2023 Arizona Revised Statutes › Title 48 - Special Taxing Districts › § 48-5501.01 - Establishment of special health care district

48-5501.01.
Establishment of special health care district
A. In a county with a population of two million or more persons,  the county board of supervisors may submit to a vote of the qualified electors the question of forming a special health care district. The board of supervisors may submit as a single issue the question of forming the special health care district with authority to impose a secondary property tax pursuant to sections 48-5563 and 48-5565 and bonding authority. A special health care district formed pursuant to this section shall be geographically coterminous with the county boundaries,  and the qualified electors of the county are qualified electors for any election held pursuant to this section.
B. If a majority of the qualified electors voting on the issue approves the formation of the special health care district,  the board of supervisors shall order the establishment of the special health care district and shall serve as the board of directors of the district until directors are elected at the next general election as prescribed by section 48-5541.01. The order of the board of supervisors establishing the special health care district is final,  and the special health care district is established on issuance of the order establishing the district.
C. The board of supervisors may also include at the formation election or at any other election called for that purpose the question of issuance of bonds pursuant to section 48-5566. Any election that includes the question of issuance of bonds must be held on the first Tuesday following the first Monday in November as prescribed by section 16-204,  subsection B,  paragraph 1,  subdivision (d).
D. A special health care district is a tax levying public improvement district for all purposes of article XIII,  section 7,  Constitution of Arizona,  to the extent of the powers,  privileges and immunities conferred by this chapter or granted generally to tax levying public improvement districts by the constitution and statutes of this state.
E. If a special health care district is established pursuant to this section,  beginning in the fiscal year that county health care system operations are transferred to the district,  the economic estimates commission shall decrease the county's base expenditure limit as provided by section 41-563 by an amount determined as follows:
1. Divide the amount of the county s expenditures subject to limitation that pertain to the transferred health care system operations for the preceding fiscal year,  as determined by the auditor general from the annual expenditure limitation report of the county,  by the GDP price deflator,  as defined in section 41-563,  for that fiscal year used to calculate expenditure limitations for the fiscal year of the transfer.
2. Multiply the quotient by the GDP price deflator determined for fiscal year 1979-1980.
3. Divide the amount determined in paragraph 2 for the fiscal year of the transfer by the population of the county,  as defined in article IX,  section 20,  subsection (3),  paragraph (f),  Constitution of Arizona,  for the same fiscal year used to calculate expenditure limitations for the fiscal year of the transfer.
4. Multiply the quotient by the population of the county for fiscal year 1979-1980.