reglab/statecodes huggingface dataset:
2023 Revised Code of Washington › Title 70 - Public Health and Safety › Chapter 70.54 - Miscellaneous Health and Safety Provisions. › 70.54.160 - Public restrooms—Pay facilities—Penalty.

RCW 70.54.160
Public restrooms—Pay facilities—Penalty.
(1) Every establishment which maintains restrooms for use by the public shall not discriminate in charges required between facilities used by men and facilities used by women.
(2) When coin lock controls are used, the controls shall be so allocated as to allow for a proportionate equality of free toilet units available to women as compared with those units available to men, and at least one-half of the units in any restroom shall be free of charge. As used in this section, toilet units are defined as constituting commodes and urinals.
(3) In situations involving coin locks placed on restroom entry doors, admission keys shall be readily provided without charge when requested, and notice as to the availability of the keys shall be posted on the restroom entry door.
(4) Any owner, agent, manager, or other person charged with the responsibility of the operation of an establishment who operates such establishment in violation of this section is guilty of a misdemeanor.
[ 2003 c 53 § 352; 1977 ex.s. c 97 § 1.]
NOTES:
Intent—Effective date—2003 c 53: See notes following RCW 2.48.180.
2023 Revised Code of Washington › Title 70 - Public Health and Safety › Chapter 70.54 - Miscellaneous Health and Safety Provisions. › 70.54.180 - Deaf persons access to emergency services—Telecommunication devices.

RCW 70.54.180
Deaf persons access to emergency services—Telecommunication devices.
(1) For the purpose of this section "telecommunication device" means an instrument for telecommunication in which speaking or hearing is not required for communicators.
(2) The county legislative authority of each county with a population of eighteen thousand or more and the governing body of each city with a population in excess of ten thousand shall provide by July 1, 1980, for a telecommunication device in their jurisdiction or through a central dispatch office that will assure access to police, fire, or other emergency services.
(3) The county legislative authority of each county with a population of eighteen thousand or less shall by July 1, 1980, make a determination of whether sufficient need exists with their respective counties to require installation of a telecommunication device. Reconsideration of such determination will be made at any future date when a deaf individual indicates a need for such an instrument.
[ 1991 c 363 § 142; 1979 ex.s. c 63 § 2.]
NOTES:
Purpose—Captions not law—1991 c 363: See notes following RCW 2.32.180.
Purpose—1979 ex.s. c 63: "The legislature finds that many citizens of this state who are unable to utilize telephone services in a regular manner due to hearing defects are able to communicate by teletypewriters where hearing is not required for communication. Hence, it is the purpose of section 2 of this act [RCW 70.54.180] to require that telecommunication devices for the deaf be installed." [ 1979 ex.s. c 63 § 1.]
2023 Revised Code of Washington › Title 70 - Public Health and Safety › Chapter 70.54 - Miscellaneous Health and Safety Provisions. › 70.54.190 - DMSO (dimethyl sulfoxide)—Use—Liability.

RCW 70.54.190
DMSO (dimethyl sulfoxide)—Use—Liability.
No hospital or health facility may interfere with the physician/patient relationship by restricting or forbidding the use of DMSO (dimethyl sulfoxide) when prescribed or administered by a physician licensed pursuant to chapter 18.57 or 18.71 RCW and requested by a patient under his/her care who has requested the substance after having been given sufficient information in writing to make an informed decision.
No physician may be subject to disciplinary action by any entity of either the state of Washington or a professional association for prescribing or administering DMSO (dimethyl sulfoxide) to a patient under his/her care who has requested the substance after having been given sufficient information in writing to make an informed decision.
It is not the intent of this section to shield a physician from acts or omissions which otherwise would constitute unprofessional conduct.
[ 1986 c 259 § 151; 1981 c 50 § 2.]
NOTES:
Severability—1986 c 259: See note following RCW 18.130.010.
DMSO authorized: RCW 69.04.565.
2023 Revised Code of Washington › Title 70 - Public Health and Safety › Chapter 70.54 - Miscellaneous Health and Safety Provisions. › 70.54.200 - Fees for repository of vaccines, biologics.

RCW 70.54.200
Fees for repository of vaccines, biologics.
The department shall prescribe by rule a schedule of fees predicated on the cost of providing a repository of emergency vaccines and other biologics.
[ 1981 c 284 § 2.]
NOTES:
Reviser's note: Although 1981 c 284 directs this section be added to chapter 74.04 RCW, codification here is considered more appropriate. The "department" referred to is apparently the department of social and health services.
2023 Revised Code of Washington › Title 70 - Public Health and Safety › Chapter 70.54 - Miscellaneous Health and Safety Provisions. › 70.54.220 - Practitioners to provide information on prenatal testing and cord blood banking.

