North Dakota Code § 23-35-04

Health districts - Formation - Contracting for services
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1. Upon the adoption of a resolution, the governing body may form a single county, 
multicounty, city-county, or tribal health district.
2. Notwithstanding this chapter, in a county without a countywide public health unit, the 
board of county commissioners, upon adoption of a resolution, may contract with a city 
that has a public health department to provide health services to the county and in the 
cities throughout the county which do not have a public health unit. The contract must 
comply with chapter 54 -40.3. When a contract is executed, any provision of this 
chapter relating to organizing district boards of health does not apply, and the city 
public health department shall exercise all the necessary powers and duties of a public 
health unit under this chapter. The department shall treat a county with a contract 
under this subsection as a public health unit.

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