S.B. No. 221 AN ACT 1-1 relating to the creation, administration, powers, duties, 1-2 operation, and financing of the West Community Hospital District; 1-3 authorizing a tax; granting the authority to issue bonds. 1-4 BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS: 1-5 ARTICLE 1. GENERAL PROVISIONS 1-6 SECTION 1.01. DEFINITIONS. In this Act: 1-7 (1) "District" means the West Community Hospital 1-8 District. 1-9 (2) "Board" means the board of directors of the 1-10 district. 1-11 (3) "Director" means a member of the board. 1-12 SECTION 1.02. DISTRICT AUTHORIZATION. The West Community 1-13 Hospital District may be created and established and, if created, 1-14 must be maintained, operated, and financed in the manner provided 1-15 by Article IX, Section 9, of the Texas Constitution and by this 1-16 Act. 1-17 SECTION 1.03. BOUNDARIES. Except as provided by Section 1-18 3.07 of this Act, the boundaries of the district are coextensive 1-19 with the boundaries of the West Independent School District in 1-20 McLennan County and the boundaries of the Gholson Independent 1-21 School District in McLennan County. The district does not include 1-22 any portion of those districts located in Hill County. 1-23 ARTICLE 2. TEMPORARY DIRECTORS 1-24 SECTION 2.01. TEMPORARY DIRECTORS. On the effective date of 2-1 this Act, the following persons become temporary directors of the 2-2 district: 2-3 (1) David W. Pareya; 2-4 (2) Ray Holasek; 2-5 (3) Richard Griffin; 2-6 (4) Larry Lichnovsky; 2-7 (5) Freddie Kaluza; 2-8 (6) Martha Shaw; 2-9 (7) Phyllis Jackson; 2-10 (8) Dee Anne Reaves; 2-11 (9) Jose Eisma, M.D.; 2-12 (10) George Smith, D.O.; 2-13 (11) Charles Harsanyi; 2-14 (12) Helen Ballew; 2-15 (13) H. T. Sexton; and 2-16 (14) Tim Harrington. 2-17 SECTION 2.02. VACANCY IN OFFICE. The directors remaining 2-18 after a vacancy in the office of a temporary director shall fill 2-19 the vacancy by appointment by majority vote. 2-20 ARTICLE 3. CREATION OF DISTRICT 2-21 SECTION 3.01. CREATION ELECTIONS. The district may be 2-22 created and a tax may be authorized only if the creation and the 2-23 tax are approved by a majority of the qualified voters of the 2-24 territory of the proposed district voting at elections called and 2-25 held for that purpose. 2-26 SECTION 3.02. ORDERING ELECTION. (a) A majority of the 2-27 temporary directors of the district may order two creation 3-1 elections to be held as prescribed by Subsection (c) of this 3-2 section. 3-3 (b) On presentation of a petition for a creation election 3-4 signed by at least 50 of the registered voters of the territory of 3-5 the proposed district, according to the most recent official list 3-6 of registered voters, the temporary directors shall order two 3-7 creation elections to be held as prescribed by Subsection (c) of 3-8 this section. The elections shall be called not later than the 3-9 60th day after the date the petition is presented to the district. 3-10 (c) The election orders must call for an election to be held 3-11 in the territory within the West Independent School District 3-12 boundaries in McLennan County and a separate election to be held in 3-13 the territory within the Gholson Independent School District 3-14 boundaries in McLennan County. Both elections must be held on the 3-15 same date. 3-16 SECTION 3.03. ELECTION ORDER. The orders calling the 3-17 elections must state: 3-18 (1) the nature of the elections, including the 3-19 proposition that is to appear on each ballot; 3-20 (2) the date of the elections; 3-21 (3) the hours during which the polls will be open; and 3-22 (4) the location of the polling places. 3-23 SECTION 3.04. NOTICE. The temporary directors shall give 3-24 notice of the elections by publishing a substantial copy of the 3-25 election orders in a newspaper of general circulation in the 3-26 proposed district once a week for two consecutive weeks. The first 3-27 publication must appear at least 35 days before the date set for 4-1 the elections. 4-2 SECTION 3.05. ELECTION DATE. (a) The elections shall be 4-3 held not less than 45 days or more than 60 days after the date on 4-4 which the elections are ordered. 4-5 (b) Subsection (a), Section 41.001, Election Code, does not 4-6 apply to an election ordered under this article. 