reglab/statecodes huggingface dataset:
2023 Revised Code of Washington › Title 18 - Businesses and Professions › Chapter 18.22 - Podiatric Medicine and Surgery. › 18.22.035 - Practice of podiatric medicine and surgery—Quality—Definition—Prescriptions—Limitations.

RCW 18.22.035
Practice of podiatric medicine and surgery—Quality—Definition—Prescriptions—Limitations.
(1) A podiatric physician and surgeon is responsible for the quality of podiatric care.
(2) The practice of podiatric medicine and surgery is the diagnosis and the medical, surgical, mechanical, manipulative, and electrical treatments of ailments of the human foot.
(3) Podiatric physicians and surgeons may issue prescriptions valid at any pharmacy for any drug, including narcotics, necessary in the practice of podiatry.
(4) Podiatrists shall not:
(a) Amputate the foot;
(b) Administer spinal anesthetic or any anesthetic that renders the patient unconscious; or
(c) Treat systemic conditions.
[ 1990 c 147 § 6.]
2023 Revised Code of Washington › Title 18 - Businesses and Professions › Chapter 18.22 - Podiatric Medicine and Surgery. › 18.22.040 - Applicants—Fee—Eligibility.

RCW 18.22.040
Applicants—Fee—Eligibility.
Before any person may take an examination for the issuance of a podiatric physician and surgeon license, the applicant shall submit a completed application and a fee determined by the secretary as provided in RCW 43.70.250. The applicant shall also furnish the secretary and the board with satisfactory proof that:
(1) The applicant has not engaged in unprofessional conduct as defined in chapter 18.130 RCW and is not unable to practice with reasonable skill and safety as a result of a physical or mental impairment;
(2) The applicant has satisfactorily completed a course in an approved school of podiatric medicine and surgery;
(3) The applicant has completed one year of postgraduate podiatric medical training in a program approved by the board, provided that applicants graduating before July 1, 1993, shall be exempt from the postgraduate training requirement.
[ 2000 c 171 § 4; 1993 c 29 § 2; 1990 c 147 § 8; 1982 c 21 § 5; 1979 c 158 § 18; 1973 c 77 § 4; 1971 ex.s. c 292 § 19; 1955 c 149 § 2; 1935 c 48 § 3; 1921 c 120 § 3; 1917 c 38 § 6; RRS § 10079.]
NOTES:
Severability—1971 ex.s. c 292: See note following RCW 26.28.010.
2023 Revised Code of Washington › Title 18 - Businesses and Professions › Chapter 18.22 - Podiatric Medicine and Surgery. › 18.22.045 - Postgraduate training license.

RCW 18.22.045
Postgraduate training license.
The board may grant approval to issue a license without examination to a podiatric physician and surgeon in a board-approved postgraduate training program in this state if the applicant files an application and meets all the requirements for licensure set forth in RCW 18.22.040 except for completion of one year of postgraduate training. The secretary shall issue a postgraduate podiatric medicine and surgery license that permits the physician to practice podiatric medicine and surgery only in connection with his or her duties in the postgraduate training program. The postgraduate training license does not authorize the podiatric physician to engage in any other form of practice. Each podiatric physician and surgeon in postgraduate training shall practice podiatric medicine and surgery under the supervision of a physician licensed in this state under this chapter, or chapter 18.71 or 18.57 RCW, but such supervision shall not be construed to necessarily require the personal presence of the supervising physician at the place where services are rendered.
All persons licensed under this section shall be subject to the jurisdiction of the podiatric medical board as set forth in this chapter and chapter 18.130 RCW.
Persons applying for licensure pursuant to this section shall pay an application and renewal fee determined by the secretary as provided in RCW 43.70.250. Postgraduate training licenses may be renewed annually. Any person who obtains a license pursuant to this section may apply for licensure under this chapter but shall submit a new application form and comply with all other licensing requirements of this chapter.
[ 1993 c 29 § 1.]
2023 Revised Code of Washington › Title 18 - Businesses and Professions › Chapter 18.22 - Podiatric Medicine and Surgery. › 18.22.060 - Examination—Date, location, and application—Reexamination.

RCW 18.22.060
Examination—Date, location, and application—Reexamination.
(1) The date and location of the examination shall be established by the board. Applicants who have met the requirements for examination under RCW 18.22.040 will be scheduled for the next examination after the filing of the complete application. The board shall establish by rule the examination application deadline.
(2) An applicant who fails to pass an examination satisfactorily is entitled to reexamination upon the payment of a fee for each reexamination determined by the secretary as provided in RCW 43.70.250.
[ 1990 c 147 § 9; 1985 c 7 § 11; 1982 c 21 § 7; 1975 1st ex.s. c 30 § 16; 1973 c 77 § 6; 1965 c 97 § 1; 1957 c 52 § 14. Prior: (i) 1921 c 120 § 5; 1917 c 38 § 9; RRS § 10082. (ii) 1921 c 120 § 4; 1917 c 38 § 7; RRS § 10080.]
2023 Revised Code of Washington › Title 18 - Businesses and Professions › Chapter 18.22 - Podiatric Medicine and Surgery. › 18.22.082 - License—Reciprocity.

RCW 18.22.082
License—Reciprocity.
An applicant holding a license to practice podiatric medicine and surgery in another state may be licensed without examination if the secretary determines that the other state's licensing standards are substantively equivalent to the standards in this state.
[ 1990 c 147 § 10.]
2023 Revised Code of Washington › Title 18 - Businesses and Professions › Chapter 18.22 - Podiatric Medicine and Surgery. › 18.22.083 - License—Examination to determine professional qualifications.

