Pursuant to section 3709.32 of the Revised Code, state subsidy to general and city health districts by the department of health is subject to the following:
(A) No health district shall be eligible for or be paid a state subsidy unless:
(1) The health district has been provided local funds for public health services, as determined by the health commissioner and board of health, totaling at least three dollars per capita, according to the most recent federal decennial census or the United States census bureau's most recent population estimate, however, the director may grant an exception to the requirements of this paragraph when it is shown to his satisfaction that unusually severe economic conditions prevent the health district from receiving adequate tax revenues.
(2) The certification of funds expended by the health district is endorsed by the director.
(3) The health district has submitted, by the time requested, all data, reports, and other information concerning services and costs associated with state subsidy distribution required by the director of health.
(4) The health district has not decreased local funds in the local health department budget in anticipation of using state subsidy funds to provide services normally supported by local revenues.
(a) The requirement as provided in rule 3701-36-03 of the Administrative Code that the health district has been represented by the health commissioner or a designee at each conference provided by the Ohio department of health pursuant to section 3701.29 of the Revised Code, and the health commissioner has personally attended one of these conferences and the medical director of a health district with a non-physician health commissioner has attended at least one session of one of the conferences; and
(b) The requirement that all funds received by the health district, including any state subsidy awarded during the preceding year under section 3709.32 of the Revised Code, have been credited to the budget of the local health department and expended for purposes determined by the health commissioner and board of health in accordance with all applicable laws and rules governing the expenditure of funds.
(B) Each health district meeting the improvement minimum standards and which is otherwise eligible for a state subsidy shall be paid the subsidy to be computed as follows:
(1) Health districts that are in compliance with the minimum standards contained in this chapter of the Administrative Code may be paid a pro rata amount not to total more than fifty cents on a per capita basis according to the most recent federal decennial census or the United States census bureau's most recent population estimate .
(2) If the amount appropriated by the general assembly in any fiscal year for state health district subsidy exceeds fifty cents per capita for health districts that qualify for any subsidy under this rule, health districts that are in compliance with one or more of the optimal achievable standards contained in this chapter of the Administrative Code may be paid an additional subsidy amount for each optimal achievable standard met, on a per capita basis according to the most recent United States census bureau's population figures, as determined by the director. In addition to compliance with one or more of the optimal achievable standards, a health district must comply with all minimum standards to qualify for an additional subsidy.