RCW 70.54.220
Practitioners to provide information on prenatal testing and cord blood banking.
All persons licensed or certified by the state of Washington to provide prenatal care or to practice medicine shall provide information to all pregnant women in their care regarding:
(1) The use and availability of prenatal tests; and
(2) Using objective and standardized information: (a) The differences between and potential benefits and risks involved in public and private cord blood banking that is sufficient to allow a pregnant woman to make an informed decision before her third trimester of pregnancy on whether to participate in a private or public cord blood banking program; and (b) the opportunity to donate, to a public cord blood bank, blood and tissue extracted from the placenta and umbilical cord following delivery of a newborn child.
[ 2009 c 495 § 9; (2009 c 495 § 8 expired July 1, 2010); 2008 c 56 § 2; 1988 c 276 § 5.]
NOTES:
Effective date—2009 c 495 § 9: "Section 9 of this act takes effect July 1, 2010." [ 2009 c 495 § 16.]
Expiration date—2009 c 495 § 8: "Section 8 of this act expires July 1, 2010." [ 2009 c 495 § 15.]
Purpose—Effective date—2008 c 56: See note following RCW 70.54.222.
Effective date—1988 c 276 § 5: "Section 5 of this act shall take effect December 31, 1989." [ 1988 c 276 § 10.]
2023 Revised Code of Washington › Title 70 - Public Health and Safety › Chapter 70.54 - Miscellaneous Health and Safety Provisions. › 70.54.230 - Cancer registry program.

RCW 70.54.230
Cancer registry program.
The secretary of health may contract with either a recognized regional cancer research institution or regional tumor registry, or both, which shall hereinafter be called the contractor, to establish a statewide cancer registry program and to obtain cancer reports from all or a portion of the state as required in RCW 70.54.240 and to make available data for use in cancer research and for purposes of improving the public health.
[ 1990 c 280 § 2.]
NOTES:
Intent—1990 c 280: "It is the intent of the legislature to establish a system to accurately monitor the incidence of cancer in the state of Washington for the purposes of understanding, controlling, and reducing the occurrence of cancer in this state. In order to accomplish this, the legislature has determined that cancer cases shall be reported to the department of health, and that there shall be established a statewide population-based cancer registry." [ 1990 c 280 § 1.]
2023 Revised Code of Washington › Title 70 - Public Health and Safety › Chapter 70.54 - Miscellaneous Health and Safety Provisions. › 70.54.240 - Cancer registry program—Reporting requirements.

RCW 70.54.240
Cancer registry program—Reporting requirements.
(1) The department of health shall adopt rules as to which types of cancer shall be reported, who shall report, and the form and timing of the reports. A patient's usual occupation or, if the patient is retired, the primary occupation of the patient before retirement must be reported.
(2) Every health care facility and independent clinical laboratory, and those physicians or others providing health care who diagnose or treat any patient with cancer who is not hospitalized within one month of diagnosis, will provide the contractor with the information required under subsection (1) of this section. The required information may be collected on a regional basis where such a system exists and forwarded to the contractor in a form suitable for the purposes of RCW 70.54.230 through 70.54.270. Such reporting arrangements shall be reduced to a written agreement between the contractor and any regional reporting agency which shall detail the manner, form, and timeliness of the reporting.
[ 2011 c 38 § 1; 1990 c 280 § 3.]
NOTES:
Intent—1990 c 280: See note following RCW 70.54.230.
2023 Revised Code of Washington › Title 70 - Public Health and Safety › Chapter 70.54 - Miscellaneous Health and Safety Provisions. › 70.54.250 - Cancer registry program—Confidentiality.

RCW 70.54.250
Cancer registry program—Confidentiality.
(1) Data obtained under RCW 70.54.240 shall be used for statistical, scientific, medical research, and public health purposes only.
(2) The department and its contractor shall ensure that access to data contained in the registry is consistent with federal law for the protection of human subjects and consistent with chapter 42.48 RCW.
[ 1990 c 280 § 4.]
NOTES:
Intent—1990 c 280: See note following RCW 70.54.230.
2023 Revised Code of Washington › Title 70 - Public Health and Safety › Chapter 70.54 - Miscellaneous Health and Safety Provisions. › 70.54.260 - Liability.

RCW 70.54.260
Liability.
Providing information required under RCW 70.54.240 or 70.54.250 shall not create any liability on the part of the provider nor shall it constitute a breach of confidentiality. The contractor shall, at the request of the provider, but not more frequently than once a year, sign an oath of confidentiality, which reads substantially as follows:
"As a condition of conducting research concerning persons who have received services from (name of the health care provider or facility), I . . . . . . . . ., agree not to divulge, publish, or otherwise make known to unauthorized persons or the public any information obtained in the course of such research that could lead to identification of such persons receiving services, or to the identification of their health care providers. I recognize that unauthorized release of confidential information may subject me to civil liability under the provisions of state law."
[ 1990 c 280 § 5.]
NOTES:
Intent—1990 c 280: See note following RCW 70.54.230.
2023 Revised Code of Washington › Title 70 - Public Health and Safety › Chapter 70.54 - Miscellaneous Health and Safety Provisions. › 70.54.270 - Rule making.

RCW 70.54.270
Rule making.
The department shall adopt rules to implement RCW 70.54.230 through 70.54.260, including but not limited to a definition of cancer.
[ 1990 c 280 § 6.]
NOTES:
Intent—1990 c 280: See note following RCW 70.54.230.
2023 Revised Code of Washington › Title 70 - Public Health and Safety › Chapter 70.54 - Miscellaneous Health and Safety Provisions. › 70.54.280 - Bone marrow donor recruitment and education program—Generally—Target minority populations—Report.

