Idaho Code § 31-3515

Lease or sale.
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Such counties acting through their county commissioners shall have the right to lease such hospitals upon such terms and for such a length of time as they may decide, or to sell the same; provided, however, that no such lease or sale, except those leases entered into between such counties and the Idaho health facilities authority as provided in section 31-836 , Idaho Code, shall be final or valid unless and until it has been approved by a majority of the qualified electors of said county voting on such question at an election held subject to the provisions of section 34-106 , Idaho Code; except if a hospital district has been created under the provisions of chapter 13, title 39 , Idaho Code, county commissioners shall have the right to lease, as provided in section 31-836 , Idaho Code, such hospitals within a created hospital district to the hospital district without submitting the question of lease or sale to the qualified electors of the county or the respective hospital district.

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