RCW 18.22.083
License—Examination to determine professional qualifications.
Before being issued a license to practice podiatric medicine and surgery, applicants must successfully pass the examinations administered by the national board of podiatry examiners and an examination administered or approved by the board to determine their professional qualifications. The examination administered by the board shall include the subject areas as the board may require by rule.
The board may approve an examination prepared or administered, or both, by a private testing agency, other licensing authority, or association of licensing authorities.
The board may by rule establish the passing grade for the examination.
[ 1990 c 147 § 11; 1982 c 21 § 13.]
2023 Revised Code of Washington › Title 18 - Businesses and Professions › Chapter 18.22 - Podiatric Medicine and Surgery. › 18.22.110 - License—Display.

RCW 18.22.110
License—Display.
Every holder of a podiatric physician and surgeon license shall keep the license on exhibition in a conspicuous place in the holder's office or place of business.
[ 1990 c 147 § 12; 1973 c 77 § 9; 1957 c 52 § 15. Prior: 1917 c 38 § 2, part; RRS § 10075, part.]
2023 Revised Code of Washington › Title 18 - Businesses and Professions › Chapter 18.22 - Podiatric Medicine and Surgery. › 18.22.120 - License renewal.

RCW 18.22.120
License renewal.
The board shall establish by rule the requirements for renewal of licenses and relicensing. Administrative procedures, administrative requirements, and fees shall be established as provided in RCW 43.70.250 and 43.70.280.
[ 1996 c 191 § 7; 1990 c 147 § 13; 1985 c 7 § 13; 1982 c 21 § 14; 1975 1st ex.s. c 30 § 18; 1973 c 77 § 10; 1971 ex.s. c 266 § 4; 1965 c 97 § 2; 1955 c 149 § 6. Prior: (i) 1921 c 120 § 5, part; 1917 c 38 § 9, part; RRS § 10082, part. (ii) 1921 c 120 § 9; RRS § 10096.]
2023 Revised Code of Washington › Title 18 - Businesses and Professions › Chapter 18.22 - Podiatric Medicine and Surgery. › 18.22.125 - License—Inactive status.

RCW 18.22.125
License—Inactive status.
(1) An individual may place his or her license on inactive status. The holder of an inactive license shall not practice podiatric medicine and surgery in this state without first activating the license.
(2) The inactive renewal fee shall be established by the secretary under RCW 43.70.250, but may not exceed twenty-five percent of the active license renewal fee. Failure to renew an inactive license results in cancellation in the same manner as an active license.
(3) An inactive license may be placed in an active status upon compliance with the rules established by the board.
(4) The provisions of this chapter relating to the denial, suspension, and revocation of a license are applicable to an inactive license, except that when proceedings to suspend or revoke an inactive license have been initiated, the license remains inactive until the proceedings have been completed.
[ 1990 c 147 § 14.]
2023 Revised Code of Washington › Title 18 - Businesses and Professions › Chapter 18.22 - Podiatric Medicine and Surgery. › 18.22.191 - Rules and regulations.

RCW 18.22.191
Rules and regulations.
The secretary shall have the power and duty to formulate and prescribe such rules and regulations as may be reasonable in the proper administration of this chapter. In addition to any other authority provided by law, the secretary may:
(1) Set all fees required in this chapter in accordance with RCW 43.70.250;
(2) Establish forms necessary to administer this chapter;
(3) Maintain the official department record of all applicants and licensees.
[ 1990 c 147 § 15; 1955 c 149 § 13.]
2023 Revised Code of Washington › Title 18 - Businesses and Professions › Chapter 18.22 - Podiatric Medicine and Surgery. › 18.22.210 - Unlawful practice—Evidence of.

RCW 18.22.210
Unlawful practice—Evidence of.
It is prima facie evidence of the practice of podiatric medicine and surgery or of holding oneself out as a practitioner of podiatric medicine and surgery within the meaning of this chapter for any person to treat in any manner ailments of the human foot by medical, surgical, or mechanical means or appliances, or to use the title "podiatrist," "podiatric physician and surgeon," or any other words or letters which designate or tend to designate to the public that the person so treating or holding himself or herself out to treat, is a podiatric physician and surgeon.
[ 1990 c 147 § 16; 1982 c 21 § 17; 1973 c 77 § 17; 1935 c 48 § 4; 1921 c 120 § 6; 1917 c 38 § 10; RRS § 10083.]
2023 Revised Code of Washington › Title 18 - Businesses and Professions › Chapter 18.22 - Podiatric Medicine and Surgery. › 18.22.220 - Violations—Penalty.

RCW 18.22.220
Violations—Penalty.
Every person violating, or failing to comply with, the provisions of this chapter shall be guilty of a gross misdemeanor.
[ 1955 c 149 § 10; 1917 c 38 § 21; RRS § 10094.]
2023 Revised Code of Washington › Title 18 - Businesses and Professions › Chapter 18.22 - Podiatric Medicine and Surgery. › 18.22.230 - Exemptions.

