Rules and Regulations In Progress

Rules are created through a public process involving open public workshops and hearings. The public is welcome to take part in helping us write rules. Rules are also known as regulations, Washington Administrative Code, or WAC. While each rule is in various stages of rule writing, you are welcome to comment at any time.

The Washington Medical Commission (WMC) has authority (RCW 18.71.017) to change, update, and add to the following chapters of the Washington Administrative Code (WAC):

Chapter 246-921 WAC- Anesthesiologist Assistants

Chapter 246-918 WAC - Physician Assistants

Chapter 246-919 WAC - Washington Medical Commission

Current Rules in Progress

Rule Document(s) RCW/WAC (if applicable)

Collaborative Drug Therapy Agreements (CDTA) CR-101 New sections may be added to chapter 246-919 WAC-Physicians and chapter 246-918 WAC-Physician Assistants

Opioid Prescribing General Provisions for MDs and PAs CR-101
WAC 246-918-800 through WAC 246-918-935
WAC 246-919-850 through WAC 246-919-985

Chapter 246-919 WAC, Allopathic Physicians CR-101
WAC 246-919-010 through
WAC 246-919-520
WAC 246-919-602 through
WAC 246-919-700

Anesthesiologist Assistants CME Renewal Cycle CR-101
WAC 246-921-125

Rule	Document(s)	RCW/WAC (if applicable)
Collaborative Drug Therapy Agreements (CDTA)	CR-101	New sections may be added to chapter 246-919 WAC-Physicians and chapter 246-918 WAC-Physician Assistants
Opioid Prescribing General Provisions for MDs and PAs	CR-101	WAC 246-918-800 through WAC 246-918-935 WAC 246-919-850 through WAC 246-919-985
Chapter 246-919 WAC, Allopathic Physicians	CR-101	WAC 246-919-010 through WAC 246-919-520 WAC 246-919-602 through WAC 246-919-700
Anesthesiologist Assistants CME Renewal Cycle	CR-101	WAC 246-921-125

Recently Completed Rules

Rule	Document(s)	RCW/WAC (if applicable)
Physicians and Physician Assistants general provision for opioid prescribing and tapering rules	CR-103	WAC 246-918-801 WAC 246-918-870 WAC 246-918-900 WAC 246-919-851 WAC 246-919-920 WAC 246-919-950
Military spouse temporary practice license	CR-103	WAC 246-918-076 WAC 246-919-397
Establishing the use of nitrous oxide in office-based surgical settings	CR - 103	WAC 246-919-601 Approving Accrediting Entities to Accredit or Certify the Use of Anesthesia in Office-Based Surgical Settings WMC Procedure
Postgraduate Medical Training	CR-103	WAC 246-919-330
Technical edits related to SHB 2378 (Chapter 80, Laws of 2020)	CR-103	WAC 246-918-895 WAC 246-919-945
PA Collaborative Practice	CR-103	Chapter 246-918 WAC
Anesthesiologist Assistants	CR-103	Chapter 246-921 WAC

Rules Workshops

Rule	Date & Time	Registration	Documents
Opioid Prescribing General Provisions for MDs and PAs	June 1, 2026 1pm-3pm	Virtual Meeting: Register Here	Public Notice CR-101
Chapter 246-919 WAC, Allopathic Physicians	June 15, 2026 1pm-3pm	Virtual Meeting: Register Here	Public Notice CR-101
Opioid Prescribing General Provisions for MDs and PA	July 13, 2026 1pm-3pm	Virtual Meeting: Register Here	Public Notice CR-101
Chapter 246-919 WAC, Allopathic Physicians	July 27, 2026 1pm-3pm	Virtual Meeting: Register Here	Public Notice CR-101
Opioid Prescribing General Provisions for MDs and PAs	August 10, 2026 1pm-3pm	Virtual Meeting: Register Here	Public Notice CR-101
Chapter 246-919 WAC, Allopathic Physicians	August 31, 2026 1pm-3pm	Virtual Meeting: Register Here	Public Notice CR-101
Opioid Prescribing General Provisions for MDs and PAs	September 28, 2026 1pm-3pm	Virtual Meeting: Register Here	Public Notice CR-101
Anesthesiologist Assistants - Continuing Medical Education (CME) renewal cycle	TBD

Rules Hearings

There are no rules hearings scheduled at this time.

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If you have questions, please contact our Program Manager at Medical.Rules@wmc.wa.gov. For more information about Medical Commission rules and policies, please visit our policies page or our FAQ page.