City-county health districts - Contracts

1. A contract entered into between an approved health department and a board of county commissioners pursuant to North Dakota Century Code sections 23-14-01.1 and 54-40-08 must specify the public health services and programs to be provided, the manner in which they will be provided, and the cost to the county for their provision. 2. The contract must be reviewed annually by the board of county commissioners and by the city health department to determine whether the services provided are adequate, whether additional needs exist, and whether any changes to the contract need to be negotiated.