reglab/housing_qa huggingface dataset:
WA Rev Code § 70.230.020 (2021)
2021 Revised Code of Washington|Title 70 - Public Health and Safety|Chapter 70.230 - Ambulatory Surgical Facilities.|70.230.020 - Duties of secretary—Rules.

RCW 70.230.020 Duties of secretary—Rules.The secretary shall:(1) Issue a license to any ambulatory surgical facility that:(a) Submits payment of the fee established in RCW 43.70.110 and 43.70.250;(b) Submits a completed application that demonstrates the ability to comply with the standards established for operating and maintaining an ambulatory surgical facility in statute and rule. An ambulatory surgical facility shall be deemed to have met the standards if it submits proof of certification as a medicare ambulatory surgical facility or accreditation by an organization that the secretary has determined to have substantially equivalent standards to those of the department; and(c) Successfully completes the survey requirements established in RCW 70.230.100;(2) Develop an application form for applicants for a license to operate an ambulatory surgical facility;(3) Initiate investigations and enforcement actions for complaints or other information regarding failure to comply with this chapter or the standards and rules adopted under this chapter;(4) Conduct surveys of facilities, including reviews of medical records and documents required to be maintained under this chapter or rules adopted under this chapter;(5) By March 1, 2008, determine which accreditation organizations have substantially equivalent standards for purposes of deeming specific licensing requirements required in statute and rule as having met the state's standards; and(6) Adopt any rules necessary to implement this chapter.[ 2016 c 146 § 2; 2007 c 273 § 2.]NOTES:
WA Rev Code § 70.230.030 (2021)
2021 Revised Code of Washington|Title 70 - Public Health and Safety|Chapter 70.230 - Ambulatory Surgical Facilities.|70.230.030 - Operating without a license.

RCW 70.230.030 Operating without a license.Except as provided in RCW 70.230.040, after June 30, 2009, no person or governmental unit of the state of Washington, acting separately or jointly with any other person or governmental unit, shall establish, maintain, or conduct an ambulatory surgical facility in this state or advertise by using the term "ambulatory surgical facility," "day surgery center," "licensed surgical center," or other words conveying similar meaning without a license issued by the department under this chapter.[ 2007 c 273 § 3.]
WA Rev Code § 70.230.040 (2021)
2021 Revised Code of Washington|Title 70 - Public Health and Safety|Chapter 70.230 - Ambulatory Surgical Facilities.|70.230.040 - Exclusions from chapter.

RCW 70.230.040 Exclusions from chapter.Nothing in this chapter:(1) Applies to an ambulatory surgical facility that is maintained and operated by a hospital licensed under chapter 70.41 RCW;(2) Applies to an office maintained for the practice of dentistry;(3) Applies to outpatient specialty or multispecialty surgical services routinely and customarily performed in the office of a practitioner in an individual or group practice, where the primary purpose of the office is not as set forth in RCW 70.230.010(1), provided that any surgical services in which general anesthesia is a planned event must be performed only in an ambulatory surgical facility as defined in this chapter or in a hospital or hospital-associated surgical center licensed under chapter 70.41 RCW; or(4) Limits an ambulatory surgical facility to performing only surgical services.[ 2011 c 76 § 2; 2007 c 273 § 4.]NOTES:Effective date—2011 c 76: See note following RCW 70.230.010.
WA Rev Code § 70.230.050 (2021)
2021 Revised Code of Washington|Title 70 - Public Health and Safety|Chapter 70.230 - Ambulatory Surgical Facilities.|70.230.050 - Licenses—Applicants—Renewal.

