reglab/statecodes huggingface dataset:
2023 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:
2023 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.]
2023 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.]
2023 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.]
2023 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.]
2023 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.]
2023 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.]
2023 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.]
2023 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.]
2023 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.]
2023 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.
2023 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.
2023 Revised Code of Washington › Title 70 - Public Health and Safety › Chapter 70.230 - Ambulatory Surgical Facilities. › 70.230.220 - Multistate nurse license—Conditions of employment.

RCW 70.230.220
Multistate nurse license—Conditions of employment.
(1) Beginning September 1, 2023, and annually thereafter, individuals that hold a multistate nurse license issued by a state other than Washington and are employed by ambulatory surgical facilities licensed under this chapter shall complete any demographic data surveys required by the board of nursing in rule as a condition of employment.
(2) Individuals that hold a multistate nurse license issued by a state other than Washington and are employed by ambulatory surgical facilities licensed under this chapter shall complete the suicide assessment, treatment, and management training required by RCW 43.70.442(5)(a) as a condition of employment.
(3) Ambulatory surgical facilities shall report to the board of nursing, within 30 days of employment, all nurses holding a multistate license issued by a state other than Washington and an attestation that the employees holding a multistate license issued by a state other than Washington have completed the tasks required under this section as a condition of employment.
(4) This section is subject to enforcement by the department.
[ 2023 c 123 § 26.]
NOTES:
Short title—2023 c 123: See RCW 18.80.900.
2023 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.]
2023 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.]
2023 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 patient who is competent, is a resident of Washington state, and has been determined by the attending qualified medical provider 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 the patient's 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.
[ 2023 c 38 § 3; 2009 c 1 § 2 (Initiative Measure No. 1000, approved November 4, 2008).]
2023 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 or by law;
(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 qualified medical provider at the time the request is signed shall not be a witness.
[ 2023 c 38 § 4; 2009 c 1 § 3 (Initiative Measure No. 1000, approved November 4, 2008).]
2023 Revised Code of Washington › Title 70 - Public Health and Safety › Chapter 70.245 - The Washington Death With Dignity Act. › 70.245.050 - Consulting qualified medical provider confirmation.

RCW 70.245.050
Consulting qualified medical provider confirmation.
Before a patient is qualified under this chapter, a consulting qualified medical provider shall examine the patient and his or her relevant medical records and confirm, in writing, the attending qualified medical provider's diagnosis that the patient is suffering from a terminal disease, and verify that the patient is competent, is acting voluntarily, and has made an informed decision.
[ 2023 c 38 § 6; 2009 c 1 § 5 (Initiative Measure No. 1000, approved November 4, 2008).]
2023 Revised Code of Washington › Title 70 - Public Health and Safety › Chapter 70.245 - The Washington Death With Dignity Act. › 70.245.060 - Counseling referral.

RCW 70.245.060
Counseling referral.
If, in the opinion of either the attending qualified medical provider or the consulting qualified medical provider, a patient may be suffering from a psychiatric or psychological disorder or depression causing impaired judgment, the qualified medical provider shall refer the patient for counseling. Medication to end a patient's life in a humane and dignified manner shall not be prescribed until the person performing the counseling determines that the patient is not suffering from a psychiatric or psychological disorder or depression causing impaired judgment.
[ 2023 c 38 § 7; 2009 c 1 § 6 (Initiative Measure No. 1000, approved November 4, 2008).]
2023 Revised Code of Washington › Title 70 - Public Health and Safety › Chapter 70.245 - The Washington Death With Dignity Act. › 70.245.070 - Informed decision.

RCW 70.245.070
Informed decision.
A person shall not receive a prescription for medication to end his or her life in a humane and dignified manner unless he or she has made an informed decision. Immediately before writing a prescription for medication under this chapter, the attending qualified medical provider shall verify that the qualified patient is making an informed decision.
[ 2023 c 38 § 8; 2009 c 1 § 7 (Initiative Measure No. 1000, approved November 4, 2008).]
2023 Revised Code of Washington › Title 70 - Public Health and Safety › Chapter 70.245 - The Washington Death With Dignity Act. › 70.245.080 - Notification of next of kin.

RCW 70.245.080
Notification of next of kin.
The attending qualified medical provider shall recommend that the patient notify the next of kin of his or her request for medication under this chapter. A patient who declines or is unable to notify next of kin shall not have his or her request denied for that reason.
[ 2023 c 38 § 9; 2009 c 1 § 8 (Initiative Measure No. 1000, approved November 4, 2008).]
2023 Revised Code of Washington › Title 70 - Public Health and Safety › Chapter 70.245 - The Washington Death With Dignity Act. › 70.245.090 - Written and oral requests.

