reglab/statecodes huggingface dataset:
Washington Administrative Code › Title 246 - Health, Department of › COMMUNICABLE DISEASES › Chapter 246-120 - CIVIL PENALTIES OF HEALTH CARRIERS AND THIRD-PARTY ADMINISTRATORS › CIVIL PENALTIES OF HEALTH CARRIERS AND THIRD-PARTY ADMINISTRATORS › Section 246-120-030 - Penalty-Failure to reimburse audit costs

Current through Register Vol. 24-14, July 15, 2024
(1) Following a compliance audit by
				  Washington vaccine association pursuant to
				  RCW
				     70.290.060 and upon certification of the
				  audit costs, the Washington vaccine association shall notify the health carrier
				  or third-party administrator in writing that there is an outstanding obligation
				  to reimburse the Washington vaccine association for the cost of the
				  audit.
(2) The health carrier or
				  third-party administrator must reimburse the Washington vaccine association for
				  the cost of the audit within forty-five days after receiving written notice of
				  the obligation.
(3) The Washington
				  vaccine association shall notify the secretary if the health carrier or
				  third-party administrator fails to timely reimburse the Washington vaccine
				  association for the cost of the audit. Upon receipt of such notice, the
				  secretary shall assess a civil penalty of one hundred fifty percent of the
				  amount of the costs of the audit against the health carrier or third-party
				  administrator.
(4) The secretary
				  shall serve notice of the civil penalty for failure to pay the audit costs in
				  writing upon the health carrier or third-party administrator by personal
				  service or by certified mail in a manner that shows proof of receipt. The civil
				  penalty is due and payable twenty-eight days at the place specified in the
				  notice after receipt by the health carrier or third-party
				  administrator.
(5) A health carrier
				  or third-party administrator who has received written notification of an
				  assessed civil penalty according to this section may request a brief
				  adjudicative proceeding pursuant to WAC
				  246-120-050. The sole issue at
				  the brief adjudicative proceeding shall be whether the health carrier or
				  third-party administrator paid the cost of the audit in the required time and
				  manner.
Washington Administrative Code › Title 246 - Health, Department of › COMMUNICABLE DISEASES › Chapter 246-120 - CIVIL PENALTIES OF HEALTH CARRIERS AND THIRD-PARTY ADMINISTRATORS › CIVIL PENALTIES OF HEALTH CARRIERS AND THIRD-PARTY ADMINISTRATORS › Section 246-120-040 - Penalty-Failure to remit assessment

Current through Register Vol. 24-14, July 15, 2024
(1) Following Washington vaccine
				  association's notice of assessment pursuant to
				  RCW
				     70.290.060 and the plan of operation, the
				  health carrier or third-party administrator must remit the amount of the
				  assessment to the Washington vaccine association within ninety days after
				  receiving the written notice or timely pay in accordance with an approved
				  payment plan with the Washington vaccine association.
(2) The Washington vaccine association shall
				  notify the secretary if the health carrier or third-party administrator fails
				  to pay the amount of the assessment or, after notification from the Washington
				  vaccine association to the health carrier or third-party administrator of an
				  outstanding obligation, the amount owed on the approved payment plan. The
				  notice must provide the amount due to the Washington vaccine association. Upon
				  receipt of such notice, the secretary shall assess a civil penalty of one
				  hundred fifty percent of the assessment amount due against the health carrier
				  or third-party administrator.
(3)
				  The secretary shall serve notice of the civil penalty for failure to pay the
				  assessment or amount owed on the approved payment plan in writing upon the
				  health carrier or third-party administrator by personal service or by certified
				  mail in a manner that shows proof of receipt. The civil penalty is due and
				  payable twenty-eight days at the place specified in the notice after receipt by
				  the health carrier or third-party administrator.
(4) A health carrier or third-party
				  administrator who has received written notification of an assessed civil
				  penalty according to this section may request a brief adjudicative proceeding
				  pursuant to WAC
				  246-120-050. The sole issue at
				  the brief adjudicative proceeding shall be whether the health carrier or
				  third-party administrator failed to pay the annual assessment or the amount
				  owed on the approved payment plan in the required time and manner.
Washington Administrative Code › Title 246 - Health, Department of › COMMUNICABLE DISEASES › Chapter 246-120 - CIVIL PENALTIES OF HEALTH CARRIERS AND THIRD-PARTY ADMINISTRATORS › CIVIL PENALTIES OF HEALTH CARRIERS AND THIRD-PARTY ADMINISTRATORS › Section 246-120-050 - Request for a brief adjudicative proceeding

Current through Register Vol. 24-14, July 15, 2024
(1) A health carrier or third-party
				  administrator who has received written notification of an assessed civil
				  penalty according to this chapter may request a brief adjudicative proceeding
				  pursuant to
				  chapter
				  34.05 RCW.
(2) The application for a brief adjudicative
				  proceeding must:
(a) Be in writing;
(b) State the basis for contesting the civil
				  penalty;
(c) Include a copy of the
				  adverse notice;
(d) Be served on
				  and received by the department within twenty-eight days of the health carrier
				  or third-party administrator receiving the notice of a civil penalty;
				  and
(e) Be served in a manner which
				  shows proof of receipt at the following address:
Adjudicative Clerk Office
Washington Administrative Code › Title 246 - Health, Department of › HUMAN IMMUNODEFICIENCY VIRUS (HIV) › Chapter 246-130 - Early intervention program › Section 246-130-001 - What is the early intervention program?

