Title 18 — Title 18 BUSINESSES AND PROFESSIONS
113 chapters · 2,288 sections in this title.
RCW 18.130.165 Enforcement of fine.
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Where an order for payment of a fine is made as a result of a citation under RCW 18.130.230 or a hearing under RCW 18.130.100 or 18.130.190 and timely payment is not made as directed in the final order, the disciplining authority may enforce the order for payment in the superior …
RCW 18.130.170 Capacity of license holder to practice—Hearing—Mental or physical examination—Implied consent.
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(1) If the disciplining authority believes a license holder may be unable to practice with reasonable skill and safety to consumers by reason of any mental or physical condition, a statement of charges in the name of the disciplining authority shall be served on the license holde…
RCW 18.130.172 Evidence summary and stipulations.
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(1) Prior to serving a statement of charges under RCW 18.130.090 or 18.130.170, the disciplinary [disciplining] authority may furnish a statement of allegations to the licensee along with a detailed summary of the evidence relied upon to establish the allegations and a proposed s…
RCW 18.130.175 Physician health and voluntary substance use disorder monitoring programs.
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(1) In lieu of disciplinary action under RCW 18.130.160 and if the disciplining authority determines that the unprofessional conduct may be the result of an applicable impairing or potentially impairing health condition, the disciplining authority may refer the license holder to …
RCW 18.130.177 Physician well-being program records—Disclosure.
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(1)(a) Physician well-being program records relating to well-being program participants created specifically for, and collected and maintained by the physician well-being program, are confidential and exempt from disclosure under chapter 42.56 RCW and shall not be subject to disc…
RCW 18.130.180 Unprofessional conduct.
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Except as provided in RCW 18.130.450, the following conduct, acts, or conditions constitute unprofessional conduct for any license holder under the jurisdiction of this chapter:(1) The commission of any act involving moral turpitude, dishonesty, or corruption relating to the prac…
RCW 18.130.185 Injunctive relief for violations of RCW 18.130.170 or 18.130.180.
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If a person or business regulated by this chapter violates RCW 18.130.170 or 18.130.180, the attorney general, any prosecuting attorney, the secretary, the board, or any other person may maintain an action in the name of the state of Washington to enjoin the person from committin…
RCW 18.130.186 Voluntary substance abuse monitoring program—Content—License surcharge.
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(1) To implement a substance abuse monitoring program for license holders specified under RCW 18.130.040, who are impaired by substance abuse, the disciplinary [disciplining] authority may enter into a contract with a voluntary substance abuse program under RCW 18.130.175. The pr…
RCW 18.130.190 Practice without license—Investigation of complaints—Cease and desist orders—Injunctions—Penalties.
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(1) The secretary shall investigate complaints concerning practice by unlicensed persons of a profession or business for which a license is required by the chapters specified in RCW 18.130.040. In the investigation of the complaints, the secretary shall have the same authority as…
RCW 18.130.195 Violation of injunction—Penalty.
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A person or business that violates an injunction issued under this chapter shall pay a civil penalty, as determined by the court, of not more than twenty-five thousand dollars, which shall be placed in the health professions account. For the purpose of this section, the superior …
RCW 18.130.200 Fraud or misrepresentation in obtaining or maintaining a license—Penalty.
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A person who attempts to obtain, obtains, or attempts to maintain a license by willful misrepresentation or fraudulent representation is guilty of a gross misdemeanor.[ 1997 c 392 s 517; 1986 c 259 s 12; 1984 c 279 s 20.]Notes:Short title—Findings—Construction—Conflict with feder…
RCW 18.130.210 Crime by license holder—Notice to attorney general or county prosecuting attorney.
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If the disciplining authority determines or has cause to believe that a license holder has committed a crime, the disciplining authority, immediately subsequent to issuing findings of fact and a final order, shall notify the attorney general or the county prosecuting attorney in …
RCW 18.130.230 Production of documents—Administrative fines.
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(1)(a) A licensee must produce documents, records, or other items that are within his or her possession or control within twenty-one calendar days of service of a request by a disciplining authority. If the twenty-one calendar day limit results in a hardship upon the licensee, he…
RCW 18.130.250 Retired active license status.
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The disciplining authority may adopt rules pursuant to this section authorizing a retired active license status. An individual credentialed by a disciplining authority regulated in the state under RCW 18.130.040, who is practicing only in emergent or intermittent circumstances as…
RCW 18.130.270 Continuing competency pilot projects.
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The disciplinary [disciplining] authorities are authorized to develop and require licensees' participation in continuing competency pilot projects for the purpose of developing flexible, cost-efficient, effective, and geographically accessible competency assurance methods. The se…
RCW 18.130.300 Immunity from liability.
