Oklahoma Code § 63-1-214

Title 63. Public Health And Safety: City-county health departments - Agreement for creation
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- Powers - Medical director and other employees.
A.  The board of county commissioners of any county and the
governing body of any city which qualify under Section 1-210 of this
title shall enter into an agreement providing for the creation of a
city-county health department, and such contracting bodies shall by
agreement provide for the method of operation thereof, the selection
of a director of such department, and the proportionate share of
personnel and/or money that each shall contribute for the operation
and support of such department.
B.  Unless an agreement made pursuant to subsection A of this
section specifically provides otherwise, any judgment against the
city-county health department or the city-county board of health
shall be treated as a judgment against the county and may be paid
from a sinking fund established pursuant to Section 28 of Article X
of the Oklahoma Constitution in the manner that other judgments
against the county are paid.
C.  Unless an agreement made pursuant to subsection A of this
section specifically provides otherwise, a city-county health
department shall have the power to own, acquire, lease, or dispose
of real property in the performance of local public health
functions, duties, and responsibilities.
D.  The qualifications of the director shall be determined by
the city-county board of health, with the advice of the State
Commissioner of Health, and subject to approval by the governing
body of the city and the board of county commissioners of the
county.  The director, with the approval of the city-county board of
health, the board of county commissioners of the county, and the
governing body of the city, or the city manager in cities having a
managerial form of government, shall appoint other personnel of the
department.

E.  The employees of a city-county health department shall
possess minimum qualifications as set forth in a system of personnel
administration delineating job specifications and a compensation
plan adopted by the city-county board of health, and approved by the
State Commissioner of Health, the board of county commissioners and
the governing body of the city.  By March 1, 1991, the city-county
health department shall establish a personnel, merit and promotion
system which shall be approved by the Commissioner of Public Health.
The employees shall also be eligible for membership in any life or
health insurance plan of the county and the county retirement
program, subject to the same conditions or restrictions that apply
to county employees.  Any state employees officed or located at or
assigned to a city-county health department shall be subject to the
state system of personnel administration and shall be eligible for
membership in the state employees insurance and retirement programs.
F.  Such city-county health department shall, under the
supervision of the director, enforce and administer all municipal
and county ordinances, rules and regulations, and all state laws,
and rules and regulations of the State Board of Health pertaining to
public health matters in the jurisdiction where it is created, or in
any area where it has jurisdiction to operate by agreement.
G.  A city-county health department may perform any and all
health-related services, within the scope of practice, as prescribed
by law, by the city-county board of health, or by standards of care
for medical services.  When a city-county health department provides
a health-related service to any person covered by an applicable
health insurance plan, the city-county health department may submit
a claim for said service to the appropriate insurance company,
health maintenance organization or preferred provider organization.
Upon receipt of the claim, said insurance company, health
maintenance organization or preferred provider organization shall
reimburse the city-county health department for the service provided
in accordance with the standard and customary rate schedule
established by the plan.  All health insurance plans, doing business
in Oklahoma, shall recognize the public health service delivery
model utilized by the city-county health department, as an
appropriate provider of services for reimbursement.  All insurance
reimbursement payments collected shall become a part of the general
revenue of the unit of government levying the same.
Added by Laws 1963, c. 325, art. 2, § 214, operative July 1, 1963.
Amended by Laws 1990, c. 239, § 1, eff. Sept. 1, 1990; Laws 2006, c.
279, § 2, eff. Nov. 1, 2006; Laws 2010, c. 198, § 1, eff. Nov. 1,
2010; Laws 2011, c. 105, § 3, eff. Nov. 1, 2011.

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