PRIA Logo™
WashingtonHB 19462025-2026 Regular SessionHouseWALLET

Clarifying tribal membership on local boards of health.

Sponsored By: Natasha Hill (Democratic)

Became Law

Your PRIA Score

Score Hidden

Personalized for You

How does this bill affect your finances?

Sign up for a PRIA Policy Scan to see your personalized alignment score for this bill and every other piece of legislation we track. We analyze your financial profile against policy provisions to show you exactly what matters to your wallet.

Free to start

Bill Overview

Analyzed Economic Effects

2 provisions identified: 1 benefits, 1 costs, 0 mixed.

Tribal voices added to health boards

Beginning July 27, 2025, tribes with reservation or trust lands in a county or health district can pick a representative to sit on the local board of health. Qualifying urban Indian organizations that are IHS‑recognized 501(c)(3)s serving the area can also pick a representative. The board must seat the person chosen and notify the American Indian Health Commission. When a tribe names someone, county commissioners must update the board’s membership. Until state rules take effect, they must do this within 60 days of notice; after rules take effect, they must follow those timelines. The State Board of Health must set these timelines, effective no later than July 27, 2026.

Seat limits and tighter tribal eligibility

The law sets a seat parity rule for local health boards. Non‑elected members, including tribal and community members, must equal the number of city and county elected officials on the board. The law also narrows who can claim a tribal seat. Only federally recognized tribes with reservation or trust lands in the area, or qualifying urban Indian organizations that serve the area, are eligible. Tribes that only have “usual and accustomed areas” in the county or district are no longer eligible.

Free Policy Watch

You just read the policy. Now see what it costs you.

Pick a topic. PRIA runs your household against live legislation and sends you a free personalized readout.

Pick a topic to get started

My TaxesMy HealthMy BudgetMy MoneyMy Freedom
Or tell us something more specific

Sponsors & Cosponsors

Sponsor

  • Natasha Hill

    Democratic • House

Cosponsors

  • Debra Lekanoff

    Democratic • House

  • Edwin Obras

    Democratic • House

  • Gerry Pollet

    Democratic • House

  • Greg Nance

    Democratic • House

  • Julia Reed

    Democratic • House

  • Lisa Parshley

    Democratic • House

  • Nicole Macri

    Democratic • House

  • Timm Ormsby

    Democratic • House

Roll Call Votes

All Roll Calls

Yes: 160 • No: 83

House vote • 4/21/2025

Final Passage as Amended by the Senate

Yes: 59 • No: 38 • Other: 1

Senate vote • 4/14/2025

3rd Reading & Final Passage as Amended by the Senate

Yes: 40 • No: 9

House vote • 3/12/2025

3rd Reading & Final Passage

Yes: 61 • No: 36 • Other: 1

Actions Timeline

  1. Effective date 7/27/2025.

    5/13/2025House

  2. Chapter 260, 2025 Laws.

    5/13/2025House

  3. Governor signed.

    5/13/2025legislature

  4. Delivered to Governor.

    4/24/2025legislature

  5. President signed.

    4/23/2025legislature

  6. Speaker signed.

    4/22/2025legislature

  7. Passed final passage; yeas, 59; nays, 38; absent, 0; excused, 1.

    4/21/2025House

  8. House concurred in Senate amendments.

    4/21/2025House

  9. Third reading, passed; yeas, 40; nays, 9; absent, 0; excused, 0.

    4/14/2025House

  10. Rules suspended. Placed on Third Reading.

    4/14/2025House

  11. Floor amendment(s) adopted.

    4/14/2025House

  12. Placed on second reading by Rules Committee.

    4/9/2025House

  13. Passed to Rules Committee for second reading.

    3/28/2025House

  14. Minority; without recommendation.

    3/27/2025House

  15. LGV - Majority; do pass.

    3/27/2025House

  16. First reading, referred to Local Government.

    3/14/2025House

  17. Third reading, passed; yeas, 61; nays, 36; absent, 0; excused, 1.

    3/12/2025House

  18. Rules suspended. Placed on Third Reading.

    3/12/2025House

  19. Floor amendment(s) adopted.

    3/12/2025House

  20. 1st substitute bill substituted.

    3/12/2025House

  21. Rules Committee relieved of further consideration. Placed on second reading.

    3/11/2025House

  22. Referred to Rules 2 Review.

    2/21/2025House

  23. LG - Executive action taken by committee.

    2/19/2025House

  24. Minority; without recommendation.

    2/19/2025House

  25. LG - Majority; 1st substitute bill be substituted, do pass.

    2/19/2025House

Bill Text

Related Bills

Back to State Legislation

Take It Personal

Get Your Personalized Policy View

Take the PRIA Score to see how policy affects your household, then upgrade to PRIA Full Coverage for year-round monitoring.

Already have an account? Sign in