Requires a general or individual waste discharge permit or national pollution discharge elimination system permit, issued or renewed by the department of ecology, for a publicly owned wastewater treatment plant that directly discharges to Puget Sound to remove or neutralize opioids and opioid-derived pollution.

States that a public body, subject to the provisions above, is ineligible to receive a grant or loan under the following if the public body is responsible for a water pollution control facility that does not comply with the terms of a permit relating to the reduction of opioid pollution: (1) Chapter 70.146 RCW (water pollution control facilities financing);

(2) Chapter 70.150 RCW (the water quality joint development act);

(3) Chapter 90.48 RCW (water pollution control); and

(4) Chapter 90.50A RCW (water pollution control facilities--federal capitalization grants).