Health districts consisting of two or more counties may be created whenever two or more boards of county commissioners shall by resolution establish a district for such purpose. Such a district shall consist of all the area of the combined counties.
The district board of health of such a district shall consist of not less than five members for districts of two counties and seven members for districts of more than two counties, including two representatives from each county who are members of the board of county commissioners and who are appointed by the board of county commissioners of each county within the district and members selected under subsection (3) of this section, and shall have a jurisdiction coextensive with the combined boundaries.
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At least four board members must be persons who are not elected officials and must be selected from the following categories consistent with the requirements of this subsection and the rules adopted by the state board of health under section 6 of this act:
(A) Employees of a hospital located in the county; or
(B) Any of the following providers holding an active or retired active license in good standing under Title 18 RCW:
(I) Physicians or osteopathic physicians;
(II) Advanced registered nurse practitioners;
(III) Physician assistants or osteopathic physician assistants;
(IV) Registered nurses;
(V) Dentists; or
(VI) Pharmacists.
ii. **Public health. This category consists of persons employed in the district who are:**
(A) Representatives of tribal governments or the Indian health service;
(B) Medical ethicists;
(C) Epidemiologists;
(D) Sanitarians;
(E) Community health workers;
(F) Holders of master's degrees or higher in public health or its equivalent; or
(G) Members of the environmental public health regulated community.
iii. **Consumers of public health. This category consists of district residents who have self-identified as having faced significant health inequities or as having lived experiences with public health-related programs such as the special supplemental nutrition program for women, infants, and children; the supplemental nutrition program; home visiting; or treatment services. It is strongly encouraged that individuals from historically marginalized and underrepresented communities are given preference.**
iv. **Other community stakeholders. This category consists of persons representing the following types of organizations located in the district:**
(A) Community-based organizations that work with populations experiencing health inequities in the district; and
(B) The business community.
b. **Board members selected under this subsection must constitute at least one-half of the total membership of the board.**
c. **If the number of board members selected under this subsection is evenly divisible by four, there must be an equal number of members selected from each of the four categories.**
d. **If the number of board members selected under this subsection is not evenly divisible by four, there must be an equal number of members selected from each of the four categories up to the nearest multiple of four. If there is one member over the nearest multiple of four, that member may be selected from any of the four categories. If there are two or three members over the nearest multiple of four, each member over the nearest multiple of four must be selected from a different category.**
e. **The board members selected under this subsection must be approved by a majority vote of the members of the board who are elected officials.**
f. **In the event of a vacancy of a board position that was occupied by a member who was selected under this subsection, the board must promptly notify:**
i. **Statewide organizations representing physicians, nurses, and public health officials;**
ii. **Accountable communities of health; and**
iii. **Any other organizations deemed appropriate by the board.**
The boards of county commissioners may by resolution or ordinance provide for elected officials from cities and towns and persons other than elected officials who do not meet the criteria in subsection (3) of this section as members of the district board of health so long as persons selected under subsection (3) of this section continue to constitute at least one-half of the total membership of the board.
A resolution or ordinance adopted under this section must specify the provisions for the appointment, term, and compensation, or reimbursement of expenses.
At the first meeting of a district board of health the members shall elect a chair to serve for a period of one year.
A health district to consist of one county may be created whenever the county legislative authority of the county shall pass a resolution or ordinance to organize such a health district under chapter 70.05 RCW and this chapter. The resolution or ordinance may specify the membership, representation on the district health board, or other matters relative to the formation or operation of the health district consistent with the requirements of this section.
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At least four board members must be persons who are not elected officials and must be selected from the following categories consistent with the requirements of this subsection and the rules adopted by the state board of health under section 6 of this act:
(A) Employees of a hospital located in the county; or
(B) Any of the following providers holding an active or retired active license in good standing under Title 18 RCW:
(I) Physicians or osteopathic physicians;
(II) Advanced registered nurse practitioners;
(III) Physician assistants or osteopathic physician assistants;
(IV) Registered nurses;
(V) Dentists; or
(VI) Pharmacists.
ii. **Public health. This category consists of persons employed in the district who are:**
(A) Representatives of tribal governments or the Indian health service;
(B) Medical ethicists;
(C) Epidemiologists;
(D) Sanitarians;
(E) Community health workers;
(F) Holders of master's degrees or higher in public health or its equivalent; or
(G) Members of the environmental public health regulated community.
iii. **Consumers of public health. This category consists of district residents who have self-identified as having faced significant health inequities or as having lived experiences, with public health-related programs such as the special supplemental nutrition program for women, infants, and children; the supplemental nutrition program; home visiting; or treatment services. It is strongly encouraged that individuals from historically marginalized and underrepresented communities are given preference.**
iv. **Other community stakeholders. This category consists of persons representing the following types of organizations located in the district:**
(A) Community-based organizations that work with populations experiencing health inequities in the district; and
(B) The business community.
b. **Board members selected under this subsection must constitute at least one-half of the total membership of the board.**
c. **If the number of board members selected under this subsection is evenly divisible by four, there must be an equal number of members selected from each of the four categories.**
d. **If the number of board members selected under this subsection is not evenly divisible by four, there must be an equal number of members selected from each of the four categories up to the nearest multiple of four. If there is one member over the nearest multiple of four, that member may be selected from any of the four categories. If there are two or three members over the nearest multiple of four, each member over the nearest multiple of four must be selected from a different category.**
e. **The board members selected under this subsection must be approved by a majority vote of the members of the board who are elected officials.**
f. **In the event of a vacancy of a board position that was occupied by a member who was selected under this subsection, the board must promptly notify:**
i. **Statewide organizations representing physicians, nurses, and public health officials;**
ii. **Accountable communities of health; and**
iii. **Any other organizations deemed appropriate by the board.**
The district board of health shall constitute the local board of health for all the territory included in the health district, and shall supersede and exercise all the powers and perform all the duties by law vested in the county board of health of any county included in the health district.