RCW 70.230.050 Licenses—Applicants—Renewal.(1) An applicant for a license to operate an ambulatory surgical facility must demonstrate the ability to comply with the standards established for operating and maintaining an ambulatory surgical facility in statute and rule, including:(a) Submitting a written application to the department providing all necessary information on a form provided by the department, including a list of surgical specialties offered;(b) Submitting building plans for review and approval by the department for new construction, alterations other than minor alterations, and additions to existing facilities, prior to obtaining a license and occupying the building;(c) Demonstrating the ability to comply with this chapter and any rules adopted under this chapter;(d) Cooperating with the department during on-site surveys prior to obtaining an initial license or renewing an existing license;(e) Providing such proof as the department may require concerning the ownership and management of the ambulatory surgical facility, including information about the organization and governance of the facility and the identity of the applicant, officers, directors, partners, managing employees, or owners of ten percent or more of the applicant's assets;(f) Submitting proof of operation of a coordinated quality improvement program in accordance with RCW 70.230.080;(g) Submitting a copy of the facility safety and emergency training program established under RCW 70.230.060;(h) Paying any fees established by the secretary under RCW 43.70.110 and 43.70.250; and(i) Providing any other information that the department may reasonably require.(2) A license is valid for three years, after which an ambulatory surgical facility must submit an application for renewal of license upon forms provided by the department and the renewal fee as established in RCW 43.70.110 and 43.70.250. The applicant must demonstrate the ability to comply with the standards established for operating and maintaining an ambulatory surgical facility in statutes, standards, and rules. The applicant must submit the license renewal document no later than thirty days prior to the date of expiration of the license.(3) The applicant may demonstrate compliance with any of the requirements of subsection (1) of this section by providing satisfactory documentation to the secretary that it has met the standards of an accreditation organization or federal agency that the secretary has determined to have substantially equivalent standards as the statutes and rules of this state.[ 2016 c 146 § 3; 2007 c 273 § 5.]NOTES:
WA Rev Code § 70.230.060 (2021)
2021 Revised Code of Washington|Title 70 - Public Health and Safety|Chapter 70.230 - Ambulatory Surgical Facilities.|70.230.060 - Facility safety and emergency training.

RCW 70.230.060 Facility safety and emergency training.An ambulatory surgical facility shall have a facility safety and emergency training program. The program shall include:(1) On-site equipment, medication, and trained personnel to facilitate handling of services sought or provided and to facilitate the management of any medical emergency that may arise in connection with services sought or provided;(2) Written transfer agreements with local hospitals licensed under chapter 70.41 RCW, approved by the ambulatory surgical facility's medical staff; and(3) A procedural plan for handling medical emergencies that shall be available for review during surveys and inspections.[ 2007 c 273 § 6.]
WA Rev Code § 70.230.070 (2021)
2021 Revised Code of Washington|Title 70 - Public Health and Safety|Chapter 70.230 - Ambulatory Surgical Facilities.|70.230.070 - Denial, suspension, or revocation of license—Investigating complaints—Penalties.

RCW 70.230.070 Denial, suspension, or revocation of license—Investigating complaints—Penalties.(1) The secretary may deny, suspend, or revoke the license of any ambulatory surgical facility in any case in which he or she finds the applicant or registered entity knowingly made a false statement of material fact in the application for the license or any supporting data in any record required by this chapter or matter under investigation by the department.(2) The secretary shall investigate complaints concerning operation of an ambulatory surgical facility without a license. The secretary may issue a notice of intention to issue a cease and desist order to any person whom the secretary has reason to believe is engaged in the unlicensed operation of an ambulatory surgical facility. If the secretary makes a written finding of fact that the public interest will be irreparably harmed by delay in issuing an order, the secretary may issue a temporary cease and desist order. The person receiving a temporary cease and desist order shall be provided an opportunity for a prompt hearing. The temporary cease and desist order shall remain in effect until further order of the secretary. Any person operating an ambulatory surgical facility under this chapter without a license is guilty of a misdemeanor, and each day of operation of an unlicensed ambulatory surgical facility constitutes a separate offense.(3) The secretary is authorized to deny, suspend, revoke, or modify a license or provisional license in any case in which it finds that there has been a failure or refusal to comply with the requirements of this chapter or the standards or rules adopted under this chapter. RCW 43.70.115 governs notice of a license denial, revocation, suspension, or modification and provides the right to an adjudicative proceeding.(4) Pursuant to chapter 34.05 RCW, the secretary may assess monetary penalties of a civil nature not to exceed one thousand dollars per violation.[ 2007 c 273 § 8.]
WA Rev Code § 70.230.090 (2021)
2021 Revised Code of Washington|Title 70 - Public Health and Safety|Chapter 70.230 - Ambulatory Surgical Facilities.|70.230.090 - Ambulatory surgical facilities—Construction, maintenance, and operation—Minimum standards and rules.