RCW 18.22.230
Exemptions.
The following practices, acts, and operations are excepted from the operation of the provisions of this chapter:
(1) The practice of podiatric medicine and surgery by an individual employed by the government of the United States while the individual is engaged in the performance of duties prescribed by the laws and regulations of the United States;
(2) The practice of podiatric medicine and surgery by students enrolled in a school approved by the board. The performance of services must be pursuant to a course of instruction or assignments from an instructor and under the supervision of the instructor;
(3) The practice of podiatric medicine and surgery by licensed podiatric physicians and surgeons of other states or countries while appearing at educational seminars;
(4) The use of roentgen and other rays for making radiograms or similar records of the feet or portions thereof, under the supervision of a licensed podiatric physician and surgeon or a physician;
(5) The practice of podiatric medicine and surgery by externs, interns, and residents in training programs approved by the American Podiatric Medical Association;
(6) The performing of podiatric services by persons not licensed under this chapter when performed under the supervision of a licensed podiatrist if those services are authorized by board rule or other law to be so performed;
(7) The treatment of ailments of the feet by physicians licensed under chapter 18.57 or 18.71 RCW, or other licensed health professionals practicing within the scope of their licenses;
(8) The domestic administration of family remedies or treatment by prayer or spiritual means in accordance with the creed or tenets of any well recognized church or religious denomination.
[ 1990 c 147 § 17; 1982 c 21 § 19; 1973 c 77 § 19; 1955 c 149 § 12.]
2023 Revised Code of Washington › Title 18 - Businesses and Professions › Chapter 18.22 - Podiatric Medicine and Surgery. › 18.22.240 - Pain management rules—Repeal—Adoption of new rules.

RCW 18.22.240
Pain management rules—Repeal—Adoption of new rules.
(1) By June 30, 2011, the board shall repeal its rules on pain management, WAC 246-922-510 through 246-922-540.
(2) By June 30, 2011, the board shall adopt new rules on chronic, noncancer pain management that contain the following elements:
(a)(i) Dosing criteria, including:
(A) A dosage amount that must not be exceeded unless a podiatric physician and surgeon first consults with a practitioner specializing in pain management; and
(B) Exigent or special circumstances under which the dosage amount may be exceeded without consultation with a practitioner specializing in pain management.
(ii) The rules regarding consultation with a practitioner specializing in pain management must, to the extent practicable, take into account:
(A) Circumstances under which repeated consultations would not be necessary or appropriate for a patient undergoing a stable, ongoing course of treatment for pain management;
(B) Minimum training and experience that is sufficient to exempt a podiatric physician and surgeon from the specialty consultation requirement;
(C) Methods for enhancing the availability of consultations;
(D) Allowing the efficient use of resources; and
(E) Minimizing the burden on practitioners and patients;
(b) Guidance on when to seek specialty consultation and ways in which electronic specialty consultations may be sought;
(c) Guidance on tracking clinical progress by using assessment tools focusing on pain interference, physical function, and overall risk for poor outcome; and
(d) Guidance on tracking the use of opioids.
(3) The board shall consult with the agency medical directors' group, the department of health, the University of Washington, and the largest professional association of podiatric physicians and surgeons in the state.
(4) The rules adopted under this section do not apply:
(a) To the provision of palliative, hospice, or other end-of-life care; or
(b) To the management of acute pain caused by an injury or a surgical procedure.
[ 2010 c 209 § 1.]
2023 Revised Code of Washington › Title 18 - Businesses and Professions › Chapter 18.22 - Podiatric Medicine and Surgery. › 18.22.250 - Podiatric physician health program—License surcharge.

RCW 18.22.250
Podiatric physician health program—License surcharge.
(1) To implement a podiatric physician health program as authorized by RCW 18.130.175, the board shall enter into a contract with a physician health program or a voluntary substance use disorder monitoring program. The podiatric physician health program may include any or all of the following:
(a) Contracting with providers of treatment programs;
(b) Receiving and evaluating reports of suspected impairment from any source;
(c) Intervening in cases of verified impairment;
(d) Referring impaired podiatric physicians to treatment programs;
(e) Monitoring the treatment and rehabilitation of impaired podiatric physicians including those ordered by the board;
(f) Providing education, prevention of impairment, posttreatment monitoring, and support of rehabilitated impaired podiatric physicians; and
(g) Performing other related activities as determined by the board.
(2) A contract entered into under subsection (1) of this section shall be financed by a surcharge of fifty dollars per year or equivalent on each license issuance or renewal to be collected by the department from every podiatric physician licensed under this chapter. These moneys must be placed in the health professions account to be used solely for implementation of the podiatric physician health program.
[ 2022 c 43 § 1; 2017 c 22 § 1.]
2023 Revised Code of Washington › Title 18 - Businesses and Professions › Chapter 18.22 - Podiatric Medicine and Surgery. › 18.22.800 - Opioid drug prescribing rules—Adoption.

RCW 18.22.800
Opioid drug prescribing rules—Adoption.
(1) By January 1, 2019, the board must adopt rules establishing requirements for prescribing opioid drugs. The rules may contain exemptions based on education, training, amount of opioids prescribed, patient panel, and practice environment.
(2) In developing the rules, the board must consider the agency medical directors' group and centers for disease control guidelines, and may consult with the department of health, the University of Washington, and the largest professional association of podiatric physicians and surgeons in the state.
[ 2017 c 297 § 2.]
NOTES:
Findings—Intent—2017 c 297: "The legislature finds that in 2015 an average of two Washington residents died per day in this state from opioid overdose and that opioid overdose deaths have more than doubled between 2010 and 2015.
The legislature finds that in 2015 an average of two Washington residents died per day in this state from opioid overdose and that opioid overdose deaths have more than doubled between 2010 and 2015.
The legislature further finds that medically prescribed opioids intended to treat pain have contributed to the opioid epidemic and although Washington has done much to address the prescribing and tracking of opioid prescriptions, more needs to be done to ensure proper prescribing and use of opioids and access to treatment. This includes allowing local health officers to access the prescription monitoring program in order to provide patient follow-up and care coordination, including directing care to opioid treatment programs in the area as appropriate to the patient following an overdose event.
The legislature intends to streamline its already comprehensive system of tracking and treating opioid abuse by: Reducing barriers to the siting of opioid treatment programs; ensuring ease of access for prescribers, including those prescribers who provide services in opioid treatment programs, to the prescription monitoring program; allowing facilities and practitioners to use the information received under the prescription monitoring program for the purpose of providing individual prescriber quality improvement feedback; and requiring the boards and commissions of the health care professions with prescriptive authority to adopt rules establishing requirements for prescribing opioid drugs with the goal of reducing the number of people who inadvertently become addicted to opioids and, consequently, reducing the burden on opioid treatment programs." [ 2017 c 297 § 1.]
2023 Revised Code of Washington › Title 18 - Businesses and Professions › Chapter 18.22 - Podiatric Medicine and Surgery. › 18.22.810 - Opioid drugs—Right to refuse.