RCW 70.245.090
Written and oral requests.
(1) To receive a prescription for medication that the qualified patient may self-administer to end his or her life in a humane and dignified manner, a qualified patient shall have made an oral request and a written request, and reiterate the oral request to his or her attending qualified medical provider at least seven days after making the initial oral request.
(2) At the time the qualified patient makes his or her second oral request, the attending qualified medical provider shall offer the qualified patient an opportunity to rescind the request.
(3) A transfer of care or medical records does not restart any waiting period under this section.
[ 2023 c 38 § 10; 2009 c 1 § 9 (Initiative Measure No. 1000, approved November 4, 2008).]
2023 Revised Code of Washington › Title 70 - Public Health and Safety › Chapter 70.245 - The Washington Death With Dignity Act. › 70.245.100 - Right to rescind request.

RCW 70.245.100
Right to rescind request.
A patient may rescind his or her request at any time and in any manner without regard to his or her mental state. No prescription for medication under this chapter may be written without the attending qualified medical provider offering the qualified patient an opportunity to rescind the request.
[ 2023 c 38 § 11; 2009 c 1 § 10 (Initiative Measure No. 1000, approved November 4, 2008).]
2023 Revised Code of Washington › Title 70 - Public Health and Safety › Chapter 70.245 - The Washington Death With Dignity Act. › 70.245.110 - Waiting period.

RCW 70.245.110
Waiting period.
At least seven days shall elapse between the patient's initial oral request and the writing of a prescription under this chapter.
[ 2023 c 38 § 12; 2009 c 1 § 11 (Initiative Measure No. 1000, approved November 4, 2008).]
2023 Revised Code of Washington › Title 70 - Public Health and Safety › Chapter 70.245 - The Washington Death With Dignity Act. › 70.245.120 - Medical record documentation requirements.

RCW 70.245.120
Medical record documentation requirements.
The following shall be documented or filed in the patient's medical record:
(1) All oral requests by a patient for medication to end his or her life in a humane and dignified manner;
(2) All written requests by a patient for medication to end his or her life in a humane and dignified manner;
(3) The attending qualified medical provider's diagnosis and prognosis, and determination that the patient is competent, is acting voluntarily, and has made an informed decision;
(4) The consulting qualified medical provider's diagnosis and prognosis, and verification that the patient is competent, is acting voluntarily, and has made an informed decision;
(5) A report of the outcome and determinations made during counseling, if performed;
(6) The attending qualified medical provider's offer to the patient to rescind his or her request at the time of the patient's second oral request under RCW 70.245.090; and
(7) A note by the attending qualified medical provider indicating that all requirements under this chapter have been met and indicating the steps taken to carry out the request, including a notation of the medication prescribed.
[ 2023 c 38 § 13; 2009 c 1 § 12 (Initiative Measure No. 1000, approved November 4, 2008).]
2023 Revised Code of Washington › Title 70 - Public Health and Safety › Chapter 70.245 - The Washington Death With Dignity Act. › 70.245.130 - Residency requirement.

RCW 70.245.130
Residency requirement.
Only requests made by Washington state residents under this chapter may be granted. Factors demonstrating Washington state residency include but are not limited to:
(1) Possession of a Washington state driver's license;
(2) Registration to vote in Washington state; or
(3) Evidence that the person owns or leases property in Washington state.
[ 2009 c 1 § 13 (Initiative Measure No. 1000, approved November 4, 2008).]
2023 Revised Code of Washington › Title 70 - Public Health and Safety › Chapter 70.245 - The Washington Death With Dignity Act. › 70.245.140 - Disposal of unused medications.

RCW 70.245.140
Disposal of unused medications.
Any medication dispensed under this chapter that was not self-administered shall be disposed of by lawful means.
[ 2009 c 1 § 14 (Initiative Measure No. 1000, approved November 4, 2008).]
2023 Revised Code of Washington › Title 70 - Public Health and Safety › Chapter 70.245 - The Washington Death With Dignity Act. › 70.245.150 - Reporting of information to the department of health—Adoption of rules—Information collected not a public record—Annual statistical report.