RCW 70.230.090 Ambulatory surgical facilities—Construction, maintenance, and operation—Minimum standards and rules.The department shall establish and adopt such minimum standards and rules pertaining to the construction, maintenance, and operation of ambulatory surgical facilities and rescind, amend, or modify such rules, as are necessary in the public interest, and particularly for the establishment and maintenance of standards of patient care required for the safe and adequate care and treatment of patients. In establishing the format and content of these standards and rules, the department shall give consideration to maintaining consistency with such minimum standards and rules applicable to ambulatory surgical facilities in the survey standards of accrediting organizations or federal agencies that the secretary has determined to have substantially equivalent standards as the statutes and rules of this state.[ 2007 c 273 § 10.]
WA Rev Code § 70.230.100 (2021)
2021 Revised Code of Washington|Title 70 - Public Health and Safety|Chapter 70.230 - Ambulatory Surgical Facilities.|70.230.100 - Ambulatory surgical facilities—Surveys.

RCW 70.230.100 Ambulatory surgical facilities—Surveys.(1) The department shall make or cause to be made a survey of all ambulatory surgical facilities according to the following frequency:(a) Except as provided in (b) of this subsection, an ambulatory surgical facility must be surveyed by the department no more than once every eighteen months.(b) An ambulatory surgical facility must be surveyed by the department no more than once every thirty-six months if the ambulatory surgical facility:(i) Has had, within eighteen months of a department survey, a survey in connection with its certification by the centers for medicare and medicaid services or accreditation by an accreditation organization approved by the department under RCW 70.230.020(5);(ii) Has maintained certification by the centers for medicare and medicaid services or accreditation by an accreditation organization approved by the department under RCW 70.230.020(5) since the survey in connection with its certification or accreditation pursuant to (b)(i) of this subsection; and(iii) As soon as practicable after a survey in connection with its certification or accreditation pursuant to (b)(i) of this subsection, provides the department with documentary evidence that the ambulatory surgical facility is certified or accredited and that the survey has occurred, including the date that the survey occurred.(2) Every survey of an ambulatory surgical facility may include an inspection of every part of the surgical facility. The department may make an examination of all phases of the ambulatory surgical facility operation necessary to determine compliance with all applicable statutes, rules, and regulations. In the event that the department is unable to make a survey or cause a survey to be made during the three years of the term of the license, the license of the ambulatory surgical facility shall remain in effect until the state conducts a survey or a substitute survey is performed if the ambulatory surgical facility is in compliance with all other licensing requirements.(3) Ambulatory surgical facilities shall make the written reports of surveys conducted pursuant to medicare certification procedures or by an approved accrediting organization available to department surveyors during any department surveys or upon request.[ 2016 c 146 § 4; 2007 c 273 § 11.]
WA Rev Code § 70.230.110 (2021)
2021 Revised Code of Washington|Title 70 - Public Health and Safety|Chapter 70.230 - Ambulatory Surgical Facilities.|70.230.110 - Ambulatory surgical facilities—Submission of data related to the quality of patient care.

