Helpful Resources

In Washington, NDs have statute-granted authority to oversee/supervise the following healthcare professionals:

• Colon Hydrotherapists (CHTs)
• Licensed Practical Nurses (LPNs)
• Medical Assistants (MAs)
• Registered Nurses (RNs)

In Washington, NDs have statute-granted authority to sign/certify the following documents:

• Vital Records (including death certificates) [WAC 246-490-200 requires that all deaths in Washington be reported electronically. Learn more and enroll HERE. Receive guidance on February 2024 transition from EDRS to WHALES HERE.]

The federal Corporate Transparency Act of 2021 seeks to increase transparency around business ownership and beneficiaries. Under this act, effective January 1, 2024 (and prior to January 1, 2025), most businesses are required to file a new Beneficial Ownership Information (BOI) Form with the Financial Crimes Enforcement Network (FinCEN) of the U.S. Department of the Treasury. Additional information and instructions can be found through the Washington Secretary of State (under "Business Entities" tab) or the FinCEN's BOI page.

Per WAC 246-836-080, Washington-licensed naturopathic physicians are required to obtain a minimum of 60 hours of continuing education every 2 years. Of those, 20 hours must be offered or approved by the WANP, the AANP, any organization approved by NANCEAC, or any of the CNME-accredited naturopathic medical schools. Every 2 years, 15 of the 60 required hours must be in focused on pharmacology, as spelled out in WAC 246-836-080 (3)(a).

As part of continuing education and in accordance with RCW 43.70.442, a licensed naturopathic physician must complete a board-approved one-time training that is at least six hours long in suicide assessment, treatment, and management. This training must be completed by the end of the first full continuing education reporting period after initial licensure. Additional resources, including a list of approved courses, can be found HERE.

Additionally, as part of continuing education and in accordance with RCW 43.70.613, a licensed naturopathic physician must complete a minimum of 2 hours every 4 years of training in health equity to address health inequities such as bias, racism, and poverty. A list of free trainings that meet this requirement can be found HERE.

The Consolidated Appropriations Act of 2023 enacted a new one-time, eight-hour training requirement for all DEA-registered practitioners, except veterinarians, on the treatment and management of patients with opioid or other substance use disorders.

Access a database of FREE trainings that meet this requirement (and count as Category 2 CE credits for Washington-licensed NDs) HERE.

In order to prescribed controlled substances in Washington, your Naturopathic Physician License must indicate that you are "authorized for DEA registration." Current state law limits your prescriptive authority to "codeine and testosterone products that are contained within schedules III, IV, and V" - regardless of what is reflected on your DEA registration card.

Learn more and apply for registration at deadiversion.usdoj.gov.

The Insurance Commissioner is responsible for regulating insurers, including health insurers, in Washington State.

• Complaints & Appeals
• Every Category (of Provider) Law
• Information for Medical Providers about Health Insurance

There are federal and state laws in place to protect patients from surprise medical costs. NDs must follow all applicable laws.

• No Surprises Act (federal)
• Surprise or Balance Billing (WA)

Washington State Uniform Telehealth Act

The Washington State Legislature passed the "Uniform Telehealth Act", now codified in RCW 18.134, during the 2024 Legislative Session. This statute provides extensive guidance about who can provide telehealth services, under what circumstances, approved methods of establishing a patient-provider relationship, and when an out-of-state provider may provide telehealth services to patients in Washington State (among other things). Of note, RCW 18.134.060 defines the practice of medicine as occurring at the location of the patient.

While the Washington State Legislature cannot regulate the practice of medicine outside of Washington State, the WANP strongly advises that you do NOT provide telehealth services to patients residing in other states unless you are licensed to practice medicine wherever the patient is and you practice only to the legal scope of practice in that location.

Required Telemedicine Training for Naturopathic Physicians

SSB 6061 went into effect on 1/1/2021 and requires that all healthcare providers who provide telemedicine services undergo mandatory training as soon as possible. The required training can be found HERE.

Telemedicine Parity

Washington State law requires that telemedicine services be reimbursed at the same rate as in-person medical care, provided that the care is medically necessary. The below statutes also define "established relationship" when considering whether you can provide care to Washington-based patients via telemedicine:

• RCW 48.43.735 (under Insurance Reform)
• RCW 41.05.700 (under State Health Care Authority)
• RCW 74.09.325 (under Medical Care)