1. (1) To apply for a birth doula certification, an applicant shall demonstrate knowledge of culturally congruent ancestral practices, training, and education that upholds culturally congruent care as defined in WAC 246-835-010(2).

2. (2) Culturally congruent ancestral training or experience may include, but is not limited to:

   1. (a) History of obstetrics; such as erasure of granny midwives and indigenous birth work;
   2. (b) Trauma-informed care;
   3. (c) Social determinants of health;
   4. (d) Adverse childhood experiences; or
   5. (e) Other training and education that enhances the applicant's knowledge of culturally congruent care or culturally congruent ancestral practices, training, and education.

3. (3) Documentation of completion must include:

   1. (a) An attestation that they have successfully completed a training or have experience in one of the categories in subsection (2) of this section; or
   2. (b) A certificate of completion from a relevant training that lists the applicant's name.

[Statutory Authority: RCW 18.47.030 and 18.47.800. WSR 25-02-003, s 246-835-025, filed 12/18/24, effective 1/18/25. Statutory Authority: Chapter 18.47 RCW and 2022 c 217. WSR 23-18-048, § 246-835-025, filed 8/30/23, effective 10/1/23.]