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The El Camino Hospital District (ECHD) was established by voter approval in 1956 in accordance with California's Local Hospital District Law. ECHD oversees and approves ECHD tax-dollar expenditures, including expenditures for the Community Benefit Plan, which provides critical health services to the underserved. All ECHD tax-dollar expenditures are reviewed and approved at regular meetings of the District Board, which are open to the public.