Current through Register Vol. 24-14, July 15, 2024
The early intervention program of HIV client services'
				  mission is to reduce the transmission and medical consequences of HIV by
				  assuring that persons eligible for the early intervention program in Washington
				  have access to available health care and supportive services.
The early intervention program provides treatment of HIV
				  infection to eligible clients based on available funds. The department provides
				  these early intervention services to improve public health by treating people
				  living with HIV, its complications, and side effects of HIV treatment, and in
				  order to decrease the risk of clients with HIV infecting others. Information on
				  how to contact this program is in WAC
				  246-130-090.
Statutory Authority:
					 RCW
					 43.70.670. 05-23-100, § 246-130-001,
					 filed 11/17/05, effective 12/18/05. Statutory Authority:
					 RCW
					    43.70.040 and
					 43.70.120. 00-19-117, §
					 246-130-001, filed 9/20/00, effective 10/21/00; 95-23-018, § 246-130-001,
					 filed 11/7/95, effective 12/8/95. Statutory Authority:
					 RCW
					    43.70.040. 91-02-049 (Order 121), recodified
					 as § 246-130-001, filed 12/27/90, effective 1/31/91. Statutory Authority:
					 RCW
					    43.70.120. 90-17-087 (Order 071), §
					 248-168-010, filed 8/17/90, effective 9/17/90. Statutory Authority:
					 RCW
					    43.20A.550. 87-22-012 (Order 2549), §
					 248-168-010, filed 10/26/87.
Washington Administrative Code › Title 246 - Health, Department of › HUMAN IMMUNODEFICIENCY VIRUS (HIV) › Chapter 246-130 - Early intervention program › Section 246-130-010 - What definitions does the early intervention program use?

Current through Register Vol. 24-14, July 15, 2024
The following words and phrases have the following meaning in
				  chapter 246-130 WAC:
(1)
"AIDS"
means acquired immunodeficiency syndrome.
(2)
"Applicant"
means a person
				applying for early intervention program services.
(3)
"Benefits manager"
means:
(a) The pharmacy benefits manager contracted
				with the department to provide prescription drug claim processing and formulary
				management services; or
(b) The
				insurance benefits manager contracted with the department to provide insurance
				premium assistance through the HIV insurance program and the medicare premium
				assistance program.
Washington Administrative Code › Title 246 - Health, Department of › HUMAN IMMUNODEFICIENCY VIRUS (HIV) › Chapter 246-130 - Early intervention program › Section 246-130-020 - What early intervention program services are available?

Current through Register Vol. 24-14, July 15, 2024
Services to treat HIV are available from the department,
				  based on available funding, to eligible clients as described in this
				  section.
(1) The department decides
				what specific medical, laboratory, dental, prescription medication and
				insurance services to cover after actively consulting with its steering
				committee and considering:
(a) Support of the
				steering committee;
(b) FDA
				approval for prescription medications;
(c) Standard of care recognized by the
				medical community;
(d)
				Effectiveness in treatment for HIV, complications of HIV, side effects of
				current treatments for HIV or support for HIV treatment adherence;
				and
(e) Relative cost of
				services.
Washington Administrative Code › Title 246 - Health, Department of › HUMAN IMMUNODEFICIENCY VIRUS (HIV) › Chapter 246-130 - Early intervention program › Section 246-130-030 - How does the early intervention program pay a provider or benefits manager?

Current through Register Vol. 24-14, July 15, 2024
The department pays a provider or benefits manager for
				  covered services delivered to clients, as limited by this section.
(1) The department pays a provider or
				benefits manager who contracts with the department for services described in
				WAC 246-130-020.
(a) The department will only pay for services
				delivered by a contracted provider or benefits manager.
(b) A provider or benefits manager must bill
				the department according to the procedure and terms of the contract.
(c) The department only pays for covered,
				medically necessary early intervention program services delivered to clients
				who are eligible under WAC
				246-130-040.
Washington Administrative Code › Title 246 - Health, Department of › HUMAN IMMUNODEFICIENCY VIRUS (HIV) › Chapter 246-130 - Early intervention program › Section 246-130-040 - How do persons with HIV become eligible?

Current through Register Vol. 24-14, July 15, 2024
(1) The department establishes the criteria
				for determining client eligibility for the early intervention program by
				consulting with the early intervention steering committee and other interested
				parties. The department reviews each client's application against the criteria
				set out in this section.
(2) An
				applicant is eligible for twelve months of early intervention program services
				beginning the first of the month that the applicant's completed application was
				postmarked.
(3) The department
				requires the following documentation:
(a) A
				medical diagnosis of HIV;
(b) A
				Washington state address;
(c)
				Verification of income, that is equal to or less than the limit set by the
				early intervention program. Income includes:
(i) Wages, salary, overtime, tips, and
				bonuses;
(ii) Social Security,
				trust funds for disability, or other disability insurance payments;
(iii) Unemployment benefits;
(iv) Veteran's Administration
				benefits;
(v) Lump sum payments of
				gifts, cash inheritance, property, lottery winnings, worker's compensation for
				lost income, or severance pay;
(vi)
				Private pensions, annuities, or royalties; and
(vii) Investment dividends.
Washington Administrative Code › Title 246 - Health, Department of › HUMAN IMMUNODEFICIENCY VIRUS (HIV) › Chapter 246-130 - Early intervention program › Section 246-130-045 - Does an early intervention program client need to notify the department of any changes in their eligibility?