RCW 70.54.280
Bone marrow donor recruitment and education program—Generally—Target minority populations—Report.
The department of health shall establish a bone marrow donor recruitment and education program to educate residents of the state about:
(1) The need for bone marrow donors;
(2) The procedures required to become registered as a potential bone marrow donor, including procedures for determining a person's tissue type;
(3) The procedures a donor must undergo to donate bone marrow or other sources of blood stem cells; and
(4) The ability to obtain information about bone marrow donation when applying for or renewing a personal driver's license or identicard with the department of licensing.
The department of health shall make special efforts to educate and recruit citizens from minority populations to volunteer as potential bone marrow donors. Means of communication may include use of press, radio, and television, and placement of educational materials in appropriate health care facilities, blood banks, and state and local agencies. The department of health in conjunction with the department of licensing shall make educational materials available at all places where and when drivers' licenses are issued or renewed.
By December 1, 2019, the department of health, in conjunction with the department of licensing, must provide a report to the appropriate committees of the legislature on the results and outcomes of the efforts in increasing public awareness of bone marrow donation and the number of individuals being placed on the bone marrow donor registry from Washington state as a result of RCW 46.20.1132.
[ 2018 c 192 § 3; 1992 c 109 § 2.]
NOTES:
Findings—Intent—Effective date—2018 c 192: See notes following RCW 46.20.1132.
Findings—1992 c 109: "The legislature finds that an estimated sixteen thousand American children and adults are stricken each year with leukemia, aplastic anemia, or other fatal blood diseases. For many of these individuals, bone marrow transplantation is the only chance for survival. Nearly seventy percent cannot find a suitable bone marrow match within their own families. The chance that a patient will find a matching, unrelated donor in the general population is between one in a hundred and one in a million.
The legislature further finds that because tissue types are inherited, and different tissue types are found in different ethnic groups, the chances of finding an unrelated donor vary according to the patient's ethnic and racial background. Patients from minority groups are therefore less likely to find matching, unrelated donors.
It is the intent of the legislature to establish a statewide bone marrow donor education and recruitment program in order to increase the number of Washington residents who become bone marrow donors, and to increase the chance that patients in need of bone marrow transplants will find a suitable bone marrow match." [ 1992 c 109 § 1.]
2023 Revised Code of Washington › Title 70 - Public Health and Safety › Chapter 70.54 - Miscellaneous Health and Safety Provisions. › 70.54.290 - Bone marrow donor recruitment and education program—State employees to be recruited.

RCW 70.54.290
Bone marrow donor recruitment and education program—State employees to be recruited.
The department of health shall make special efforts to educate and recruit state employees to volunteer as potential bone marrow donors. Such efforts shall include, but not be limited to, conducting a bone marrow donor drive to encourage state employees to volunteer as potential bone marrow donors. The drive shall include educational materials furnished by the national bone marrow donor program and presentations that explain the need for bone marrow donors, and the procedures for becoming registered as potential bone marrow donors. The cost of educational materials and presentations to state employees shall be borne by the national marrow donor program.
[ 1992 c 109 § 3.]
NOTES:
Findings—1992 c 109: See note following RCW 70.54.280.
2023 Revised Code of Washington › Title 70 - Public Health and Safety › Chapter 70.54 - Miscellaneous Health and Safety Provisions. › 70.54.300 - Bone marrow donor recruitment and education program—Private sector and community involvement.

RCW 70.54.300
Bone marrow donor recruitment and education program—Private sector and community involvement.
In addition to educating and recruiting state employees, the department of health shall make special efforts to encourage community and private sector businesses and associations to initiate independent efforts to achieve the goals of chapter 109, Laws of 1992.
[ 1992 c 109 § 4.]
NOTES:
Findings—1992 c 109: See note following RCW 70.54.280.
2023 Revised Code of Washington › Title 70 - Public Health and Safety › Chapter 70.54 - Miscellaneous Health and Safety Provisions. › 70.54.305 - Bone marrow donation—Status as minor not a disqualifying factor.

RCW 70.54.305
Bone marrow donation—Status as minor not a disqualifying factor.
A person's status as a minor may not disqualify him or her from bone marrow donation.
[ 2000 c 116 § 1.]
2023 Revised Code of Washington › Title 70 - Public Health and Safety › Chapter 70.54 - Miscellaneous Health and Safety Provisions. › 70.54.310 - Semiautomatic external defibrillator—Duty of acquirer—Immunity from civil liability.

RCW 70.54.310
Semiautomatic external defibrillator—Duty of acquirer—Immunity from civil liability.
(1) As used in this section, "defibrillator" means a semiautomatic external defibrillator as prescribed by a physician licensed under chapter 18.71 RCW or an osteopath licensed under chapter 18.57 RCW.
(2) A person or entity who acquires a defibrillator shall ensure that:
(a) Expected defibrillator users receive reasonable instruction in defibrillator use and cardiopulmonary resuscitation by a course approved by the department of health;
(b) The defibrillator is maintained and tested by the acquirer according to the manufacturer's operational guidelines;
(c) Upon acquiring a defibrillator, medical direction is enlisted by the acquirer from a licensed physician in the use of the defibrillator and cardiopulmonary resuscitation;
(d) The person or entity who acquires a defibrillator shall notify the local emergency medical services organization about the existence and the location of the defibrillator; and
(e) The defibrillator user shall call 911 or its local equivalent as soon as possible after the emergency use of the defibrillator and shall assure that appropriate follow-up data is made available as requested by emergency medical service or other health care providers.
(3) A person who uses a defibrillator at the scene of an emergency and all other persons and entities providing services under this section are immune from civil liability for any personal injury that results from any act or omission in the use of the defibrillator in an emergency setting.
(4) The immunity from civil liability does not apply if the acts or omissions amount to gross negligence or willful or wanton misconduct.
(5) The requirements of subsection (2) of this section shall not apply to any individual using a defibrillator in an emergency setting if that individual is acting as a good samaritan under RCW 4.24.300.
[ 1998 c 150 § 1.]
2023 Revised Code of Washington › Title 70 - Public Health and Safety › Chapter 70.54 - Miscellaneous Health and Safety Provisions. › 70.54.320 - Electrology and tattooing—Findings.

