WSR 17-15-069
PROPOSED RULES
DEPARTMENT OF HEALTH
[Filed July 14, 2017, 10:01 a.m.]
Original Notice.
Proposal is exempt under RCW 34.05.310(4) or 34.05.330(1).
Title of Rule and Other Identifying Information: WAC 246-827-990 Medical assistant, 246-836-990 Naturopathic physician, 246-843-990 Nursing home administrator, 246-845-990 Nursing pool and 246-849-990 Ocularist fees and renewal cycle, proposing increases in application, renewal fees, adjustments to duplicate and license verification fees and changes in formatting to make it easier for licensees to identify the fees they will be required to pay for medical assistant, naturopathic physician, nursing home administrator, nursing pool, and ocularist credentials.
Hearing Location(s): Department of Health, Point Plaza East, 310 Israel Road S.E., Room 152/153, Olympia, WA 98504, on August 22, 2017, at 10:00 a.m.
Date of Intended Adoption: September 1, 2017.
Submit Written Comments to: Megan Mikkelsen, P.O. Box 47850, Olympia, WA 98504-7850, email https://fortress.wa.gov/doh/policyreview, fax (360) 236-2901, by August 22, 2017.
Assistance for Persons with Disabilities: Contact Megan Mikkelsen by August 15, 2017, TTY (800) 833-6388 or 711.
Purpose of the Proposal and Its Anticipated Effects, Including Any Changes in Existing Rules: Current licensing fees do not generate sufficient revenue to cover the full cost of administering these licensing programs. In response, the department is proposing to increase application and renewal fees and adjust duplicate license and verification license fees for these professions. The remainder of the changes are clarifications and formatting changes to make it easier for licensees to identify the fees they will be required to pay.
Reasons Supporting Proposal: RCW 43.70.250 requires the cost of each licensing program to be fully borne by the profession's members and licensing fees to be based on licensure costs. Increasing fees to the proposed levels will more closely align revenue with the programs' expenses and enable reserves to be maintained should unanticipated events occur, such as increased disciplinary costs.
Statutory Authority for Adoption: RCW 43.70.250 and 43.70.280.
Statute Being Implemented: RCW 43.70.250 and 43.70.280.
Rule is not necessitated by federal law, federal or state court decision.
Name of Proponent: Department of health, governmental.
Name of Agency Personnel Responsible for Drafting, Implementation, and Enforcement: Megan Mikkelsen, 111 Israel Road, Tumwater, WA 98501, (360) 236-4617.
No small business economic impact statement has been prepared under chapter 19.85 RCW. Under RCW 19.85.025 and 34.05.310 (4)(f), a small business economic impact statement is not required for proposed rules that set or adjust fees or rates pursuant to legislative standards.
A cost-benefit analysis is not required under RCW 34.05.328. The agency did not complete a cost-benefit analysis under RCW 34.05.328. RCW 34.05.328 (5)(b)(vi) exempts rules that set or adjust fees or rates pursuant to legislative standards.
July 14, 2017
John Wiesman, DrPH, MPH
Secretary
AMENDATORY SECTION (Amending WSR 12-24-015, filed 11/27/12, effective 7/1/13)
WAC 246-827-990 Medical assistant—Fees and renewal cycle.
(1) Credentials must be renewed every two years on the practitioner's birthday as provided in chapter 246-12 WAC, Part 2.
(2) The following nonrefundable fees will be charged for medical assistant-certified, medical assistant-hemodialysis technician, and medical assistant-phlebotomist credentials:
Title of Fee
Fee
Initial credential
$((115.00))
145.00
Renewal
((115.00))
145.00
 
Late renewal penalty
75.00
Expired credential reissuance
55.00
((Certification)) Verification of credential
((20.00))
25.00
((Late renewal penalty
55.00))
Duplicate credential
((30.00))
10.00
(3) The following nonrefundable fees will be charged for a medical assistant-registered credential:
Title of Fee
Fee
Initial credential
$((90.00))
115.00
Renewal
((90.00))
110.00
 
Late renewal penalty
60.00
Expired credential reissuance
40.00
((Certification)) Verification of credential
((20.00))
25.00
((Late renewal penalty
40.00))
Duplicate credential
((30.00))
10.00
AMENDATORY SECTION (Amending WSR 12-19-088, filed 9/18/12, effective 11/1/12)
WAC 246-836-990 Naturopathic physician licensing fees and renewal cycle.
(1) Licenses must be renewed every year on the practitioner's birthday as provided in chapter 246-12 WAC, Part 2.
(2) The following nonrefundable fees will be charged:
((Title of Fee
Amount
Application initial/retake
$100.00
State examination (initial/retake)
100.00
Initial license
100.00
License renewal
325.00
Late renewal penalty
62.50
Expired license reissuance
62.50
Duplicate license
15.00
Certification of license
15.00
UW online access fee (HEAL-WA)
*16.00))
Title of Fee
Amount
Original application
 
