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 246-918 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
Establishing the use of nitrous oxide in office-based surgical settings	CR-101, Draft Language WAC 246-919-603, Revised Draft WAC 246-919-601	WAC 246-919-601
Anesthesiologist Assistants	CR-102, Anesthesiologist Assistants WAC Draft Language	Chapter 18.71D RCW
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 246-918 WAC, Allopathic Physicians		WAC 246-919-010 through WAC 246-919-520 WAC 246-919-602 through WAC 246-919-700

Recently Completed Rules

 

Rules Workshops

Rule	Date & Time	Registration & Location	Documents
Opioid Prescribing General Provisions for MDs and PAs	TBD	TBD	Public Notice CR-101

 

Rules Hearings

Rule	Date &Time	Registration & Location	Documents
Anesthesiologist Assistants	May 9, 2025 9:30 am	5/9/2025 Rules Hearing & Business Meeting Virtual Registration Physical location: Capital Event Center Thurston Room 6005 Tyee Drive SW Tumwater, WA  98512	Public Notice CR-102 Hearing Materials

 

 

 

 

 

 

 

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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.

More agency rule resources

Department of Health Rule Making

State Board of Health Rules

Other Department rules in WAC Title 246

Board of Osteopathic Medicine and Surgery

Rule Petition

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