Okla. Stat. tit. 63, § 63-1-208: Funds for operation of health departments

A. It shall be the duty of the county excise board of each

county if funds are available to make necessary appropriations to

provide sufficient funds to pay the amounts due under any agreement

entered into by the county board of health, or by any city, town, or

school district of the county, for or in connection with a district

department of health or a cooperative department of health; and such

funds shall be accounted for, obligated, expended and disbursed as

directed by the State Commissioner of Health, who may require any or

all such funds to be combined with others to be used for similar or

related purposes.

B. The Commissioner may enter into agreements with county

boards of health, and with city-county boards of health, whereby

state funds will be used in conjunction with county funds for the

operation of county, district, cooperative and city-county

departments of health. The Commissioner may pay such funds on a

reimbursement or percentage of budgetary expenditures basis, or

other basis; and if directed to do so by the Commissioner, the

county clerk shall add the amount of any such funds to specified

items of appropriation, and no further action or appropriation by

the county excise board shall be required to make such funds

available for expenditure.

C. Counties may, for the purposes of enhancing access to health

initiatives and maximizing operational impact, agree to combine

resources including county millage in a manner designating one

county as the operational hub. In doing so, the millage provided by

each county within the consortium shall be expended or reserved for

the county of origin, ensuring each county's millage investment is

expended for the benefit of the county residents.