 
State jurisprudence examination
$100.00
 
Initial state license
270.00
 
UW online access fee (HEAL-WA)
16.00
License renewal
 
 
Renewal
440.00
 
Late renewal penalty
220.00
 
Expired license reissuance
65.00
 
UW online access fee (HEAL-WA)
16.00
Duplicate license
10.00
Verification of license
25.00
State jurisprudence examination
100.00
*
The University of Washington HEAL-WA web portal access fee, required under RCW 43.70.110, is assessed with the initial application fee and the license renewal fee.
AMENDATORY SECTION (Amending WSR 11-20-092, filed 10/4/11, effective 12/1/11)
WAC 246-843-990 Nursing home administrator fees and renewal cycle.
(1) Licenses must be renewed every year on the practitioner's birthday as provided in chapter 246-12 WAC, Part 2.
(2) The following nonrefundable fees will be charged:
((Title of Fee
Fee
Application - Original license
$410.00
Administrator-in-training
285.00
Application - Endorsement
510.00
Temporary permit
325.00
Renewal
495.00
Inactive license renewal
315.00
Late renewal penalty
315.00
Expired license reissuance
285.00
Late renewal penalty - Inactive
255.00
Expired inactive license reissuance
190.00
Duplicate license
30.00
Certification of license
30.00))
Title of Fee
Fee
Application-Original license
$575.00
Administrator-in-training
285.00
Application-Endorsement
715.00
License renewal
 
 
Renewal
695.00
 
Late renewal penalty
300.00
 
Expired license reissuance
285.00
Inactive license
 
 
Inactive license renewal
315.00
 
Late renewal penalty
160.00
 
Expired inactive license reissuance
190.00
Temporary permit
325.00
Duplicate license
10.00
Verification of license
25.00
AMENDATORY SECTION (Amending WSR 05-12-012, filed 5/20/05, effective 7/1/05)
WAC 246-845-990 Nursing pool fees and renewal cycle.
(1) Registrations must be renewed every year on the ((date of original issuance)) practitioner's birthday as provided in chapter 246-12 WAC, Part ((3. The secretary may require payment of renewal fees less than those established in this section if the current level of fees is likely to result in a surplus of funds. Surplus funds are those in excess of the amount necessary to pay for the costs of administering the program and to maintain a reasonable reserve. Notice of any adjustment in the required payment will be provided to practitioners. The adjustment in the required payment shall remain in place for the duration of a renewal cycle to assure practitioners an equal benefit from the adjustment)) 2.
(2) The following nonrefundable fees will be charged:
((Title
Fee
Registration application
$100.00
Registration renewal
115.00
Late renewal penalty
57.50
Expired registration reissuance
57.50))
Title of Fee
Fee
Original application
$175.00
Renewal
155.00
 
Late renewal penalty
80.00
Expired registration reissuance
60.00
Duplicate license
10.00
Verification of license
25.00
AMENDATORY SECTION (Amending WSR 05-12-012, filed 5/20/05, effective 7/1/05)
WAC 246-849-990 Ocularist fees and renewal cycle.
(1) Licenses must be renewed every year on the practitioner's birthday as provided in chapter 246-12 WAC, Part 2. ((The secretary may require payment of renewal fees less than those established in this section if the current level of fees is likely to result in a surplus of funds. Surplus funds are those in excess of the amount necessary to pay for the costs of administering the program and to maintain a reasonable reserve. Notice of any adjustment in the required payment will be provided to practitioners. The adjustment in the required payment shall remain in place for the duration of a renewal cycle to assure practitioners an equal benefit from the adjustment.))
(2) The following nonrefundable fees will be charged:
((Title of Fee
Fee
Application and examination
$125.00
Renewal
225.00
Late renewal penalty
112.50
Expired license reissuance
112.50
Duplicate license
25.00
Certification of license
25.00
Apprentice registration
25.00
Apprentice renewal
25.00
Temporary practice permit
25.00
Retired active license
50.00))
Title of Fee
Fee
Original application and examination
$200.00
License renewal
 
 
Renewal
300.00
 
Late renewal penalty
150.00
Apprentice registration
25.00
 
Apprentice renewal
25.00
Expired license reissuance
115.00
Temporary practice permit
25.00
Retired active license
50.00
Duplicate license
10.00
Verification of license
25.00