In 1945, the California Legislature passed the Local Hospital District Law upon which most of the 79 health care districts were established in the State of California. Twenty years later, the Legislature passed the District Reorganization Act of 1965 which further framed the role of health care districts. In short, health care districts were created to develop local health care infrastructure to operate hospitals and other health related facilities and services in underserved areas. Districts were also charged to itemize locally identified needs and fund locally developed initiatives that promote community health and well-being.