RCW 70.54.320
Electrology and tattooing—Findings.
The legislature finds and declares that the practices of electrology and tattooing involve an invasive procedure with the use of needles and instruments which may be dangerous when improperly sterilized presenting a risk of infecting the client with blood-borne pathogens such as HIV and Hepatitis B. It is in the interests of the public health, safety, and welfare to establish requirements for the sterilization procedures in the commercial practices of electrology and tattooing in this state.
[ 2001 c 194 § 1.]
2023 Revised Code of Washington › Title 70 - Public Health and Safety › Chapter 70.54 - Miscellaneous Health and Safety Provisions. › 70.54.330 - Electrology and tattooing—Definitions.

RCW 70.54.330
Electrology and tattooing—Definitions.
The definitions in this section apply throughout RCW 70.54.320, 70.54.340, and 70.54.350 unless the context clearly requires otherwise.
(1) "Electrologist" means a person who practices the business of electrology for a fee.
(2) "Electrology" means the process by which hair is permanently removed through the utilization of solid needle/probe electrode epilation, including thermolysis, being of shortwave, high frequency type, and including electrolysis, being of galvanic type, or a combination of both which is accomplished by a superimposed or sequential blend.
(3) "Tattoo artist" means a person who practices the business of tattooing for a fee.
(4) "Tattooing" means the indelible mark, figure, or decorative design introduced by insertion of nontoxic dyes or pigments into or under the subcutaneous portion of the skin upon the body of a live human being for cosmetic or figurative purposes.
[ 2001 c 194 § 2.]
2023 Revised Code of Washington › Title 70 - Public Health and Safety › Chapter 70.54 - Miscellaneous Health and Safety Provisions. › 70.54.340 - Electrology, body art, body piercing, and tattooing—Rules, sterilization requirements.

RCW 70.54.340
Electrology, body art, body piercing, and tattooing—Rules, sterilization requirements.
The secretary of health shall adopt by rule requirements, in accordance with nationally recognized professional standards, for precautions against the spread of disease, including the sterilization of needles and other instruments, including sharps and jewelry, employed by electrologists, persons engaged in the practice of body art, body piercing, and tattoo artists. The secretary shall consider the standard precautions for infection control, as recommended by the United States centers for disease control, and guidelines for infection control, as recommended by national industry standards in the adoption of these sterilization requirements.
[ 2009 c 412 § 19; 2001 c 194 § 3.]
NOTES:
Effective date—2009 c 412 §§ 1-21: See RCW 18.300.901.
Short title—Implementation—2009 c 412: See RCW 18.300.900 and 18.300.902.
Definition of body art, body piercing, and tattooing: RCW 18.300.010.
2023 Revised Code of Washington › Title 70 - Public Health and Safety › Chapter 70.54 - Miscellaneous Health and Safety Provisions. › 70.54.350 - Electrology and tattooing—Practitioners to comply with rules—Penalty.

RCW 70.54.350
Electrology and tattooing—Practitioners to comply with rules—Penalty.
(1) Any person who practices electrology or tattooing shall comply with the rules adopted by the department of health under *RCW 70.54.340.
(2) A violation of this section is a misdemeanor.
[ 2001 c 194 § 4.]
NOTES:
*Reviser's note: RCW 70.54.340 was amended by 2009 c 412 § 19, adding body art and body piercing to its application.
2023 Revised Code of Washington › Title 70 - Public Health and Safety › Chapter 70.54 - Miscellaneous Health and Safety Provisions. › 70.54.355 - Scleral tattooing prohibited—Penalties—Enforcement.

RCW 70.54.355
Scleral tattooing prohibited—Penalties—Enforcement.
(1) A person may not perform or offer to perform scleral tattooing on another person.
(2) A person who violates this section is subject to a civil penalty not to exceed ten thousand dollars for each violation, as determined by the court.
(3)(a) The attorney general may receive, investigate, and prosecute complaints against alleged violators of this section.
(b) The attorney general may institute and conduct an action in the name of the state of Washington for any of the following:
(i) An injunction in any court of this state for injunctive relief to restrain a person from continuing any activity that violates this section.
(ii) The assessment and recovery of civil penalties provided in subsection (2) of this section.
(4) The attorney general must be reimbursed through civil penalties collected under this section for the costs incurred in providing the services described in subsection (3) of this section. Any remaining funds must be deposited in the state general fund.
(5) For the purposes of this section, "scleral tattooing" means the practice of producing an indelible mark or figure on the human eye by scarring or inserting a pigment on, in, or under: (a) The fornix conjunctiva; (b) the bulbar conjunctiva; (c) the ocular conjunctiva; or (d) another ocular surface; using needles, scalpels, or other related equipment.
[ 2019 c 307 § 1.]
2023 Revised Code of Washington › Title 70 - Public Health and Safety › Chapter 70.54 - Miscellaneous Health and Safety Provisions. › 70.54.370 - Meningococcal disease—Students to receive informational materials.

