Oklahoma Code § 63-1-208

Title 63. Public Health And Safety: Funds for operation of health departments
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A.  It shall be the duty of the county excise board of each
county if funds are available to make necessary appropriations to
provide sufficient funds to pay the amounts due under any agreement
entered into by the county board of health, or by any city, town, or
school district of the county, for or in connection with a district
department of health or a cooperative department of health; and such

funds shall be accounted for, obligated, expended and disbursed as
directed by the State Commissioner of Health, who may require any or
all such funds to be combined with others to be used for similar or
related purposes.
B.  The Commissioner may enter into agreements with county
boards of health, and with city-county boards of health, whereby
state funds will be used in conjunction with county funds for the
operation of county, district, cooperative and city-county
departments of health.  The Commissioner may pay such funds on a
reimbursement or percentage of budgetary expenditures basis, or
other basis; and if directed to do so by the Commissioner, the
county clerk shall add the amount of any such funds to specified
items of appropriation, and no further action or appropriation by
the county excise board shall be required to make such funds
available for expenditure.
C.  Counties may, for the purposes of enhancing access to health
initiatives and maximizing operational impact, agree to combine
resources including county millage in a manner designating one
county as the operational hub.  In doing so, the millage provided by
each county within the consortium shall be expended or reserved for
the county of origin, ensuring each county's millage investment is
expended for the benefit of the county residents.

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