Declares an intent to help provide local health jurisdictions with a more stable dedicated funding system by creating a single account through which all state funding for public health will be distributed.

Declares that local health jurisdictions receiving state funds be held accountable for the use of those funds based on the minimum standards of public health protection in the state's public health improvement plan.

Directs the secretary of the department of health to establish a review process for determining whether a local health jurisdiction is in substantial compliance with the minimum standards for public health protection established under RCW 43.70.520.

Requires the secretary of the department of health to notify the local health jurisdiction, in writing, and the state treasurer when the secretary finds that a local health jurisdiction is not in substantial compliance with the minimum standards for public health protection established under RCW 43.70.520.

Authorizes the secretary of the department of health to exempt a local health jurisdiction from the review process if the jurisdiction is accredited by an organization whose accreditation standards meet or exceed the minimum standards for public health protection established under RCW 43.70.520.

Creates the public health improvement account.