Washington healthcare regulations: new and proposed rules

220 notices on healthcare from Washington since 1 October 2026: final rule, emergency rule, proposed rule and notice. Rules first, newest first, each with its dates and a link to the state register.

  1. Final rule

    Adopted rule establishing procedures for final ineligibility determination and collection initiation timelines.

    Open in the state register

  2. Final rule

    Adopted rule restricting collection efforts pending initial determination of charity care sponsorship status.

    Open in the state register

  3. Final rule

    Amends dentist licensing fees and renewal cycles under department of health regulation of dental practitioners.

    Open in the state register

  4. Final rule

    Amends Washington administrative code on health carrier utilization review, adverse determinations, and medical necessity standards.

    Open in the state register

  5. Final rule

    Establishes approval criteria for out-of-state refresher courses and nurse administrator qualifications.

    Open in the state register

  6. Final rule

    Establishes clinical experience requirements, competency standards, and faculty oversight duties for nursing programs

    Open in the state register

  7. Final rule

    Establishes degree and clinical experience requirements for registered nurse faculty and advanced nurse practitioner educators

    Open in the state register

  8. Final rule

    Establishes practice/academic partnership models and nursing preceptor requirements for nursing student-employees

    Open in the state register

  9. Final rule

    Establishes requirements for nursing education program closure and record retention.

    Open in the state register

  10. Final rule

    Medicaid eligibility amendment limiting coverage to U.S. citizens, nationals, and certain immigrant categories.

    Open in the state register

  11. Emergency rule

    Emergency rule defining emergency care, medical conditions, emergency departments, and medical staff for hospital operations.

    Open in the state register

  12. Emergency rule

    Emergency rule defining service areas, small group plans, and substitute drug authorization procedures.

    Open in the state register

  13. Emergency rule

    Emergency rule defining substance use disorder services, supplementary pharmacy services, and telemedicine.

    Open in the state register

  14. Emergency rule

    Emergency rule establishing definitions for audio-only telemedicine, emergency services, and established provider relationships.

    Open in the state register

  15. Emergency rule

    Emergency rule expanding dental service coverage in hospital settings under Medicaid program.

    Open in the state register

  16. Emergency rule

    Emergency rule governing health carrier utilization review, prior authorization, and emergency fills for prescription drugs.

    Open in the state register

  17. Emergency rule

    Emergency rule implementing hospital sliding fee schedules for indigent patient discount calculation.

    Open in the state register

  18. Emergency rule

    Emergency rule implementing law prohibiting delayed transmission of ambulance medical debt to collections within 120 days of initial billing.

    Open in the state register

  19. Emergency rule

    Emergency rule modifying treatment limitation definitions and mental health parity requirements for health insurance plans.

    Open in the state register

  20. Emergency rule

    Emergency rule on emergency fills and exception request standards for adverse reactions and clinical harm.

    Open in the state register

  21. Emergency rule

    Emergency rule on network access standards requiring issuers maintain sufficient providers and facilities for timely access.

    Open in the state register

  22. Emergency rule

    Emergency rule on prescription drug utilization management exceptions and protections for pharmacists.

    Open in the state register

  23. Emergency rule

    Emergency rule on utilization management determination notification and pharmacy exception procedures.

    Open in the state register

  24. Emergency rule

    Emergency rule prohibiting hospital denial of emergency care based on ability to pay.

    Open in the state register

  25. Emergency rule

    Preproposal statement for rule amending emergency medical technician recertification requirements.

    Open in the state register

  26. Proposed rule

    Defines related services including speech-language pathology, audiology, occupational and physical therapy for special education.

    Open in the state register

  27. Proposed rule

    Preproposal statement for rule amending health care coverage service categories to add birth doula maternity services.

    Open in the state register

  28. Proposed rule

    Preproposal statement on delayed ambulance billing regulation to protect patients from medical debt collection before reasonable payment opportunity.

    Open in the state register

  29. Proposed rule

    Proposed amendments to hospital charity care rules governing eligibility determination, notification, and billing procedures.

    Open in the state register

  30. Proposed rule

    Proposed amendments to independent review organization requirements for evaluating health plan coverage provisions.

    Open in the state register

  31. Proposed rule

    Proposed rule addressing alternate access delivery systems for health plan provider networks when contracting constraints exist.

