In addition to police reform, economic recovery, childcare, and an ongoing housing crisis, the 2021 Legislature is also grappling with a debate over public health in Washington.
This session, legislators have introduced several bills to:
- Address the autonomy of public health officers.
- Add additional accountability measures tied to public health funds from the state.
- Restructure Washington State’s entire public health system.
- Provide increased funding for public health.
AWC was initially drawn into the discussion on these topics in response to an early draft of HB 1152,
sponsored by Rep. Marcus Riccelli (D–Spokane). The bill aims to restructure health districts and provide state oversight of local health officials. HB 1152 creates a workgroup that will make recommendations to the Secretary
of the Department of Health regarding a system for counties to form comprehensive public health districts using existing regionalized health structures as a model, including performance measures and adequate funding.
AWC has serious concerns about the timing of this bill and the effort to restructure public health services. Currently, local officials’ primary focus is pandemic response, particularly vaccine distribution. Additionally, AWC is concerned that the
bill’s approach fails to reflect previous, years-long efforts to rebuild, modernize, and fund a robust public health system in Washington.
Nevertheless, we recognize the challenges facing our public health system and we remain engaged in discussions about HB 1152.
In addition to the bills addressing structural changes to public health, legislators have introduced several bills offering various public health funding strategies.
SB 5149, sponsored by Sen. June Robinson, (D–Everett), requires the Insurance Commissioner
to create a per-member, per-month assessment for health carriers, Medicaid managed care organizations, and third-party administrators. The assessment would begin in fiscal year 2022 and would be deposited into the foundational public health services
account.
Sen. Robinson has also sponsored SB 5371, which proposes to fund foundational public health services
by imposing a general excise tax on distributors of sweetened beverages.
Dates to remember
SB 5371 is scheduled for a public hearing in Senate Health Care Committee on February 22 at 8 am.