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Committee advances bill changing tribal representation rules on local health boards after amendment debate

2347151 · February 19, 2025
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Summary

Substitute House Bill 1946, which changes how tribal representatives are selected or invited for local and district health boards, was reported out of the Local Government committee after the panel adopted one amendment and rejected another amid debate about whether boards should be required to include tribal representatives or only invite them.

A substitute to House Bill 1946, which changes how tribal representatives are selected for local and district health boards and health districts, was reported out of the Local Government committee with a due-pass recommendation after a contentious amendment debate over whether boards should be required to include tribal representatives or should invite them.

Staff summarized the amendments published on the committee amendment list. One amendment (RUSM167) added “urban Indian organizations recognized by the Indian Health Service” as entities from which a representative may be chosen. An earlier amendment (RUSM163) was withdrawn; another amendment (RUSM170) that would have changed the mandate to an invitation was not considered after the withdrawal. Representative Stevie later offered RUSM168, which would change language to require boards to invite, rather than include, tribal representatives; the committee rejected RUSM168.

Vice Chair Parsley and other supporters said the bill responds to requests from tribes and is intended to ensure tribal representation on health boards. Parsley argued that holding a position open for tribes gives them a right to be on the board rather than simply offering an invitation. Representative Griffey and others said the preferred, respectful approach is to "invite" sovereign tribal nations to participate rather than require their selection, and Griffey said he would oppose final passage if the bill used mandatory language.

Representative Stevie framed their amendment as an act of respect, saying they wanted to ensure tribes "may attend and be part of this board" rather than being told to join. Representative Duer and others said the language needs additional work; multiple members said they would work with tribes and sponsors prior to floor consideration.

Following debate and roll call, staff announced five ayes and two nays; by that vote substitute House Bill 1946 was reported out of committee with a due-pass recommendation. The record shows RUSM167 was adopted and RUSM168 was not adopted.