Utah Code § 26A-1-115

Apportionment of costs -- Contracts to provide services -- Percentage match of
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state funds -- Audit.
(1)
(a) The cost of establishing and maintaining a multicounty local health department may be
apportioned among the participating counties on the basis of population in proportion to the
total population of all counties within the boundaries of the local health department, or upon
other bases agreeable to the participating counties.
(b) Costs of establishing and maintaining a county health department shall be a charge of the
county creating the local health department.
(c) Money available from fees, contracts, surpluses, grants, and donations may also be used to
establish and maintain local health departments.
(d) As used in this Subsection (1), "population" means population estimates prepared by the Utah
Population Committee.
(2) The cost of providing, equipping, and maintaining suitable offices and facilities for a local health
department is the responsibility of participating governing bodies.
(3) Local health departments that comply with all department rules and secure advance approval
of proposed service boundaries from the department may by contract receive funds under
Section 26A-1-116 from the department to provide specified public health services.
(4) Contract funds distributed under Subsection (3) shall be in accordance with Section 26A-1-116
and policies and procedures adopted by the department.
(5) Department rules shall require that contract funds be used for public health services and not
replace other funds used for local public health services.
(6)
(a)
(i) All state funds distributed by contract from the department to local health departments for
public health services shall be matched by those local health departments at a percentage
determined by the department in consultation with local health departments.
(ii) Counties shall have no legal obligation to match state funds at percentages in excess of
those established by the department and shall suffer no penalty or reduction in state funding
for failing to exceed the required funding match.
(b) By October 1 of each year, the local health departments shall submit a collective written
report to the Social Services Appropriations Subcommittee describing, for the preceding five

fiscal years, each county's annual per capita contribution to a local health department that is
used to meet the minimum performance standards described in Section 26A-1-106.
(c) A county may submit an additional written report separate from the report described in
Subsection (6)(b) to the Social Services Appropriations Subcommittee outlining a county's
contribution to public and community health in the county through other methods that are
additional to the annual per capita contribution described in Subsection (6)(b).
(7)
(a) Each local health department shall cause an annual financial and compliance audit to be
made of its operations by a certified public accountant. The audit may be conducted as
part of an annual county government audit of the county where the local health department
headquarters are located.
(b) The local health department shall provide a copy of the audit report to the department and the
local governing bodies of counties participating in the local health department.

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