State regulations have a big impact on hospitals and health systems and their patients. WSHA tracks rulemaking activity throughout the state and works closely with regulatory agencies, as well as other groups, to advocate for a reasonable regulatory environment. All statewide rulemaking activity is published in the Washington State Register.
(Updated: December 7, 2018)
There are several important regulatory issues at the top of WSHA’s priority list:
- Charity Care. We are actively engaged in the Department of Health’s charity care rulemaking. The second charity care rules development workshop has been scheduled for Wednesday, December 19, 2018, at 9:00 am. Workshop location and web conferencing information is available on the Charity Care Rules website (Zosia Stanley)
- Opioid Prescribing. We have been, and continue to be involved with, the efforts of the various Boards and Commissions of the Department of Health to revise their respective rules regarding opioid prescribing, pursuant to ESHB 1427 (2017). The Nursing Quality Assurance Commission (NQAC) rules went into effect on November 1, 2018 (available here). The Medical Quality Assurance Commission (MQAC) rules will go into effect on January 1, 2019 (available here). The Dental Quality Assurance Commission (DQAC) recently just completed its public consultation process. Details are available on the DQAC’s rulemaking website. Toolkits for providers regarding opioid prescribing are available here. (Ian Corbridge)
- EMS and Trauma Care. We are closely following the ongoing stakeholder meetings related to revising rules governing emergency medical services (EMS) and trauma care. The next stakeholder meeting is scheduled for December 19, 2018 at 2 pm. Workshop location and web conferencing information is available on the EMS rulemaking website (Ian Corbridge).
- EAP Overtime Exemption. We are also closely following the rulemaking process about overtime pay exemptions for Executive, Administrative and Professional (EAP) workers by the Department of Labor and Industries. Our bulletin on the second pre-draft proposal is available here. L&I is accepting comments until December 14, 2018. (Jaclyn Greenberg)
(Updated: December 7, 2018)
To mark the year end with our December update, we have included a table of the completed rules impacting hospitals and health systems, along with our quick take of the result. Look for the thumbs up, thumbs down, or neutral marker.
Hospital Construction Standards Rules Project
Members may also want to note that the Department of Health is reviewing certain rules governing hospital construction standards. DOH is in the early stages of that process, namely reviewing draft rules language and proposals at workshops. The workshops took place in October and early December 2018. Meeting notes from the second workshop are expected in late December 2019. The formal proposal (a filed CR-102) is expected Spring 2019.
Full details, including the draft rules language, a link to a webinar on the 2018 Facility Guideline Institute (FGI) changes (on which the revised rules will be based), and a report on draft proposals are available here.
Please contact DOH Construction Review Services Manager John Williams to receive free access to the 2018 FGI Guidelines.
Please contact us if there is a state rulemaking activity impacting your hospital or health system that you do not see listed here. (Jaclyn Greenberg)