RCW 70.245.150
Reporting of information to the department of health—Adoption of rules—Information collected not a public record—Annual statistical report.
(1)(a) The department of health shall annually review all records maintained under this chapter.
(b) The department of health shall require any health care provider upon writing a prescription or dispensing medication under this chapter to file a copy of the dispensing record and such other administratively required documentation with the department. All administratively required documentation shall be transmitted electronically, mailed, or otherwise transmitted as allowed by department of health rule to the department no later than 30 calendar days after the writing of a prescription and dispensing of medication under this chapter, except that all documents required to be filed with the department by the prescribing qualified medical provider after the death of the patient shall be transmitted electronically, mailed, or faxed no later than 30 calendar days after the date of death of the patient. In the event that anyone required under this chapter to report information to the department of health provides an inadequate or incomplete report, the department shall contact the person to request a complete report.
(2) The department of health shall adopt rules to facilitate the collection of information regarding compliance with this chapter. Except as otherwise required by law, the information collected is not a public record and may not be made available for inspection by the public.
(3) The department of health shall generate and make available to the public an annual statistical report of information collected under subsection (2) of this section.
[ 2023 c 38 § 14; 2009 c 1 § 15 (Initiative Measure No. 1000, approved November 4, 2008).]
2023 Revised Code of Washington › Title 70 - Public Health and Safety › Chapter 70.245 - The Washington Death With Dignity Act. › 70.245.160 - Effect on construction of wills, contracts, and statutes.

RCW 70.245.160
Effect on construction of wills, contracts, and statutes.
(1) Any provision in a contract, will, or other agreement, whether written or oral, to the extent the provision would affect whether a person may make or rescind a request for medication to end his or her life in a humane and dignified manner, is not valid.
(2) Any obligation owing under any currently existing contract shall not be conditioned or affected by the making or rescinding of a request, by a person, for medication to end his or her life in a humane and dignified manner.
[ 2009 c 1 § 16 (Initiative Measure No. 1000, approved November 4, 2008).]
2023 Revised Code of Washington › Title 70 - Public Health and Safety › Chapter 70.245 - The Washington Death With Dignity Act. › 70.245.170 - Insurance or annuity policies.

RCW 70.245.170
Insurance or annuity policies.
The sale, procurement, or issuance of any life, health, or accident insurance or annuity policy or the rate charged for any policy shall not be conditioned upon or affected by the making or rescinding of a request, by a person, for medication that the patient may self-administer to end his or her life in a humane and dignified manner. A qualified patient's act of ingesting medication to end his or her life in a humane and dignified manner shall not have an effect upon a life, health, or accident insurance or annuity policy.
[ 2009 c 1 § 17 (Initiative Measure No. 1000, approved November 4, 2008).]
2023 Revised Code of Washington › Title 70 - Public Health and Safety › Chapter 70.245 - The Washington Death With Dignity Act. › 70.245.180 - Authority of chapter—References to practices under this chapter—Applicable standard of care.

RCW 70.245.180
Authority of chapter—References to practices under this chapter—Applicable standard of care.
(1) Nothing in this chapter authorizes an attending qualified medical provider, consulting qualified medical provider, or any other person to end a patient's life by lethal injection, mercy killing, or active euthanasia. Actions taken in accordance with this chapter do not, for any purpose, constitute suicide, assisted suicide, mercy killing, or homicide, under the law. State reports shall not refer to practice under this chapter as "suicide" or "assisted suicide." Consistent with RCW 70.245.010 (7), (11), and (12), 70.245.020(1), 70.245.040(1)(k), 70.245.060, 70.245.070, 70.245.090, 70.245.120 (1) and (2), 70.245.160 (1) and (2), 70.245.170, 70.245.190(1) (a) and (d), and 70.245.200(2), state reports shall refer to practice under this chapter as obtaining and self-administering life-ending medication.
(2) Nothing contained in this chapter shall be interpreted to lower the applicable standard of care for the attending qualified medical provider, consulting qualified medical provider, psychiatrist or psychologist, or other health care provider participating under this chapter.
[ 2023 c 38 § 15; 2009 c 1 § 18 (Initiative Measure No. 1000, approved November 4, 2008).]
2023 Revised Code of Washington › Title 70 - Public Health and Safety › Chapter 70.245 - The Washington Death With Dignity Act. › 70.245.200 - Willful alteration/forgery—Coercion or undue influence—Penalties—Civil damages—Other penalties not precluded.

