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 246-918 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

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

Rule	Document(s)	RCW/WAC (if applicable)
Opioid Prescribing Patient Exemptions	CR-103	WAC 246-918-801 WAC-246-919-851
SB 6551 – International Medical Graduates	CR-103	WAC 246-919-345
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
ESSB 5229- Health Equity CE	CR-103	RCW 43.70.613: Health care professionals-Health equity continuing education
Military spouse temporary practice license	CR-103	WAC 246-918-076 WAC 246-919-397
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

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

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.

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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.