reglab/statecodes huggingface dataset:
2023 Revised Code of Washington › Title 70 - Public Health and Safety › Chapter 70.05 - Local Health Departments, Boards, Officers—Regulations. › 70.05.110 - Local health officials and physicians to report contagious diseases.

RCW 70.05.110
Local health officials and physicians to report contagious diseases.
It shall be the duty of the local board of health, health authorities or officials, and of physicians in localities where there are no local health authorities or officials, to report to the state board of health, promptly upon discovery thereof, the existence of any one of the following diseases which may come under their observation, to wit: Asiatic cholera, yellow fever, smallpox, scarlet fever, diphtheria, typhus, typhoid fever, bubonic plague or leprosy, and of such other contagious or infectious diseases as the state board may from time to time specify.
[ 1967 ex.s. c 51 § 16.]
2023 Revised Code of Washington › Title 70 - Public Health and Safety › Chapter 70.05 - Local Health Departments, Boards, Officers—Regulations. › 70.05.130 - Expenses of state, health district, or county in enforcing health laws and rules—Payment by county.

RCW 70.05.130
Expenses of state, health district, or county in enforcing health laws and rules—Payment by county.
All expenses incurred by the state, health district, or county in carrying out the provisions of chapters 70.05 and 70.46 RCW or any other public health law, or the rules of the department of health enacted under such laws, shall be paid by the county and such expenses shall constitute a claim against the general fund as provided in this section.
[ 1993 c 492 § 242; 1991 c 3 § 313; 1979 c 141 § 84; 1967 ex.s. c 51 § 18.]
NOTES:
Findings—Intent—1993 c 492: See notes following RCW 43.20.050.
Short title—Savings—Reservation of legislative power—Effective dates—1993 c 492: See RCW 43.72.910 through 43.72.915.
2023 Revised Code of Washington › Title 70 - Public Health and Safety › Chapter 70.05 - Local Health Departments, Boards, Officers—Regulations. › 70.05.150 - Contracts for sale or purchase of health services authorized.

RCW 70.05.150
Contracts for sale or purchase of health services authorized.
In addition to powers already granted them, any county, district, or local health department may contract for either the sale or purchase of any or all health services from any local health department.
[ 2011 c 27 § 4; 1993 c 492 § 243; 1967 ex.s. c 51 § 22.]
NOTES:
Findings—Intent—1993 c 492: See notes following RCW 43.20.050.
Short title—Savings—Reservation of legislative power—Effective dates—1993 c 492: See RCW 43.72.910 through 43.72.915.
2023 Revised Code of Washington › Title 70 - Public Health and Safety › Chapter 70.05 - Local Health Departments, Boards, Officers—Regulations. › 70.05.160 - Moratorium on water, sewer hookups, or septic systems—Public hearing—Limitation on length.

RCW 70.05.160
Moratorium on water, sewer hookups, or septic systems—Public hearing—Limitation on length.
A local board of health that adopts a moratorium affecting water hookups, sewer hookups, or septic systems without holding a public hearing on the proposed moratorium, shall hold a public hearing on the adopted moratorium within at least sixty days of its adoption. If the board does not adopt findings of fact justifying its action before this hearing, then the board shall do so immediately after this public hearing. A moratorium adopted under this section may be effective for not longer than six months, but may be effective for up to one year if a work plan is developed for related studies providing for such a longer period. A moratorium may be renewed for one or more six-month periods if a subsequent public hearing is held and findings of fact are made prior to each renewal.
[ 1992 c 207 § 7.]
2023 Revised Code of Washington › Title 70 - Public Health and Safety › Chapter 70.05 - Local Health Departments, Boards, Officers—Regulations. › 70.05.180 - Infectious disease testing—Good samaritans—Rules.

RCW 70.05.180
Infectious disease testing—Good samaritans—Rules.
A person rendering emergency care or transportation, commonly known as a "Good Samaritan," as described in RCW 4.24.300 and 4.24.310, may request and receive appropriate infectious disease testing free of charge from the local health department of the county of her or his residence, if: (1) While rendering emergency care she or he came into contact with bodily fluids; and (2) she or he does not have health insurance that covers the testing. Nothing in this section requires a local health department to provide health care services beyond testing. The department shall adopt rules implementing this section.
The information obtained from infectious disease testing is subject to statutory confidentiality provisions, including those of chapters 70.24 and 70.05 RCW.
[ 1999 c 391 § 2.]
NOTES:
Findings—Purpose—1999 c 391: "The legislature finds that citizens who assist individuals in emergency situations perform a needed and valuable role that deserves recognition and support. The legislature further finds that emergency assistance in the form of mouth to mouth resuscitation or other emergency medical procedures resulting in the exchange of bodily fluids significantly increases the odds of being exposed to a deadly infectious disease. Some of the more life-threatening diseases that can be transferred during an emergency procedure where bodily fluids are exchanged include hepatitis A, B, and C, and human immunodeficiency virus (HIV). Individuals infected by these diseases value confidentiality regarding this information. A number of good samaritans who perform lifesaving emergency procedures such as cardiopulmonary resuscitation are unable to pay for the tests necessary for detecting infectious diseases that could have been transmitted during the emergency procedure. It is the purpose of this act to provide infectious disease testing at no cost to good samaritans who request testing for infectious diseases after rendering emergency assistance that has brought them into contact with a bodily fluid and to further protect the testing information once obtained through confidentiality provisions." [ 1999 c 391 § 1.]
Effective date—1999 c 391 §§ 1 and 2: "Sections 1 and 2 of this act are necessary for the immediate preservation of the public peace, health, or safety, or support of the state government and its existing public institutions, and take effect immediately [May 18, 1999]." [ 1999 c 391 § 7.]
2023 Revised Code of Washington › Title 70 - Public Health and Safety › Chapter 70.05 - Local Health Departments, Boards, Officers—Regulations. › 70.05.190 - On-site sewage program management plans—Authority of certain boards of health.