RCW 70.54.370
Meningococcal disease—Students to receive informational materials.
(1) Except for community and technical colleges, each degree-granting public or private postsecondary residential campus that provides on-campus or group housing shall provide information on meningococcal disease to each enrolled matriculated first-time student. Community and technical colleges must provide the information only to those students who are offered on-campus or group housing. The information about meningococcal disease shall include:
(a) Symptoms, risks, especially as the risks relate to circumstances of group living arrangements, and treatment; and
(b) Current recommendations from the United States centers for disease control and prevention regarding the receipt of vaccines for meningococcal disease and where the vaccination can be received.
(2) This section shall not be construed to require the department of health or the postsecondary educational institution to provide the vaccination to students.
(3) The department of health shall be consulted regarding the preparation of the information materials provided to the first-time students.
(4) If institutions provide electronic enrollment or registration to first-time students, the information required by this section shall be provided electronically and acknowledged by the student before completion of electronic enrollment or registration.
(5) This section does not create a private right of action.
[ 2003 c 398 § 1.]
NOTES:
Reviser's note: Substitute House Bill No. 1059, Substitute House Bill No. 1173, and Engrossed Substitute House Bill No. 1827 were enacted during the 2003 regular session of the legislature, but were vetoed in part by the governor. A stipulated judgment, No. 03-2-01988-4 filed in the Superior Court of Thurston County, between the governor and the legislature, settled litigation over the governor's use of veto powers and declared the vetoes of SHB 1059, SHB 1173, and ESHB 1827 null and void. Consequently, the text of this section has been returned to the version passed by the legislature prior to the vetoes. For vetoed text and message, see chapter 398, Laws of 2003.
Effective date—2003 c 398: "This act takes effect July 1, 2004." [ 2003 c 398 § 2.]
2023 Revised Code of Washington › Title 70 - Public Health and Safety › Chapter 70.54 - Miscellaneous Health and Safety Provisions. › 70.54.410 - Unintended pregnancies—Sexual health education funding.

RCW 70.54.410
Unintended pregnancies—Sexual health education funding.
(1) To reduce unintended pregnancies, state agencies may apply for sexual health education funding for programs that are medically and scientifically accurate, including, but not limited to, programs on abstinence, the prevention of sexually transmitted diseases, and the prevention of unintended pregnancies. The state shall ensure that such programs:
(a) Are evidence-based;
(b) Use state funds cost-effectively;
(c) Maximize the use of federal matching funds; and
(d) Are consistent with RCW 28A.300.475, the state's healthy youth act, as existing on July 26, 2009.
(2) As used in this section:
(a) "Medically and scientifically accurate" has the same meaning as in RCW 28A.300.475, as existing on July 26, 2009; and
(b) "Evidence-based" means a program that uses practices proven to the greatest extent possible through research in compliance with scientific methods to be effective and beneficial for the target population.
[ 2009 c 303 § 1.]
2023 Revised Code of Washington › Title 70 - Public Health and Safety › Chapter 70.54 - Miscellaneous Health and Safety Provisions. › 70.54.460 - Breast health information—Mammography report—Notice.

RCW 70.54.460
Breast health information—Mammography report—Notice. (Expires January 1, 2025.)
(1) All health care facilities shall include in the summary of the mammography report, required by federal law to be provided to a patient, information that identifies the patient's individual breast density classification based on the breast imaging reporting and data system established by the American College of Radiology. If a physician at, employed by, or under contract with, the health care facility determines that a patient has heterogeneously or extremely dense breasts, the summary of the mammography report must include the following notice:
"Your mammogram indicates that you may have dense breast tissue. Roughly half of all women have dense breast tissue which is normal. Dense breast tissue may make it more difficult to evaluate your mammogram. We are sharing this information with you and your health care provider to help raise your awareness of breast density. We encourage you to talk with your health care provider about this and other breast cancer risk factors. Together, you can decide which screening options are right for you."
(2) Patients who receive diagnostic or screening mammograms may be directed to informative material about breast density. This informative material may include the American College of Radiology's most current brochure on the subject of breast density.
(3) This section does not create a duty of care for any health care facility or any health care providers or other legal obligation beyond the duty to provide notice as set forth in this section.
(4) This section does not require a notice that is inconsistent with the provisions of the federal mammography quality standards act (42 U.S.C. Sec. 263b) or any regulations adopted under that act.
(5) For the purposes of this section:
(a) "Health care facility" means a hospital, clinic, nursing home, laboratory, office, or similar place where mammography examinations are performed.
(b) "Physician" means a person licensed to practice medicine under chapter 18.57 or 18.71 RCW.
(6) This section expires January 1, 2025.
[ 2018 c 122 § 1.]
NOTES:
Effective date—2018 c 122 § 1: "Section 1 of this act takes effect January 1, 2019." [ 2018 c 122 § 2.]
2023 Revised Code of Washington › Title 70 - Public Health and Safety › Chapter 70.54 - Miscellaneous Health and Safety Provisions. › 70.54.470 - Medical debt—Limits on sale or assignment.

