The Department of Labor & Industries (L&I) updated its rulemaking website

Washington State Department of Labor & Industries sent this bulletin at 02/05/2026 01:35 PM PST

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washington state department of labor and industries - claims and insurance

Self-Insurance

The Department of Labor & Industries (L&I) updated its rulemaking website

Rules filed February 3, 2026

For information on all L&I meetings and public hearings related to rulemaking, please visit our public participation calendar.

Division: Insurance Services - Health Services Analysis

Topic: Proposal (CR-102) – Reimbursement Policies: Physical Medicine

Brief Description: The purpose of this rulemaking is to update WAC 296-21-290, Physical medicine, under Chapter 296-21 WAC, Reimbursement policies: Psychiatric services, biofeedback, physical medicine. The proposed amendments will (1) add chiropractors and occupational therapists to the types of providers who may perform and be paid for physical medicine services; and (2) restructure the rule text for improved clarity, readability, and precision.

Making this change will bring the rule into alignment with current policy regarding occupational therapists, who may already perform physical medicine services for workers. It will also enable chiropractors to bill for physical medicine services beyond the context of being an attending provider on the claim.

Public hearing dates: March 10, 2026 (virtual/telephonic)
Written comments due by: March 10, 2026, 5:00 p.m.
Intended adoption date: May 5, 2026

Additional information about this rulemaking:
CR-102 Proposal
Proposal Language
Preliminary Cost Benefit Analysis (CBA)