Current through Register Vol. 24-14, July 15, 2024
(1) Clients must notify the department of any
				changes that affect their eligibility within twenty days of the
				change.
(2) Clients who do not
				notify the department of changes may be disenrolled and required to repay the
				funds spent on their services.
(3)
				Clients may be disenrolled from the program if they provide false
				information.
Statutory Authority:
					 RCW
					 43.70.670. 05-23-100, § 246-130-045,
					 filed 11/17/05, effective 12/18/05.
Washington Administrative Code › Title 246 - Health, Department of › HUMAN IMMUNODEFICIENCY VIRUS (HIV) › Chapter 246-130 - Early intervention program › Section 246-130-060 - Is information kept confidential?

Current through Register Vol. 24-14, July 15, 2024
Applicant and client information supplied to the early
				  intervention program is confidential. The early intervention program follows
				  all applicable state and federal laws regarding the exchange of medical
				  information.
Statutory Authority:
					 RCW
					 43.70.670. 05-23-100, § 246-130-060,
					 filed 11/17/05, effective 12/18/05. Statutory Authority:
					 RCW
					    43.70.040 and
					 43.70.120. 00-19-117, §
					 246-130-060, filed 9/20/00, effective 10/21/00; 95-23-018, § 246-130-060,
					 filed 11/7/95, effective 12/8/95. Statutory Authority:
					 RCW
					    43.70.040. 91-02-049 (Order 121), recodified
					 as § 246-130-060, filed 12/27/90, effective 1/31/91. Statutory Authority:
					 RCW
					    43.70.120. 90-17-087 (Order 071), §
					 248-168-060, filed 8/17/90, effective 9/17/90. Statutory Authority:
					 RCW
					    43.20A.550. 87-22-012 (Order 2549), §
					 248-168-060, filed 10/26/87.
Washington Administrative Code › Title 246 - Health, Department of › HUMAN IMMUNODEFICIENCY VIRUS (HIV) › Chapter 246-130 - Early intervention program › Section 246-130-080 - What do clients do if they disagree with the department's decision about their eligibility or coverage?

Current through Register Vol. 24-14, July 15, 2024
Applicants and clients may appeal any decision by the
				  department about their early intervention program eligibility or
				  coverage.
(1)Chapter 246-10 WAC
				details the adjudication process for matters involving receipt of benefits. The
				department will provide information on the cause for denied benefits, how a
				proceeding may be requested, the forms necessary to request a proceeding and
				information on required time frames.
(2) Applicants and clients may not appeal the
				department's denial or limitations when the department discontinues or limits
				an early intervention program service to either funding availability or federal
				or state law or rule changes. See WAC
				246-130-030(3) for more details.
(3) Rate and
				payment disputes between a provider or benefits manager and the department are
				handled by contract.
(4) Clients of
				any other public agency must use that agency's process to resolve eligibility
				or other disputes regarding that agency.
Statutory Authority:
					 RCW
					 43.70.670. 05-23-100, § 246-130-080,
					 filed 11/17/05, effective 12/18/05. Statutory Authority:
					 RCW
					    43.70.040 and
					 43.70.120. 00-19-117, §
					 246-130-080, filed 9/20/00, effective
					 10/21/00.
Washington Administrative Code › Title 246 - Health, Department of › HUMAN IMMUNODEFICIENCY VIRUS (HIV) › Chapter 246-130 - Early intervention program › Section 246-130-090 - How do I contact the department?

Current through Register Vol. 24-14, July 15, 2024
For information or application, contact:
Department of Health
Client Services
P.O. Box 47841
Olympia, WA 98504-7841
Telephone 1-877-376-9316 Option 2
Or, visit the web site at
www.doh.wa.gov
. Locate HIV client services through
				  the "DOH WEB (A-Z)" at
www.doh.wa.gov
.
Statutory Authority:
					 RCW
					 43.70.670. 05-23-100, § 246-130-090,
					 filed 11/17/05, effective 12/18/05. Statutory Authority:
					 RCW
					    43.70.040 and
					 43.70.120. 00-19-117, §
					 246-130-090, filed 9/20/00, effective
					 10/21/00.
Washington Administrative Code › Title 246 - Health, Department of › HUMAN IMMUNODEFICIENCY VIRUS (HIV) › Chapter 246-136 - Human immunodeficiency virus (HIV) infection - Occupational exposure notification › Section 246-136-001 - Purpose

Current through Register Vol. 24-14, July 15, 2024
These regulations establish procedures to assure effective
				  communication between health officials and correctional and jail health care
				  administrators or infection control coordinators in the event a correctional or
				  jail staff member is substantially exposed to the bodily fluids of an offender
				  or detainee in the course of their official duties.
Statutory Authority:
					 RCW
					 70.24.107. 97-22-027, § 246-136-001,
					 filed 10/29/97, effective 11/29/97.
Washington Administrative Code › Title 246 - Health, Department of › HUMAN IMMUNODEFICIENCY VIRUS (HIV) › Chapter 246-136 - Human immunodeficiency virus (HIV) infection - Occupational exposure notification › Section 246-136-010 - Definitions

Current through Register Vol. 24-14, July 15, 2024
The following definitions apply in the interpretation and
				  enforcement of chapter 246-136 WAC:
(1) "HIV" means human immunodeficiency
				virus.
(2) "Local health
				department" means the city, town, county, or district agency providing public
				health services to persons within the area, as provided in
				chapters
				70.05,
				70.08 and
				70.46 RCW.
(3) "Local health officer" means the
				individual appointed under
				chapter
				70.05 RCW as the health
				officer for the local health department, or appointed under
				chapter
				70.08 RCW as the director
				of public health of a combined city-county health department.
(4) "Local jail administrator" means the
				individual appointed to operate a jail facility as defined in
				RCW
				   70.48.020.
(5) "State health officer" means the person
				designated by the secretary of the department of health to serve as statewide
				health officer, or, in the absence of such designation, the person having
				primary responsibility for public health matters in the state.
Statutory Authority:
					 RCW
					 70.24.107. 97-22-027, § 246-136-010,
					 filed 10/29/97, effective 11/29/97.
Washington Administrative Code › Title 246 - Health, Department of › HUMAN IMMUNODEFICIENCY VIRUS (HIV) › Chapter 246-136 - Human immunodeficiency virus (HIV) infection - Occupational exposure notification › Section 246-136-020 - Agreements between local health jurisdictions and local jails