RCW 70.54.470
Medical debt—Limits on sale or assignment.
(1) No health care provider or health care facility may sell or assign medical debt to any person licensed under chapter 19.16 RCW until at least one hundred twenty days after the initial billing statement for that medical debt has been transmitted to the patient or other responsible party.
(2) For the purposes of this section:
(a) "Health care facility" has the same meaning as provided in RCW 70.02.010.
(b) "Health care provider" has the same meaning as provided in RCW 70.02.010.
(c) "Medical debt" has the same meaning as provided in RCW 19.16.100.
[ 2019 c 227 § 7.]
2023 Revised Code of Washington › Title 70 - Public Health and Safety › Chapter 70.54 - Miscellaneous Health and Safety Provisions. › 70.54.500 - Motor carriers—Access to restroom facilities.

RCW 70.54.500
Motor carriers—Access to restroom facilities.
(1) The definitions in this subsection apply throughout this section unless the context clearly requires otherwise.
(a) "Consignee" means a person or business who takes delivery of property, cargo, or materials transported in interstate or intrastate commerce from a motor carrier.
(b) "Motor carrier" includes "common carrier," "contract carrier," and "private carrier" as defined in RCW 81.80.010.
(c) "Restroom" means a bathroom facility as required by rules authorized under chapter 49.17 RCW, located on the premises of, and operated by, a shipper or consignee and that is intended for use by customers or employees of the shipper or consignee.
(d) "Shipper" means a person or business who tenders property, cargo, or materials to a motor carrier for transportation in interstate or intrastate commerce.
(2) A shipper or consignee required to provide a restroom by rules authorized under chapter 49.17 RCW must allow a motor carrier delivering goods to or picking goods up from a shipper or consignee to use that restroom during normal business hours if:
(a) The restroom is located in an area where providing access would not create an obvious health or safety risk to the motor carrier; and
(b) Allowing the motor carrier to access the restroom does not pose an obvious security, health, or safety risk to the shipper, consignee, or its employees.
(3) A shipper or consignee is not required to make any physical changes to a restroom under this section and may require that an employee accompany a motor carrier to the restroom.
(4) A shipper or consignee or an employee of a shipper or consignee is not civilly liable for any act or omission in allowing a motor carrier to use a restroom if the act or omission:
(a) Is not willful or grossly negligent;
(b) Occurs in an area of the shipper or consignee facility that is not accessible to the public; and
(c) Results in an injury to or death of the motor carrier or any individual other than an employee accompanying the motor carrier.
(5)(a) The department of health has jurisdiction to enforce this section.
(b) The department of health may issue a warning letter to a shipper or consignee for a first violation of this section, informing the shipper or consignee of the requirements of this section. A shipper or consignee that violates this section after receiving a warning letter is guilty of a class 2 civil infraction under chapter 7.80 RCW.
[ 2023 c 251 § 1.]
2023 Revised Code of Washington › Title 70 - Public Health and Safety › Chapter 70.56 - Adverse Health Events and Incident Reporting System. › 70.56.010 - Definitions.

RCW 70.56.010
Definitions.
The definitions in this section apply throughout this chapter unless the context clearly requires otherwise.
(1) "Adverse health event" or "adverse event" means the list of serious reportable events adopted by the national quality forum in 2002, in its consensus report on serious reportable events in health care. The department shall update the list, through adoption of rules, as subsequent changes are made by the national quality forum. The term does not include an incident.
(2) "Ambulatory surgical facility" means a facility licensed under chapter 70.230 RCW.
(3) "Childbirth center" means a facility licensed under chapter 18.46 RCW.
(4) "Correctional medical facility" means a part or unit of a correctional facility operated by the department of corrections under chapter 72.10 RCW that provides medical services for lengths of stay in excess of twenty-four hours to offenders.
(5) "Department" means the department of health.
(6) "Health care worker" means an employee, independent contractor, licensee, or other individual who is directly involved in the delivery of health services in a medical facility.
(7) "Hospital" means a facility licensed under chapter 70.41 RCW.
(8) "Incident" means an event, occurrence, or situation involving the clinical care of a patient in a medical facility that:
(a) Results in unanticipated injury to a patient that is not related to the natural course of the patient's illness or underlying condition and does not constitute an adverse event; or
(b) Could have injured the patient but did not either cause an unanticipated injury or require the delivery of additional health care services to the patient.
"Incident" does not include an adverse event.
(9) "Independent entity" means that entity that the department of health contracts with under RCW 70.56.040 to receive notifications and reports of adverse events and incidents, and carry out the activities specified in RCW 70.56.040.
(10) "Medical facility" means a childbirth center, hospital, psychiatric hospital, or correctional medical facility. An ambulatory surgical facility shall be considered a medical facility for purposes of this chapter upon the effective date of any requirement for state registration or licensure of ambulatory surgical facilities.
(11) "Psychiatric hospital" means a hospital facility licensed as a psychiatric hospital under chapter 71.12 RCW.
[ 2007 c 273 § 20; 2006 c 8 § 105.]
NOTES:
Effective date—Implementation—2007 c 273: See RCW 70.230.900 and 70.230.901.
2023 Revised Code of Washington › Title 70 - Public Health and Safety › Chapter 70.56 - Adverse Health Events and Incident Reporting System. › 70.56.030 - Department of health—Duties—Rules.