    Open in the state register

  32. Proposed rule

    Proposed rule adjusting fees for medical test site licensing and regulatory activities under Clinical Laboratory Improvement Amendment

    Open in the state register

  33. Proposed rule

    Proposed rule amending ambulatory surgical facility licensing and inspection fees for regulatory funding.

    Open in the state register

  34. Proposed rule

    Proposed rule amending definitions of charity care, medically necessary hospital health care, and indigent persons.

    Open in the state register

  35. Proposed rule

    Proposed rule clarifying predominant financial requirement determination using dollar amounts of plan payments for benefit classifications.

    Open in the state register

  36. Proposed rule

    Proposed rule creating contingency management program with incentives for substance use disorder treatment under Apple Health Medicaid.

    Open in the state register

  37. Proposed rule

    Proposed rule defining adverse determination and utilization review requirements for health carriers' benefit decisions.

    Open in the state register

  38. Proposed rule

    Proposed rule defining health carrier and health plan terms for insurance regulation under patient protection law.

    Open in the state register

  39. Proposed rule

    Proposed rule defining health plans excluding long-term care insurance, disability income, and workers' compensation.

    Open in the state register

  40. Proposed rule

    Proposed rule defining mental health benefits and requiring consistency with DSM and professional standards in health plan coverage.

    Open in the state register

  41. Proposed rule

    Proposed rule defining participating providers, facilities, and outpatient therapeutic visits for health plans.

    Open in the state register

  42. Proposed rule

    Proposed rule defining preexisting conditions, premiums, and telemedicine reimbursement compensation standards.

    Open in the state register

  43. Proposed rule

    Proposed rule establishing automatic charity care eligibility based on income level and public assistance enrollment.

    Open in the state register

  44. Proposed rule

    Proposed rule establishing data reporting requirements for contingency management sites providing healthcare services

    Open in the state register

  45. Notice

    Addresses safety net funding and Medicaid billing for special education services, including health care authority billing rates.

    Open in the state register

  46. Notice

    Establishes approval requirements for out-of-state distance learning nursing programs operating in Washington.

    Open in the state register

  47. Notice

    Establishes articulation agreements, program outcomes, and leadership competencies for nursing degree programs.

    Open in the state register

  48. Notice

    Establishes qualifications and orientation requirements for nursing and interdisciplinary preceptors in clinical settings

    Open in the state register

  49. Notice

    Establishes refresher course content, policies, curriculum requirements, and board approval procedures.

    Open in the state register

  50. Notice

    Governs refresher course curriculum changes, substantive and nonsubstantive change notifications.

    Open in the state register

  51. Notice

    Health carrier definitions notice covering formularies, grievances, health care providers, and health plans.

    Open in the state register

  52. Notice

    Health carrier rule defining plan types, predominant level of financial requirements, and processes for applying nonquantitative treatment limitations.

    Open in the state register

  53. Notice

    Health carrier utilization review requirements for mental health and substance use disorder services using clinical criteria.

    Open in the state register

  54. Notice

    Health issuer network adequacy standards for prior authorization, provider sufficiency, and American Indian/Alaska Native access.

    Open in the state register

  55. Notice

    Health issuer requirements for single case provider agreements, enrollment disclosures, and provider directory practices.

    Open in the state register

  56. Notice

    Notice addressing substantially all and predominant level determination for financial requirements in mental health benefit coverage.

    Open in the state register

  57. Notice

    Notice establishing drug utilization review program requirements and urgent versus nonurgent review timelines.

    Open in the state register

  58. Notice

    Notice establishing hospital procedures for identifying patients eligible for health care coverage and retroactive medical assistance.

    Open in the state register

  59. Notice

    Notice establishing network access requirements for primary care, specialists, and preventive services under health insurance plans.

    Open in the state register

  60. Notice

    Notice specifying hospital charity care discount percentages and asset consideration policies.

    Open in the state register

The newest 60 of 220.

About these Washington notices

Which Washington notices are listed?

Notices, proposed, emergency and final rules on healthcare printed in the Washington register since 1 October 2026, newest first. Each links to the page it was printed on.

Is any of this reviewed by a lawyer?

No. The one-line description of each notice is drafted by a model and is not attorney-reviewed. Read the register page before relying on it.

Every healthcare rule change, with its date

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