RCW 70.05.190
On-site sewage program management plans—Authority of certain boards of health.
(1) A local board of health in the twelve counties bordering Puget Sound implementing an on-site sewage program management plan may:
(a) Impose and collect reasonable rates or charges in an amount sufficient to pay for the actual costs of administration and operation of the on-site sewage program management plan; and
(b) Contract with the county treasurer to collect the rates or charges imposed under this section in accordance with RCW 84.56.035.
(2) In executing the provisions in subsection (1) of this section, a local board of health does not have the authority to impose a lien on real property for failure to pay rates and charges imposed by this section.
(3) Nothing in this section provides a local board of health with the ability to impose and collect rates and charges related to the implementation of an on-site sewage program management plan beyond those powers currently designated under RCW 70.05.060(7).
[ 2012 c 175 § 1.]
2023 Revised Code of Washington › Title 70 - Public Health and Safety › Chapter 70.05 - Local Health Departments, Boards, Officers—Regulations. › 70.05.200 - On-site sewage system self-inspection.

RCW 70.05.200
On-site sewage system self-inspection.
Nothing in this chapter prohibits a county from relying on self-inspection of on-site sewage systems consistent with RCW 36.70A.690 or eliminates the requirement that counties protect water quality consistent with RCW 36.70A.070 (1) and (5).
[ 2017 c 105 § 3.]
2023 Revised Code of Washington › Title 70 - Public Health and Safety › Chapter 70.08 - Combined City-County Health Departments. › 70.08.005 - Transfer of duties to the department of health.

RCW 70.08.005
Transfer of duties to the department of health.
The powers and duties of the secretary of social and health services under this chapter shall be performed by the secretary of health.
[ 1989 1st ex.s. c 9 § 244.]
NOTES:
Effective date—Severability—1989 1st ex.s. c 9: See RCW 43.70.910 and 43.70.920.
2023 Revised Code of Washington › Title 70 - Public Health and Safety › Chapter 70.08 - Combined City-County Health Departments. › 70.08.010 - Combined city-county health departments—Establishment.

RCW 70.08.010
Combined city-county health departments—Establishment.
Any city with one hundred thousand or more population and the county in which it is located, are authorized, as shall be agreed upon between the respective governing bodies of such city and said county, to establish and operate a combined city and county health department, and to appoint the director of public health.
[ 1985 c 124 § 1; (1993 c 492 § 244 repealed by 1995 c 43 § 16); 1949 c 46 § 1; Rem. Supp. 1949 § 6099-30. Formerly RCW 70.05.037.]
2023 Revised Code of Washington › Title 70 - Public Health and Safety › Chapter 70.08 - Combined City-County Health Departments. › 70.08.020 - Director of public health—Powers and duties.

RCW 70.08.020
Director of public health—Powers and duties.
The director of public health is authorized to and shall exercise all powers and perform all duties by law vested in the local health officer.
[ 1985 c 124 § 2; 1949 c 46 § 2; Rem. Supp. 1949 § 6099-31.]
2023 Revised Code of Washington › Title 70 - Public Health and Safety › Chapter 70.08 - Combined City-County Health Departments. › 70.08.030 - Qualifications.

RCW 70.08.030
Qualifications.
Notwithstanding any provisions to the contrary contained in any city or county charter, the director of public health, under this chapter shall meet as a minimum one of the following standards of educational achievement and vocational experience to be qualified for appointment to the office:
(1) Bachelor's degree in business administration, public administration, hospital administration, management, nursing, environmental health, epidemiology, public health, or its equivalent and five years of experience in administration in a community-related field; or
(2) A graduate degree in any of the fields listed in subsection (1) of this section, or in medicine or osteopathic medicine and surgery, plus three years of administrative experience in a community-related field.
The director shall not engage in the private practice of the director's profession during such tenure of office and shall not be included in the classified civil service of the said city or the said county.
If the director of public health does not meet the qualifications of a health officer or a physician under RCW 70.05.050, the director shall employ a person so qualified to advise the director on medical or public health matters.
[ 1996 c 178 § 20; 1985 c 124 § 3; 1984 c 25 § 3; 1949 c 46 § 3; Rem. Supp. 1949 § 6099-32.]
NOTES:
Effective date—1996 c 178: See note following RCW 18.35.110.
2023 Revised Code of Washington › Title 70 - Public Health and Safety › Chapter 70.08 - Combined City-County Health Departments. › 70.08.040 - Director of public health—Appointment.

