(1) A participant applying for a license to compete in this state shall meet the following standards:

(a) Be certified by a physician as described in RCW 67.08.002(11) to be physically fit to safely compete in professional martial arts. The examination shall include, but not be limited to:

(i) Eyesight;

(ii) Blood pressure;

(iii) Communicable blood diseases including, but not limited to, HIV, Hepatitis B, and Hepatitis C; and

(iv) Other physical factors the department determines are necessary to show a participant is physically fit to safely compete in professional martial arts.

(b) In addition to the requirements of (a) of this subsection, if a participant is over thirty-six years old, or has lost six consecutive fights, the physical certification in (a) of this subsection must include proof of:

(i) A complete physical exam which includes a magnetic resonance imaging (MRI) of the brain and an electrocardiogram (EKG); and

(ii) Any other specialized medical testing that may be determined necessary by the department.

(2) The event physician shall examine participants and referees within twenty-four hours prior to and immediately following an event as described under WAC 36-14-340.

(3) A participant who tests positive for a drug prohibited by the World Anti-doping Agency on a drug test required by RCW 67.08.090(5) may not be allowed to compete in events.

(4) When a participant has been knocked out, none of the handlers are to touch the participant until the attending physician enters the ring and personally attends the fallen participant and issues such instructions as deemed necessary to the participant's handlers.