RCW 18.22.810
Opioid drugs—Right to refuse.
By January 1, 2020, the board must adopt or amend its rules to require podiatric physicians who prescribe opioids to inform patients of their right to refuse an opioid prescription or order for any reason. If a patient indicates a desire to not receive an opioid, the podiatric physician must document the patient's request and avoid prescribing or ordering opioids, unless the request is revoked by the patient.
[ 2019 c 314 § 3.]
NOTES:
Declaration—2019 c 314: "The legislature declares that opioid use disorder is a public health crisis. State agencies must increase access to evidence-based opioid use disorder treatment services, promote coordination of services within the substance use disorder treatment and recovery support system, strengthen partnerships between opioid use disorder treatment providers and their allied community partners, expand the use of the Washington state prescription drug monitoring program, and support comprehensive school and community-based substance use prevention services.
This act leverages the direction provided by the Washington state interagency opioid working plan in order to address the opioid epidemic challenging communities throughout the state.
Agencies administering state purchased health care programs, as defined in RCW 41.05.011, shall coordinate activities to implement the provisions of this act and the Washington state interagency opioid working plan, explore opportunities to address the opioid epidemic, and provide status updates as directed by the joint legislative executive committee on health care oversight to promote legislative and executive coordination." [ 2019 c 314 § 1.]
2023 Revised Code of Washington › Title 18 - Businesses and Professions › Chapter 18.25 - Chiropractic. › 18.25.002 - Purpose.

RCW 18.25.002
Purpose.
This chapter is enacted:
(1) In the exercise of the police power of the state and to provide an adequate public agency to act as a disciplinary body for the members of the chiropractic profession licensed to practice chiropractic in this state;
(2) Because the health and well-being of the people of this state are of paramount importance;
(3) Because the conduct of members of the chiropractic profession licensed to practice chiropractic in this state plays a vital role in preserving the health and well-being of the people of the state; and
(4) Because practicing other healing arts while licensed to practice chiropractic and while holding one's self out to the public as a chiropractor affects the health and welfare of the people of the state.
It is the purpose of the commission established under RCW 18.25.0151 to regulate the competency and quality of professional health care providers under its jurisdiction by establishing, monitoring, and enforcing qualifications for licensing, consistent standards of practice, continuing competency mechanisms, and discipline. Rules, policies, and procedures developed by the commission must promote the delivery of quality health care to the residents of the state.
[ 1994 sp.s. c 9 § 101.]
2023 Revised Code of Washington › Title 18 - Businesses and Professions › Chapter 18.25 - Chiropractic. › 18.25.005 - "Chiropractic" defined.

RCW 18.25.005
"Chiropractic" defined.
(1) Chiropractic is the practice of health care that deals with the diagnosis or analysis and care or treatment of the vertebral subluxation complex and its effects, articular dysfunction, and musculoskeletal disorders, all for the restoration and maintenance of health and recognizing the recuperative powers of the body.
(2) Chiropractic treatment or care includes the use of procedures involving spinal adjustments and extremity manipulation. Chiropractic treatment also includes the use of heat, cold, water, exercise, massage, trigger point therapy, dietary advice and recommendation of nutritional supplementation, the normal regimen and rehabilitation of the patient, first aid, and counseling on hygiene, sanitation, and preventive measures. Chiropractic care also includes such physiological therapeutic procedures as traction and light, but does not include procedures involving the application of sound, diathermy, or electricity.
(3) As part of a chiropractic differential diagnosis, a chiropractor shall perform a physical examination, which may include diagnostic x-rays, to determine the appropriateness of chiropractic care or the need for referral to other health care providers. The chiropractic quality assurance commission shall provide by rule for the type and use of diagnostic and analytical devices and procedures consistent with this chapter.
(4) Chiropractic care shall not include the prescription or dispensing of any medicine or drug, the practice of obstetrics or surgery, the use of x-rays or any other form of radiation for therapeutic purposes, colonic irrigation, or any form of venipuncture.
(5) Nothing in this chapter prohibits or restricts any other practitioner of a "health profession" defined in RCW 18.120.020(4) from performing any functions or procedures the practitioner is licensed or permitted to perform, and the term "chiropractic" as defined in this chapter shall not prohibit a practitioner licensed under chapter 18.71 RCW from performing medical procedures, except such procedures shall not include the adjustment by hand of any articulation of the spine.
[ 2002 c 225 § 1; 1994 sp.s. c 9 § 102; 1992 c 241 § 2; 1974 ex.s. c 97 § 7.]
NOTES:
Intent—1992 c 241: "This act is intended to expand the scope of practice of chiropractic only with regard to adjustment of extremities in connection with a spinal adjustment." [ 1992 c 241 § 1.]
Severability—1974 ex.s. c 97: See note following RCW 18.25.0192.
2023 Revised Code of Washington › Title 18 - Businesses and Professions › Chapter 18.25 - Chiropractic. › 18.25.006 - Definitions.

