Current with legislation from the 2023 Regular and Special Sessions signed by the Governor as of November 21, 2023.
Section 121.041 - Establishment By a majority vote of each governing body, a public health district may be established by:
(1) two or more counties;(2) two or more municipalities;(3) a county and one or more municipalities in the county; or(4) two or more counties and one or more municipalities in those counties.Tex. Health and Safety Code § 121.041
Acts 1989, 71st Leg., ch. 678, Sec. 1, eff. 9/1/1989.