Current through Register Vol. 24-14, July 15, 2024
By November 1, 1997, local health officials and local jail
				  administrators shall establish interagency agreements to include at a
				  minimum:
(1) The title of the official
				in the local health department assigned the duty for disclosing sexually
				transmitted disease information as required by RCW    70.24.105(4)(b) and the
				title of the health care administrator or infection control coordinator in the
				local jail assigned the duty of receiving of such information;
(2) A statement indicating that sexually
				transmitted disease status information is confidential and that release of such
				information is governed by law;
(3)
				The title of the person in the local jail or local health jurisdiction assigned
				the duty for disclosing sexually transmitted disease information or other
				communicable disease information to the exposed jail staff member in accordance
				with RCW    70.24.105(4)(d);
(4) The
				anticipated number of days or hours from the time:
(a) That a member of a jail staff has been
				possibly substantially exposed to the bodily fluids of a detained person to the
				time that report has been provided to the local health officer;
(b) That such a report has been received by
				the local health officer to the time that a determination of substantial
				exposure has been made and, if appropriate, the detained person is ordered to
				be tested for HIV;
(c) That
				mandated or other known HIV test results and other communicable disease
				information is disclosed only as permitted by law to the exposed jail staff
				person, after the detained person has been ordered to be tested for HIV;
				and
(d) That the results of a new
				HIV test done as a result of the exposure is disclosed to the exposed jail
				staff person, after the detained person has been ordered to be tested for
				HIV;
Washington Administrative Code › Title 246 - Health, Department of › HUMAN IMMUNODEFICIENCY VIRUS (HIV) › Chapter 246-136 - Human immunodeficiency virus (HIV) infection - Occupational exposure notification › Section 246-136-030 - Duties of local jail administrators

Current through Register Vol. 24-14, July 15, 2024
Local jail administrators shall:
(1) Develop communicable disease prevention
				guidelines as required by chapter 70.48 RCW that are consistent with chapter
				246-100 WAC, WAC 296-62-08001 and the most recent edition of
Control of
				Communicable Diseases in Man
;
(2) Submit those communicable disease
				prevention guidelines to the local health officer for review and
				comment;
(3) Develop and implement
				policies and procedures for the distribution of communicable disease prevention
				guidelines to all jail staff who are at risk of occupational exposure to
				communicable diseases; and
(4) By
				November 1, 1997, submit to the department of health a summary of changes in
				polices and procedures as a result of chapter 345, Laws of 1997.
Statutory Authority:
					 RCW
					 70.24.107. 97-22-027, § 246-136-030,
					 filed 10/29/97, effective 11/29/97.
Washington Administrative Code › Title 246 - Health, Department of › HUMAN IMMUNODEFICIENCY VIRUS (HIV) › Chapter 246-136 - Human immunodeficiency virus (HIV) infection - Occupational exposure notification › Section 246-136-040 - Duties of health officers

Current through Register Vol. 24-14, July 15, 2024
State and local health officers shall:
(1) Comply with the provisions of RCW
				   70.24.105(4);
(2) Make available
				the sexually transmitted disease status of a department of corrections offender
				who has had a mandatory test conducted pursuant to
				RCW
				   70.24.340(1),
				70.24.360, or
				70.24.370 to the department of
				corrections health care administrator or infection control coordinator
				identified above;
(3) Make
				available the sexually transmitted disease status of a person detained in a
				jail who has had a mandatory test conducted pursuant to
				RCW
				   70.24.340(1),
				70.24.360, or
				70.24.370 as per the interagency
				agreement in WAC
				246-136-020; and
(4) Submit a copy of the interagency
				agreement required under WAC
				246-136-020 to the Department of
				Health, Post Office Box 47840, Olympia, WA 98504-7840 upon execution or
				amendment of the agreement.
Statutory Authority:
					 RCW
					 70.24.107. 97-22-027, § 246-136-040,
					 filed 10/29/97, effective 11/29/97.
Washington Administrative Code › Title 246 - Health, Department of › HUMAN IMMUNODEFICIENCY VIRUS (HIV) › Chapter 246-138 - Testing of good samaritans for certain infectious diseases › Section 246-138-001 - Purpose

Current through Register Vol. 24-14, July 15, 2024
The purpose of this rule is to ensure eligible good
				  samaritans may receive testing for certain infectious diseases at no cost to
				  the good samaritan.
Statutory Authority: 1999 c 391 § 2. 00-01-066, §
					 246-138-001, filed 12/13/99, effective
					 1/13/00.
Washington Administrative Code › Title 246 - Health, Department of › HUMAN IMMUNODEFICIENCY VIRUS (HIV) › Chapter 246-138 - Testing of good samaritans for certain infectious diseases › Section 246-138-010 - Definitions

