The bill adds a new section to chapter 84.52 RCW that authorizes a county, when levying general taxes, to impose an additional regular property tax of up to $0.05 per $1,000 of assessed value in any one year. Revenue from that levy may be used only for operation, maintenance, and capital expenses of county public health clinics. The bill defines “public health clinic” for these purposes as a fixed or mobile, publicly operated site providing low‑barrier public health and related services (examples are listed in the bill). The bill also provides that certain existing statutory levy limits do not apply to this new county levy (including an exception to RCW 84.55.010 for the levy’s first year). The measure also amends existing levy statutes. It adds county public health clinic levies to the list of levies exempt from aggregate levy limitations in RCW 84.52.043 and amends RCW 84.52.010 to change how county assessors calculate consolidated levies and the sequence in which certified levy rates must be reduced or eliminated when combined regular levies subject to the one percent true-and-fair-value limitation exceed that limit. The bill incorporates the new county levy into the prescribed order of reductions across many taxing districts and reiterates that state levies take precedence and generally may not be reduced except as statute requires. Specific later steps in the reduction sequence identify various fire, library, park, hospital, and other district levies; relevant parts of the act carry timing provisions (sections 2 and 4 expire January 1, 2027, and sections 3 and 5 take effect January 1, 2027). The extracted text is incomplete in places. The amendment to RCW 84.52.010 ends mid‑sentence so the full reduction sequence and some related text are missing; the bill header referenced effective and expiration dates not provided here; the reasons for multiple similar amendments and whether voter approval or other procedural steps are required are not stated in the extracted facts. The text as provided contains no changes to criminal penalties.

If enacted, counties could add a small, dedicated property tax (up to $0.05 per $1,000 of assessed value) specifically to pay for operating, maintaining, and capital costs of publicly run, low‑barrier public health clinics. That likely gives county public health clinics a new local revenue source and lets counties direct money to primary, dental, behavioral, reproductive, maternal/child, communicable disease, and related services; county assessors will need to include the levy in consolidated levy calculations and follow the revised ordering for required reductions when total levies exceed the one percent limit. Other local taxing districts may face increased risk of reduced levies if total regular levies exceed the one percent cap, because the act explicitly adds the county public health clinic levy into the sequence that can trigger reductions or eliminations of other districts’ levies; the state levy still takes precedence. The measure creates timing uncertainty because key implementation details are missing here (no clear effective date or whether voter approval is required for the county levy), and portions of the bill have temporary or delayed provisions taking effect or expiring January 1, 2027, so exact fiscal impacts and timing for counties and other local governments are not fully clear from the provided text.