RCW 18.25.006
Definitions.
Unless the context clearly requires otherwise, the definitions in this section apply throughout this chapter.
(1) "Department" means the department of health.
(2) "Secretary" means the secretary of the department of health or the secretary's designee.
(3) "Chiropractor" means an individual licensed under this chapter.
(4) "Commission" means the Washington state chiropractic quality assurance commission.
(5) "Vertebral subluxation complex" means a functional defect or alteration of the biomechanical and physiological dynamics in a joint that may cause neuronal disturbances, with or without displacement detectable by X-ray. The effects of the vertebral subluxation complex may include, but are not limited to, any of the following: Fixation, hypomobility, hypermobility, periarticular muscle spasm, edema, or inflammation.
(6) "Articular dysfunction" means an alteration of the biomechanical and physiological dynamics of a joint of the axial or appendicular skeleton.
(7) "Musculoskeletal disorders" means abnormalities of the muscles, bones, and connective tissue.
(8) "Chiropractic differential diagnosis" means a diagnosis to determine the existence of a vertebral subluxation complex, articular dysfunction, or musculoskeletal disorder, and the appropriateness of chiropractic care or the need for referral to other health care providers.
(9) "Chiropractic adjustment" means chiropractic care of a vertebral subluxation complex, articular dysfunction, or musculoskeletal disorder. Such care includes manual or mechanical adjustment of any vertebral articulation and contiguous articulations beyond the normal passive physiological range of motion.
(10) "Extremity manipulation" means a corrective thrust or maneuver applied to a joint of the appendicular skeleton.
[ 2002 c 225 § 2; 1994 sp.s. c 9 § 103; 1992 c 241 § 3; 1991 c 3 § 36; 1989 c 258 § 12.]
NOTES:
Intent—1992 c 241: See note following RCW 18.25.005.
2023 Revised Code of Washington › Title 18 - Businesses and Professions › Chapter 18.25 - Chiropractic. › 18.25.011 - License required.

RCW 18.25.011
License required.
It is a violation of RCW 18.130.190 for any person to practice chiropractic in this state unless the person has obtained a license as provided in this chapter.
[ 1987 c 150 § 14.]
NOTES:
Severability—1987 c 150: See RCW 18.122.901.
2023 Revised Code of Washington › Title 18 - Businesses and Professions › Chapter 18.25 - Chiropractic. › 18.25.0151 - Commission established—Membership.

RCW 18.25.0151
Commission established—Membership.
The Washington state chiropractic quality assurance commission is established, consisting of fourteen members appointed by the governor to four-year terms, and including eleven practicing chiropractors and three public members. No member may serve more than two consecutive full terms. In appointing the initial members of the commission, it is the intent of the legislature that, to the extent possible, the governor appoint members of the previous boards and committees regulating this profession to the commission. Members of the commission hold office until their successors are appointed. The governor may appoint the members of the initial commission to staggered terms of from one to four years. Thereafter, all members shall be appointed to full four-year terms. The governor may consider persons who are recommended for appointment by chiropractic associations of this state.
[ 2000 c 171 § 5; 1994 sp.s. c 9 § 104.]
2023 Revised Code of Washington › Title 18 - Businesses and Professions › Chapter 18.25 - Chiropractic. › 18.25.0161 - Commission—Removal of member—Order of removal—Vacancy.

RCW 18.25.0161
Commission—Removal of member—Order of removal—Vacancy.
The governor may remove a member of the commission for neglect of duty, misconduct, or malfeasance or misfeasance in office. Whenever the governor is satisfied that a member of the commission has been guilty of neglect of duty, misconduct, or malfeasance or misfeasance in office, the governor shall file with the secretary of state a statement of the causes for and the order of removal from office, and the secretary shall forthwith send a certified copy of the order of removal and statement of causes by certified mail to the last known post office address of the member. If a vacancy occurs on the commission, the governor shall appoint a replacement to fill the remainder of the unexpired term.
[ 1994 sp.s. c 9 § 105.]
2023 Revised Code of Washington › Title 18 - Businesses and Professions › Chapter 18.25 - Chiropractic. › 18.25.0165 - Commission—Qualifications of members.

RCW 18.25.0165
Commission—Qualifications of members.
Members must be residents of this state. Members must be licensed chiropractors for a period of five years before appointment. Public members of the commission may not be a member of any other health care licensing board or commission, or have a fiduciary obligation to a facility rendering health services regulated by the commission, or have a material or financial interest in the rendering of health services regulated by the commission.
[ 2022 c 240 § 31; 1994 sp.s. c 9 § 106.]
2023 Revised Code of Washington › Title 18 - Businesses and Professions › Chapter 18.25 - Chiropractic. › 18.25.0171 - Commission—Duties and powers—Compensation—Rules.