RCW 70.08.040
Director of public health—Appointment.
Notwithstanding any provisions to the contrary contained in any city or county charter, where a combined department is established under this chapter, the director of public health under this chapter shall be appointed by the county executive of the county and the mayor of the city. The appointment shall be effective only upon a majority vote confirmation of the legislative authority of the county and the legislative authority of the city. The director may be removed by the county executive of the county, after consultation with the mayor of the city, upon filing a statement of reasons therefor with the legislative authorities of the county and the city.
[ 1995 c 188 § 1; 1995 c 43 § 9; 1985 c 124 § 4; 1980 c 57 § 1; 1949 c 46 § 4; Rem. Supp. 1949 § 6099-33.]
NOTES:
Reviser's note: This section was amended by 1995 c 43 § 9 and by 1995 c 188 § 1, each without reference to the other. Both amendments are incorporated in the publication of this section pursuant to RCW 1.12.025(2). For rule of construction, see RCW 1.12.025(1).
Effective dates—Contingent effective dates—1995 c 43: See note following RCW 70.05.030.
Severability—1995 c 43: See note following RCW 43.70.570.
2023 Revised Code of Washington › Title 70 - Public Health and Safety › Chapter 70.08 - Combined City-County Health Departments. › 70.08.050 - May act as health officer for other cities or towns.

RCW 70.08.050
May act as health officer for other cities or towns.
Nothing in this chapter shall prohibit the director of public health as provided herein from acting as health officer for any other city or town within the county, nor from acting as health officer in any adjoining county or any city or town within such county having a contract or agreement as provided in RCW 70.08.090: PROVIDED, HOWEVER, That before being appointed health officer for such adjoining county, the secretary of health shall first give his or her approval thereto.
[ 1991 c 3 § 314; 1979 c 141 § 85; 1949 c 46 § 8; Rem. Supp. 1949 § 6099-37.]
2023 Revised Code of Washington › Title 70 - Public Health and Safety › Chapter 70.08 - Combined City-County Health Departments. › 70.08.060 - Director of public health shall be registrar of vital statistics.

RCW 70.08.060
Director of public health shall be registrar of vital statistics.
The director of public health under this chapter shall be registrar of vital statistics for all cities and counties under his or her jurisdiction and shall conduct such vital statistics work in accordance with the same laws and/or rules and regulations pertaining to vital statistics for a city of the first class.
[ 2012 c 117 § 372; 1961 ex.s. c 5 § 4; 1949 c 46 § 9; Rem. Supp. 1949 § 6099-38.]
NOTES:
Vital statistics: Chapter 70.58A RCW.
2023 Revised Code of Washington › Title 70 - Public Health and Safety › Chapter 70.08 - Combined City-County Health Departments. › 70.08.070 - Employees may be included in civil service or retirement plans of city, county, or combined department.

RCW 70.08.070
Employees may be included in civil service or retirement plans of city, county, or combined department.
Notwithstanding any provisions to the contrary contained in any city or county charter, and to the extent provided by the city and the county pursuant to appropriate legislative enactment, employees of the combined city and county health department may be included in the personnel system or civil service and retirement plans of the city or the county or a personnel system for the combined city and county health department that is separate from the personnel system or civil service of either county or city: PROVIDED, That residential requirements for such positions shall be coextensive with the county boundaries: PROVIDED FURTHER, That the city or county is authorized to pay such parts of the expense of operating and maintaining such personnel system or civil service and retirement system and to contribute to the retirement fund in behalf of employees such sums as may be agreed upon between the legislative authorities of such city and county.
[ 1982 c 203 § 1; 1980 c 57 § 2; 1949 c 46 § 5; Rem. Supp. 1949 § 6099-34.]
2023 Revised Code of Washington › Title 70 - Public Health and Safety › Chapter 70.08 - Combined City-County Health Departments. › 70.08.080 - Pooling of funds.

RCW 70.08.080
Pooling of funds.
The city by ordinance, and the county by appropriate legislative enactment, under this chapter may pool all or any part of their respective funds available for public health purposes, in the office of the city treasurer or the office of the county treasurer in a special pooling fund to be established in accordance with agreements between the legislative authorities of said city and county and which shall be expended for the combined health department.
[ 1980 c 57 § 3; 1949 c 46 § 6; Rem. Supp. 1949 § 6099-35.]
2023 Revised Code of Washington › Title 70 - Public Health and Safety › Chapter 70.08 - Combined City-County Health Departments. › 70.08.090 - Other cities or agencies may contract for services.

RCW 70.08.090
Other cities or agencies may contract for services.
Any other city in said county, other governmental agency or any charitable or health agency may by contract or by agreement with the governing bodies of the combined health department receive public health services.
[ 1949 c 46 § 7; Rem. Supp. 1949 § 6099-36.]
2023 Revised Code of Washington › Title 70 - Public Health and Safety › Chapter 70.08 - Combined City-County Health Departments. › 70.08.100 - Termination of agreement to operate combined city-county health department.