[ 1993 c 492 § 248; 1967 ex.s. c 51 § 11; 1945 c 183 § 6; Rem. Supp. 1945 § 6099-15; ]
Each health district shall establish a fund to be designated as the "district health fund", in which shall be placed all sums received by the district from any source, and out of which shall be expended all sums disbursed by the district. In a district composed of more than one county the county treasurer of the county having the largest population shall be the custodian of the fund, and the county auditor of said county shall keep the record of the receipts and disbursements, and shall draw and the county treasurer shall honor and pay all warrants, which shall be approved before issuance and payment as directed by the board.
Each county which is included in the district shall contribute such sums towards the expense for maintaining and operating the district as shall be agreed upon between it and the local board of health in accordance with guidelines established by the state board of health.
[ 1993 c 492 § 249; 1971 ex.s. c 85 § 10; 1967 ex.s. c 51 § 19; 1945 c 183 § 8; Rem. Supp. 1945 § 6099-17; ]
A health district, with the consent of the county legislative authority, the county treasurer, the county auditor, and the health district board, may act as custodian of funds, may keep the record of the receipts and disbursements, and may draw and may honor and pay all warrants or checks, which shall be approved before issuance and payment as directed by the board.
The county may not charge a health district that does not utilize the option in subsection (1) of this section for those services provided.
[ 2016 sp.s. c 3 § 1; ]
The expense of providing public health services shall be borne by each county within the health district.
[ 1993 c 492 § 250; 1967 ex.s. c 51 § 20; ]
Any county may withdraw from membership in said health district any time after it has been within the district for a period of two years, but no withdrawal shall be effective except at the end of the calendar year in which the county gives at least six months' notice of its intention to withdraw at the end of the calendar year. No withdrawal shall entitle any member to a refund of any moneys paid to the district nor relieve it of any obligations to pay to the district all sums for which it obligated itself due and owing by it to the district for the year at the end of which the withdrawal is to be effective. Any county which withdraws from membership in said health district shall immediately establish a health department or provide health services which shall meet the standards for health services promulgated by the state board of health. No local health department may be deemed to provide adequate public health services unless there is at least one full time professionally trained and qualified physician as set forth in RCW 70.05.050.
[ 1993 c 492 § 251; 1967 ex.s. c 51 § 21; 1945 c 183 § 9; Rem. Supp. 1945 § 6099-18; ]
In addition to all other powers and duties, a health district shall have the power to own, construct, purchase, lease, add to, and maintain any real and personal property or property rights necessary for the conduct of the affairs of the district. A health district may sell, lease, convey or otherwise dispose of any district real or personal property no longer necessary for the conduct of the affairs of the district. A health district may enter into contracts to carry out the provisions of this section.
[ 1957 c 100 § 2; ]
In addition to all other powers and duties, health districts shall have the power to charge fees in connection with the issuance or renewal of a license or permit required by law: PROVIDED, That the fees charged shall not exceed the actual cost involved in issuing or renewing the license or permit.
[ 1993 c 492 § 252; 1963 c 121 § 1; ]
A community health advisory board shall:
Provide input to the local board of health in the recruitment and selection of an administrative officer, pursuant to RCW 70.05.045, and local health officer, pursuant to RCW 70.05.050;
Use a health equity framework to conduct, assess, and identify the community health needs of the jurisdiction, and review and recommend public health policies and priorities for the local health jurisdiction and advisory board to address community health needs;
Evaluate the impact of proposed public health policies and programs, and assure identified health needs and concerns are being met;
Promote public participation in and identification of local public health needs;
Provide community forums and hearings as assigned by the local board of health;
Establish community task forces as assigned by the local board of health;
Review and make recommendations to the local health jurisdiction and local board of health for an annual budget and fees; and
Review and advise on local health jurisdiction progress in achieving performance measures and outcomes to ensure continuous quality improvement and accountability.
The advisory board shall consist of nine to 21 members appointed by the local board of health. The local health officer and a member of the local board of health shall serve as ex officio members of the board.
The advisory board must be broadly representative of the character of the community. Membership preference shall be given to tribal, racial, ethnic, and other minorities. The advisory board must consist of a balance of members with expertise, career experience, and consumer experience in areas impacting public health and with populations served by the health department. The board's composition shall include:
Members with expertise in and experience with:
Health care access and quality;
Physical environment, including built and natural environments;
Social and economic sectors, including housing, basic needs, education, and employment;
Business and philanthropy;
Communities that experience health inequities;
Government; and
Tribal communities and tribal government;
Consumers of public health services;
Community members with lived experience in any of the areas listed in (a) of this subsection; and
Community stakeholders, including nonprofit organizations, the business community, and those regulated by public health.
The local health jurisdiction and local board of health must actively recruit advisory board members in a manner that solicits broad diversity to assure representation from marginalized communities including tribal, racial, ethnic, and other minorities.
Advisory board members shall serve for staggered three-year terms. This does not preclude any member from being reappointed.
The advisory board shall, at the first meeting of each year, select a chair and vice chair. The chair shall preside over all advisory board meetings and work with the local health jurisdiction administrator, or their designee, to establish board meeting agendas.
Staffing for the advisory board shall be provided by the local health jurisdiction.
The advisory board shall hold meetings monthly, or as otherwise determined by the advisory board at a place and time to be decided by the advisory board. Special meetings may be held on call of the local board of health or the chairperson of the advisory board.
Meetings of the advisory board are subject to the open public meetings act, chapter 42.30 RCW, and meeting minutes must be submitted to the local board of health.
[ 2021 c 205 § 7; ]