(1) The secretary may suspend, modify, or revoke an agency's license or verification issued under this chapter. The secretary may deny licensure or verification to an applicant when it finds:
- (a) Failure to comply with the requirements of chapters 18.71, 18.73, 70.168 RCW, or RCW 48.49.200, or other applicable laws or rules, or with this chapter;
- (b) Failure to comply or ensure compliance with prehospital patient care protocols or regional patient care procedures;
- (c) Failure to cooperate with the department in inspections or investigations; or
- (d) Failure to consistently meet trauma response times identified by the regional plan and approved by the department for trauma verified services.
- (2) The secretary may fine an agency licensed to provide ground ambulance services in an amount not to exceed $1,000 per violation if the insurance commissioner reports to the department that they have cause to believe that a ground ambulance services organization has engaged in a pattern of violations of RCW 48.49.200, and the report is substantiated after investigation.
- (3) Modification, suspension, revocation, or denial of licensure or verification, or imposition of a fine, will be consistent with the requirements of the Administrative Procedure Act, chapter 34.05 RCW, and chapter 246-10 WAC. The secretary will not take action against a licensed, nonverified service under this section for providing emergency trauma care consistent with regional patient care procedures when the wait for the arrival of a verified service would place the life of the patient in jeopardy or seriously compromise patient outcome.
[Statutory Authority: RCW 18.73.081, 43.70.040, and 2024 c 218. WSR 25-20-024, s 246-976-270, filed 9/23/25, effective 10/24/25. Statutory Authority: RCW 18.71.205, 18.73.081, 43.70.040, 70.168.050, 2017 c 70, 2017 c 295, 2020 c 76, 2021 c 276, 2019 c 314, 2021 c 69, and 2022 c 136. WSR 24-15-104, § 246-976-270, filed 7/22/24, effective 9/30/24. Statutory Authority: Chapters 18.71, 18.73, and 70.168 RCW. WSR 11-07-078, § 246-976-270, filed 3/22/11, effective 5/15/11; WSR 00-08-102, § 246-976-270, filed 4/5/00, effective 5/6/00. Statutory Authority: RCW 43.70.040 and chapters 18.71, 18.73 and 70.168 RCW. WSR 93-01-148 (Order 323), § 246-976-270, filed 12/23/92, effective 1/23/93.]