RCW 70.08.100
Termination of agreement to operate combined city-county health department.
Agreement to operate a combined city and county health department made under this chapter may after two years from the date of such agreement, be terminated by either party at the end of any calendar year upon notice in writing given at least six months prior thereto. The termination of such agreement shall not relieve either party of any obligations to which it has been previously committed.
[ 1949 c 46 § 10; Rem. Supp. 1949 § 6099-39.]
2023 Revised Code of Washington › Title 70 - Public Health and Safety › Chapter 70.08 - Combined City-County Health Departments. › 70.08.110 - Prior expenditures in operating combined health department ratified.

RCW 70.08.110
Prior expenditures in operating combined health department ratified.
Any expenditures heretofore made by a city of one hundred thousand population or more, and by the county in which it is located, not made fraudulently and which were within the legal limits of indebtedness, towards the expense of maintenance and operation of a combined health department, are hereby legalized and ratified.
[ 1949 c 46 § 11; Rem. Supp. 1949 § 6099-40.]
2023 Revised Code of Washington › Title 70 - Public Health and Safety › Chapter 70.10 - Comprehensive Community Health Centers. › 70.10.010 - Declaration of policy—Combining health services—State authorized to cooperate with other entities in constructing.

RCW 70.10.010
Declaration of policy—Combining health services—State authorized to cooperate with other entities in constructing.
It is declared to be the policy of the legislature of the state of Washington that, wherever feasible, community health services and services for persons with mental illness or intellectual disabilities shall be combined within single facilities in order to provide maximum utilization of available funds and personnel, and to assure the greatest possible coordination of such services for the benefit of those requiring them. It is further declared to be the policy of the legislature to authorize the state to cooperate with counties, cities, and other municipal corporations in order to encourage them to take such steps as may be necessary to construct comprehensive community health centers in communities throughout the state.
[ 2010 c 94 § 15; 1967 ex.s. c 4 § 1.]
NOTES:
Purpose—2010 c 94: See note following RCW 44.04.280.
2023 Revised Code of Washington › Title 70 - Public Health and Safety › Chapter 70.10 - Comprehensive Community Health Centers. › 70.10.020 - "Comprehensive community health center" defined.

RCW 70.10.020
"Comprehensive community health center" defined.
The term "comprehensive community health center" as used in this chapter shall mean a health facility housing community health, mental health, and developmental disabilities services.
[ 1977 ex.s. c 80 § 37; 1967 ex.s. c 4 § 2.]
NOTES:
Purpose—Intent—Severability—1977 ex.s. c 80: See notes following RCW 4.16.190.
2023 Revised Code of Washington › Title 70 - Public Health and Safety › Chapter 70.10 - Comprehensive Community Health Centers. › 70.10.030 - Authorization to apply for and administer federal or state funds.

RCW 70.10.030
Authorization to apply for and administer federal or state funds.
The several agencies of the state authorized to administer within the state the various federal acts providing federal moneys to assist in the cost of establishing facilities for community health and mental health and facilities for persons with intellectual disabilities, are authorized to apply for and disburse federal grants, matching funds, or other funds, including gifts or donations from any source, available for use by counties, cities, other municipal corporations or nonprofit corporations. Upon application, these agencies shall also be authorized to distribute such state funds as may be appropriated by the legislature for such local construction projects: PROVIDED, That where state funds have been appropriated to assist in covering the cost of constructing a comprehensive community health center, or a facility for community health and mental health or a facility for persons with intellectual disabilities, and where any county, city, other municipal corporation or nonprofit corporation has submitted an approved application for such state funds, then, after any applicable federal grant has been deducted from the total cost of construction, the state agency or agencies in charge of each program may allocate to such applicant an amount not to exceed fifty percent of that particular program's contribution toward the balance of remaining construction costs.
[ 2010 c 94 § 16; 1967 ex.s. c 4 § 3.]
NOTES:
Purpose—2010 c 94: See note following RCW 44.04.280.
2023 Revised Code of Washington › Title 70 - Public Health and Safety › Chapter 70.10 - Comprehensive Community Health Centers. › 70.10.040 - Application for federal or state funds for construction of facility as part of or separate from health center—Processing and approval by administering agencies—Decision on use as part of comprehensive health center.

RCW 70.10.040
Application for federal or state funds for construction of facility as part of or separate from health center—Processing and approval by administering agencies—Decision on use as part of comprehensive health center.
Any application for federal or state funds to be used for construction of the community health, mental health, or developmental disabilities facility, which will be part of the comprehensive community health center as defined in RCW 70.10.020, shall be separately processed and approved by the state agency which has been designated to administer the particular federal or state program involved. Any application for federal or state funds for a construction project to establish a community health, mental health, or developmental disabilities facility not part of a comprehensive health center shall be processed by the state agency which is designated to administer the particular federal or state program involved. This agency shall also forward a copy of the application to the other agency or agencies designated to administer the program or programs providing funds for construction of the facilities which make up a comprehensive health center. The agency or agencies receiving this copy of the application shall have a period of time not to exceed sixty days in which to file a statement with the agency to which the application has been submitted and to any statutory advisory council or committee which has been designated to advise the administering agency with regard to the program, stating that the proposed facility should or should not be part of a comprehensive health center.
[ 1977 ex.s. c 80 § 38; 1967 ex.s. c 4 § 4.]
NOTES:
Purpose—Intent—Severability—1977 ex.s. c 80: See notes following RCW 4.16.190.
2023 Revised Code of Washington › Title 70 - Public Health and Safety › Chapter 70.10 - Comprehensive Community Health Centers. › 70.10.050 - Application for federal or state funds for construction of facility as part of or separate from health center—Cooperation between agencies in standardizing application procedures and forms.