RCW 70.230.110 Ambulatory surgical facilities—Submission of data related to the quality of patient care.The department shall require ambulatory surgical facilities to submit data related to the quality of patient care for review by the department. The data shall be submitted every eighteen months. The department shall consider the reporting standards of other public and private organizations that measure quality in order to maintain consistency in reporting and minimize the burden on the ambulatory surgical facility. The department shall review the data to determine the maintenance of quality patient care at the facility. If the department determines that the care offered at the facility may present a risk to the health and safety of patients, the department may conduct an inspection of the facility and initiate appropriate actions to protect the public. Information submitted to the department pursuant to this section shall be exempt from disclosure under chapter 42.56 RCW.[ 2007 c 273 § 12.]
WA Rev Code § 70.230.130 (2021)
2021 Revised Code of Washington|Title 70 - Public Health and Safety|Chapter 70.230 - Ambulatory Surgical Facilities.|70.230.130 - Written records—Decisions to restrict or terminate privileges of practitioners—Penalties.

RCW 70.230.130 Written records—Decisions to restrict or terminate privileges of practitioners—Penalties.Each ambulatory surgical facility shall keep written records of decisions to restrict or terminate privileges of practitioners. Copies of such records shall be made available to the Washington medical commission, the board of osteopathic medicine and surgery, or the podiatric medical board, within thirty days of a request, and all information so gained remains confidential in accordance with RCW 70.230.080 and 70.230.120 and is protected from the discovery process. Failure of an ambulatory surgical facility to comply with this section is punishable by a civil penalty not to exceed two hundred fifty dollars.[ 2019 c 55 § 17; 2007 c 273 § 14.]
WA Rev Code § 70.230.150 (2021)
2021 Revised Code of Washington|Title 70 - Public Health and Safety|Chapter 70.230 - Ambulatory Surgical Facilities.|70.230.150 - Unanticipated outcomes—Notification.

RCW 70.230.150 Unanticipated outcomes—Notification.Ambulatory surgical facilities shall have in place policies to assure that, when appropriate, information about unanticipated outcomes is provided to patients or their families or any surrogate decision makers identified pursuant to RCW 7.70.065. Notifications of unanticipated outcomes under this section do not constitute an acknowledgment or admission of liability, nor may the fact of notification, the content disclosed, or any and all statements, affirmations, gestures, or conduct expressing apology be introduced as evidence in a civil action.[ 2007 c 273 § 16.]
WA Rev Code § 70.230.160 (2021)
2021 Revised Code of Washington|Title 70 - Public Health and Safety|Chapter 70.230 - Ambulatory Surgical Facilities.|70.230.160 - Complaint toll-free telephone number—Notice.

RCW 70.230.160 Complaint toll-free telephone number—Notice.Every ambulatory surgical facility shall post in conspicuous locations a notice of the department's ambulatory surgical facility complaint toll-free telephone number. The form of the notice shall be approved by the department.[ 2007 c 273 § 17.]
WA Rev Code § 70.230.170 (2021)
2021 Revised Code of Washington|Title 70 - Public Health and Safety|Chapter 70.230 - Ambulatory Surgical Facilities.|70.230.170 - Information received by department—Disclosure.

RCW 70.230.170 Information received by department—Disclosure.Information received by the department through filed reports, inspection, or as otherwise authorized under this chapter may be disclosed publicly, as permitted under chapter 42.56 RCW, subject to the following provisions:(1) Licensing inspections, or complaint investigations regardless of findings, shall, as requested, be disclosed no sooner than three business days after the ambulatory surgical facility has received the resulting assessment report;(2) Information regarding administrative action against the license [licensee] shall, as requested, be disclosed after the ambulatory surgical facility has received the documents initiating the administrative action;(3) Information about complaints that did not warrant an investigation shall not be disclosed except to notify the ambulatory surgical facility and the complainant that the complaint did not warrant an investigation; and(4) Information disclosed under this section shall not disclose individual names.[ 2007 c 273 § 18.]
WA Rev Code § 70.230.190 (2021)
2021 Revised Code of Washington|Title 70 - Public Health and Safety|Chapter 70.230 - Ambulatory Surgical Facilities.|70.230.190 - Certain ambulatory surgical facilities deemed to have complied with survey requirements of RCW 70.230.100.