Current through Register Vol. 24-14, July 15, 2024
The following definitions apply throughout this chapter
				  unless the context clearly indicates otherwise.
(1) "Certain infectious diseases" means
				hepatitis A virus (HAV), hepatitis B virus (HBV), hepatitis C virus (HCV), and
				human immunodeficiency virus (HIV).
(2) "Good samaritan" means a person rendering
				emergency care or transportation as described in
				RCW
				   4.24.300 and
				4.24.310.
(3) "Local health department" means the city,
				town, county, or district agency providing public health services to persons
				within the area, as provided in
				chapters
				70.05 and
				70.08 RCW.
(4) "Local health officer" means the
				individual appointed under
				chapter
				70.05 RCW as the health
				officer for the local health department, or appointed under
				chapter
				70.08 RCW as the director
				of public health of a combined city-county health department.
(5) "Exchange of bodily fluids significantly
				increasing the odds of being exposed to a deadly infectious disease":
(a) For HBV, HCV, and HIV means physical
				contact resulting in exposure presenting possible risk, limited to:
(i) A physical assault upon the exposed
				person involving blood or semen;
(ii) Intentional, unauthorized, nonconsensual
				use of needles or sharp implements to inject or mutilate the exposed
				person;
(iii) An accidental
				parenteral or mucous membrane or nonintact skin exposure to blood, semen, or
				vaginal fluids; or
(iv) For HBV
				only, mucous membrane or nonintact skin exposure to saliva; or
Washington Administrative Code › Title 246 - Health, Department of › HUMAN IMMUNODEFICIENCY VIRUS (HIV) › Chapter 246-138 - Testing of good samaritans for certain infectious diseases › Section 246-138-020 - How is a good samaritan eligible for no cost testing for certain infectious diseases?

Current through Register Vol. 24-14, July 15, 2024
To receive no cost testing, a good samaritan must:
(1) Seek testing from the local health
				department of the county of her or his residence within thirty days of the
				exchange of bodily fluids significantly increasing the odds of being exposed to
				a deadly infectious disease;
(2)
				Have sustained an exchange of bodily fluids significantly increasing the odds
				of being exposed to a deadly infectious disease as determined by the local
				health officer or authorized representative, while rendering emergency care or
				transportation; and
(3) Be
				uninsured or have health insurance that does not cover most of the costs of
				testing.
Statutory Authority: 1999 c 391 § 2. 00-01-066, §
					 246-138-020, filed 12/13/99, effective
					 1/13/00.
Washington Administrative Code › Title 246 - Health, Department of › HUMAN IMMUNODEFICIENCY VIRUS (HIV) › Chapter 246-138 - Testing of good samaritans for certain infectious diseases › Section 246-138-030 - What are the duties and responsibilities of the local health department?

Current through Register Vol. 24-14, July 15, 2024
Local health departments, during regular hours of operation
				  shall:
(1) Determine whether the good
				samaritan has sustained an exchange of bodily fluids significantly increasing
				the odds of being exposed to a deadly infectious disease;
(2) Determine which certain infectious
				diseases or other infectious diseases are appropriate to test for, which tests
				should be done and when the tests should be done, based on the nature and time
				of the exchange of bodily fluids significantly increasing the odds of being
				exposed to a deadly infectious disease and the natural history of infection for
				the diseases in question;
(3) Offer
				counseling and testing, consistent with recommendations in the
Control
				of Communicable Diseases Manual
, 20th edition, published by the
				American Public Health Association, for those infectious diseases to which the
				good samaritan is determined to have sustained an exchange of bodily fluids
				significantly increasing the odds of being exposed to a deadly infectious
				disease;
(4) Obtain the informed
				consent of the good samaritan prior to testing;
(5) Provide the good samaritan with the
				results of the testing and the possible need for retesting;
(6) Refer the good samaritan to an
				appropriate health care provider for any subsequent needed care in the event of
				a positive test; and
(7) Maintain
				the confidentiality of those medical records as required by
				chapters
				70.24 RCW and 246-100
				WAC.
Statutory Authority: 1999 c 391 § 2. 00-01-066, §
					 246-138-030, filed 12/13/99, effective
					 1/13/00.
Washington Administrative Code › Title 246 - Health, Department of › HUMAN IMMUNODEFICIENCY VIRUS (HIV) › Chapter 246-138 - Testing of good samaritans for certain infectious diseases › Section 246-138-040 - Limitations

Current through Register Vol. 24-14, July 15, 2024
Nothing in this chapter requires a local health department to
				  provide health care services beyond the counseling, testing, and referral
				  described in this chapter.
Statutory Authority: 1999 c 391 § 2. 00-01-066, §
					 246-138-040, filed 12/13/99, effective
					 1/13/00.
Washington Administrative Code › Title 246 - Health, Department of › HUMAN IMMUNODEFICIENCY VIRUS (HIV) › Chapter 246-140 - Bloodborne pathogens in children placed in out-of-home care › Section 246-140-001 - Purpose

Current through Register Vol. 24-14, July 15, 2024
These regulations define the term "bloodborne pathogens"
				  solely for use by the department of social and health services when placing a
				  child in out-of-home care pursuant to
				  RCW
				     74.13.289.
Statutory Authority:
					 RCW
					 74.13.289. 05-04-112, § 246-140-001,
					 filed 2/2/05, effective 3/5/05.
Washington Administrative Code › Title 246 - Health, Department of › HUMAN IMMUNODEFICIENCY VIRUS (HIV) › Chapter 246-140 - Bloodborne pathogens in children placed in out-of-home care › Section 246-140-010 - Definition