RCW 70.10.050
Application for federal or state funds for construction of facility as part of or separate from health center—Cooperation between agencies in standardizing application procedures and forms.
The several state agencies processing applications for the construction of comprehensive health centers for community health, mental health, or developmental disability facilities shall cooperate to develop general procedures to be used in implementing the statute and to attempt to develop application forms and procedures which are as nearly standard as possible, after taking cognizance of the different information required in the various programs, to assist applicants in applying to various state agencies.
[ 1977 ex.s. c 80 § 39; 1967 ex.s. c 4 § 5.]
NOTES:
Purpose—Intent—Severability—1977 ex.s. c 80: See notes following RCW 4.16.190.
2023 Revised Code of Washington › Title 70 - Public Health and Safety › Chapter 70.10 - Comprehensive Community Health Centers. › 70.10.060 - Adoption of rules and regulations—Liberal construction of chapter.

RCW 70.10.060
Adoption of rules and regulations—Liberal construction of chapter.
In furtherance of the legislative policy to authorize the state to cooperate with the federal government in facilitating the construction of comprehensive community health centers, the state agencies involved shall adopt such rules and regulations as may become necessary to entitle the state and local units of government to share in federal grants, matching funds, or other funds, unless the same be expressly prohibited by this chapter. Any section or provision of this chapter susceptible to more than one construction shall be interpreted in favor of the construction most likely to satisfy federal laws entitling the state and local units of government to receive federal grants, matching funds or other funds for the construction of comprehensive community health centers.
[ 1967 ex.s. c 4 § 6.]
2023 Revised Code of Washington › Title 70 - Public Health and Safety › Chapter 70.12 - Public Health Funds. › 70.12.015 - Secretary may expend funds in counties.

RCW 70.12.015
Secretary may expend funds in counties.
The secretary of health is hereby authorized to apportion and expend such sums as he or she shall deem necessary for public health work in the counties of the state, from the appropriations made to the state department of health for county public health work.
[ 1991 c 3 § 315; 1979 c 141 § 86; 1939 c 191 § 2; RRS § 6001-1. Formerly RCW 70.12.080.]
2023 Revised Code of Washington › Title 70 - Public Health and Safety › Chapter 70.12 - Public Health Funds. › 70.12.025 - County funds for public health.

RCW 70.12.025
County funds for public health.
Each county legislative authority shall annually budget and appropriate a sum for public health work.
[ 1975 1st ex.s. c 291 § 2.]
NOTES:
Effective dates—Severability—1975 1st ex.s. c 291: See notes following RCW 82.04.050.
2023 Revised Code of Washington › Title 70 - Public Health and Safety › Chapter 70.12 - Public Health Funds. › 70.12.030 - Public health pooling fund.

RCW 70.12.030
Public health pooling fund.
Any county, combined city-county health department, or health district is hereby authorized and empowered to create a "public health pooling fund", hereafter called the "fund", for the efficient management and control of all moneys coming to such county, combined department, or district for public health purposes.
[ 1993 c 492 § 245; 1945 c 46 § 1; 1943 c 190 § 1; Rem. Supp. 1945 § 6099-1.]
NOTES:
Findings—Intent—1993 c 492: See notes following RCW 43.20.050.
Short title—Savings—Reservation of legislative power—Effective dates—1993 c 492: See RCW 43.72.910 through 43.72.915.
2023 Revised Code of Washington › Title 70 - Public Health and Safety › Chapter 70.12 - Public Health Funds. › 70.12.040 - Fund, how maintained and disbursed.

RCW 70.12.040
Fund, how maintained and disbursed.
Any such fund may be established in the county treasurer's office or the city treasurer's office of a first-class city according to the type of local health department organization existing.
In a district composed of more than one county, the county treasurer of the county having the largest population shall be the custodian of the fund, and the county auditor of said county shall keep the record of receipts and disbursements; and shall draw and the county treasurer shall honor and pay all such warrants.
Into any such fund so established may be paid:
(1) All grants from any state fund for county public health work;
(2) Any county current expense funds appropriated for the health department;
(3) Any other money appropriated by the county for health work;
(4) City funds appropriated for the health department;
(5) All moneys received from any governmental agency, local, state or federal which may contribute to the local health department; and
(6) Any contributions from any charitable or voluntary agency or contributions from any individual or estate.
Any school district may contract in writing for health services with the health department of the county, first-class city or health district, and place such funds in the public health pooling fund in accordance with the contract.
[ 1983 c 3 § 170; 1945 c 46 § 2; 1943 c 190 § 2; Rem. Supp. 1945 § 6099-2.]
2023 Revised Code of Washington › Title 70 - Public Health and Safety › Chapter 70.12 - Public Health Funds. › 70.12.050 - Expenditures from fund.

