A bill for an act transferring the powers and duties of local boards of health and local health departments to county boards of health and district boards of health, and including applicability and effective date provisions.

This bill transfers authority for public health oversight from city-level boards and departments to county or district boards of health. It creates a new framework requiring counties without districts to establish county boards, while allowing counties to form or join districts to consolidate services. Key provisions include mandatory funding plans, agreements with county hospitals (with waiver options), and requirements for public hearings before adopting health rules. The law directly affects current city health departments and county health operations, shifting responsibility to the new county or district governance structure.