Current through Register Vol. 24-14, July 15, 2024
The term "bloodborne pathogen" means pathogenic
				  microorganisms that are present in human blood and can cause disease in humans
				  including: Arboviral infections; babesiosis; brucellosis; Creutzfeldt-Jakob
				  disease; hepatitis B virus (HBV); hepatitis C virus (HCV); human
				  immunodeficiency virus (HIV); human T-lymphotrophic virus Type I;
				  leptospirosis; malaria; relapsing fever; syphilis; viral hemorrhagic
				  fever.
Statutory Authority:
					 RCW
					 74.13.289. 05-04-112, § 246-140-010,
					 filed 2/2/05, effective 3/5/05.
Washington Administrative Code › Title 246 - Health, Department of › HUMAN IMMUNODEFICIENCY VIRUS (HIV) › Chapter 246-140 - Bloodborne pathogens in children placed in out-of-home care › Section 246-140-020 - Disclosure of information

Current through Register Vol. 24-14, July 15, 2024
Disclosure of information related to HIV and other sexually
				  transmitted diseases must be in accordance with RCW
				     70.24.105.
Statutory Authority:
					 RCW
					 74.13.289. 05-04-112, § 246-140-020,
					 filed 2/2/05, effective 3/5/05.
Washington Administrative Code › Title 246 - Health, Department of › HUMAN IMMUNODEFICIENCY VIRUS (HIV) › Chapter 246-145 - Body art, body piercing, electrology and tattooing standards for sterilization procedures and infection control › Section 246-145-001 - Purpose and scope

Current through Register Vol. 24-14, July 15, 2024
These rules establish standard universal precautions for
				  preventing the spread of diseases by using sterilization procedures and
				  infection control in the practices of electrology, body art, body piercing, and
				  tattooing.
Statutory Authority:
					 RCW
					 70.54.340. 10-12-057, § 246-145-001,
					 filed 5/27/10, effective 7/1/10; 02-11-109, § 246-145-001, filed 5/20/02,
					 effective 6/20/02.
Washington Administrative Code › Title 246 - Health, Department of › HUMAN IMMUNODEFICIENCY VIRUS (HIV) › Chapter 246-145 - Body art, body piercing, electrology and tattooing standards for sterilization procedures and infection control › Section 246-145-010 - Definitions

Current through Register Vol. 24-14, July 15, 2024
For the purpose of these rules, the following words and
				  phrases have the following meanings unless the context clearly indicates
				  otherwise.
(1) "Antiseptic" means an
				agent that destroys disease causing microorganisms on human skin or
				mucosa.
(2) "Aseptic technique"
				means a procedure that prevents contamination of any object or
				person.
(3) "Bloodborne pathogens"
				means microorganisms that are present in human blood and can cause disease in
				humans. These pathogens include, but are not limited to, Hepatitis B virus
				(HBV), Hepatitis C virus (HBC) and human immunodeficiency virus
				(HIV).
(4) "Body art" means the
				practice of invasive cosmetic adornment including the use of branding and
				scarification. Body art also includes the intentional production of scars upon
				the body. Body art does not include any health-related procedures performed by
				licensed health care practitioners under their scope of practice.
(5) "Body piercing" means the process of
				penetrating the skin or mucous membrane to insert an object, including jewelry,
				for cosmetic purposes. Body piercing also includes any scar tissue resulting
				from or relating to the piercing. Body piercing does not include the use of
				stud and clasp piercing systems to pierce the earlobe in accordance with the
				manufacturer's directions and applicable FDA requirements. Body piercing does
				not include any health-related procedures performed by licensed health care
				practitioners under their scope of practice, nor does anything in this act
				authorize a person registered to engage in the business of body piercing to
				implant or embed foreign objects into the human body or otherwise engage in the
				practice of medicine.
(6)
				"Branding" means inducing a pattern of scar tissue by use of a heated material
				(usually metal) to the skin creating a serious burn which eventually results in
				a scar.
(7) "Department" means the
				department of licensing.
(8)
				"Disinfectant" means a substance or solution, registered with the United States
				Environmental Protection Agency (EPA) that kills or inactivates viruses and
				pathogenic microorganisms, but not necessarily their spores.
(9) "Disinfect" or "disinfection" means the
				destruction of disease-causing microorganisms on inanimate objects or surfaces,
				thereby rendering these objects safe for use or handling.
(10) "Electrologist" means a person who
				practices the business of electrology for a fee.
(11) "Electrology" means the process of
				permanently removing hair by using solid needle or probe electrode epilation,
				including:
(a) Thermolysis, being of
				shortwave, high frequency type;
(b)
				Electrolysis, being a galvanic type; or
(c) A combination of both which is
				accomplished by a superimposed or sequential blend.
Washington Administrative Code › Title 246 - Health, Department of › HUMAN IMMUNODEFICIENCY VIRUS (HIV) › Chapter 246-145 - Body art, body piercing, electrology and tattooing standards for sterilization procedures and infection control › Section 246-145-015 - Restrictions

Current through Register Vol. 24-14, July 15, 2024
(1) Electrologists,
				and individuals licensed to perform body piercing, body art and tattooing,
				shall not perform procedures:
(a) While under
				the influence of alcohol or drugs;
(b) If they have weeping dermatitis or
				draining sores;
(c) On a client who
				appears to be under the influence of alcohol or drugs; or
(d) On a client who has evident skin lesions
				or skin infections in the area of the procedure, including sunburn.
Washington Administrative Code › Title 246 - Health, Department of › HUMAN IMMUNODEFICIENCY VIRUS (HIV) › Chapter 246-145 - Body art, body piercing, electrology and tattooing standards for sterilization procedures and infection control › Section 246-145-020 - Standard universal precautions for preventing the spread of disease in electrology