RCW 70.12.050
Expenditures from fund.
All expenditures in connection with salaries, wages and operations incurred in carrying on the health department of the county, combined city-county health department, or health district shall be paid out of such fund.
[ 1993 c 492 § 246; 1945 c 46 § 3; 1943 c 190 § 3; Rem. Supp. 1945 § 6099-3.]
NOTES:
Findings—Intent—1993 c 492: See notes following RCW 43.20.050.
Short title—Savings—Reservation of legislative power—Effective dates—1993 c 492: See RCW 43.72.910 through 43.72.915.
2023 Revised Code of Washington › Title 70 - Public Health and Safety › Chapter 70.12 - Public Health Funds. › 70.12.060 - Expenditures geared to budget.

RCW 70.12.060
Expenditures geared to budget.
Any fund established as herein provided shall be expended so as to make the expenditures thereof agree with any respective appropriation period. Any accumulation in any such fund so established shall be taken into consideration when preparing any budget for the operations for the ensuing year.
[ 1943 c 190 § 4; Rem. Supp. 1943 § 6099-4.]
2023 Revised Code of Washington › Title 70 - Public Health and Safety › Chapter 70.12 - Public Health Funds. › 70.12.070 - Fund subject to audit and check by state.

RCW 70.12.070
Fund subject to audit and check by state.
The public health pool fund shall be subject to audit by the state auditor and shall be subject to check by the state department of health.
[ 1995 c 301 § 77; 1991 c 3 § 316; 1979 c 141 § 87; 1943 c 190 § 5; Rem. Supp. 1943 § 6099-5.]
2023 Revised Code of Washington › Title 70 - Public Health and Safety › Chapter 70.14 - Health Care Services Purchased by State Agencies. › 70.14.020 - State agencies to identify alternative health care providers.

RCW 70.14.020
State agencies to identify alternative health care providers.
Each of the agencies listed in *RCW 70.14.010, with the exception of the department of labor and industries, which expends more than five hundred thousand dollars annually of state funds for purchase of health care shall identify the availability and costs of nonfee for service providers of health care, including preferred provider organizations, health maintenance organizations, managed health care or case management systems, or other nonfee for service alternatives. In each case where feasible in which an alternative health care provider arrangement, of similar scope and quality, is available at lower cost than fee-for-service providers, such state agencies shall make the services of the alternative provider available to clients, consumers, or employees for whom state dollars are spent to purchase health care. As consistent with other state and federal law, requirements for copayments, deductibles, the scope of available services, or other incentives shall be used to encourage clients, consumers, or employees to use the lowest cost providers, except that copayments or deductibles shall not be required where they might have the impact of denying access to necessary health care in a timely manner.
[ 1986 c 303 § 7.]
NOTES:
*Reviser's note: RCW 70.14.010 was repealed by 1988 c 107 § 35, effective October 1, 1988.
Medical assistance—Agreements with managed care organizations: RCW 74.09.522.
2023 Revised Code of Washington › Title 70 - Public Health and Safety › Chapter 70.14 - Health Care Services Purchased by State Agencies. › 70.14.030 - Health care utilization review procedures.

RCW 70.14.030
Health care utilization review procedures.
Plans for establishing or improving utilization review procedures for purchased health care services shall be developed by each agency listed in *RCW 70.14.010. The plans shall specifically address such utilization review procedures as prior authorization of services, hospital inpatient length of stay review, requirements for use of outpatient surgeries and the obtaining of second opinions for surgeries, review of invoices or claims submitted by service providers, and performance audit of providers.
[ 1986 c 303 § 8.]
NOTES:
*Reviser's note: RCW 70.14.010 was repealed by 1988 c 107 § 35, effective October 1, 1988.
2023 Revised Code of Washington › Title 70 - Public Health and Safety › Chapter 70.14 - Health Care Services Purchased by State Agencies. › 70.14.040 - Review of prospective rate setting methods.

RCW 70.14.040
Review of prospective rate setting methods.
The state agencies listed in *RCW 70.14.010 shall review the feasibility of establishing prospective payment approaches within their health care programs. Work plans or timetables shall be prepared for the development of prospective rates. The agencies shall identify legislative actions that may be necessary to facilitate the adoption of prospective rate setting methods.
[ 1986 c 303 § 9.]
NOTES:
*Reviser's note: RCW 70.14.010 was repealed by 1988 c 107 § 35, effective October 1, 1988.
2023 Revised Code of Washington › Title 70 - Public Health and Safety › Chapter 70.14 - Health Care Services Purchased by State Agencies. › 70.14.050 - Drug purchasing cost controls—Establishment of evidence-based prescription drug program.

