Oklahoma Code § 19-1203

Title 19. Counties And County Officers: District board of directors - Authorization to create
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districts – Emergency medical services plan.
A.  When a district is totally within the municipal city limits
of a city, the board of directors of the district or their designee
may be the governing body of the city or town.
B.  Public ambulance service districts may be organized under
the Ambulance Service Districts Act for the purpose of developing
and providing adequate ambulance services to meet the needs of
residents within the territory of the district.  The board of county
commissioners of each county in this state shall have power and it

shall be their duty, upon a proper petition being presented, to
incorporate and order the creation of such district in the manner
provided for in this act.
C.  By April 1, 2011, each county of this state with a
population of five hundred thousand (500,000) people or less
according to the last Federal Decennial Census shall present to the
State Department of Health an emergency medical services plan.  The
plan for each county shall be developed by the Emergency Response
Systems Development Advisory Council of the State Department of
Health and each county emergency services advisory board which shall
be comprised of the county commissioners of each county or their
designees.  The plan shall:
1.  Address funding issues;
2.  Ensure countywide emergency medical services coverage; and
3.  Address county boundaries to ensure 9-1-1 operators are able
to provide quick response.

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