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Human Resource Agencies<br />

The board of supervisors may exercise discretionary authority to create human resource agencies<br />

responsible for adm<strong>in</strong>istration of human resource programs authorized by federal law. 140<br />

Hospitals, Nurs<strong>in</strong>g Homes, and Health Centers<br />

The board of supervisors is empowered to establish homes for the aged, 141 establish and operate<br />

nurs<strong>in</strong>g homes for paupers and destitute aged, 142 provide for temporary care of pauper <strong>in</strong>sane, 143<br />

construct public health build<strong>in</strong>gs and cl<strong>in</strong>ics, 144 appropriate and expend monies for treatment of<br />

the <strong>in</strong>digent sick and promotion of public health of the county via support and ma<strong>in</strong>tenance of a<br />

full time health department, 145 establish and ma<strong>in</strong>ta<strong>in</strong> county health departments, 146 establish,<br />

own and operate community hospitals, 147 provide f<strong>in</strong>ancial support for mental illness and mental<br />

retardation services, 148 own, operate and ma<strong>in</strong>ta<strong>in</strong> a public ambulance service, 149 and establish<br />

emergency medical service districts. 150 The board is required to publicize the availability of<br />

confidential test<strong>in</strong>g and treatment of venereal disease at the county health department. 151<br />

Public Welfare<br />

Every county is required to provide office space for the county department of public welfare 152<br />

and has the discretionary authority to provide funds for ma<strong>in</strong>tenance of the department. 153<br />

County boards of supervisors have a variety of discretionary authority available to them with<br />

respect to provid<strong>in</strong>g assistance and support to the poor of the county. 154<br />

POWERS REGARDING TAXATION AND FINANCE<br />

Perhaps the most critical responsibility of the board of supervisors falls <strong>in</strong> the realm of taxation<br />

and f<strong>in</strong>ance. Once the board of supervisors has determ<strong>in</strong>ed what public services and facilities are<br />

needed, it must exam<strong>in</strong>e the sources of revenue available to it, accurately estimate the amount of<br />

revenue that can be generated from those sources, devise a budget 155 and impose an ad valorem<br />

tax levy 156 designed to support that budget thereby meet<strong>in</strong>g the public service and facility<br />

priorities of the county. Another fundamental element which is critical to the accomplishment of<br />

the board’s priorities, is to see to the proper safekeep<strong>in</strong>g, <strong>in</strong>vestment, and expenditure of the<br />

public funds which it holds <strong>in</strong> trust for and on behalf of the public. Among other th<strong>in</strong>gs, state law<br />

requires the public funds of the county be deposited <strong>in</strong> an approved county depository 157 and be<br />

accounted for via ma<strong>in</strong>tenance of a uniform system of accounts. 158 Furthermore, deficit spend<strong>in</strong>g<br />

is prohibited, 159 as are certa<strong>in</strong> expenditures dur<strong>in</strong>g the board’s last year of the term of office. 160<br />

The most common sources of revenue available to counties are ad valorem taxes levied aga<strong>in</strong>st<br />

all taxable real and personal property <strong>in</strong> the county, and fees from the issuance of permits and/or<br />

paid to support certa<strong>in</strong> services such as garbage collection and disposal. Another typical source<br />

of funds is from the issuance of general obligation or revenue notes or bonds which, generally,<br />

are reserved for significant capital expenditures. State assistance may also be available <strong>in</strong> the<br />

form of grants or loans. A more comprehensive discussion of the duties, authority, and<br />

responsibilities of boards of supervisors with respect to f<strong>in</strong>ancial adm<strong>in</strong>istration, taxes,<br />

purchas<strong>in</strong>g, and public borrow<strong>in</strong>g is found <strong>in</strong> subsequent chapters of this book.<br />

26

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