Where local voters have previously approved an emergency medical
services levy for either a six-year or ten-year period, the approval of
at least 60 percent of the voters is necessary to extend the levy for an
additional period at a higher tax rate.
If a city divided between two counties imposes a property tax levy to pay for emergency medical services, and one of the counties imposes its own levy for the same purpose, but the other county does not, RCW 84.52.069 does not require the city to reduce its property tax levy.