RCW 70.245.200
Willful alteration/forgery—Coercion or undue influence—Penalties—Civil damages—Other penalties not precluded.
(1) A person who without authorization of the patient willfully alters or forges a request for medication or conceals or destroys a rescission of that request with the intent or effect of causing the patient's death is guilty of a class A felony.
(2) A person who coerces or exerts undue influence on a patient to request medication to end the patient's life, or to destroy a rescission of a request, is guilty of a class A felony.
(3) This chapter does not limit further liability for civil damages resulting from other negligent conduct or intentional misconduct by any person.
(4) The penalties in this chapter do not preclude criminal penalties applicable under other law for conduct that is inconsistent with this chapter.
[ 2009 c 1 § 20 (Initiative Measure No. 1000, approved November 4, 2008).]
2023 Revised Code of Washington › Title 70 - Public Health and Safety › Chapter 70.245 - The Washington Death With Dignity Act. › 70.245.210 - Claims by governmental entity for costs incurred.

RCW 70.245.210
Claims by governmental entity for costs incurred.
Any governmental entity that incurs costs resulting from a person terminating his or her life under this chapter in a public place has a claim against the estate of the person to recover such costs and reasonable attorneys' fees related to enforcing the claim.
[ 2009 c 1 § 21 (Initiative Measure No. 1000, approved November 4, 2008).]
2023 Revised Code of Washington › Title 70 - Public Health and Safety › Chapter 70.245 - The Washington Death With Dignity Act. › 70.245.220 - Form of the request.

RCW 70.245.220
Form of the request.
A request for a medication as authorized by this chapter shall be in substantially the following form:
REQUEST FOR MEDICATION TO END MY LIFE IN A HUMANE AND DIGNIFIED MANNER
I, . . . . . . . . . . . . . . ., am an adult of sound mind.
I am suffering from  . . . . . . . . . . . . . . ., which my attending qualified medical provider has determined is a terminal disease that will result in death within six months.
I have been fully informed of my diagnosis, prognosis, the nature of medication to be prescribed and potential associated risks, the expected result, and the feasible alternatives, including comfort care, hospice care, and pain control.
I request that my attending qualified medical provider prescribe medication that I may self-administer to end my life in a humane and dignified manner and to contact any pharmacist to fill the prescription.
INITIAL ONE:
. . . . . I have informed my family of my decision and taken their opinions into consideration.
. . . . . I have decided not to inform my family of my decision.
. . . . . I have no family to inform of my decision.
I understand that I have the right to rescind this request at any time.
I understand the full import of this request and I expect to die when I take the medication to be prescribed. I further understand that although most deaths occur within three hours, my death may take longer and my qualified medical provider has counseled me about this possibility.
I make this request voluntarily and without reservation, and I accept full moral responsibility for my actions.
Signed: . . . . . . . . . . . . . . .
Dated: . . . . . . . . . . . . . . .
DECLARATION OF WITNESSES
By initialing and signing below on or after the date the person named above signs, we declare that the person making and signing the above request:
Witness 1
Initials
Witness 2
Initials
. . . .
. . . .
1. Is personally known to us or has provided proof of identity;
. . . .
. . . .
2. Signed this request in our presence on the date of the person's signature;
. . . .
. . . .
3. Appears to be of sound mind and not under duress, fraud, or undue influence;
. . . .
. . . .
4. Is not a patient for whom either of us is the attending qualified medical provider.
Printed Name of Witness 1:. . . .
Signature of Witness 1/Date:. . . .
Printed Name of Witness 2:. . . .
Signature of Witness 2/Date:. . . .
NOTE: One witness shall not be a relative by blood, marriage, or adoption of the person signing this request, shall not be entitled to any portion of the person's estate upon death, and shall not own, operate, or be employed at a health care facility where the person is a patient or resident.
[ 2023 c 38 § 17; 2009 c 1 § 22 (Initiative Measure No. 1000, approved November 4, 2008).]
2023 Revised Code of Washington › Title 70 - Public Health and Safety › Chapter 70.245 - The Washington Death With Dignity Act. › 70.245.230 - Selection of qualified medical provider.

RCW 70.245.230
Selection of qualified medical provider.
(1) Subject to the provisions in subsection (2) of this section, a qualified patient may select the attending or consulting qualified medical provider of the qualified patient's choosing.
(2)(a) If a qualified patient selects an attending qualified medical provider who is a licensed professional other than a physician, the qualified patient must select a physician to serve as the qualified patient's consulting qualified medical provider.
(b) A qualified patient may select a consulting qualified medical provider who is a licensed professional other than a physician, only if the qualified patient's attending qualified medical provider is a physician.
(c) The attending qualified medical provider and the consulting qualified medical provider selected by the qualified patient may not have a direct supervisory relationship with each other.
[ 2023 c 38 § 2.]
2023 Revised Code of Washington › Title 70 - Public Health and Safety › Chapter 70.245 - The Washington Death With Dignity Act. › 70.245.901 - Short title—2009 c 1 (Initiative Measure No. 1000).