4-7 SECTION 3.06. BALLOT PROPOSITION. The ballot for the 4-8 elections shall be printed to permit voting for or against the 4-9 proposition: "The creation of the West Community Hospital District 4-10 and the levy of annual taxes for hospital purposes at a rate not to 4-11 exceed 40 cents on each $100 valuation of all taxable property in 4-12 the district." 4-13 SECTION 3.07. CANVASSING RETURNS. (a) Immediately after 4-14 the elections, the presiding judge of each polling place shall 4-15 deliver returns of the elections to the temporary directors, and 4-16 the temporary directors shall canvass the returns and declare the 4-17 results. 4-18 (b) If a majority of the votes cast at the elections in both 4-19 school districts favor creation of the district, the board shall 4-20 declare the district created and shall enter the results in its 4-21 minutes. If the election results are favorable in the territory 4-22 included in the West Independent School District, but not in the 4-23 territory included in the Gholson Independent School District, the 4-24 temporary directors shall set the boundaries of the district to 4-25 include only the territory included in the West Independent School 4-26 District. If a majority of the votes cast at each election or at 4-27 the election in the territory included in the West Independent 5-1 School District are against the creation of the district, the board 5-2 shall declare that the creation of the district was defeated and 5-3 shall enter the results in its minutes. 5-4 (c) If the creation of the district is defeated, the board 5-5 may call and hold additional creation elections, but another 5-6 creation election may not be called and held by the board within 5-7 six months after the date of the most recent creation election. 5-8 SECTION 3.08. EXPIRATION OF ACT. If the creation of the 5-9 district is not approved at an election held within 60 months after 5-10 the effective date of this Act, this Act expires. 5-11 ARTICLE 4. DISTRICT ADMINISTRATION 5-12 SECTION 4.01. BOARD OF DIRECTORS. (a) Except as provided 5-13 by Subsection (b) of this section, the district is governed by a 5-14 board of seven directors. 5-15 (b) If the temporary directors set the boundaries of the 5-16 district to include only the territory included in the West 5-17 Independent School District in accordance with Subsection (b) of 5-18 Section 3.07 of this Act, the district is governed by a board of 5-19 five directors. 5-20 (c) From the time the creation of the district is approved 5-21 until the elected directors take office, the temporary directors 5-22 serve as directors of the district. 5-23 SECTION 4.02. INITIAL DIRECTORS ELECTION. (a) Directors 5-24 shall be elected at an election to be held on the first Saturday in 5-25 May following the creation of the district. 5-26 (b) After the initial election of directors, the directors 5-27 shall draw lots to determine which three directors shall serve 6-1 one-year terms and which four directors shall serve two-year terms. 6-2 If the number of directors is reduced to five under Subsection (b) 6-3 of Section 4.01 of this Act, after the initial election of 6-4 directors, the directors shall draw lots to determine which two 6-5 directors shall serve one-year terms and which three directors 6-6 shall serve two-year terms. 6-7 SECTION 4.03. METHOD OF ELECTION; STAGGERED TERMS; TERM OF 6-8 OFFICE. (a) The temporary directors shall establish the five or 6-9 seven precincts, as appropriate, from which the directors are 6-10 elected. The precincts must be contiguous and substantially equal 6-11 in population, according to the most recent federal decennial 6-12 census. 6-13 (b) One director shall be elected from each precinct. 6-14 (c) After the initial election of directors, an election 6-15 shall be held on the first Saturday in May each year to elect the 6-16 appropriate number of successor directors. 6-17 (d) Except as provided by Subsection (b) of Section 4.02 of 6-18 this Act and Subsection (e) of this section, each director is 6-19 elected for a two-year term. 6-20 (e) The board shall revise each precinct after the 6-21 publication of each federal decennial census to reflect population 6-22 changes. At the first election after the precincts are revised, a 6-23 new director shall be elected from each precinct. The directors 6-24 shall draw lots to determine which two or three directors, as 6-25 appropriate, shall serve one-year terms and which three or four 6-26 directors, as appropriate, shall serve two-year terms. 