Rules Development

Public Notification

Emergency Medical Responder (EMR) or Emergency Medical Technician (EMT) Training Courses – Expanding Education for Initial Training to Students who are 16 years of age

CR-101 rule inquiry stage – drafting of proposed rules 

The Department of Health’s Office of Community Health Systems, EMS and Trauma Care Section officially filed a CR-101 with the Office of the Code Reviser on October 7, 2025, to open WAC 246-976-022 and WAC 246-976-041. Other amendments to sections or adding new sections in chapter 246-976 WAC may also be considered to address this specific topic. The WSR number is 25-21-026.

How to Participate

The department’s EMS Program will be hosting a series of webinars to provide an overview of the rules in the coming weeks. Additional webinars will be added as needed.

The schedule provided is intended as a guide for streamlining work. Meeting focus and frequency is subject to change. Please check back frequently for updates.

Webinar Announcement

November 2025

Date/Time Location Meeting Focus
Wednesday, November 19, 2025
1:30 p.m. – 3:30 p.m.

Join the meeting now

WAC 246-976-022 EMS training program requirements, approval, reapproval, discipline and WAC 246-976-041 to apply for training.

Public Comment

If you choose, submit any comment(s) prior to the scheduled meeting, using the department-provided comment form (Word) or by viewing the Rules Comment webpage. Comment form in PDF version.

You may also submit a comment form if you're unable to attend a meeting but have a concern that you'd like to discuss in the meeting. Your cooperation will help ensure that all comments are taken into consideration when the final draft rules are adopted.

Fill out and email the comment form (Word) to hsqa.ems@doh.wa.gov.

Rules Adopted

See the Washington State Department of Health rules website for more information on adopted rules within Title 246 WAC.

Out-of-Network Health Care Charges (Balance Billing) for Ground Ambulance Services

CR-103P rule proposal phase – preparing the proposed rules 

The Department of Health’s Office of Community Health Systems, EMS and Trauma Care Section officially filed a CR-103P on September 23, 2025, for WAC 246-976-260 and WAC 246-976-270. The WSR number is 25-20-024.

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