Oklahoma Code § 19-790.1

Title 19. Counties And County Officers: Oath - Organization and meetings - Power and duties -
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Funds established - Facsimile signature machine
A.  Upon the appointment of a Board of Control to manage a
county hospital, the members of the Board of Control shall within
ten (10) days after their appointment qualify by taking an oath in
the form required of county officers, and organize the Board of
Control by the election of one member as chair, one member as vice-
chair, one member as secretary and one member as treasurer; however,
the secretary and treasurer may be the same person, and electing or
appointing such other officer or officers as the Board may deem
necessary, but only the treasurer shall be bonded.  The proportional
share of the county blanket bond premium for such person shall be
paid out of the county hospital fund.  Every one (1) year
thereafter, at the first meeting of the Board of Control following
the appointment or reappointment of board members, a reorganization
meeting shall be held and officers selected as hereinbefore stated.
Such Board of Control shall hold meetings at least once each month,
shall keep a complete record of all its proceedings, and a majority
of the Board shall constitute a quorum for the transaction of
business.  The district attorney, or his or her assistant, shall
serve as attorney for the Board of Control without additional
compensation; however, the Board may employ other counsel and pay
for such service from the general funds of the hospital, provided a
majority of the Board shall determine such employment to be in the
best interest of the hospital.  No member of the Board of Control

shall have a personal pecuniary interest either directly or
indirectly in any purchases or contracts for the hospital unless the
same are purchased or awarded by competitive bids.
B.  The Board of Control shall in management of a county
hospital:
1.  Have exclusive control, supervision, care and custody of the
grounds, property, and buildings purchased, constructed, leased, or
set apart for such hospital purposes;
2.  Employ a competent administrator as the executive officer of
the hospital and fix his or her compensation.  The administrator
shall be covered by the county blanket bond and the proportional
share of the premium shall be paid out of the county hospital fund;
3.  Establish the fiscal year of the hospital and, not later
than ninety (90) days after close of the fiscal year, file with the
county clerk of the county a report of the proceedings with
reference to such hospital and a statement of all receipts and
expenditures during the preceding fiscal year, and shall adopt a
budget, such budget to show the amount necessary to maintain and
improve the hospital for the ensuing fiscal year.  A complete audit
to be required at the end of each fiscal year is to be performed by
a licensed accountant;
4.  Cause not less than one of its members to visit and inspect
the hospital at least once each month.  It shall be the duty of the
Board of Control to admit, upon recommendation of a physician,
without expense to the patient, all county charity patients
certified to be such by the Board of Control, in need of medical or
surgical treatment; and all other patients admitted to the hospital
for treatment shall be charged a just and reasonable price for their
medical and surgical treatment while in the custody of the hospital;
5.  Adopt a policy of admission of patients for the county
hospital;
6.  Have authority to authorize the hospital to be a member of
and maintain membership in any local, state, or national group
association organized and operated for the promotion of the public
health and welfare or the advancement of the efficiency of hospital
administration and in connection therewith to pay dues and fees
therefor from the county hospital fund;
7.  Have authority to establish or participate in health related
educational programs;
8.  Have authority to procure and pay out of the county hospital
fund premiums on any and all insurance policies required for the
prudent management of the hospital, including, but not limited to,
public liability, professional malpractice liability, workers'
compensation, vehicle liability, life, health and accident plans,
and to make contributions to the Public Employees' Retirement System
of the state.  The insurance may include as additional insureds the
Board of Control and employees of the hospital;

9.  Determine when there is a surplus in any of the funds of the
hospital and if so determined may invest such surplus in United
States Government Bonds or insured securities or in insured time
deposits until such time as in the judgment of the Board of Control
it is deemed advisable to use such funds for hospital purposes,
including, but not limited to, the purchase of equipment, repair,
remodeling or new construction of hospital property;
10.  Either as a board or through the administrator, use
reasonable diligence and efforts to make collections of accounts for
hospital services rendered;
11.  Have authority to adopt such bylaws, rules and regulations
as the Board deems desirable for its own guidance and the
administration of the hospital, not inconsistent with the law;
12.  Have authority to undertake the management, lease or
operation of any other medical facility or institution located
outside of the county to provide a benefit to the community or
lessen the burden of government and which does not solely provide a
benefit by generating administrative fees; and
13.  Do all things necessary for the management, control, and
government of the hospital and exercise all the rights and duties
pertaining to hospital boards generally, unless such rights are
specifically denied or prohibited by law.
C.  In the operation of a county hospital by the Board of
Control the following funds shall be established in connection with
a county hospital:
1.  The proceeds from the sale of bonds, as provided in Section
784 of this title, shall be deposited in a fund known as the "County
Hospital Bond Fund" in the treasury of the county, which shall be
paid out by the county treasurer upon the orders of the board of
county commissioners from time to time as the same is needed; and
2.  The proceeds from the tax levy provided by Section 786 of
this title, and funds received by the hospital for services or
otherwise not specifically designated to a special fund by the Board
of Control shall be deposited in the treasury of the county in the
"County Hospital Fund".  Current receipts by the hospital, including
tuition fees of any school operated by the hospital, shall be
deposited in the fund at least every week.  The money in the "County
Hospital Fund" shall be paid out only upon itemized and acknowledged
claims duly approved by the Board of Control or in the procedure
prescribed by the Board by warrants drawn by the administrator or
such other person as may be designated by the Board of Control,
which warrants must be authenticated by the treasurer of the Board
of Control or a duly qualified officer of the Board of Control.  If
a county hospital shall operate a home for nurses, then the current
receipts of the home for nurses shall be deposited with the county
treasurer in the Home for Nurses Fund.

