Expanding the qualifications of those who may serve as a local health officer in rural counties.

SB 5990 expands who can serve as an acting local health officer in rural Washington counties (population under 100,000) by allowing boards to appoint licensed advanced practice nurses (under RCW 18.79) or physician assistants (under RCW 18.71A) in place of a regular health officer when they are absent or unable to serve. This change directly affects rural counties struggling to fill health officer roles, as it broadens the pool of qualified individuals eligible for temporary appointments. The bill amends existing law to grant these appointed acting officers the same duties, powers, and authority as permanently appointed health officers. The provision expires June 30, 2027.