1. (1) An individual may receive medication assistance from nonpractitioners. Medication assistance only includes:

   1. (a) Reminding or coaching the individual to take their medication;
   2. (b) Handing the individual their medication container;
   3. (c) Opening the individual's medication container;
   4. (d) Using an enabler, except if a nonpractitioner uses the individual's hand as an enabler, the nonpractitioner may only steady or guide an individual's hand while the individual administers a medication to themselves and may not engage in "hand-over-hand" administration;
   5. (e) Placing the individual's medication in their hand;
   6. (f) Setting up a diabetic device for self-administration;
   7. (g) Handing injectable medication to an individual for self-administration;
   8. (h) The transfer of an individual's medication from one container to another container for the purpose of preparing an individual dose; or
   9. (i) Medication alteration. An individual must be aware that their medication has been altered.
2. (2) A nonpractitioner shall only perform the medication assistance described in subsection (1)(h) and (i) of this section, where a practitioner has determined and communicated orally or by written direction that such medication preparation assistance is necessary and appropriate.
3. (3) A nonpractitioner shall not provide medication assistance to individuals that involves intravenous medications or injectable medications, except setting up diabetic devices for self-administration or handing injectable medications to an individual for self-administration.

[Statutory Authority: RCW 18.64.005, 69.41.010(15), and 2025 c 26. WSR 26-08-065, s 246-945-714, filed 3/30/26, effective 4/30/26. Statutory Authority: RCW 18.64.005, 69.41.010, and 69.41.075. WSR 25-08-072, s 246-945-714, filed 4/1/25, effective 5/2/25.]