Current through Register Vol. 24-14, July 15, 2024
The following universal precautions must be used by
				  electrologists in the care of all clients.
(1) Wash hands with soap and water
				immediately before and after each client contact;
(2) Wash hands and other skin surfaces
				immediately and thoroughly if contaminated with blood or other body
				fluids;
(3) Wash hands immediately
				before single-use disposable gloves are put on and after gloves are
				removed;
(4) Clean the client's
				skin by applying an antiseptic or antibacterial solution prior to and following
				treatment;
(5) Wear new gloves with
				each client to prevent skin and mucous membrane exposure contact with blood or
				other body fluids of each client;
(6) Wear gloves for touching blood and body
				fluids, mucous membranes, or nonintact skin of all clients, and for handling
				items or surfaces soiled with blood or body fluids;
(7) Change gloves after contact with each
				client;
(8) Immediately remove
				gloves that are torn or have small pinholes, wash hands and put on new
				gloves;
(9) Take precautions to
				prevent injuries caused by needles and other sharp instruments or devices
				during procedures; when cleaning used instruments; during disposal of used
				needles; and when handling sharp instruments after procedures;
(10) Prevent needlestick injuries by not
				recapping needles or breaking needles by hand and by not otherwise manipulating
				contaminated needles by hand;
(11)
				Dispose of used disposable needles and other sharp items in puncture-resistant
				containers;
(12) Inspect hands for
				small cuts, sores and abrasions; if present, use a Seal-skin product or
				bandage. If the electrologist has weeping dermatitis or draining sores, the
				electrologist should avoid contact with clients and equipment until the weeping
				dermatitis or draining sores are healed;
(13) Regularly clean and disinfect
				countertops; regularly clean walls when visibly soiled; regularly vacuum and
				clean carpets and floors; and
(14)
				Clean and disinfect other frequently touched surfaces including, but not
				limited to, equipment and lamps between each client.
Statutory Authority:
					 RCW
					 70.54.340. 10-12-057, § 246-145-020,
					 filed 5/27/10, effective 7/1/10; 02-11-109, § 246-145-020, filed 5/20/02,
					 effective 6/20/02.
Washington Administrative Code › Title 246 - Health, Department of › HUMAN IMMUNODEFICIENCY VIRUS (HIV) › Chapter 246-145 - Body art, body piercing, electrology and tattooing standards for sterilization procedures and infection control › Section 246-145-030 - Sterile procedures in electrology

Current through Register Vol. 24-14, July 15, 2024
To ensure that clients are not exposed to disease through
				  needles or other instruments, electrologists must:
(1) Use single-use, presterilized disposable
				needles on one client and then dispose of the needle immediately in a
				puncture-resistant container;
(2)
				Not use reusable needles;
(3) Use
				single-use sharp items on only one client and dispose of the items immediately
				in a puncture-resistant container;
(4) Only reuse cleaned and sterilized sharp
				items and instruments that are intended for multiple use;
(5) Thoroughly clean and sterilize reusable
				sharp items and instruments between clients;
(6) Accumulate reusable sharp items and
				instruments in a holding container by submersion in a solution of a
				protein-dissolving enzyme detergent and water;
(7) Sterilize reusable items in a steam
				autoclave or dry-heat sterilizer, which is used, cleaned and maintained
				according to the manufacturer's instructions;
(8) Resterilize a reusable sterile instrument
				before using it on a client, if it is contaminated by dropping, by touching an
				unsterile surface, by a torn package, by the package being punctured, damaged,
				wet or by some other means;
(9)
				Immediately dispose of a single-use item in a puncture-resistant container, if
				it is contaminated by dropping, by touching an unsterile surface, by a torn
				package, by the package being punctured, damaged, wet or by some other
				means;
(10) Immediately dispose of
				an instrument in a puncture-resistant container if the expiration date has
				passed; and
(11) Monitor
				sterilizers to determine that all conditions of sterilization are met. This
				includes:
(a) Assuring that sterilizers have
				a thermometer and timer to indicate whether adequate heat has been applied to
				packaged equipment;
(b) Using or
				checking chemical indicators on each package to assure the items have been
				exposed to the sterilization process;
(c) Sterilizers must be tested by biological
				spore tests according to the manufacturer's instructions. In the event of a
				positive biological spore test, the electrologist must take immediate action to
				ensure all conditions of sterilization are met; and
(d) Documentation of monitoring must be
				maintained either in the form of a log reflecting dates and person(s)
				conducting the testing or copies of reports from an independent testing entity.
				The documentation must be maintained at least three years.
Washington Administrative Code › Title 246 - Health, Department of › HUMAN IMMUNODEFICIENCY VIRUS (HIV) › Chapter 246-145 - Body art, body piercing, electrology and tattooing standards for sterilization procedures and infection control › Section 246-145-040 - Penalty for not complying with rules

Current through Register Vol. 24-14, July 15, 2024
Any electrologist out of compliance with the rules in this
				  chapter will be guilty of a misdemeanor.
Statutory Authority:
					 RCW
					 70.54.340. 10-12-057, § 246-145-040,
					 filed 5/27/10, effective 7/1/10; 02-11-109, § 246-145-040, filed 5/20/02,
					 effective 6/20/02.
Washington Administrative Code › Title 246 - Health, Department of › TUBERCULOSIS › Chapter 246-170 - Tuberculosis - Prevention, treatment, and control › Section 246-170-002 - Findings and purpose