RCW 70.56.030
Department of health—Duties—Rules.
(1) The department shall:
(a) Receive and investigate, where necessary, notifications and reports of adverse events, including root cause analyses and corrective action plans submitted as part of reports, and communicate to individual facilities the department's conclusions, if any, regarding an adverse event reported by a facility; and
(b) Adopt rules as necessary to implement this chapter.
(2) The department may enforce the reporting requirements of RCW 70.56.020 using its existing enforcement authority provided in chapter 18.46 RCW for childbirth centers, chapter 70.41 RCW for hospitals, and chapter 71.12 RCW for psychiatric hospitals.
[ 2009 c 495 § 13; 2009 c 488 § 1; 2007 c 259 § 13; 2006 c 8 § 107.]
NOTES:
Reviser's note: This section was amended by 2009 c 488 § 1 and by 2009 c 495 § 13, each without reference to the other. Both amendments are incorporated in the publication of this section under RCW 1.12.025(2). For rule of construction, see RCW 1.12.025(1).
Effective date—2009 c 495: See note following RCW 43.20.050.
Subheadings not law—2007 c 259: See note following RCW 7.70.060.
2023 Revised Code of Washington › Title 70 - Public Health and Safety › Chapter 70.56 - Adverse Health Events and Incident Reporting System. › 70.56.050 - Confidentiality of notifications and reports.

RCW 70.56.050
Confidentiality of notifications and reports.
(1)(a) When notification of an adverse event under RCW 70.56.020(2)(a) or of an incident under RCW 70.56.040(5), or a report regarding an adverse event under RCW 70.56.020(2)(b) is made by or through a coordinated quality improvement program under RCW 43.70.510 or 70.41.200, or by a peer review committee under RCW 4.24.250, information and documents, including complaints and incident reports, created specifically for and collected and maintained by a quality improvement committee for the purpose of preparing a notification of an adverse event or incident or a report regarding an adverse event, the report itself, and the notification of an incident, shall be subject to the confidentiality protections of those laws and RCW 42.56.360(1)(c).
(b) The notification of an adverse event under RCW 70.56.020(2)(a), shall be subject to public disclosure and not exempt from disclosure under chapter 42.56 RCW. Any public disclosure of an adverse event notification must include any contextual information the medical facility chose to provide under RCW 70.56.020(2)(a).
(2)(a) When notification of an adverse event under RCW 70.56.020(2)(a) or of an incident under RCW 70.56.040(5), or a report regarding an adverse event under RCW 70.56.020(2)(b), made by a health care worker uses information and documents, including complaints and incident reports, created specifically for and collected and maintained by a quality improvement committee under RCW 43.70.510 or 70.41.200 or a peer review committee under RCW 4.24.250, a notification of an incident, the report itself, and the information or documents used for the purpose of preparing notifications or the report, shall be subject to the confidentiality protections of those laws and RCW 42.56.360(1)(c).
(b) The notification of an adverse event under RCW 70.56.020(2)(a) shall be subject to public disclosure and not exempt from disclosure under chapter 42.56 RCW. Any public disclosure of an adverse event notification must include any contextual information the medical facility chose to provide under RCW 70.56.020(2)(a).
[ 2008 c 136 § 3; 2006 c 8 § 110.]
2023 Revised Code of Washington › Title 70 - Public Health and Safety › Chapter 70.56 - Adverse Health Events and Incident Reporting System. › 70.56.900 - Findings—Intent—Part headings and subheadings not law—Severability—2006 c 8.

RCW 70.56.900
Findings—Intent—Part headings and subheadings not law—Severability—2006 c 8.
See notes following RCW 5.64.010.
2023 Revised Code of Washington › Title 70 - Public Health and Safety › Chapter 70.58 - Vital Statistics. › 70.58.260 - Burial grounds—Duties of individual in charge of the premises.

RCW 70.58.260
Burial grounds—Duties of individual in charge of the premises.
It is unlawful for any person in charge of any premises in which bodies of deceased persons are interred, cremated, or otherwise permanently disposed of, to permit the final disposition, or other disposition of any body upon such premises unless it is accompanied by a burial, removal, or transit permit as provided in this chapter. It is the duty of the person in charge of any such premises to, in case of the interment, cremation, alkaline hydrolysis, natural organic reduction as defined in RCW 68.04.310, or other disposition of human remains therein, endorse upon the permit the date and character of such disposition, over his or her signature or electronic approval, to return all permits so endorsed to the local registrar of the district in which the death occurred within ten days from the date of such disposition, and to keep a record of all human remains disposed of on the premises under his or her charge, stating, in each case, the name of the deceased person, if known, the place of death, the date of burial or other disposition, and the name and address of the undertaker, which record must at all times be open to public inspection, and it is the duty of every undertaker, or person acting as such, when burying human remains in a cemetery or burial grounds having no person in charge, to sign or electronically approve the burial, removal, or transit permit, giving the date of burial, write across the face of the permit the words "no person in charge," and file the burial, removal, or transit permit within ten days with the registrar of the district in which the death occurred.
[ 2019 c 432 § 31; 2009 c 231 § 7; 2005 c 365 § 159; 1915 c 180 § 7; 1907 c 83 § 10; RRS § 6027.]
NOTES:
Reviser's note: RCW 70.58.260 was amended by 2019 c 432 § 31, effective May 1, 2020, without cognizance of its repeal by 2019 c 148 § 40, effective January 1, 2021. For rule of construction concerning sections amended and repealed in the same legislative session, see RCW 1.12.025.
Effective date—2019 c 432: See note following RCW 68.05.175.
[ 2009 c 231 § 7; 2005 c 365 § 159; 1915 c 180 § 7; 1907 c 83 § 10; RRS § 6027.]
NOTES:
Reviser's note: RCW 70.58.260 was amended by 2019 c 432 § 31, effective May 1, 2020, without cognizance of its repeal by 2019 c 148 § 40, effective January 1, 2021. For rule of construction concerning sections amended and repealed in the same legislative session, see RCW 1.12.025.
2023 Revised Code of Washington › Title 70 - Public Health and Safety › Chapter 70.58A - Vital Statistics. › 70.58A.005 - Purpose.