RCW 70.245.901
Short title—2009 c 1 (Initiative Measure No. 1000).
This act may be known and cited as the Washington death with dignity act.
[ 2009 c 1 § 26 (Initiative Measure No. 1000, approved November 4, 2008).]
2023 Revised Code of Washington › Title 70 - Public Health and Safety › Chapter 70.245 - The Washington Death With Dignity Act. › 70.245.903 - Effective dates—2009 c 1 (Initiative Measure No. 1000).

RCW 70.245.903
Effective dates—2009 c 1 (Initiative Measure No. 1000).
This act takes effect one hundred twenty days after the election at which it is approved [March 5, 2009], except for section 24 of this act which takes effect July 1, 2009.
[ 2009 c 1 § 28 (Initiative Measure No. 1000, approved November 4, 2008).]
2023 Revised Code of Washington › Title 70 - Public Health and Safety › Chapter 70.250 - Robert Bree Collaborative. › 70.250.010 - Definitions.

RCW 70.250.010
Definitions.
The definitions in this section apply throughout this chapter unless the context clearly requires otherwise.
(1) "Advanced diagnostic imaging services" means magnetic resonance imaging services, computed tomography services, positron emission tomography services, cardiac nuclear medicine services, and similar new imaging services.
(2) "Authority" means the Washington state health care authority.
(3) "Collaborative" means the Robert Bree collaborative established in RCW 70.250.050.
(4) "Payor" means carriers licensed under chapters 48.21, 48.41, 48.44, 48.46, and 48.62 RCW.
(5) "Self-funded health plan" means an employer-sponsored health plan or Taft-Hartley plan that is not provided through a fully insured health carrier.
(6) "State purchased health care" has the same meaning as in RCW 41.05.011.
[ 2011 c 313 § 2; 2009 c 258 § 1.]
NOTES:
Findings—Intent—2011 c 313: See note following RCW 70.250.050.
2023 Revised Code of Washington › Title 70 - Public Health and Safety › Chapter 70.250 - Robert Bree Collaborative. › 70.250.030 - Implementation of evidence-based best practice guidelines or protocols.

RCW 70.250.030
Implementation of evidence-based best practice guidelines or protocols.
(1) No later than September 1, 2009, all state purchased health care programs shall, except for state purchased health care services that are purchased from or through health carriers as defined in RCW 48.43.005, implement evidence-based best practice guidelines or protocols applicable to advanced diagnostic imaging services, and the decision support tools to implement the guidelines or protocols, identified under RCW 70.250.050.
(2) By January 1, 2012, and every January 1st thereafter, all state purchased health care programs must implement the evidence-based best practice guidelines or protocols and strategies identified under RCW 70.250.050, after the administrator, in consultation with participating agencies, has affirmatively reviewed and endorsed the recommendations. This requirement applies to health carriers, as defined in RCW 48.43.005 and to entities acting as third-party administrators that contract with state purchased health care programs to provide or administer health benefits for enrollees of those programs. If the collaborative fails to reach consensus within the time frames identified in this section and RCW 70.250.050, state purchased health care programs may pursue implementation of evidence-based strategies on their own initiative.
[ 2011 c 313 § 4; 2009 c 258 § 3.]
NOTES:
Findings—Intent—2011 c 313: See note following RCW 70.250.050.
2023 Revised Code of Washington › Title 70 - Public Health and Safety › Chapter 70.250 - Robert Bree Collaborative. › 70.250.040 - Application of section 135(a) of the medicare improvements for patients and providers act of 2008.

RCW 70.250.040
Application of section 135(a) of the medicare improvements for patients and providers act of 2008.
Any current or future time frames, procedures, rules, regulations, or guidance regarding accreditation requirements for advanced diagnostic imaging services established in, or promulgated pursuant to, section 135(a) of the medicare improvements for patients and providers act of 2008, shall also be applicable to any person or entity in this state not already subject to its provisions that receives payment for the furnishing of the technical component of advanced diagnostic imaging services as defined under that act.
[ 2009 c 258 § 4.]
2023 Revised Code of Washington › Title 70 - Public Health and Safety › Chapter 70.250 - Robert Bree Collaborative. › 70.250.060 - Sexual and reproductive health services—Review and recommendations for improvement—Report to legislature and governor.

