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Health equity5 min read

Washington Health Equity CE Requirement: 2 Hours Every 4 Years (RCW 43.70.613 / WAC 246-12-830)

Health professionals licensed under Title 18 RCW who are subject to continuing education must complete at least two hours of health-equity CE at least once every four years under RCW 43.70.613. Washington does not pre-approve courses — a provider may offer a self-qualifying course that meets the WAC 246-12-830 content, trainer, and assessment standards.

Quick answer

RCW 43.70.613 requires each health profession licensed under Title 18 RCW that is subject to continuing education to complete a minimum of two hours of health-equity continuing education at least once every four years. A profession's own board or commission may require more by rule. WAC 246-12-800 through 246-12-830 set the minimum standards a qualifying course must meet; WAC 246-12-830 is the operative rule (implicit-bias training, the model content elements in RCW 43.70.613(3)(c), a qualified trainer, and an end-of-course assessment). Washington does not pre-approve health-equity courses or keep a mandatory approved-provider list, so a provider may offer a self-qualifying course that meets those standards.

Compliance Snapshot

Statute
RCW 43.70.613 (enacted 2021)
Standards rule
WAC 246-12-800 through 246-12-830
Minimum
2 hours at least once every 4 years
Approval model
Self-qualifying; no state pre-approval list

Who needs Washington health-equity CE?

RCW 43.70.613 applies to each health profession licensed under Title 18 RCW that is already subject to continuing education. In practice that reaches most Washington clinical credentials — registered nurses and LPNs, physicians and physician assistants, dentists and dental hygienists, pharmacists, and many behavioral-health, therapy, and allied-health professions — because their boards and commissions require CE for renewal.

If your credential is licensed under Title 18 RCW and your board requires continuing education, the health-equity requirement almost certainly applies to you. Professions that are not subject to CE at all are outside the mandate, so the first step is simply to confirm that your board requires CE for renewal.

  • Registered nurses and licensed practical nurses
  • Physicians (MD/DO) and physician assistants
  • Dentists and dental hygienists
  • Pharmacists and pharmacy technicians (where CE applies)
  • Behavioral-health, therapy, and allied-health licensees subject to CE

How much CE, and how often?

The statutory floor is two hours of health-equity continuing education completed at least once every four years. That is a minimum, not a ceiling: a profession's disciplining authority — its board or commission — can require more in its own rules, so you should confirm the exact number of hours and the cycle length for your specific credential rather than assume the two-hour floor is the whole obligation.

Because the cadence is 'at least once every four years,' most licensees satisfy it by completing a qualifying two-hour course once within their renewal window and keeping the certificate with their CE records. Write down the date your current cycle ends so your record shows the course was completed inside the correct window.

What makes a course qualify (WAC 246-12-830)?

Washington does not pre-approve health-equity courses and does not maintain a mandatory approved-provider list. Instead, WAC 246-12-800 through 246-12-830 set the minimum standards a qualifying training course must meet, and a provider may offer a self-qualifying course that satisfies them. WAC 246-12-830 is the operative rule.

A qualifying course must include implicit-bias training that identifies strategies to reduce bias during assessment and diagnosis, cover the model content elements listed in RCW 43.70.613(3)(c), be developed and taught by a trainer with demonstrated knowledge and experience in health equity who uses current empirical research and known best practices, and administer an assessment at the end of the training to determine the knowledge gained. A course that meets those content, trainer, and assessment standards qualifies — no state approval stamp is issued or required.

  • Recognizing health-care disparities
  • Intercultural communication, including working with an interpreter
  • Implicit bias and strategies to reduce it during assessment and diagnosis
  • Emotional well-being of children and youth of diverse backgrounds
  • Equity and antiracism as medicine and emerging therapies advance
  • Structural competency
  • Cultural safety

Where National Course Portal fits

The Washington Health Equity Continuing Education course is a two-hour, bilingual (English/Spanish) online course built to meet the WAC 246-12-830 standards and to count toward the RCW 43.70.613 requirement. It teaches all seven model content elements in RCW 43.70.613(3)(c) and ends with a recorded, scored assessment as the WAC 246-12-830(3)(a) evidence of knowledge gained. It is authored and taught by Dr. Ankur Fadia, a board-certified internal medicine physician who cares for a racially, culturally, and linguistically diverse patient population — meeting the qualified-trainer standard in WAC 246-12-830(2).

Because Washington self-qualifies these courses, this course is described as meeting the WAC 246-12-830 standards — never as 'state-approved' or 'DOH-approved,' which would be inaccurate. You remain responsible for confirming your own licensing board or commission accepts it for your profession and renewal cycle.

Action Checklist

  1. 1Confirm your credential is licensed under Title 18 RCW and subject to CE.
  2. 2Look up your board's exact health-equity hours and renewal cycle.
  3. 3Complete at least 2 hours of health-equity CE within your 4-year window.
  4. 4Choose a course that meets the WAC 246-12-830 content, trainer, and assessment standards.
  5. 5Keep the completion certificate with your CE records.
  6. 6Note the date your current renewal cycle ends.

FAQ

How many hours of health-equity CE does Washington require?

RCW 43.70.613 sets a minimum of two hours of health-equity continuing education completed at least once every four years for professions licensed under Title 18 RCW that are subject to CE. Your board or commission may require more.

Does RCW 43.70.613 apply to nurses and physicians?

Yes, when the credential is licensed under Title 18 RCW and the board requires continuing education. That includes registered nurses, physicians, dentists, dental hygienists, pharmacists, and many other clinical professions. Confirm the specifics with your own board.

Is this course state-approved or on a DOH approved list?

No. Washington does not pre-approve health-equity courses and keeps no mandatory approved-provider list. This course is self-qualifying: it is built to meet the WAC 246-12-830 content, trainer, and assessment standards, so it counts toward the RCW 43.70.613 requirement, but it is not, and is never described as, 'state-approved' or 'DOH-approved.'

Official Sources

This guide is general information for employer planning. It is not legal advice, and employers should confirm requirements with counsel, the regulator, or the requesting agency before relying on any course for a specific obligation.