RCW 70.14.050
Drug purchasing cost controls—Establishment of evidence-based prescription drug program.
(1) Each agency administering a state purchased health care program as defined in *RCW 41.05.011(2) shall, in cooperation with other agencies, take any necessary actions to control costs without reducing the quality of care when reimbursing for or purchasing drugs. To accomplish this purpose, participating agencies may establish an evidence-based prescription drug program.
(2) In developing the evidence-based prescription drug program authorized by this section, agencies:
(a) Shall prohibit reimbursement for drugs that are determined to be ineffective by the United States food and drug administration;
(b) Shall adopt rules in order to ensure that less expensive generic drugs will be substituted for brand name drugs in those instances where the quality of care is not diminished;
(c) Where possible, may authorize reimbursement for drugs only in economical quantities;
(d) May limit the prices paid for drugs by such means as negotiated discounts from pharmaceutical manufacturers, central purchasing, volume contracting, or setting maximum prices to be paid;
(e) Shall consider the approval of drugs with lower abuse potential in substitution for drugs with significant abuse potential;
(f) May take other necessary measures to control costs of drugs without reducing the quality of care; and
(g) Shall adopt rules governing practitioner endorsement and use of any list developed as part of the program authorized by this section.
(3) Agencies shall provide for reasonable exceptions, consistent with RCW 69.41.190, to any list developed as part of the program authorized by this section.
(4) Agencies shall establish an independent pharmacy and therapeutics committee to evaluate the effectiveness of prescription drugs in the development of the program authorized by this section.
[ 2003 1st sp.s. c 29 § 9; 1986 c 303 § 10.]
NOTES:
*Reviser's note: RCW 41.05.011 was alphabetized pursuant to RCW 1.08.015(2)(k), changing subsection (2) to subsection (21). RCW 41.05.011 was subsequently alphabetized pursuant to RCW 1.08.015(2)(k), changing subsection (21) to subsection (22). RCW 41.05.011 was subsequently amended by 2017 3rd sp.s. c 13 § 802, changing subsection (22) to subsection (25). RCW 41.05.011 was subsequently amended by 2018 c 260 § 4, changing subsection (25) to subsection (26).
Finding—Intent—Severability—Conflict with federal requirements—Effective date—2003 1st sp.s. c 29: See notes following RCW 74.09.650.
2023 Revised Code of Washington › Title 70 - Public Health and Safety › Chapter 70.14 - Health Care Services Purchased by State Agencies. › 70.14.070 - Prescription drug consortium account.

RCW 70.14.070
Prescription drug consortium account.
The prescription drug consortium account is created in the custody of the state treasurer. All receipts from activities related to administration of the state drug purchasing consortium on behalf of participating individuals and organizations, other than state purchased health care programs, shall be deposited into the account. The receipts include but are not limited to rebates from manufacturers, and the fees established under RCW 70.14.060(2). Expenditures from the account may be used only for the purposes of RCW 70.14.060. Only the administrator of the state health care authority or the administrator's designee may authorize expenditures from the account. The account is subject to allotment procedures under chapter 43.88 RCW, but an appropriation is not required for expenditures.
[ 2005 c 129 § 2.]
NOTES:
Severability—Conflict with federal requirements—2005 c 129: See notes following RCW 70.14.060.
2023 Revised Code of Washington › Title 70 - Public Health and Safety › Chapter 70.14 - Health Care Services Purchased by State Agencies. › 70.14.080 - Definitions.

RCW 70.14.080
Definitions.
The definitions in this section apply throughout RCW 70.14.090 through 70.14.130 unless the context clearly requires otherwise.
(1) "Administrator" means the administrator of the Washington state health care authority under chapter 41.05 RCW.
(2) "Advisory group" means a group established under RCW 70.14.110(2)(c).
(3) "Committee" means the health technology clinical committee established under RCW 70.14.090.
(4) "Coverage determination" means a determination of the circumstances, if any, under which a health technology will be included as a covered benefit in a state purchased health care program.
(5) "Health technology" means medical and surgical devices and procedures, medical equipment, and diagnostic tests. Health technologies does not include prescription drugs governed by RCW 70.14.050.
(6) "Participating agency" means the department of social and health services, the state health care authority, and the department of labor and industries.
(7) "Reimbursement determination" means a determination to provide or deny reimbursement for a health technology included as a covered benefit in a specific circumstance for an individual patient who is eligible to receive health care services from the state purchased health care program making the determination.
[ 2006 c 307 § 1.]
NOTES:
Captions not law—2006 c 307: "Captions used in this act are not any part of the law." [ 2006 c 307 § 10.]
Conflict with federal requirements—2006 c 307: "If any part of this act is found to be in conflict with federal requirements that are a prescribed condition to the allocation of federal funds to the state, the conflicting part of this act is inoperative solely to the extent of the conflict and with respect to the agencies directly affected, and this finding does not affect the operation of the remainder of this act in its application to the agencies concerned. Rules adopted under this act must meet federal requirements that are a necessary condition to the receipt of federal funds by the state." [ 2006 c 307 § 11.]
2023 Revised Code of Washington › Title 70 - Public Health and Safety › Chapter 70.14 - Health Care Services Purchased by State Agencies. › 70.14.090 - Health technology clinical committee.

