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
Physicians and Physician Assistants general provision for opioid prescribing and tapering rules	CR-101, Draft Language	WAC 246-918-801 WAC 246-918-845 WAC 246-918-855 WAC 246-918-870 WAC 246-918-900 WAC 246-919-851 WAC 246-919-895 WAC 246-919-905 WAC 246-919-920 WAC 246-919-950
2SHB 1009 Military Spouse Employment Act	CR-101	WAC 246-918-076 WAC 246-919-397
Establishing the use of nitrous oxide in office-based surgical settings	CR-101, WAC 246-919-603	WAC 246-919-601
Technical edits to Pain management specialist-Chronic pain for allopathic physicians and physician assistants	CR-105: Expedited Rulemaking	WAC 246-918-895 WAC 246-919-945
ESHB 2041 Physician Assistant Collaboration	CR-105: Expedited Rulemaking	WAC 246-918-005 WAC 246-918-035 WAC 246-918-055 WAC 246-918-075 WAC 246-918-080 WAC 246-918-105 WAC 246-918-125 WAC 246-918-126 WAC 246-918-130 WAC 246-918-175 WAC 246-918-260 WAC 246-918-410 WAC 246-918-420
Anesthesiologist Assistants	CR-101, Draft Language, WMC CAA Fee Presentation, WMC Fee 1-Pager, DOH Fee CR-101, WSR #24-23-060	Chapter 18.71D RCW

Recently Completed Rules

*Additional information regarding the Suicide Prevention Rules can be found in the Suicide Prevention Training FAQ document (PDF).

 

Rules Workshops

Rule	Date & Time	Registration & Location	Documents
Use of Nitrous Oxide in Office-based surgery settings	Jan 27, 2025 1:30pm	Virtual Meeting Registration, click here: Rules Workshop  Commissioners and Staff will attend this workshop virtually. Physical Location: Department of Health, TC2 111 Israel Rd SE, Room 166 Tumwater, WA 98501	Public Notice CR-101 Workshop Packet

 

Rules Hearings

There are no Rules Hearings scheduled at this time.

 

Stay Connected

Sign up to be notified by email of important information about the Medical Commission rules as it becomes avaliable. 

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

Back to top