RCW 18.25.0171
Commission—Duties and powers—Compensation—Rules.
The commission shall elect officers each year. Meetings of the commission are open to the public, except that the commission may hold executive sessions to the extent permitted by chapter 42.30 RCW. The secretary of health shall furnish such secretarial, clerical, and other assistance as the commission may require.
Each member of the commission shall be compensated in accordance with RCW 43.03.265. Members shall be reimbursed for travel expenses incurred in the actual performance of their duties, as provided in RCW 43.03.050 and 43.03.060.
A majority of the commission members appointed and serving constitutes a quorum for the transaction of commission business. The affirmative vote of a majority of a quorum of the commission is required to carry a motion or resolution, to adopt a rule, or to pass a measure.
The commission may appoint members of panels of at least three members. A quorum for transaction of any business by a panel is a minimum of three members. A majority vote of a quorum of the panel is required to transact business delegated to it by the commission.
The members of the commission are immune from suit in an action, civil or criminal, based upon its disciplinary proceedings or other official acts performed in good faith as members of the commission.
The commission may, whenever the workload of the commission requires, request that the secretary appoint pro tempore members. While serving as members pro tempore persons have all the powers, duties, and immunities, and are entitled to the emoluments, including travel expenses, of the commission.
The commission shall prepare or determine the nature of the examinations for applicants to practice chiropractic.
The commission may adopt such rules as are consistent with this chapter as may be deemed necessary and proper to carry out the purposes of this chapter.
[ 1999 c 366 § 2; 1994 sp.s. c 9 § 107.]
2023 Revised Code of Washington › Title 18 - Businesses and Professions › Chapter 18.25 - Chiropractic. › 18.25.0172 - Commission successor to other boards, committee.

RCW 18.25.0172
Commission successor to other boards, committee.
The commission is the successor in interest of the board of chiropractic examiners, the chiropractic disciplinary board, and the chiropractic peer review committee. All contracts, undertakings, agreements, rules, regulations, and policies of those bodies continue in full force and effect on July 1, 1994, unless otherwise repealed or rejected by chapter 9, Laws of 1994 sp. sess. or by the commission.
[ 1994 sp.s. c 9 § 119.]
2023 Revised Code of Washington › Title 18 - Businesses and Professions › Chapter 18.25 - Chiropractic. › 18.25.0181 - Commission—Information to legislature.

RCW 18.25.0181
Commission—Information to legislature.
In addition to the authority provided in RCW 42.52.804, the commission, its members, or staff as directed by the commission, may communicate, present information requested, volunteer information, testify before legislative committees, and educate the legislature, as the commission may from time to time see fit.
[ 2013 c 81 § 2.]
NOTES:
Effective date—2013 c 81: See note following RCW 18.25.0167.
2023 Revised Code of Washington › Title 18 - Businesses and Professions › Chapter 18.25 - Chiropractic. › 18.25.019 - Application of Uniform Disciplinary Act.

RCW 18.25.019
Application of Uniform Disciplinary Act.
The Uniform Disciplinary Act, chapter 18.130 RCW, governs unlicensed practice, the issuance and denial of licenses, and the discipline of licensees under this chapter.
[ 1994 sp.s. c 9 § 108; 1987 c 150 § 12; 1986 c 259 § 21.]
NOTES:
Severability—1987 c 150: See RCW 18.122.901.
Severability—1986 c 259: See note following RCW 18.130.010.
2023 Revised Code of Washington › Title 18 - Businesses and Professions › Chapter 18.25 - Chiropractic. › 18.25.0192 - Discrimination—Legislative finding and declaration.

RCW 18.25.0192
Discrimination—Legislative finding and declaration.
The legislature finds and declares that the costs of health care to the people are rising disproportionately to other costs and that there is a paramount concern that the right of the people to obtain access to health care in all its facets is being impaired thereby. For this reason, the reliance on the mechanism of health care service contractors, whether profit or nonprofit, is the only effective manner in which the large majority of the people can attain access to quality health care, and it is therefore declared to be in the public interest that health care service contractors be regulated to assure that all the people have access to health care to the greatest extent possible. Chapter 97, Laws of 1974 ex. sess., prohibiting discrimination against the legally recognized and licensed profession of chiropractic, is necessary in the interest of the public health, welfare, and safety.
[ 1974 ex.s. c 97 § 1. Formerly RCW 18.25.120.]
NOTES:
Severability—1974 ex.s. c 97: "If any provision of this 1974 amendatory act, or its application to any person or circumstance, is held invalid, the remainder of the act, or the application of the provision to other persons or circumstances is not affected." [ 1974 ex.s. c 97 § 16.]
2023 Revised Code of Washington › Title 18 - Businesses and Professions › Chapter 18.25 - Chiropractic. › 18.25.0193 - Discrimination—Acceptance of services required.

RCW 18.25.0193
Discrimination—Acceptance of services required.
Notwithstanding any other provision of law, the state and its political subdivisions shall accept the services of licensed chiropractors for any service covered by their licenses with relation to any person receiving benefits, salaries, wages, or any other type of compensation from the state, its agencies or subdivisions.
[ 1974 ex.s. c 97 § 2. Formerly RCW 18.25.130.]
NOTES:
Severability—1974 ex.s. c 97: See note following RCW 18.25.0192.
2023 Revised Code of Washington › Title 18 - Businesses and Professions › Chapter 18.25 - Chiropractic. › 18.25.0194 - Discrimination by governments prohibited.

RCW 18.25.0194
Discrimination by governments prohibited.
The state and its political subdivisions, and all officials, agents, employees, or representatives thereof, are prohibited from in any way discriminating against licensed chiropractors in performing and receiving compensation for services covered by their licenses.
[ 1974 ex.s. c 97 § 3. Formerly RCW 18.25.140.]
NOTES:
Severability—1974 ex.s. c 97: See note following RCW 18.25.0192.
2023 Revised Code of Washington › Title 18 - Businesses and Professions › Chapter 18.25 - Chiropractic. › 18.25.0195 - Discriminatory government contracts prohibited.

