PRIA Logo™
WashingtonHB 19462025-2026 Regular SessionHouse

Clarifying tribal membership on local boards of health.

Sponsored By: Natasha Hill (Democratic)

Signed by Governor

Personalized for You

How does this bill affect your finances?

Personalize government policy and PRIA will tell you what this bill means for your household, plus every other piece of legislation we track. PRIA reads each provision against your financial profile to show you exactly what matters to your wallet.

Free to download

Bill Overview

Analyzed Economic Effects

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

Advanced practice nurses qualify for health boards

The law names advanced practice registered nurses as eligible health board providers, replacing the earlier reference to nurse practitioners. Providers must hold an active or retired license in good standing under Washington's health licensing law. For county health district boards, they must practice or work in the county.

Tribes gain seats on local health boards

Beginning July 27, 2025, local health boards must include representatives chosen by each qualifying tribe and urban Indian organization. Tribes qualify if they have reservation or trust lands in the county or health district. Urban Indian organizations must be recognized by the Indian Health Service and registered in Washington as 501(c)(3) nonprofits. They must serve American Indian and Alaska Native people and provide services in the county or district. Boards must notify the American Indian Health Commission. County boards must have equal numbers of non-elected members, including tribal representatives, and city and county elected officials. State Board of Health rules setting deadlines for membership changes must take effect by July 27, 2026. Until those rules take effect, counties must add representatives within 60 days after notice of their selection.

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