WA HB2184

Authorizes licensed occupational therapists in Washington to perform intramuscular needling (dry needling) after obtaining a special endorsement from the secretary of health

Requires 325 total hours of training for endorsement: 100 hours of didactic instruction, 75 hours of in-person needling instruction, and successful clinical review of at least 150 treatment sessions

Mandates at least one year of postgraduate practice experience averaging 36 hours per week of direct patient care before endorsement eligibility

Prohibits occupational therapists from delegating intramuscular needling and requires constant attendance during the procedure; the treatment cannot be administered as a stand-alone service

Requires signed informed consent from patients that includes definition, risks, benefits, side effects, and a statement differentiating the procedure from acupuncture