KRS 216.320

Upon the completion of all procedures necessary for the creation of a taxing district as provided in KRS 65.182, the fiscal court shall notify the secretary and the secretary shall establish the district within the medical service area in which that county is located, and shall certify his act to the county judge/executive and county clerk of each county, which is a part of the district, the state local finance officer and to the Secretary of State. The district shall then be a taxing district within the meaning of Section 157 of the Kentucky Constitution for the carrying out of the purposes for which the district was created, and for executing the powers with which it is vested. The county submitting the resolution to the secretary shall be a participating county in the district. The remaining counties in the medical service area may become participating counties upon compliance with the requirements prescribed in KRS 216.317.