D.  The Board of Control may by resolution establish such other
funds as it deems advisable for the efficient and proper management
of the hospital, which may or may not be in the county treasury, and
prescribe the procedure for the handling, expending, and withdrawal
of such funds.  All checks to be signed by the administrator or his
or her assistant and one member of the Board of Control.
1.  If a majority of the Board of Control shall vote in favor of
the establishment of a refund account, then the Board shall
designate a bank and set up an account.  Thereafter, when it becomes
necessary to refund monies to a patient for the overpayment of an
account, a check shall be drawn on the refund account, and after the
check has been signed by the administrator or a designee and one
member of the Board of Control, the same shall be delivered to the
patient.  The account may be replenished as deemed necessary.
After the establishment of the account, the administrator shall
certify the list of actual refunds which have been made to patients
during the interim since last approval.  Upon acceptance by the
Board of Control, the certified list of refunds shall be used to
support the preparation of a warrant to be drawn on the county
treasurer and charged to county hospital fund for the replenishment
of the refund account.
2.  If a majority of the Board of Control shall vote in favor of
the establishment of a salary account, the Board shall then
designate a bank covered by F.D.I.C., set up an account and deposit
a warrant drawn upon the "County Hospital Fund", not to exceed One
Thousand Dollars ($1,000.00) in amount, to open the account, and the
necessary resolutions requisite to the establishment of an account
shall be performed.  Thereafter, as soon as the complete payroll has
been prepared, a warrant shall be drawn upon the "County Hospital
Fund" for the amount of the payroll and deposited in the salary fund
of _______ Hospital.  The individual payroll checks shall be signed
by the administrator or a designee and one member of the Board of
Control.
3.  If a majority of the Board of Control shall vote in favor of
the establishment of a Nursing Home Operating Account, then a bank
account shall be opened in a bank designated as a state or county
depository.
Thereafter the Board of Control shall draw a warrant on the
county treasurer to be charged to the Nursing Home Fund, the warrant
to be in the exact amount of a certified list of current obligations
of the nursing home.  The list shall be drawn by the administrator
and certified by him or her to the Board of Control and shall
contain the details of all expenditures to be made for the nursing
home for the previous months' operations including salaries.
The proceeds of the warrant shall then be deposited in the
Nursing Home Operating Account in the bank above designated.
Thereafter the administrator shall prepare individual checks in

payment of the list of current obligations.  Provided, however, that
the checks shall be signed by the administrator and by one member of
the Board of Control.
4.  If a majority of the Board of Control shall vote in favor of
the establishment of a Petty Cash Account, then a warrant shall be
drawn on the county treasurer in an amount not to exceed the sum of
One Hundred Dollars ($100.00).  The warrant shall be charged by the
county treasurer to the Hospital Fund.  The proceeds of the warrant
shall be used for the payment of small bills for freight, postage
due, minor expenses, et cetera, all of a minor amount; and the
hospital shall secure proper receipts for the disbursement of the
proceeds.
Thereafter, the administrator shall certify the list of petty
expenditures and, after approval by the Board of Control, a warrant
shall be drawn on the county treasurer, County Hospital Fund, for
the replenishment of the petty cash account.
Likewise, and in the same manner, a petty cash account may be
established in any nursing home or related institution of the same
if operated by the hospital.
5.  If a majority of the Board of Control shall vote in favor of
the use of a facsimile signature machine in signing checks upon the
"County Hospital Fund" or any other fund, a machine shall be
utilized to imprint the facsimile signature of the administrator and
the treasurer of the Board of Control upon the checks.  Proper
procedures must be implemented to control the use of the signature
machine; such controls to be established by the Board of Control.
Any person having a key to operate the machine shall be bonded by
the county blanket bond and the company furnishing the machine shall
furnish a surety bond in an amount not less than Ten Thousand
Dollars ($10,000.00) to protect and indemnify against bogus or
forged checks or warrants from being issued from the machine.
E.  Any unencumbered balances in any of the funds of the county
hospital at the close of the fiscal year shall not lapse, but shall
be carried forward to the next fiscal year.
F.  The provisions of the Oklahoma Statutes relative to counties
or funds of counties, except Section 781 et seq. of this title,
shall not be applicable to county hospitals.
Added by Laws 1963, c. 72, § 4, emerg. eff. May 21, 1963.  Amended
by Laws 1965, c. 287, § 1, emerg. eff. June 24, 1965; Laws 1970, c.
286, § 7, emerg. eff. April 27, 1970; Laws 1975, c. 191, § 1, emerg.
eff. May 23, 1975; Laws 1980, c. 180, § 3, emerg. eff. May 13, 1980;

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