Okla. Stat. tit. 63, § 63-1-205: County, district and cooperative departments of health -

Medical director - Contracts for public health services.

A. The county board of health may, with the approval of the

State Commissioner of Health, establish and maintain a county

department of health, the maintenance and operation of which is

hereby declared to be a function of county government for which

appropriations may be made from the general fund of the county and

the proceeds of a levy made in accordance with Section 9A of Article

X of the Oklahoma Constitution.

B. The county boards of health of two or more counties may,

with the approval of the Commissioner, form a health district

composed of such counties for public health purposes. The health

district may have a district department of health which shall be

operated, in such counties, in the same manner as county departments

of health. A health district may also be comprised of multiple

county health departments operating under agreement to share

resources for purposes of enhancing health outcomes for the member

counties, provided costs are allocated in proportion to resources

utilized by each county.

C. Cooperative departments of health may be formed by agreement

between the county board of health of any county maintaining a

county department of health, or the county boards of health of

counties in a health district, and the governing boards of cities,

towns, and school districts lying wholly or partly in such county or

health district. Any such agreement shall stipulate what health

services will be provided to the cities, towns and school districts,

which may be all or any of the services that may be provided by a

county department of health, and shall also fix the amounts of funds

to be paid by the cities, towns, and school districts for the

services. All agreements made under the provisions of this section

shall be subject to the approval of the State Commissioner of

Health.

D. A county department of health, a district department of

health and a cooperative department of health shall be under the

direction of a medical director, who shall perform his or her duties

under the supervision of the Commissioner, and who shall, in

addition to other duties, perform the same powers, duties and

functions in the county, in the health district, or in the

cooperative department, as is provided by law for county

superintendents of health. The Commissioner shall appoint and fix

the duties and compensation of the medical director, who shall be a

physician licensed under the laws of this state, and shall employ

and fix the duties and compensation of such other personnel as the

Commissioner deems necessary for the operation of the county

department of health, the district department of health, or the

cooperative department of health, all such personnel to be employed

under provisions of the Oklahoma Personnel Act and paid by state

warrant. Reimbursements to the State Department of Health shall be

paid by the county from the Section 9A of Article X of the Oklahoma

Constitution mill levy revenues, payable for the benefit of such

county health department, district department of health, or the

cooperative department of health and payable within thirty (30) days

of receipt of an invoice therefor. Provided that, in any such local

health department operating under the direction of a medical

director who serves less than full time, the Commissioner may

delegate nonmedical administrative duties to another employee of the

county, district, or cooperative health department.

E. The board of health or board of county commissioners of any

county may contract with the board of health or board of county

commissioners of any county or the State Department of Health to

provide the county any or all public health services. The county

receiving the services shall pay for the rendering of services

according to a schedule of fees and payments mutually agreed upon by

ment.

E. The board of health or board of county commissioners of any

county may contract with the board of health or board of county

commissioners of any county or the State Department of Health to

provide the county any or all public health services. The county

receiving the services shall pay for the rendering of services

according to a schedule of fees and payments mutually agreed upon by

the the county or counties affected. Such schedule of fees and

payments shall be equal to the cost of the services provided.