RCW 70.230.190 Certain ambulatory surgical facilities deemed to have complied with survey requirements of RCW 70.230.100.Any entity that meets the definition of an ambulatory surgical facility in RCW 70.230.010 that had been issued a license on or after July 1, 2009, that was later declared void by a department determination that the entity did not meet the definition of an ambulatory surgical facility shall be deemed to have complied with the survey requirements of RCW 70.230.100 for its initial license application.[ 2011 c 76 § 3.]NOTES:Effective date—2011 c 76: See note following RCW 70.230.010.
WA Rev Code § 70.230.210 (2021)
2021 Revised Code of Washington|Title 70 - Public Health and Safety|Chapter 70.230 - Ambulatory Surgical Facilities.|70.230.210 - Pattern of balance billing protection act violations by ambulatory surgical facility—Fines and disciplinary action.

RCW 70.230.210 Pattern of balance billing protection act violations by ambulatory surgical facility—Fines and disciplinary action.If the insurance commissioner reports to the department that he or she has cause to believe that an ambulatory surgical facility has engaged in a pattern of violations of RCW 48.49.020 or 48.49.030, and the report is substantiated after investigation, the department may levy a fine upon the ambulatory surgical facility in an amount not to exceed one thousand dollars per violation and take other formal or informal disciplinary action as permitted under the authority of the department.[ 2019 c 427 § 19.]NOTES:Findings—Intent—Effective date—2019 c 427: See RCW 48.49.003 and 48.49.900.
WA Rev Code § 70.230.900 (2021)
2021 Revised Code of Washington|Title 70 - Public Health and Safety|Chapter 70.230 - Ambulatory Surgical Facilities.|70.230.900 - Effective date—2007 c 273.

RCW 70.230.900 Effective date—2007 c 273.Except for section 7 of this act, this act takes effect July 1, 2009.[ 2007 c 273 § 29.]
WA Rev Code § 70.230.901 (2021)
2021 Revised Code of Washington|Title 70 - Public Health and Safety|Chapter 70.230 - Ambulatory Surgical Facilities.|70.230.901 - Implementation—2007 c 273.

RCW 70.230.901 Implementation—2007 c 273.The secretary of health may take the necessary steps to ensure that this act is implemented on its effective date.[ 2007 c 273 § 30.]
WA Rev Code § 70.245.020 (2021)
2021 Revised Code of Washington|Title 70 - Public Health and Safety|Chapter 70.245 - The Washington Death With Dignity Act.|70.245.020 - Written request for medication.

RCW 70.245.020 Written request for medication.(1) An adult who is competent, is a resident of Washington state, and has been determined by the attending physician and consulting physician to be suffering from a terminal disease, and who has voluntarily expressed his or her wish to die, may make a written request for medication that the patient may self-administer to end his or her life in a humane and dignified manner in accordance with this chapter.(2) A person does not qualify under this chapter solely because of age or disability.[ 2009 c 1 § 2 (Initiative Measure No. 1000, approved November 4, 2008).]
WA Rev Code § 70.245.030 (2021)
2021 Revised Code of Washington|Title 70 - Public Health and Safety|Chapter 70.245 - The Washington Death With Dignity Act.|70.245.030 - Form of the written request.

RCW 70.245.030 Form of the written request.(1) A valid request for medication under this chapter shall be in substantially the form described in RCW 70.245.220, signed and dated by the patient and witnessed by at least two individuals who, in the presence of the patient, attest that to the best of their knowledge and belief the patient is competent, acting voluntarily, and is not being coerced to sign the request.(2) One of the witnesses shall be a person who is not:(a) A relative of the patient by blood, marriage, or adoption;(b) A person who at the time the request is signed would be entitled to any portion of the estate of the qualified patient upon death under any will or by operation of law; or(c) An owner, operator, or employee of a health care facility where the qualified patient is receiving medical treatment or is a resident.(3) The patient's attending physician at the time the request is signed shall not be a witness.(4) If the patient is a patient in a long-term care facility at the time the written request is made, one of the witnesses shall be an individual designated by the facility and having the qualifications specified by the department of health by rule.[ 2009 c 1 § 3 (Initiative Measure No. 1000, approved November 4, 2008).]