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(1) The secretary, members of the boards or commissions, or individuals acting on their behalf are immune from suit in any action, civil or criminal, based on any disciplinary proceedings or other official acts performed in the course of their duties.(2) A voluntary substance abu…
RCW 18.130.310 Biennial report—Contents—Format.
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(1) Subject to RCW 40.07.040, the disciplinary [disciplining] authority shall submit a biennial report to the legislature on its proceedings during the biennium, detailing the number of complaints made, investigated, and adjudicated and manner of disposition. In addition, the rep…
RCW 18.130.340 Opiate therapy guidelines.
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The secretary of health shall coordinate and assist the regulatory boards and commissions of the health professions with prescriptive authority in the development of uniform guidelines for addressing opiate therapy for acute pain, and chronic pain associated with cancer and other…
RCW 18.130.350 Application—Use of records or exchange of information not affected.
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This chapter does not affect the use of records, obtained from the secretary or the disciplining authorities, in any existing investigation or action by any state agency. Nor does this chapter limit any existing exchange of information between the secretary or the disciplining au…
RCW 18.130.360 Retired volunteer medical worker license—Supervision—Rules.
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(1) As used in this section, "emergency or disaster" has the same meaning as in RCW 38.52.010.(2) The secretary shall issue a retired volunteer medical worker license to any applicant who:(a) Has held an active license issued by a disciplining authority under RCW 18.130.040 no mo…
RCW 18.130.370 Prohibition on practicing in another state—Prohibited from practicing in this state until proceedings of appropriate disciplining authority are completed.
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Any individual who applies for a license or temporary practice permit or holds a license or temporary practice permit and is prohibited from practicing a health care profession in another state because of an act of unprofessional conduct that is substantially equivalent to an act…
RCW 18.130.390 Sanctioning schedule—Development.
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(1) Each of the disciplining authorities identified in RCW 18.130.040(2)(b) shall appoint a representative to review the secretary's sanctioning guidelines, as well as guidelines adopted by any of the boards and commissions, and collaborate to develop a schedule that defines appr…
RCW 18.130.400 Abuse of vulnerable adult—Prohibition on practice.
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Any individual who applies for a license or temporary practice permit or holds a license or temporary practice permit and has a final finding issued by the department of social and health services of abuse or neglect of a minor or abuse, abandonment, neglect, or financial exploit…
RCW 18.130.410 Collecting blood samples without consent under direction of law enforcement.
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It is not professional misconduct for a physician licensed under chapter 18.71 RCW; osteopathic physician licensed under chapter 18.57 RCW; registered nurse, licensed practical nurse, or *advanced registered nurse practitioner licensed under chapter 18.79 RCW; physician assistant…
RCW 18.130.420 Stem cell therapies—Informed consent.
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(1) A license holder subject to this chapter who performs a stem cell therapy that is not approved by the United States food and drug administration, shall provide the patient with the following written notice prior to performing the therapy:"THIS NOTICE MUST BE PROVIDED TO YOU U…
RCW 18.130.430 Pelvic exams.
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(1) A health care provider licensed under this title may not knowingly perform or authorize a student practicing under their authority to perform a pelvic examination on a patient who is anesthetized or unconscious unless:(a) The patient or a person authorized to make health care…
RCW 18.130.440 Educational materials on nationwide 988 phone number—Veterans crisis line and resources.
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(1) Subject to the availability of amounts appropriated for this specific purpose, the department shall consult with the department of veterans affairs to create educational materials informing health care providers regulated under this chapter about the availability of the natio…
RCW 18.130.450 Reproductive health care services and gender-affirming treatment.
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(1) Notwithstanding RCW 18.130.180, the following shall not constitute unprofessional conduct under this chapter:(a) The provision of, authorization of, recommendation of, aiding in, assistance in, referral for, or other participation in any reproductive health care services or g…
RCW 18.130.460 Female genital mutilation—Minors—Prohibition on procedure.
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(1) A health care provider licensed under this title shall not perform any procedure constituting female genital mutilation on a minor.(2) A licensed health care provider who violates subsection (1) of this section is subject to discipline under this chapter.(3) For purposes of t…
RCW 18.130.470 Ultrasounds.
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(1) An ultrasound or a similar medical imaging device or procedure may only be provided by: (a) A health care provider holding an active license under one of the chapters listed in RCW 18.130.040 and acting within their scope of practice; or (b) a person acting under the supervis…
RCW 18.130.800 Rule making—Licensure requirements.
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(1) By July 1, 2024, the department and the examining board of psychology shall adopt emergency rules to implement changes to licensing requirements to remove barriers to entering and remaining in the health care workforce and to streamline and shorten the credentialing process. …
RCW 18.130.900 Short title—Applicability.
