Colorado Code § 25-1-513

Enlargement of or withdrawal from public health agency
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(1) Any county
contiguous to a district maintaining a district public health agency may become a part of the
district by agreement between its board of county commissioners and the boards of county
commissioners of the counties comprising the district. The county, upon being accepted into the
district, shall thereupon become subject to the provisions of this part 5.
(2) Any county in a district maintaining a district public health agency may withdraw
from the district by resolution of its board of county commissioners. A county may not withdraw
from a district within the two-year period following the establishment of the district or the
county becoming a part of the district. A county may only withdraw from a district after one
year's written notice given to the agency. In the event of withdrawal of a county from a district,
any moneys that had been appropriated by the county before withdrawal to cover its
proportionate share of maintaining the district may be returned to the county. A county shall
establish a county public health agency or join another district public health agency once the
county withdraws from a district.
(3) A municipal corporation that has voluntarily merged its public health agency with a
county or district public health agency under the authority of section 25-1-506 may withdraw
from the county or district public health agency by resolution of its city council, board of
trustees, or other governing body. A municipal corporation may not withdraw from an agency
within the two-year period following the municipal corporation becoming a part of the agency. A
county may only withdraw from a district ninety days after a written notice is given to the
agency.

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