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
Establishing the use of nitrous oxide in office-based surgical settings
CR-101, CR-102
WAC 246-919-601 Approving Accrediting Entities to Accredit or Certify the Use of Anesthesia in Office-Based Surgical Settings WMC Procedure
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
| 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, CR-102 |
|
|
| Opioid Prescribing General Provisions for MDs and PAs |
CR-101 |
|
|
| Chapter 246-919 WAC, Allopathic Physicians |
CR-101 |
|
Recently Completed Rules
Rules Workshops
| Rule | Date & Time |
Registration |
Documents |
|---|---|---|---|
| Opioid Prescribing General Provisions for MDs and PAs |
October 29, 2025 1pm-3pm |
Virtual Meeting: Register Here
|
|
| Chapter 246-919 WAC, Allopathic Physicians |
January 26, 2026 1pm-3pm |
Virtual Meeting: Register Here | |
| Opioid Prescribing General Provisions for MDs and PAs |
February 23, 2026 1pm-3pm |
Virtual Meeting: Register Here
|
|
| Chapter 246-919 WAC, Allopathic Physicians |
March 9, 2026 1pm-3pm |
Virtual Meeting: Register Here | |
| Opioid Prescribing General Provisions for MDs and PA |
March 23, 2026 1pm-3pm |
Virtual Meeting: Register Here
|
|
| Chapter 246-919 WAC, Allopathic Physicians |
April 13, 2026 1pm-3pm |
Virtual Meeting: Register Here | |
| Chapter 246-919 WAC, Allopathic Physicians |
June 15, 2026 1pm-3pm |
Virtual Meeting: Register Here |
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
Other Department rules in WAC Title 246
