cover the cost of the operations and activities of the interstate commission and its staff. The total assessment must be sufficient to cover the annual budget approved each year f…
RCW 18.71B.140 Interstate commission—Organization and operation.
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(1) The interstate commission shall, by a majority of commissioners present and voting, adopt bylaws to govern its conduct as may be necessary or appropriate to carry out the purposes of the compact within twelve months of the first interstate commission meeting.(2) The interstat…
RCW 18.71B.150 Interstate commission—Rule-making functions.
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(1) The interstate commission shall promulgate reasonable rules in order to effectively and efficiently achieve the purposes of the compact. Notwithstanding the foregoing, in the event the interstate commission exercises its rule-making authority in a manner that is beyond the sc…
RCW 18.71B.160 State enforcement—Judicial notice—Service of process.
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(1) The executive, legislative, and judicial branches of state government in each member state shall enforce the compact and shall take all actions necessary and appropriate to effectuate the compact's purposes and intent. The provisions of the compact and the rules promulgated h…
RCW 18.71B.170 Enforcement by interstate commission.
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(1) The interstate commission, in the reasonable exercise of its discretion, shall enforce the provisions and rules of the compact.(2) The interstate commission may, by majority vote of the commissioners, initiate legal action in the United States district court for the District …
RCW 18.71B.180 Default.
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(1) The grounds for default include, but are not limited to, failure of a member state to perform such obligations or responsibilities imposed upon it by the compact, or the rules and bylaws of the interstate commission promulgated under the compact.(2) If the interstate commissi…
RCW 18.71B.190 Dispute resolution.
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(1) The interstate commission shall attempt, upon the request of a member state, to resolve disputes which are subject to the compact and which may arise among member states or member boards.(2) The interstate commission shall promulgate rules providing for both mediation and bin…
RCW 18.71B.200 Withdrawal.
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(1) Once effective, the compact shall continue in force and remain binding upon each and every member state; provided that a member state may withdraw from the compact by specifically repealing the statute which enacted the compact into law.(2) Withdrawal from the compact shall b…
RCW 18.71B.210 Dissolution.
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(1) The compact shall dissolve effective upon the date of the withdrawal or default of the member state which reduces the membership in the compact to one member state.(2) Upon the dissolution of the compact, the compact becomes null and void and shall be of no further force or e…
RCW 18.71B.900 Member states, effective date, and amendment.
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(1) Any state is eligible to become a member state of the compact.(2) The compact shall become effective and binding upon legislative enactment of the compact into law by no less than seven states. Thereafter, it shall become effective and binding on a state upon enactment of the…
RCW 18.71B.901 Severability—Construction.
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(1) The provisions of the compact shall be severable, and if any phrase, clause, sentence, or provision is deemed unenforceable, the remaining provisions of the compact shall be enforceable.(2) The provisions of the compact shall be liberally construed to effectuate its purposes.…
RCW 18.71B.902 Binding effect of compact and other laws.
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(1) Nothing herein prevents the enforcement of any other law of a member state that is not inconsistent with the compact.(2) All laws in a member state in conflict with the compact are superseded to the extent of the conflict.(3) All lawful actions of the interstate commission, i…
RCW 18.71C.005 Purpose.
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In order to strengthen access to medical services, and in recognition of the advances in the delivery of medical services, the participating states of the physician assistant licensure compact have allied in common purpose to develop a comprehensive process that complements the e…
RCW 18.71C.010 Definitions.
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In this compact:(1) "Adverse action" means any administrative, civil, equitable, or criminal action permitted by a state's laws which is imposed by a licensing board or other authority against a physician assistant license or license application or compact privilege such as licen…
RCW 18.71C.020 State participation in compact.
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(1) To participate in this compact, a participating state shall:(a) License physician assistants;(b) Participate in the compact commission's data system;(c) Have a mechanism in place for receiving and investigating complaints against licensees and license applicants;(d) Notify th…
RCW 18.71C.030 Compact privilege.
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(1) To exercise the compact privilege, a licensee must:(a) Have graduated from a physician assistant program accredited by the accreditation review commission on education for the physician assistant, inc. or other programs authorized by commission rule;(b) Hold current national …
RCW 18.71C.040 Designation of state for compact privilege.
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Upon a licensee's application for a compact privilege, the licensee shall identify to the commission the participating state from which the licensee is applying, in accordance with applicable rules adopted by the commission, and subject to the following requirements:(1) When appl…
RCW 18.71C.050 Adverse actions.
