Revised Code of Washington (RCW)


The RCW serves as the foundational legal framework for chiropractic practice in Washington. It outlines the broad statutory requirements and provisions that chiropractors must adhere to in the state. A few of the aspects regulated by RCW include:


Scope of Practice: RCW 18.25.005


“Chiropractic is the practice of healthcare 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…”


Patient Rights: Under the Uniform Disciplinary Act, RCW 18.130.180


outlines what constitutes unprofessional conduct. The RCW can demonstrate to the public professional competency and conduct within our profession.


Washington Administrative Code (WAC)


In contrast to the RCW, the WAC provides detailed rules and regulations that further clarify the practical aspects of chiropractic practice. The WAC serves as a complementary resource that chiropractors can consult for specific guidance. Some key areas addressed by WAC include:


Licensing and Education: WAC 246-808-105


establishes the educational prerequisites, examination requirements and ongoing continuing education obligations for chiropractors practicing in Washington.


Continuing Education: WAC 246-808-150


includes the number of hours required and a comprehensive list of approved course topics including case management, instrumentation, technique and more.


Standards of Care: WAC 246-808-301


specifies protocols for patient evaluation, assessment, treatment planning and documentation. Adhering to these standards ensures quality patient care.


Radiographic Imaging: WAC 246-808-565


details the protocols for ordering, taking and interpreting X-rays and other imaging studies.


Interplay Between RCW and WAC


Understanding the relationship between RCW and WAC is crucial for chiropractors in Washington. While RCW provides the overarching legal framework, WAC serves as the practical guide for compliance. Chiropractors are required to ensure their practices align with both the RCW and the WAC.


The differences between RCW and WAC have a direct impact on patient care in Washington. Patients seeking chiropractic services can have confidence in the regulatory framework that ensures safe and effective treatments. Chiropractors, on the other hand, must stay up to date with changes in both RCW and WAC to provide the highest level of care to their patients.


Catalysts for Change The Chiropractic Quality


Assurance Commission (the


Commission) is charged with the credentialing and regulation of the chiropractic profession in Washington State. While changes to the RCW require going through the lengthy and challenging legislative process, the Commission reviews and updates the WAC on a regular basis. There are different catalysts that would prompt the Commission to open a rule to undergo updates or changes.


If you are still reading this . . . you are a TROOPER! Changing Circumstances:


Rules and regulations may need to be updated in response to changing circumstances, such as advances in technology, shifts in demographics, evolving industry practices or emerging public health concerns. The Commission monitors these changes and may adjust rules to remain relevant and effective.


Legal Requirements:


The Commission must ensure that their rules and regulations comply with existing federal and state laws, court decisions, and legal precedents. When legal requirements change, the Commission may need to update their rules to remain in compliance.


Public Input:


The Commission often seeks input from affected parties, stakeholders and the general public when proposing new rules or amending existing ones. Feedback and public comments can lead to changes in the rules to reflect the needs and concerns of the community.


Best Practices:


The Commission may revise rules to align with best practices, industry standards or recommendations from experts and advisory committees.


Evaluation and Assessment:


Periodically, the Commission assesses the impact and effectiveness of their rules and regulations. If rules are found to be ineffective, overly burdensome or in need of improvement, the rulemaking process may be initiated to make necessary revisions.


Administrative Efficiency:


The Commission may update rules to improve administrative effi- ciency or streamline processes. This can include clarifying language, removing redundancies, or simplifying regulatory requirements.


continued on next page Ple x us Oct/No v 2023 


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