WAC 246-918-990 sets Washington’s physician assistant fees, and reading only the first line gives the wrong answer.
The full picture
The original application is 0. Attached to it are a 6 UW HEAL-WA surcharge and a 0 Washington physician health program surcharge, both assessed per year.
Renewal is where it accumulates: 47 for the two-year renewal, plus 2 HEAL-WA and 00 health program surcharges. Late renewal is 24.
Why it is structured this way
The surcharges fund specific programs — a clinical resource portal and a physician health program — rather than board operations. They are set separately from the license fee and can move independently of it, which is why quoting the application fee alone understates what you will pay.
The practical number
Budget the renewal, not the application. A first-year applicant pays a modest entry cost; anyone holding the license pays close to 80 every two years once the surcharges are counted.
That is worth weighing for a locum PA deciding which licenses to carry between assignments. Washington is not an expensive state to enter and is a moderately expensive one to hold.
Compact position
Washington is a member state, so the carrying cost buys more from 2027 than it does today.
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