WA HB1784

Medical assistants-certified may enter and activate orders for health care services into entry-order systems under standing written protocols reviewed annually, covering routine immunizations, screening tests, labs, imaging, referrals, medication refills, and durable medical equipment

Controlled substance prescriptions may be entered but not activated by medical assistants-certified; all other order entry requires completed annual training from a supervising health care practitioner

Permitted standing protocol orders include routine adult immunizations, screening tests (mammograms, bone density), chronic disease monitoring labs, diagnostic imaging, point-of-care tests, perioperative order sets, and therapeutic procedures

Employers must maintain training records and provide compliance documentation to the Department of Health upon request, including during on-site facility surveys

Adds statutory definition of "activate" to mean sending an order for health care services to the appropriate recipient for immediate action