RCW 70.250.060
Sexual and reproductive health services—Review and recommendations for improvement—Report to legislature and governor.
(1) No later than January 1, 2020, the collaborative shall begin a review to identify, define, and endorse guidelines for the provision of high quality sexual and reproductive health services in clinical settings throughout Washington. This shall include the development of specific clinical recommendations to improve sexual and reproductive health care for:
(a) People of color;
(b) Immigrants and refugees;
(c) Victims and survivors of violence; and
(d) People with disabilities.
(2) The collaborative shall conduct its review consistent with the activities, processes, and reporting standards specified in RCW 70.250.050. In conducting its review, the collaborative shall apply a whole-person framework to develop evidence-based, culturally sensitive recommendations to improve standards of care and health equity.
(3) By December 15, 2020, the collaborative, through the authority, shall provide a status report to the committees of the legislature with jurisdiction over matters related to health care and to the governor.
[ 2019 c 399 § 6.]
NOTES:
Findings—Short title—2019 c 399: See notes following RCW 74.09.875.
Recommendations—Preexposure and postexposure prophylaxis financial support awareness—2019 c 399: See note following RCW 48.43.072.
2023 Revised Code of Washington › Title 70 - Public Health and Safety › Chapter 70.250 - Robert Bree Collaborative. › 70.250.900 - Effective date—2009 c 258.

RCW 70.250.900
Effective date—2009 c 258.
This act is necessary for the immediate preservation of the public peace, health, or safety, or support of the state government and its existing public institutions, and takes effect immediately [April 28, 2009].
[ 2009 c 258 § 5.]
2023 Revised Code of Washington › Title 70 - Public Health and Safety › Chapter 70.255 - Novelty Lighters. › 70.255.010 - Definitions.

RCW 70.255.010
Definitions.
The definitions in this section apply throughout this chapter unless the context clearly requires otherwise.
(1) "Authority having jurisdiction" means the local organization, office, or individual responsible for enforcing the requirements of the state fire code.
(2) "Director" means the director of fire protection appointed under RCW 43.43.938.
(3) "Distribute" means to do any of the following:
(a) Sell novelty lighters or deliver novelty lighters for sale by another person to consumers;
(b) Sell or accept orders for novelty lighters that are to be transported from a point outside this state to a consumer within this state;
(c) Buy novelty lighters directly from a manufacturer or wholesale dealer for resale in this state;
(d) Give novelty lighters as a sample, prize, gift, or other promotion.
(4) "Manufacturer" means:
(a) An entity that produces, or causes the production of, novelty lighters for sale in this state;
(b) An importer or first purchaser of novelty lighters that intends to resell within this state novelty lighters that were produced for sale outside this state; or
(c) A successor to an entity, importer, or first purchaser described in (a) or (b) of this subsection.
(5)(a) "Novelty lighter" means a lighter that can operate on any fuel, including butane or liquid fuel. Novelty lighters have features that are attractive to children, including but not limited to visual effects, flashing lights, musical sounds, and toylike designs. The term considers the shape of the lighter to be the most important characteristic when determining whether a lighter can be considered a novelty lighter.
(b) "Novelty lighter" does not include disposable cigarette lighters or lighters that are printed or decorated with logos, decals, artwork, or heat shrinkable sleeves.
(6) "Retail dealer" means an entity at one location, other than a manufacturer or wholesale dealer, that engages in distributing novelty lighters.
(7) "Sell" means to transfer, or agree to transfer, title or possession for a monetary or nonmonetary consideration.
(8) "Wholesale dealer" means an entity that distributes novelty lighters to a retail dealer or other person for resale.
[ 2009 c 273 § 1.]
2023 Revised Code of Washington › Title 70 - Public Health and Safety › Chapter 70.255 - Novelty Lighters. › 70.255.020 - Prohibition on the distribution or offer to sell novelty lighters.

RCW 70.255.020
Prohibition on the distribution or offer to sell novelty lighters.
(1) A person may not distribute or offer to sell a novelty lighter within this state if the director determines the novelty lighter is prohibited for sale or distribution under this chapter.
(2) This section does not apply if the novelty lighters are in interstate commerce and not intended for distribution in this state.
(3) The authority having jurisdiction shall enforce the provisions of this chapter.
[ 2009 c 273 § 2.]