6-27 SECTION 4.04. NOTICE OF ELECTION. At least 35 days before 7-1 the date of an election of directors, notice of the election shall 7-2 be published one time in a newspaper with general circulation in 7-3 the district. 7-4 SECTION 4.05. APPLICATION. (a) A person who wishes to have 7-5 the person's name printed on the ballot as a candidate for director 7-6 must file with the secretary of the board of directors an 7-7 application on a form provided by the district asking that the 7-8 person's name be placed on the ballot. 7-9 (b) The application must specify the precinct that the 7-10 candidate wishes to represent. 7-11 SECTION 4.06. QUALIFICATIONS FOR OFFICE. (a) To be 7-12 eligible to be a candidate for or to serve as a director, a person 7-13 must be: 7-14 (1) a resident of the district; and 7-15 (2) a qualified voter. 7-16 (b) In addition to the qualifications required by Subsection 7-17 (a) of this section, a person who is elected from a precinct or who 7-18 is appointed to fill a vacancy for a precinct must be a resident of 7-19 that precinct. 7-20 (c) An employee of the district may not serve as a director. 7-21 SECTION 4.07. BOND. (a) Before assuming the duties of the 7-22 office, each director must execute a bond for $5,000 payable to the 7-23 district, conditioned on the faithful performance of the person's 7-24 duties as director. 7-25 (b) The bond shall be kept in the permanent records of the 7-26 district. 7-27 (c) The director shall obtain the bond from an insurance 8-1 company authorized to do business in this state. The board shall 8-2 pay for the director's bond with district funds. 8-3 SECTION 4.08. BOARD VACANCY. (a) Except as provided by 8-4 Subsection (b) of this section, a vacancy in the office of director 8-5 shall be filled for the unexpired term by appointment by the 8-6 remaining directors. The person appointed must have the 8-7 qualifications prescribed by Section 4.06 of this Act. 8-8 (b) If the offices of five or more directors are vacant 8-9 simultaneously, the remaining directors shall call a special 8-10 election to fill the unexpired terms. Sections 3.03, 3.04, and 8-11 3.05 of this Act apply to an election called under this subsection. 8-12 SECTION 4.09. OFFICERS. The board shall elect from among 8-13 its members a president, a vice-president, and a treasurer. The 8-14 board shall also appoint a secretary. The secretary need not be a 8-15 director. 8-16 SECTION 4.10. OFFICERS' TERMS; VACANCY. (a) Each officer 8-17 of the board serves for a term of one year. 8-18 (b) The board shall fill a vacancy in a board office for the 8-19 unexpired term. 8-20 SECTION 4.11. COMPENSATION. Directors and officers serve 8-21 without compensation but may be reimbursed for actual expenses 8-22 incurred in the performance of official duties. Those expenses 8-23 must be reported in the district's minute book or other district 8-24 records and must be approved by the board. 8-25 SECTION 4.12. QUORUM; VOTING REQUIREMENT. (a) Except as 8-26 necessary to call a special election under Subsection (b) of 8-27 Section 4.08 of this Act, a majority of the membership of the board 9-1 constitutes a quorum for the transaction of business. 9-2 (b) A concurrence of a majority of the members of the board 9-3 voting is necessary in matters relating to the business of the 9-4 district. 9-5 SECTION 4.13. ADMINISTRATOR. (a) The board may appoint a 9-6 qualified person as administrator of the district. 9-7 (b) The administrator serves at the will of the board. 9-8 (c) The administrator is entitled to compensation as 9-9 determined by the board. 9-10 (d) Before assuming the duties of administrator, the person 9-11 appointed shall execute a bond payable to the hospital district in 9-12 the amount of not less than $5,000 as determined by the board, 9-13 conditioned on the faithful performance of duties under this Act. 9-14 The bond shall be kept in the permanent records of the district. 9-15 The administrator shall obtain the bond from an insurance company 9-16 authorized to do business in this state. The board may pay for the 9-17 bond with district funds. 