The bill seeks to enhance the representation and inclusivity of local boards of health in Washington State by mandating the inclusion of tribal representatives when a federally recognized Indian tribe or an urban Indian organization operates within a county. It amends the Revised Code of Washington (RCW) to require that these representatives be selected by the respective tribe or organization, with notification to the American Indian Health Commission. The bill also emphasizes the importance of including individuals from historically marginalized communities in the selection process, thereby promoting a more diverse governance structure.

Additionally, the bill revises the qualifications for board members, stipulating that they cannot be elected officials and must come from various backgrounds, including public health professionals and community stakeholders. It establishes guidelines to ensure a balanced representation among members and mandates that the total number of selected members equals the number of elected officials on the board. The bill also includes provisions for maintaining the structure of boards comprised solely of elected officials if they had a public health advisory committee established by January 1, 2021, and outlines requirements for these committees. Overall, the changes aim to create a more representative and inclusive local health governance framework.

Statutes affected:
Original Bill: 70.05.030, 70.05.035, 70.46.020, 70.46.031
Substitute Bill: 70.05.030, 70.05.035, 70.46.020, 70.46.031
Engrossed Substitute: 70.05.030, 70.05.035, 70.46.020, 70.46.031
Bill as Passed Legislature: 70.05.030, 70.05.035, 70.46.020, 70.46.031
Session Law: 70.05.030, 70.05.035, 70.46.020, 70.46.031