RCW 18.25.0195
Discriminatory government contracts prohibited.
Notwithstanding any other provision of law, the state and its political subdivisions, and all officials, agents, employees, or representatives thereof, are prohibited from entering into any agreement or contract with any individual, group, association, or corporation which in any way, directly or indirectly, discriminates against licensed chiropractors in performing and receiving compensation for services covered by their licenses.
[ 1974 ex.s. c 97 § 4. Formerly RCW 18.25.150.]
NOTES:
Severability—1974 ex.s. c 97: See note following RCW 18.25.0192.
2023 Revised Code of Washington › Title 18 - Businesses and Professions › Chapter 18.25 - Chiropractic. › 18.25.0196 - Discrimination—Policy costs as additional compensation.

RCW 18.25.0196
Discrimination—Policy costs as additional compensation.
Notwithstanding any other provision of law, for the purpose of RCW 18.25.0192 through 18.25.0195 and 18.25.0197 it is immaterial whether the cost of any policy, plan, agreement, or contract be deemed additional compensation for services, or otherwise.
[ 2000 c 171 § 6; 1974 ex.s. c 97 § 5. Formerly RCW 18.25.160.]
NOTES:
Severability—1974 ex.s. c 97: See note following RCW 18.25.0192.
2023 Revised Code of Washington › Title 18 - Businesses and Professions › Chapter 18.25 - Chiropractic. › 18.25.0197 - Discrimination—Application of RCW 18.25.0192 through 18.25.0196.

RCW 18.25.0197
Discrimination—Application of RCW 18.25.0192 through 18.25.0196.
RCW 18.25.0192 through 18.25.0196 shall apply to all agreements, renewals, or contracts issued on or after July 24, 1974.
[ 2000 c 171 § 7; 1974 ex.s. c 97 § 6. Formerly RCW 18.25.170.]
NOTES:
Severability—1974 ex.s. c 97: See note following RCW 18.25.0192.
2023 Revised Code of Washington › Title 18 - Businesses and Professions › Chapter 18.25 - Chiropractic. › 18.25.020 - Applications—Qualifications—Fees.

RCW 18.25.020
Applications—Qualifications—Fees.
(1) Any person not now licensed to practice chiropractic in this state and who desires to practice chiropractic in this state, before it shall be lawful for him or her to do so, shall make application therefor to the secretary, upon such form and in such manner as may be adopted and directed by the secretary. Each applicant who matriculates to a chiropractic college, shall have completed not less than one-half of the requirements for a baccalaureate degree at an accredited and approved college or university and shall be a graduate of a chiropractic school or college accredited and approved by the commission and shall show satisfactory evidence of completion by each applicant of a resident course of study of not less than four thousand classroom hours of instruction in such school or college. Applications shall be in writing and shall be signed by the applicant, and shall recite the history of the applicant as to his or her educational advantages, his or her experience in matters pertaining to a knowledge of the care of the sick, how long he or she has studied chiropractic, under what teachers, what collateral branches, if any, he or she has studied, the length of time he or she has engaged in clinical practice; accompanying the same by reference therein, with any proof thereof in the shape of diplomas, certificates, and shall accompany said application with satisfactory evidence of good character and reputation.
(2) Applicants shall follow administrative procedures and administrative requirements and pay fees as provided in RCW 43.70.250 and 43.70.280.
[ 2015 c 72 § 7; 1996 c 191 § 8; 1994 sp.s. c 9 § 109; 1991 c 3 § 38; 1989 c 258 § 3; 1985 c 7 § 14; 1975 1st ex.s. c 30 § 19; 1974 ex.s. c 97 § 9; 1959 c 53 § 3; 1919 c 5 § 5; RRS § 10100.]
NOTES:
Severability—1974 ex.s. c 97: See note following RCW 18.25.0192.
2023 Revised Code of Washington › Title 18 - Businesses and Professions › Chapter 18.25 - Chiropractic. › 18.25.025 - Accreditation of schools and colleges—Standards—Assistants for examinations authorized.

RCW 18.25.025
Accreditation of schools and colleges—Standards—Assistants for examinations authorized.
The commission shall have authority to grant accreditation to chiropractic schools and colleges.
The commission shall have authority to adopt educational standards which may include standards of any accreditation agency recognized by the office of education of the department of health and human services or its successor agency, or any portion of such standards, as the commission's standards: PROVIDED, That such standards, so adopted, shall contain, as a minimum of on-campus instruction in chiropractic, the following: Principles of chiropractic, two hundred hours; adjustive technique, four hundred hours; spinal roentgenology, one hundred seventy-five hours; symptomatology and diagnosis, four hundred twenty-five hours; clinic, six hundred twenty-five hours: PROVIDED FURTHER, That such standards shall not mandate, as a requirement for either graduation or accreditation, or include in the computation of hours of chiropractic instruction required by this section, instruction in the following: Mechanotherapy, physiotherapy, acupuncture, acupressure, or any other therapy.
The commission shall approve and accredit chiropractic colleges and schools which apply for commission accreditation and approval and which meet to the commission's satisfaction the educational standards adopted by the commission. It shall be the responsibility of the college to apply for accreditation and approval, and of a student to ascertain whether a college or school has been accredited or approved by the commission.
The commission shall have authority to engage assistants in the giving of examinations called for under this chapter.
[ 1994 sp.s. c 9 § 110; 1980 c 51 § 3.]
NOTES:
Severability—1980 c 51: "If any provision of this 1980 act or its application to any person or circumstance is held invalid, the remainder of the act or the application of the provision to other persons or circumstances is not affected." [ 1980 c 51 § 6.]
2023 Revised Code of Washington › Title 18 - Businesses and Professions › Chapter 18.25 - Chiropractic. › 18.25.030 - Examinations—Subjects—Grades.

