Spokane County discusses health board composition and tribal representation changes

In a pivotal meeting held on July 8, 2025, Spokane County officials gathered to discuss the future composition of the Spokane Regional Health District Board. The atmosphere was charged with urgency as the county faces a looming deadline to comply with new state legislation regarding board membership.

At the heart of the discussion was the need to balance representation on the health board, particularly as tribal organizations seek to appoint members. Currently, the board includes elected officials from the city of Spokane, but changes in state law necessitate adjustments to ensure that the number of elected members does not exceed that of non-elected members. This has prompted a proposal to appoint a city representative first, followed by additional county commissioners as tribal representatives are confirmed.

Commissioner French raised concerns about the financial implications of adding new members, emphasizing that any jurisdiction wishing to participate should contribute financially to the health board. This sentiment echoed throughout the meeting, with several officials advocating for a model where cities and towns that benefit from the health services should also share in the funding responsibilities.

The conversation also touched on the potential for increased tribal representation, with the Kalispell Tribe indicating their intent to nominate a member. The Coeur d'Alene Tribe's recent request to change property from fee to trust could further expand the board's composition, potentially bringing in more tribal voices.

As the meeting progressed, officials explored various options for structuring the board. One proposal suggested a sequence for appointing representatives from Spokane, Spokane Valley, and smaller towns, followed by county commissioners. This approach aims to ensure that all voices are heard while maintaining fiscal responsibility.

With the deadline of July 27 approaching, the urgency of the discussions was palpable. The county commissioners recognized the need for a clear resolution to avoid any disruption in board membership. The meeting concluded with a commitment to finalize the composition of the health board, ensuring that it reflects the diverse needs of the community while adhering to state regulations.

As Spokane County navigates these changes, the outcome will not only shape the governance of public health in the region but also set a precedent for collaboration between tribal and local governments in addressing health disparities and community needs.