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(1) A participating state in which a licensee is licensed shall have exclusive power to impose adverse action against the qualifying license issued by that participating state.(2)(a) In addition to the other powers conferred by state law, a remote state shall have the authority, …
RCW 18.71C.060 Compact commission—Establishment—Organization—Powers and duties—Liability.
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(1) The participating states hereby create and establish a joint government agency and national administrative body known as the physician assistant licensure compact commission. The commission is an instrumentality of the compact states acting jointly and not an instrumentality …
RCW 18.71C.070 Data system.
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(1) The commission shall provide for the development, maintenance, operation, and utilization of a coordinated data and reporting system containing licensure, adverse action, and the reporting of the existence of significant investigative information on all licensed physician ass…
RCW 18.71C.080 Rule making.
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(1) The commission shall exercise its rule-making powers pursuant to the criteria set forth in this section and the rules adopted thereunder. Commission rules shall become binding as of the date specified by the commission for each rule.(2) The commission shall promulgate reasona…
RCW 18.71C.090 Oversight—Dispute resolution—Enforcement.
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(1) Oversight.(a) The executive and judicial branches of state government in each participating state shall enforce this compact and take all actions necessary and appropriate to implement the compact.(b) Venue is proper and judicial proceedings by or against the commission shall…
RCW 18.71C.900 Effective date.
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(1) This compact shall come into effect on the date on which this compact statute is enacted into law in the seventh participating state.(a) On or after the effective date of the compact, the commission shall convene and review the enactment of each of the states that enacted the…
RCW 18.71C.901 Construction—Severability.
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(1) This compact and the commission's rule-making authority shall be liberally construed so as to effectuate the purposes, and the implementation and administration of the compact. Provisions of the compact expressly authorizing or requiring the promulgation of rules shall not be…
RCW 18.71C.902 Binding effect of compact.
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(1) Nothing herein prevents the enforcement of any other law of a participating state that is not inconsistent with this compact.(2) Any laws in a participating state in conflict with this compact are superseded to the extent of the conflict.(3) All agreements between the commiss…
RCW 18.71D.010 Definitions.
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The definitions in this section apply throughout this chapter unless the context clearly requires otherwise.(1) "Anesthesiologist" means an actively practicing, board-eligible physician licensed under chapter 18.71, 18.71B, or 18.57 RCW who has completed a residency or equivalent…
RCW 18.71D.020 Rules fixing qualifications—Applications—Discipline.
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(1) The commission shall adopt rules fixing the qualifications and the educational and training requirements for licensure as an anesthesiologist assistant. The requirements shall include completion of an anesthesiologist assistant program accredited by the commission on accredit…
RCW 18.71D.030 Rules establishing scope of practice—Supervision.
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(1) The commission shall adopt rules establishing the requirements and limitations on the practice by and supervision of anesthesiologist assistants, including the number of anesthesiologist assistants an anesthesiologist may supervise concurrently. Unless approved by the commiss…
RCW 18.71D.040 Permitted duties to be delegated.
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(1) An anesthesiologist assistant may not exceed the scope of their supervising anesthesiologist's practice and may assist with those duties and responsibilities delegated to them by the supervising anesthesiologist, and for which they are competent to assist with based on their …
RCW 18.71D.050 Anesthesiologist's liability, responsibility.
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No anesthesiologist who supervises a licensed anesthesiologist assistant in accordance with and within the terms of any permission granted by the commission is considered as aiding and abetting an unlicensed person to practice medicine. The supervising anesthesiologist and anesth…
RCW 18.71D.060 Signing and attesting to required documentation.
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An anesthesiologist assistant may sign and attest to any certificates, cards, forms, or other required documentation that the anesthesiologist assistant's supervising anesthesiologist may sign, provided that it is within the anesthesiologist assistant's scope of practice.[ 2024 c…
RCW 18.71D.070 Application of uniform disciplinary act.
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(1) The uniform disciplinary act, chapter 18.130 RCW, governs the issuance and denial of licenses and the discipline of licensees under this chapter.(2) The commission shall consult with the board of osteopathic medicine and surgery when investigating allegations of unprofessiona…
RCW 18.73.010 Legislative finding.
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The legislature finds that a statewide program of emergency medical care is necessary to promote the health, safety, and welfare of the citizens of this state. The intent of the legislature is to assure minimum standards and training for first responders and emergency medical tec…
RCW 18.73.020 Supersession of local regulation.