9-18 SECTION 4.14. APPOINTMENTS TO STAFF. The board may appoint 9-19 to or remove from the staff any doctors as the board considers 9-20 necessary for the efficient operation of the district and may make 9-21 temporary appointments as considered necessary. The board may 9-22 adopt policies relating to the method of appointing and removing 9-23 staff members. 9-24 SECTION 4.15. TECHNICIANS, NURSES, AND OTHER DISTRICT 9-25 EMPLOYEES. (a) The district may employ technicians, nurses, 9-26 fiscal agents, accountants, architects, attorneys, and other 9-27 necessary employees. 10-1 (b) The board may delegate to the administrator the 10-2 authority to employ persons for the district. 10-3 SECTION 4.16. PROFESSIONAL PERSONNEL RECRUITMENT. The board 10-4 may employ innovative methods to recruit physicians, nurses, 10-5 technicians, and other professional personnel. The methods may 10-6 include scholarship programs, agreements for future services, 10-7 shared personnel, bonuses, and any other method the district 10-8 considers necessary. 10-9 SECTION 4.17. GENERAL DUTIES OF ADMINISTRATOR. The 10-10 administrator shall supervise the work and activities of the 10-11 district and shall direct the general affairs of the district, 10-12 subject to the limitations prescribed by the board. 10-13 SECTION 4.18. RETIREMENT BENEFITS. The board may provide 10-14 retirement benefits for employees of the district by establishing 10-15 or administering a retirement program or by electing to participate 10-16 in the Texas County and District Retirement System or in any other 10-17 statewide retirement system in which the district is eligible to 10-18 participate. 10-19 ARTICLE 5. POWERS AND DUTIES 10-20 SECTION 5.01. RESPONSIBILITY OF AND LIMITATION ON 10-21 GOVERNMENTAL ENTITY. (a) On creation of the district, West 10-22 Hospital Authority and McLennan County shall convey or transfer to 10-23 the district: 10-24 (1) title to land, buildings, improvements, and 10-25 equipment related to any hospital system located in the district 10-26 that is owned by the West Hospital Authority or McLennan County; 10-27 (2) operating funds and reserves for operating 11-1 expenses and funds that have been budgeted by the West Hospital 11-2 Authority or McLennan County to provide medical care for residents 11-3 of the district for the remainder of the fiscal year in which the 11-4 district is established; 11-5 (3) accounts receivable of the West Hospital Authority 11-6 or McLennan County for medical care provided for residents of the 11-7 district; 11-8 (4) taxes levied by McLennan County for hospital 11-9 purposes for residents of the district for the year in which the 11-10 district is created; and 11-11 (5) funds established for payment of indebtedness 11-12 assumed by the district. 11-13 (b) On or after creation of the West Community Hospital 11-14 District, another political entity may not levy taxes or issue 11-15 bonds or other obligations for hospital purposes or for providing 11-16 medical care for the residents of the district. 11-17 SECTION 5.02. DISTRICT RESPONSIBILITIES. (a) On creation 11-18 of the district, the district: 11-19 (1) assumes full responsibility for operating hospital 11-20 facilities and for furnishing medical and hospital care for the 11-21 district's needy inhabitants; 11-22 (2) assumes any outstanding indebtedness, including 11-23 bonded indebtedness, incurred by the West Community Hospital, the 11-24 West Hospital Authority, or McLennan County for hospital purposes 11-25 for residents of the district before the district's creation; 11-26 (3) may operate or provide for the operation of a 11-27 mobile emergency medical or air ambulance service; and 12-1 (4) may operate or provide for home-health services, 12-2 long-term care, skilled nursing care, intermediate nursing care, 12-3 hospital care, or any other reasonable or appropriate medical care 12-4 or medical services. 12-5 (b) The board has complete discretion as to the type and 12-6 extent of services the district will offer. The district may 12-7 provide any services the board finds necessary for hospital or 12-8 medical care, including necessary nurses or domiciliaries. 12-9 SECTION 5.03. MANAGEMENT, CONTROL, AND ADMINISTRATION. The 12-10 board shall manage, control, and administer the hospital system and 12-11 the funds and resources of the district. 12-12 SECTION 5.04. DISTRICT RULES. The board may adopt rules 12-13 governing the operations of the hospital and hospital system and 12-14 the duties, functions, and responsibilities of district staff and 12-15 employees. 