RCW 70.14.090
Health technology clinical committee.
(1) A health technology clinical committee is established, to include the following eleven members appointed by the administrator in consultation with participating state agencies:
(a) Six practicing physicians licensed under chapter 18.57 or 18.71 RCW; and
(b) Five other practicing licensed health professionals who use health technology in their scope of practice.
(i) At least two members of the committee must have professional experience treating women, children, elderly persons, and people with diverse ethnic and racial backgrounds.
(ii) At least one member of the committee must be appointed from nominations submitted by the Washington state medical association or the Washington state osteopathic medical association.
(2) In addition, any rotating clinical expert selected to advise the committee on health technology must be a nonvoting member of the committee.
(3) Members of the committee:
(a) Shall not contract with or be employed by a health technology manufacturer or a participating agency during their term or for eighteen months before their appointment. As a condition of appointment, each person shall agree to the terms and conditions imposed by the administrator regarding conflicts of interest;
(b) Are immune from civil liability for any official acts performed in good faith as members of the committee; and
(c) Shall be compensated for participation in the work of the committee in accordance with a personal services contract to be executed after appointment and before commencement of activities related to the work of the committee.
(4) Meetings of the committee and any advisory group are subject to chapter 42.30 RCW, the open public meetings act, including RCW 42.30.110(1)(l), which authorizes an executive session during a regular or special meeting to consider proprietary or confidential nonpublished information.
(5) Neither the committee nor any advisory group is an agency for purposes of chapter 34.05 RCW.
(6) The health care authority shall provide administrative support to the committee and any advisory group, and may adopt rules governing their operation.
[ 2016 sp.s. c 1 § 1; 2006 c 307 § 2.]
NOTES:
Captions not law—Conflict with federal requirements—2006 c 307: See notes following RCW 70.14.080.
2023 Revised Code of Washington › Title 70 - Public Health and Safety › Chapter 70.14 - Health Care Services Purchased by State Agencies. › 70.14.110 - Health technology clinical committee determinations.

RCW 70.14.110
Health technology clinical committee determinations.
(1) The committee shall determine, for each health technology selected for review under RCW 70.14.100: (a) The conditions, if any, under which the health technology will be included as a covered benefit in health care programs of participating agencies; and (b) if covered, the criteria which the participating agency administering the program must use to decide whether the technology is medically necessary, or proper and necessary treatment.
(2) In making a determination under subsection (1) of this section, the committee:
(a) Shall consider, in an open and transparent process, evidence regarding the safety, efficacy, and cost-effectiveness of the technology as set forth in the systematic assessment conducted under RCW 70.14.100(4);
(b) Shall provide an opportunity for public comment; and
(c) May establish ad hoc temporary advisory groups if specialized expertise is needed to review a particular health technology or group of health technologies, or to seek input from enrollees or clients of state purchased health care programs. Advisory group members are immune from civil liability for any official act performed in good faith as a member of the group. As a condition of appointment, each person shall agree to the terms and conditions imposed by the administrator regarding conflicts of interest.
(3) Determinations of the committee under subsection (1) of this section shall be consistent with decisions made under the federal medicare program and in expert treatment guidelines, including those from specialty physician organizations and patient advocacy organizations, unless the committee concludes, based on its review of the systematic assessment, that substantial evidence regarding the safety, efficacy, and cost-effectiveness of the technology supports a contrary determination.
[ 2006 c 307 § 4.]
NOTES:
Captions not law—Conflict with federal requirements—2006 c 307: See notes following RCW 70.14.080.
2023 Revised Code of Washington › Title 70 - Public Health and Safety › Chapter 70.14 - Health Care Services Purchased by State Agencies. › 70.14.120 - Agency compliance with committee determination—Coverage and reimbursement determinations for nonreviewed health technologies—Appeals.

RCW 70.14.120
Agency compliance with committee determination—Coverage and reimbursement determinations for nonreviewed health technologies—Appeals.
(1) A participating agency shall comply with a determination of the committee under RCW 70.14.110 unless:
(a) The determination conflicts with an applicable federal statute or regulation, or applicable state statute; or
(b) Reimbursement is provided under an agency policy regarding experimental or investigational treatment, services under a clinical investigation approved by an institutional review board, or health technologies that have a humanitarian device exemption from the federal food and drug administration.
(2) For a health technology not selected for review under RCW 70.14.100, a participating agency may use its existing statutory and administrative authority to make coverage and reimbursement determinations. Such determinations shall be shared among agencies, with a goal of maximizing each agency's understanding of the basis for the other's decisions and providing opportunities for agency collaboration.
(3) A health technology not included as a covered benefit under a state purchased health care program pursuant to a determination of the health technology clinical committee under RCW 70.14.110, or for which a condition of coverage established by the committee is not met, shall not be subject to a determination in the case of an individual patient as to whether it is medically necessary, or proper and necessary treatment.
(4) Nothing in chapter 307, Laws of 2006 diminishes an individual's right under existing law to appeal an action or decision of a participating agency regarding a state purchased health care program. Appeals shall be governed by state and federal law applicable to participating agency decisions.
[ 2006 c 307 § 5.]
NOTES:
Captions not law—Conflict with federal requirements—2006 c 307: See notes following RCW 70.14.080.