SB 306

This bill allows counties to form a multiple county health department with a

minimum initial term and, in addition, requires counties participating in a multiple

county health department to determine tax levy contributions from each

participating county on a per capita basis.

Under current law, a county board may, in conjunction with the county board

of one or more other counties, establish a multiple county health department, but

then may withdraw at any time and for any reason by giving written notice to its

county board of health and the county boards of all other participating counties. This

bill allows counties to establish a multiple county health department with an initial

minimum period of up to five years, during which a participating county may

withdraw only if withdrawal is necessary to meet statutory requirements for a Level

I health department.

Under current law, the local health board of every multiple county health

department must annually prepare a budget of its proposed expenditures for the

upcoming fiscal year and determine the proportionate cost to each participating

county on the basis of equalized valuation. This bill changes the basis for the

determination of proportionate costs to participating counties, instead requiring

that the local health board determine the proportionate levy contribution from each

participating county on a per capita basis.