Clarifying tribal membership on local boards of health.
House Bill 1946 clarifies the process for tribal membership on local boards of health in Washington state. The bill mandates that local boards of health must allow a representative from each federally recognized Indian tribe or qualified urban Indian organization with a presence in the county to serve as a member. These representatives are selected by their respective tribe or organization, and the local board of health must notify the American Indian Health Commission. This ensures that tribal and urban Indian organization perspectives are formally integrated into local public health governance.
Bill status
signed
all 5 stages cleared
Introduction
Feb 2025
Committee Review
Mar 2025
House Passage
Apr 2025
Senate Passage
Apr 2025
Signed into Law
May 2025
Introduced Feb 11, 2025
Signed May 13, 2025
Maddy AI version diff · 3 comparisons
What changed between versions
Engrossed Substitute Bill
→
Substitute Passed Legislature
·
3 edits
MINOR
The bill adds a formal certification of enrollment to confirm its passage by both legislative chambers. The most significant substantive change restricts the eligibility of tribal representatives on local health boards, requiring that tribes and organizations must have a specific geographic presence within the county or health district to qualify for a seat, rather than just holding land or having usual and accustomed areas nearby. This change also standardizes the language regarding the appointment of other members across different sections of the bill.
Scope change
The bill's scope regarding who can serve on local health boards has narrowed to require a direct geographic connection (lands or services) within the specific jurisdiction, whereas previously a broader connection like 'usual and accustomed areas' was sufficient.
REQUIREMENT
Added a Certification of Enrollment page to formally document the bill's passage by the House and Senate with vote counts.
Standardized the language for appointing non-elected members and specifying board procedures across multiple sections of the bill to ensure consistency.
ELIGIBILITY
Modified the eligibility criteria for tribal representatives on health boards to require that reservation or trust lands be located 'within the county' or 'within the health district,' removing the previous allowance for 'usual and accustomed areas' to qualify a tribe for representation.
Floor votes · Senate Apr 14, 2025 · House Mar 12, 2025
How they voted
42–9
Passed
Total votes 51
Apr 14, 2025
D
Democratic31
100% Yea
R
Republican20
55% Yea
Vote distribution
All Yea
All Nay
Mixed
No data
Full legislative history
Actions timeline
Total actions
29
Key actions
14
Committee
8
May 13, 2025
Signed into law
Governor signed.
executive
Apr 23, 2025
Upper · Passed
President signed.
upper
Apr 22, 2025
Lower · Passed
Speaker signed.
lower
Apr 21, 2025
Lower · Passed
Passed final passage; yeas, 59; nays, 38; absent, 0; excused, 1.
lower
Apr 21, 2025
Lower · Passed
House concurred in Senate amendments.
lower
Apr 14, 2025
Upper · Passed
Floor amendment(s) adopted.
upper
Mar 27, 2025
Upper · Passed
Minority; without recommendation.
upper
Mar 27, 2025
Upper · Passed
LGV - Majority; do pass.
upper
Mar 27, 2025
Upper · Passed
Executive action taken in the Senate Committee on Local Government at 1:30 PM.
upper
Mar 24, 2025
Upper · Passed
Public hearing in the Senate Committee on Local Government at 1:30 PM.
upper
Mar 12, 2025
Lower · Passed
Floor amendment(s) adopted.
lower
Feb 21, 2025
Committee
Referred to Rules 2 Review.
lower
Feb 19, 2025
Lower · Passed
Minority; without recommendation.
lower
Feb 19, 2025
Lower · Passed
Executive action taken in the House Committee on Local Government at 8:00 AM.
lower
Feb 18, 2025
Lower · Passed
Public hearing in the House Committee on Local Government at 10:30 AM.
lower
1 primary · 8 co-sponsors
Sponsors
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