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(1) This chapter shall be known and cited as the uniform disciplinary act.(2) This chapter applies to any conduct, acts, or conditions occurring on or after June 11, 1986.(3) This chapter does not apply to or govern the construction of and disciplinary action for any conduct, act…
RCW 18.130.901 Severability—1984 c 279.
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If any provision of this act or its application to any person or circumstance is held invalid, the remainder of the act or the application of the provision to other persons or circumstances is not affected.[ 1984 c 279 s 95.]
RCW 18.134.005 Short title—2024 c 212.
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Chapter 212, Laws of 2024 may be known and cited as the uniform telehealth act.[ 2024 c 212 s 1.]
RCW 18.134.010 Definitions.
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The definitions in this section apply throughout this chapter unless the context clearly requires otherwise.(1) "Disciplining authority" means an entity to which a state has granted the authority to license, certify, or discipline individuals who provide health care.(2) "Electron…
RCW 18.134.020 Scope.
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(1) This chapter applies to the provision of telehealth services to a patient located in this state.(2) This chapter does not apply to the provision of telehealth services to a patient located outside this state.[ 2024 c 212 s 3.]
RCW 18.134.030 Telehealth authorization.
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(1) A health care practitioner may provide telehealth services to a patient located in this state if the services are consistent with the health care practitioner's scope of practice in this state, applicable professional practice standards in this state, and requirements and lim…
RCW 18.134.040 Professional practice standard.
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(1) A health care practitioner who provides telehealth services to a patient located in this state shall provide the services in compliance with the professional practice standards applicable to a health care practitioner who provides comparable in-person health care in this stat…
RCW 18.134.050 Out-of-state health care practitioner.
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An out-of-state health care practitioner may provide telehealth services to a patient located in this state if the out-of-state health care practitioner:(1) Holds a current license or certification required to provide health care in this state or is otherwise authorized to provid…
RCW 18.134.060 Location of care—Venue.
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(1) The provision of a telehealth service under this chapter occurs at the patient's location at the time the service is provided.(2) In a civil action arising out of a health care practitioner's provision of a telehealth service to a patient under this chapter, brought by the pa…
RCW 18.134.070 Reimbursement—Prior patient consent for direct billing required.
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(1) Nothing in chapter 212, Laws of 2024 shall be construed to require a health carrier as defined in RCW 48.43.005, a health plan offered under chapter 41.05 RCW, or medical assistance offered under chapter 74.09 RCW to reimburse for telehealth services that do not meet statutor…
RCW 18.134.800 Rule-making authority.
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Disciplining authorities may adopt rules to administer, enforce, implement, or interpret this chapter.[ 2024 c 212 s 8.]
RCW 18.134.900 Uniformity of application and construction.
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In applying and construing this chapter, a court shall consider the promotion of uniformity of the law among jurisdictions that enact the uniform telehealth act.[ 2024 c 212 s 9.]
RCW 18.138.010 Definitions.
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(1) "Dietetics" is the integration and application of scientific principles of food, nutrition, biochemistry, physiology, management, and behavioral and social sciences in counseling people to achieve and maintain health. Unique functions of dietetics include, but are not limited…
RCW 18.138.020 Certification required.
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(1) No persons shall represent themselves as certified dietitians or certified nutritionists unless certified as provided for in this chapter.(2) Persons represent themselves as certified dietitians or certified nutritionists when any title or any description of services is used …
RCW 18.138.030 Qualifications for certification.
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(1) An applicant applying for certification as a certified dietitian or certified nutritionist shall file a written application on a form or forms provided by the secretary setting forth under affidavit such information as the secretary may require, and proof that the candidate h…
RCW 18.138.040 Certification—Application procedures, requirements, fees.
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(1) If the applicant meets the qualifications as outlined in RCW 18.138.030(2), the secretary shall confer on such candidates the title certified dietitian.(2) If the applicant meets the qualifications as outlined in RCW 18.138.030(4), the secretary shall confer on such candidate…
RCW 18.138.050 Certification without examination.
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The secretary may certify a person applying for the title "certified dietitian" without examination if such person is licensed or certified as a dietitian in another jurisdiction and if, in the secretary's judgment, the requirements of that jurisdiction are equivalent to or great…
RCW 18.138.060 Renewal of certification—Fee.
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(1) Every person certified as a certified dietitian or certified nutritionist shall renew the certification according to administrative procedures, administrative requirements, and fees determined by the secretary as provided in RCW 43.70.250 and 43.70.280.(2) All fees collected …
RCW 18.138.070 Authority of secretary.
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In addition to any other authority provided by law, the secretary may:(1) Adopt rules in accordance with chapter 34.05 RCW necessary to implement this chapter;(2) Establish forms necessary to administer this chapter;(3) Issue a certificate to an applicant who has met the requirem…