RCW 18.25.030
Examinations—Subjects—Grades.
Examinations for license to practice chiropractic shall be developed and administered, or approved, or both, by the commission according to the method deemed by it to be the most practicable and expeditious to test the applicant's qualifications. The commission may approve an examination prepared or administered by a private testing agency or association of licensing authorities. The applicant shall be designated by a number instead of his or her name, so that the identity shall not be discovered or disclosed to the members of the commission until after the examination papers are graded.
Examination subjects may include the following: Anatomy, physiology, spinal anatomy, microbiology-public health, general diagnosis, neuromuscularskeletal diagnosis, X-ray, principles of chiropractic and adjusting, as taught by chiropractic schools and colleges, and any other subject areas consistent with chapter 18.25 RCW. The commission shall set the standards for passing the examination. The commission may enact additional requirements for testing administered by the national board of chiropractic examiners.
[ 1995 c 198 § 1; 1994 sp.s. c 9 § 111; 1989 c 258 § 4; 1974 ex.s. c 97 § 10; 1959 c 53 § 4; 1919 c 5 § 6; RRS § 10101.]
NOTES:
Severability—1974 ex.s. c 97: See note following RCW 18.25.0192.
Hiring assistants for examinations: RCW 18.25.025.
2023 Revised Code of Washington › Title 18 - Businesses and Professions › Chapter 18.25 - Chiropractic. › 18.25.035 - Waiver of examination.

RCW 18.25.035
Waiver of examination.
The commission may, in its discretion, waive any examination required by this chapter of persons applying for a license to practice chiropractic if, in its opinion, the applicant has successfully passed an examination conducted by the national board of chiropractic examiners of the United States that is of equal or greater difficulty than the examination being waived by the commission.
[ 1994 sp.s. c 9 § 112; 1971 ex.s. c 227 § 5.]
2023 Revised Code of Washington › Title 18 - Businesses and Professions › Chapter 18.25 - Chiropractic. › 18.25.040 - Licensure by endorsement.

RCW 18.25.040
Licensure by endorsement.
Persons licensed to practice chiropractic under the laws of any other state, territory of the United States, the District of Columbia, Puerto Rico, or province of Canada, having qualifications substantially equivalent to those required by this chapter, may, in the discretion of the commission, and after such examination as may be required by rule of the commission, be issued a license to practice in this state without further examination, upon payment of a fee determined by the secretary as provided in RCW 43.70.250.
[ 1994 sp.s. c 9 § 113; 1991 c 320 § 8; 1991 c 3 § 39; 1985 c 7 § 15; 1975 1st ex.s. c 30 § 20; 1971 ex.s. c 227 § 6; 1919 c 5 § 14; RRS § 10108.]
2023 Revised Code of Washington › Title 18 - Businesses and Professions › Chapter 18.25 - Chiropractic. › 18.25.070 - License renewal—Continuing education—Rules.

RCW 18.25.070
License renewal—Continuing education—Rules.
Every person practicing chiropractic shall, as a prerequisite to renewal of license, submit to the secretary at the time of application therefor, satisfactory proof showing attendance of at least twenty-five hours per year during the preceding credential period, at one or more chiropractic symposiums which are recognized and approved by the commission. The commission may, for good cause shown, waive said attendance. The following guidelines for such symposiums shall apply:
(1) The commission shall set criteria for the course content of educational symposia concerning matters which are recognized by the state of Washington chiropractic licensing laws; it shall be the licensee's responsibility to determine whether the course content meets these criteria;
(2) The commission shall adopt standards for distribution of annual continuing education credit requirements;
(3) Rules shall be adopted by the commission for licensees practicing and residing outside the state who shall meet all requirements established by rule of the commission.
[ 1996 c 191 § 9; 1994 sp.s. c 9 § 114; 1991 c 3 § 40; 1989 c 258 § 5; 1985 c 7 § 17; 1980 c 51 § 2; 1975 1st ex.s. c 30 § 22; 1974 ex.s. c 97 § 11; 1971 ex.s. c 266 § 5; 1959 c 53 § 5; 1919 c 5 § 10; RRS § 10105.]
NOTES:
Severability—1980 c 51: See note following RCW 18.25.025.
Severability—1974 ex.s. c 97: See note following RCW 18.25.0192.
2023 Revised Code of Washington › Title 18 - Businesses and Professions › Chapter 18.25 - Chiropractic. › 18.25.075 - Inactive status.

RCW 18.25.075
Inactive status.
(1) An individual may place his or her license on inactive status. The holder of an inactive license shall not practice chiropractic in this state without first activating the license.
(2) The inactive renewal fee shall be established by the secretary pursuant to RCW 43.70.250. Failure to renew an inactive license shall result in cancellation in the same manner as an active license.
(3) An inactive license may be placed in an active status upon compliance with the rules established by the commission.
(4) The provisions relating to the denial, suspension, and revocation of a license shall be applicable to an inactive license, except that when proceedings to suspend or revoke an inactive license have been initiated, the license shall remain inactive until the proceedings have been completed.
[ 1994 sp.s. c 9 § 115; 1991 c 3 § 41; 1989 c 258 § 14.]