A. The board of directors shall superintend the construction of medical facilities and the delivery of ambulatory medical services and ambulance service, if any, as specified in the approved report of the health services survey.

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B. The construction of medical facilities or any portion thereof may be performed under the direction of the board of directors in consultation with the department and in any of the following ways, as ordered by the board of directors:

1. By purchasing the material and performing the work.

2. By purchasing the material and letting a contract for performance of the work.

3. By purchasing a portion or none of the material and letting a contract for furnishing the balance or all of the material and performance of the work.

C. Services authorized pursuant to subsection A may be performed, as ordered by the board, in any of the following ways, either singly or in combination:

1. By providing the facility and performing the services.

2. By supplying all, none or a portion of the facilities and letting a contract for the balance of the facilities, and providing the services.

3. By supplying the facility and providing all, none, or a portion of the services and letting a contract for the balance of the services.

D. All contracts shall be let to the lowest responsible bidder submitting a sealed bid in response to a call for bids published once each week for two consecutive weeks in a newspaper of general circulation in the county. The call for bids shall include a detailed description of the services required. If materials to be purchased without the letting of a contract cost one thousand dollars or more, they shall be purchased from the lowest responsible bidder after publication of a call for bids as provided by this subsection.

E. All work recommended in the approved report shall be performed in conformity with the plans and specifications contained in the report unless the board of directors by a two-thirds vote adopts a resolution declaring that the interest of the district requires a modification of or departure from the report, and specifying the modification or departure.

F. Contracts for direct health services provided by physicians, professional nurses, or physician assistants licensed or certified pursuant to title 32 shall be exempt from the bidding requirements prescribed by subsection D.

G. Among the medical services provided at such medical clinics, there shall be no drug, surgical procedure or other service provision administered or prescribed for the purpose of causing, directly or indirectly, an abortion of an unborn embryo or fetus at any stage of development. Neither shall such service be contracted to any other medical or paramedical group to be performed.