If an eligible county abolishes its local board of health and transfers its powers and duties to the board of county commissioners, what kind of local public health agency may it have?

The county is still subject to the state law that requires it to provide public health services by operating or participating in a local public health agency, or contracting with the state. Therefore, a county that takes this action could operate a county health department, a consolidated human services agency, or contract with the state to provide public health services. It may be that such a county could operate a single-county public health authority as well, if the statute that authorizes commissioners to assume the duties of human services boards that are appointed by the commissioners extends to the board of a public health authority.

It does not appear that a county that takes this action could participate in a multi-county district health department, as the board of commissioners of an eligible county may assume direct control only of those commissions, boards or agencies over which it has jurisdiction. District health departments and multi-county public health authorities include two or more counties by definition.