Original Notice.

Preproposal statement of inquiry was filed as WSR 01-12-093.

Title of Rule: WAC 246-919-990 Medical fees and 246-918-990 Physician assistant fees.

Purpose: These rules will clarify fees for individuals going from a limited post graduate license to a full license and clarify the applicability of the impaired monitoring surcharge.

Statutory Authority for Adoption: RCW 18.71.017, 18.71A.020, and 43.70.280.

Summary: The proposed rule amendment will clarify the fee for those transitioning from a limited license to a full license; revise the description of the "impaired physician program" fee which is confusing (not to change the fee); remove language of the "one-year renewal" that is no longer necessary; and correct a typographic error for the physician assistant expired license re-issuance fee.

Reasons Supporting Proposal: These proposed rules will lower the cost of application from a limited licensed to a full license; and general housekeeping for clear and concise rule writing.

Name of Agency Personnel Responsible for Drafting and Implementation: Beverly A. Teeter, Health, 1300 S.E. Quince Street, Olympia, WA, 236-4788; and Enforcement: Doron Maniece, 1300 S.E. Quince Street, Olympia, WA, 236-4789.

Name of Proponent: [Department of Health], governmental.

Rule is not necessitated by federal law, federal or state court decision.

Explanation of Rule, its Purpose, and Anticipated Effects: The rule change clarifies the fee that pays the difference between the limited license application fee and the full physician application fee. The proposed amendment will use clear and concise language regarding the "impaired physician program fees." In addition, the proposed rules will remove one-year language, which is no longer necessary, and will correct a typographic error on the physician assistant expired license reissuance physician assistant fee. As a result, the rule will be easier to understand and more accurate.

Proposal Changes the Following Existing Rules: The proposal amends WAC 246-919-990 and 246-918-990. Clarifies the fee for a limited license to full license, clarifies language regarding "impaired physician program"; removes one-year language, and corrects a typographical error.

No small business economic impact statement has been prepared under chapter 19.85 RCW. The cost to implement is below the minor cost threshold.

RCW 34.05.328 does not apply to this rule adoption. This rule does not change requirements for licensure; it updates the rule to accurately reflect the fees the department currently collects.

Hearing Location: Department of Health Conference Center, 1101 Eastside Street, Room 6, Olympia, WA 98501, on January 10, 2002, at 10:00 a.m .

Assistance for Persons with Disabilities: Contact Beverly A. Teeter by December 21, 2001, TDD (800) 833-6388, or (360) 236-4788.

Submit Written Comments to: Beverly A. Teeter, Health Administrator, P.O. Box 47866, Olympia, WA 98504-7866, fax (360) 586-4573, by December 31, 2001.

Date of Intended Adoption: January 10, 2002.

December 4, 2001

Mary C. Selecky

Secretary

OTS-5011.3

AMENDATORY SECTION(Amending WSR 99-23-090, filed 11/16/99, effective 1/1/00)

WAC 246-919-990   Physician and surgeon fees and renewal cycle.   (1) Licenses must be renewed every two years on the practitioner's birthday as provided in chapter 246-12 WAC, Part 2, except postgraduate training limited licenses and retired active physician licenses.

(2) Postgraduate training limited licenses must be renewed every year to correspond to program date.

(3) Retired active physician licenses shall be renewed every year.

(4) The applicants and licensees must pay the following nonrefundable fees ((will be charged)):

Title of Fee	Fee
Physicians and surgeons: Chapter 18.71 RCW
Application*	$300.00
Retired active physician license renewal (((which is the $100.00 renewal fee plus $25.00 substance abuse monitoring surcharge)))*	((125.00)) 100.00
Retired active late renewal penalty	50.00
((One-year renewal	200.00))
Two-year renewal*	400.00
Late renewal penalty	100.00
Expired license reissuance	200.00
((Substance abuse monitoring surcharge (assessed at $25.00 each year as stipulated in RCW 18.71.310(2)))	50.00
Certification of license	50.00
Duplicate license	15.00
Temporary permit	50.00
Application fee for transitioning from a postgraduate training limited license*	100.00
Postgraduate limited license fees: RCW 18.71.095
Limited license application*	200.00
Limited license renewal*	200.00
((Substance abuse monitoring surcharge	25.00))
Limited duplicate license	15.00
Impaired physician program *(assessed at $25.00 on each application and for each year of the renewal period as required in RCW 18.71.310(2))	25.00

[Statutory Authority: RCW 18.71.017, 18.130.050(1), 18.130.040(4), 18.130.050(12) and 18.130.340. 99-23-090, 246-919-990, filed 11/16/99, effective 1/1/00. Statutory Authority: RCW 43.70.280. 98-05-060, 246-919-990, filed 2/13/98, effective 3/16/98. Statutory Authority: RCW 18.71.017 and 43.70.250. 97-15-100, 246-919-990, filed 7/21/97, effective 8/21/97. Statutory Authority: RCW 18.71.017 and 18.71A.020. 96-03-073, 246-919-990, filed 1/17/96, effective 2/17/96.]

OTS-5010.3

AMENDATORY SECTION(Amending WSR 99-23-090, filed 11/16/99, effective 1/1/00)

WAC 246-918-990   Fees and renewal cycle.   (1) Licenses must be renewed every two years on the practitioner's birthday as provided in chapter 246-12 WAC, Part 2.

(2) The applicant or licensee must pay the following nonrefundable fees ((will be charged)):

Title of Fee	Fee
Physician assistants, certified physician assistants, physician assistant-surgical assistants, acupuncture physician assistants:
Application*	$50.00
((One-year renewal	70.00))
Two-year renewal*	70.00
((Substance abuse monitoring surcharge (assessed at $25.00 each year as stipulated in RCW 18.71A.020(3))))	50.00
Expired license reissuance	35.00
Duplicate license	15.00
Impaired physician program surcharge *(assessed at $25.00 on each application and for each year of the renewal period as required in RCW 18.71.310(2))	25.00

[Statutory Authority: RCW 18.71.017, 18.130.050(1), 18.130.040(4), 18.130.050(12) and 18.130.340. 99-23-090, 246-918-990, filed 11/16/99, effective 1/1/00. Statutory Authority: RCW 18.71.017 and 18.71A.020(3). 99-13-087, 246-918-990, filed 6/14/99, effective 7/15/99. Statutory Authority: RCW 43.70.280. 98-05-060, 246-918-990, filed 2/13/98, effective 3/16/98. Statutory Authority: RCW 18.71.017 and 18.71A.020. 96-03-073, 246-918-990, filed 1/17/96, effective 2/17/96. Statutory Authority: RCW 43.70.040. 91-06-027 (Order 131), 246-918-990, filed 2/26/91, effective 3/29/91.]

Washington State Code Reviser's Office