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The legislature further declares its intention to supersede all ordinances, regulations, and requirements promulgated by counties, cities and other political subdivisions of the state of Washington, insofar as they may provide for the regulation of emergency medical care, first a…
RCW 18.73.030 Definitions.
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*** CHANGE IN 2026 *** (SEE 2110-S.SL) ***The definitions in this section apply throughout this chapter unless the context clearly requires otherwise.(1) "Advanced life support" means invasive emergency medical services requiring advanced medical treatment skills as defined by ch…
RCW 18.73.081 Duties of secretary—Minimum requirements to be prescribed.
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In addition to other duties prescribed by law, the secretary shall:(1) Prescribe minimum requirements for:(a) Ambulance, air ambulance, organ transport vehicles, and aid vehicles and equipment;(b) Ambulance and aid services; and(c) Minimum emergency communication equipment;(2) Ad…
RCW 18.73.101 Variance from requirements.
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The secretary may grant a variance from a provision of this chapter and RCW 18.71.200 through 18.71.220 if no detriment to health and safety would result from the variance and compliance is expected to cause reduction or loss of existing emergency medical services. Variances may …
RCW 18.73.120 Certificate of advanced first aid qualification.
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The secretary shall recognize a current certificate of advanced first aid qualification for those who provide proof of advanced Red Cross training or its equivalent.[ 1979 ex.s. c 261 s 12; 1973 1st ex.s. c 208 s 12.]
RCW 18.73.130 Ambulance services and aid services—Licensing.
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An ambulance service or aid service may not operate in the state of Washington without holding a license for such operation, issued by the secretary when such operation is consistent with the statewide and regional emergency medical services and trauma care plans established purs…
RCW 18.73.140 Ambulance, organ transport vehicle, and aid vehicles—Licenses.
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The secretary shall issue an ambulance, organ transport vehicle, or aid vehicle license for each vehicle so designated. The license shall be for a period of two years and may be reissued on expiration if the vehicle and its equipment meet requirements in force at the time of expi…
RCW 18.73.145 Ambulance and aid vehicles—Self-inspection program.
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The secretary shall adopt a self-inspection program to assure compliance with minimum standards for vehicles and for medical equipment and personnel on all licensed vehicles. The self-inspection shall coincide with the vehicle licensing cycle and shall be recorded on forms provid…
RCW 18.73.150 Ambulance personnel requirements.
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*** CHANGE IN 2026 *** (SEE 2110-S.SL) ***(1)(a) Any ambulance operated as such shall operate with sufficient personnel for adequate patient care, at least one of whom shall be an emergency medical technician under standards promulgated by the secretary. The emergency medical tec…
RCW 18.73.155 Requirements—Military training or experience.
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An applicant with military training or experience satisfies the training or experience requirements of this chapter unless the secretary determines that the military training or experience is not substantially equivalent to the standards of this state.[ 2011 c 32 s 7.]
RCW 18.73.165 Emergency medical services training course—Students.
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The department shall develop a process for authorizing a student who is 16 years of age to begin an emergency medical services training course administered by a state-approved skill center or other bona fide vocational educational program approved by the office of the superintend…
RCW 18.73.170 Aid vehicles—Personnel—Use.
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The aid vehicle shall be operated in accordance with standards promulgated by the secretary, by at least one person holding a certificate recognized under RCW 18.73.120.The aid vehicle may be used for transportation of patients only when it is impossible or impractical to obtain …
RCW 18.73.180 Other transportation vehicles.
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Other vehicles not herein defined by this chapter shall not be used for transportation of patients who must be carried on a stretcher or who may require medical attention en route, except that such transportation may be used when:(1) A disaster creates a situation that cannot be …
RCW 18.73.190 Violations—Penalties.
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Any person who violates any of the provisions of this chapter and for which a penalty is not provided shall be deemed guilty of a misdemeanor and upon conviction thereof, shall be fined in any sum not exceeding one hundred dollars for each day of the violation, or may be imprison…
RCW 18.73.200 Administrative procedure act applicable.
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The administrative procedure act, chapter 34.05 RCW, shall wherever applicable govern the rights, remedies, and procedures respecting the administration of this chapter.[ 1973 1st ex.s. c 208 s 21.]
RCW 18.73.240 Application of uniform disciplinary act.
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The uniform disciplinary act, chapter 18.130 RCW, shall govern the issuance and denial of credentials, unauthorized practice, and the discipline of persons credentialed under this chapter. The secretary shall act as the disciplinary authority under this chapter. Disciplinary acti…