RCW 70.58A.005
Purpose.
(1) Protection of public health requires a vital records system that provides proof of vital life events and gathers population health data for assessment, evaluation, research, and other public health purposes. An efficient and effective vital records system is a foundational public health service to support a healthy and productive population.
(2) The purpose of this chapter is to provide a framework for ongoing administration of a single comprehensive vital records system in the state that is operated and maintained by the department, under the supervision of the state registrar, to preserve the security, integrity, and confidentiality of state vital records and vital statistics, established under RCW 43.70.130 and this chapter.
[ 2019 c 148 § 1.]
2023 Revised Code of Washington › Title 70 - Public Health and Safety › Chapter 70.58A - Vital Statistics. › 70.58A.020 - Rule-making authority.

RCW 70.58A.020
Rule-making authority.
(1) The secretary shall have charge of the state vital records system and shall adopt rules to ensure implementation of the vital records system and this chapter.
(2) The secretary may adopt rules to set fees for services related to the vital records system including, but not limited to, expediting requests, verification and access for government agencies, registering reports of delayed birth, amending vital records, and releasing vital records and vital statistics.
(3) The state board of health may adopt, amend, or repeal rules requiring statistical information related to birth and manner of delivery.
[ 2019 c 148 § 3.]
2023 Revised Code of Washington › Title 70 - Public Health and Safety › Chapter 70.58A - Vital Statistics. › 70.58A.030 - Appointment of the state registrar.

RCW 70.58A.030
Appointment of the state registrar.
The secretary shall appoint the state registrar in accordance with RCW 43.70.020 and 43.70.150.
[ 2019 c 148 § 4.]
2023 Revised Code of Washington › Title 70 - Public Health and Safety › Chapter 70.58A - Vital Statistics. › 70.58A.040 - Duties of the state registrar.

RCW 70.58A.040
Duties of the state registrar.
(1) The state registrar shall administer and enforce the provisions of this chapter and shall:
(a) Administer the operation and maintenance of the vital records system to preserve the security, integrity, and confidentiality of state vital records and vital statistics established under RCW 43.70.130 and 43.70.150 and this chapter;
(b) Prescribe paper and electronic forms needed to carry out the purposes of this chapter;
(c) Prescribe the information required in forms, reports, vital records, certifications, or other documents authorized by this chapter;
(d) Prescribe the means for transmission of data, including electronic submission, necessary to accomplish the purpose of complete, accurate, and timely reporting and registration;
(e) Review reports to determine if additional information is necessary to register the report. If any reports are incomplete, the state registrar shall require submission of information necessary to make the record complete;
(f) Deny or revoke registration of a report or application for an amendment, or withhold or deny issuance of a certification for the reasons permitted by this chapter;
(g) Prepare and publish vital statistics pursuant to this chapter;
(h) Prepare a plan to provide for the continuity of operations of the vital records system in the event of an emergency;
(i) Take measures to prevent the fraudulent use of vital records; and
(j) Perform data quality assurance and record matching activities.
(2) The state registrar may delegate functions and duties vested in the state registrar under this section to employees of the department.
(3) The state registrar may appoint a deputy state registrar, with the concurrence of the secretary, with the same authority granted to the state registrar under this chapter.
[ 2019 c 148 § 5.]
2023 Revised Code of Washington › Title 70 - Public Health and Safety › Chapter 70.58A - Vital Statistics. › 70.58A.050 - Appointment of local and deputy registrars.

RCW 70.58A.050
Appointment of local and deputy registrars.
(1) Under the direction and control of the state registrar, the local health officer of each health jurisdiction is and shall serve as local registrar.
(2) Subject to the approval of the state registrar, each local registrar shall appoint a sufficient number of deputy registrars to perform the duties prescribed by this chapter applicable to local registrars. The local registrar shall submit each proposed appointment to the state registrar in writing. The state registrar shall either approve or deny the appointment in writing prior to the assumption of duties by the deputy registrar. The state registrar may deny an appointment for good cause.
(3) The state registrar shall authorize a local or deputy registrar to access the electronic vital records databases to issue birth or death certifications upon the local or deputy registrar's appointment. Access and use of the database by the local or deputy registrar must be consistent with this chapter.
(4) The state board of health may remove the local health officer as local registrar upon finding evidence of neglect in the performance of duties as local registrar.
[ 2019 c 148 § 6.]