North Dakota Century Code Title 23. Health and Safety § 23-35-04. Health districts--Formation--Contracting for services

1. Upon the adoption of a resolution, the governing body may form a single county, multicounty, city-county, or tribal health district.

2. Notwithstanding this chapter, in a county without a countywide public health unit, the board of county commissioners, upon adoption of a resolution, may contract with a city that has a public health department to provide health services to the county and in the cities throughout the county which do not have a public health unit. The contract must comply with chapter 54-40.3. When a contract is executed, any provision of this chapter relating to organizing district boards of health does not apply, and the city public health department shall exercise all the necessary powers and duties of a public health unit under this chapter. The department shall treat a county with a contract under this subsection as a public health unit.