Current through Register Vol. 24-14, July 15, 2024
(1)
				The board of health finds that:
(a) Pulmonary
				tuberculosis is a life-threatening airborne disease that can be casually
				transmitted without significant interaction with an infectious person.
				Tuberculosis has reemerged as an epidemic disease nationally, and though
				Washington state is not in an epidemic yet, the increasing number of cases in
				Washington state each year clearly demonstrate that absent timely and effective
				public health intervention in individual cases, the residents of the state of
				Washington are at risk of being infected by tuberculosis.
(b) In order to limit the spread of
				tuberculosis, it is essential that individuals who have the disease are
				diagnosed and treated before they infect others. Diagnosis requires a variety
				of methodologies including skin tests, X rays, and laboratory analysis of
				sputum samples.
(c) A person with
				infectious tuberculosis who does not voluntarily submit to appropriate testing,
				treatment, or infection control methods poses an unreasonable risk of spreading
				the disease to those who come into the infectious person's proximity.
(d) Although the recommended course of
				treatment for tuberculosis varies somewhat from one individual to another, at a
				minimum, effective treatment requires a long-term regimen of multiple drug
				therapy. Some drugs are effective with some individuals but not others. The
				development of the appropriate course of treatment for any one individual may
				require trying different combinations of drugs and repeated drug susceptibility
				testing. The course of treatment may require as long as several years to
				complete.
(e) A person who begins a
				course of treatment for tuberculosis and fails to follow the recommended course
				through to completion is highly likely to relapse at some point into infectious
				tuberculosis. The person will most likely then be infected with what is known
				as multiple drug resistant tuberculosis, which is more virulent, more difficult
				to treat, and more likely to result in fatality. A person who is infectious
				with multiple drug resistant tuberculosis poses a significant risk of
				transmitting multiple drug resistant tuberculosis to other persons, unless
				appropriate treatment and infection control methods are followed.
(f) Multiple drug resistant tuberculosis is a
				significant element in the epidemic that is being encountered nation-wide, and
				effective public health interventions are necessary to prevent that epidemic
				from developing in or spreading to Washington state.
Washington Administrative Code › Title 246 - Health, Department of › TUBERCULOSIS › Chapter 246-170 - Tuberculosis - Prevention, treatment, and control › Section 246-170-021 - Responsibility of local health officers

Current through Register Vol. 24-14, July 15, 2024
Each county, city-county and district health officer is
				  responsible for the control of tuberculosis within a jurisdiction. Each health
				  officer shall act as or shall designate a physician to act as tuberculosis
				  control officer. This individual shall coordinate all aspects of the
				  prevention, treatment, and control program.
Statutory Authority: ESB 6158 and
					 chapter
					 70.28 RCW. 95-04-035,
					 § 246-170-021, filed 1/24/95, effective
					 1/24/95.
Washington Administrative Code › Title 246 - Health, Department of › TUBERCULOSIS › Chapter 246-170 - Tuberculosis - Prevention, treatment, and control › Section 246-170-031 - Local health department responsibilities

Current through Register Vol. 24-14, July 15, 2024
(1) Each local health department shall assure
				the provision of a comprehensive program for the prevention, treatment, and
				control of tuberculosis. Services shall include:
(a) Prevention and screening, with emphasis
				on screening of high risk populations;
(b) Diagnosis and monitoring, including
				laboratory and radiology;
(c)
				Individualized treatment planning consistent with American Thoracic
				Society/Centers for Disease Control and Prevention statements based on the
				least restrictive measures necessary to assure appropriate treatment;
				and
(d) Case management.
Washington Administrative Code › Title 246 - Health, Department of › TUBERCULOSIS › Chapter 246-170 - Tuberculosis - Prevention, treatment, and control › Section 246-170-035 - Tuberculin skin testing and medication administration training

Current through Register Vol. 24-14, July 15, 2024
The department shall make available a course to be used by
				  the state tuberculosis control program or local health departments to train
				  tuberculosis community health workers.
This course shall include, but not be limited to:
(1) Tuberculosis infection and disease,
				including prevention, transmission, pathogenesis, diagnosis and
				treatment;
(2) The administration,
				reading, and interpretation of the Mantoux tuberculin skin test;
(3) The performance of oral directly observed
				therapy and directly observed preventive therapy;
(4) Adverse reactions to tuberculosis
				medications and how to monitor patients for adverse reactions;
(5) Appropriate referral mechanisms for
				positive skin tests, adverse reactions, or other medical needs;
(6) Personal health and safety requirements
				including the use of personal protective equipment.
Statutory Authority: ESB 6158 and
					 chapter
					 70.28 RCW. 94-20-080,
					 § 246-170-035, filed 10/4/94, effective
					 11/4/94.
Washington Administrative Code › Title 246 - Health, Department of › TUBERCULOSIS › Chapter 246-170 - Tuberculosis - Prevention, treatment, and control › Section 246-170-041 - Inpatient services requirements

Current through Register Vol. 24-14, July 15, 2024
(1) Inpatient services to infectious or
				suspected cases shall be provided in hospitals or hospital units of
				correctional facilities. These facilities shall meet infection control program
				requirements pursuant to WAC 246-318-035, and shall provide:
(a) A single-patient room consistent with the
				guidelines set forth in the
1994 CDC Guidelines For Preventing the
				Transmission of Tuberculosis in Health Care Facilities
, or as
				hereafter amended. Copies of these guidelines are available from the Washington
				state department of health, TB control program;
(b) Medical, nursing, laboratory, radiology,
				pharmacy, patient education, and social services;
(c) Discharge conferences involving at least
				the current primary provider, a local health department representative, and
				transferring and receiving facility representatives.