12-16 SECTION 5.05. METHODS AND PROCEDURES. (a) The board may 12-17 prescribe the method of making purchases and expenditures by and 12-18 for the district. 12-19 (b) The board may prescribe accounting and control 12-20 procedures for the district. 12-21 (c) The board may spend money to recruit physicians, nurses, 12-22 and other personnel, except as prohibited by law. 12-23 SECTION 5.06. HOSPITAL FACILITIES. (a) The board shall 12-24 determine the type, number, and location of buildings required to 12-25 establish and maintain an adequate hospital system and the type of 12-26 equipment necessary for hospital care. 12-27 (b) The district has complete discretion as to the type and 13-1 extent of services the district will offer. The district may 13-2 provide any facilities the board finds necessary for hospital or 13-3 medical care, including facilities for: 13-4 (1) domiciliary care, including geriatric domiciliary 13-5 care; 13-6 (2) outpatient clinics and minor emergency centers; 13-7 (3) dispensaries; 13-8 (4) convalescent homes; 13-9 (5) blood banks; 13-10 (6) community mental health centers; 13-11 (7) alcohol or chemical dependency centers; 13-12 (8) research centers; 13-13 (9) laboratories; or 13-14 (10) training centers. 13-15 (c) The board may acquire property, facilities, and 13-16 equipment for the district for use in the hospital system and may 13-17 mortgage or pledge the property, facilities, or equipment acquired 13-18 as security for the payment of the purchase price. 13-19 (d) The board may lease hospital facilities on behalf of the 13-20 district. 13-21 (e) The board may sell or otherwise dispose of property, 13-22 facilities, or equipment on behalf of the district at public or 13-23 private sale and at the price and terms the board considers most 13-24 advantageous. The board shall give notice of intent to sell land 13-25 or buildings by publishing a notice of intent in a newspaper with 13-26 general circulation in McLennan County, Texas, not later than the 13-27 30th day before the date of the sale. 14-1 (f) Subchapter D, Chapter 285, Health and Safety Code, does 14-2 not apply to the district. 14-3 SECTION 5.07. CONSTRUCTION CONTRACTS. (a) The board may 14-4 enter into construction contracts on behalf of the district. 14-5 However, the board may enter into construction contracts that 14-6 involve spending more than $10,000 only after competitive bidding 14-7 as provided by Subchapter B, Chapter 271, Local Government Code. 14-8 (b) Article 5160, Revised Statutes, as it relates to 14-9 performance and payment bonds, applies to construction contracts 14-10 let by the district. 14-11 SECTION 5.08. DISTRICT OPERATING AND MANAGEMENT CONTRACTS. 14-12 The board may enter into operating or management contracts relating 14-13 to hospital facilities on behalf of the district. 14-14 SECTION 5.09. EXPENSES FOR MOVING FACILITIES OF RAILROADS 14-15 AND UTILITIES. In exercising the power of eminent domain, if the 14-16 board requires relocating, raising, lowering, rerouting, changing 14-17 the grade, or altering the construction of any railroad, highway, 14-18 pipeline, or electric transmission and electric distribution, 14-19 telegraph, or telephone lines, conduits, poles, or facilities, the 14-20 district must bear the actual cost of relocating, raising, 14-21 lowering, rerouting, changing the grade, or altering the 14-22 construction to provide comparable replacement without enhancement 14-23 of facilities, after deducting the net salvage value derived from 14-24 the old facility. 14-25 SECTION 5.10. INDIGENT CARE. (a) The district shall supply 14-26 care and treatment without charge to a patient who resides in the 14-27 district if the patient or relative who is legally responsible for 15-1 the patient's support cannot pay for the care and treatment, as 15-2 required by Article IX, Section 9, of the Texas Constitution. Care 15-3 and treatment provided under this subsection is limited to the 15-4 hospital inpatient and outpatient services that the hospital 15-5 regularly provides to other patients. 15-6 (b) The district may adopt, amend, or repeal policies or 15-7 rules relating to indigent health care, including policies or rules 15-8 relating to: 15-9 (1) eligibility of patients for indigent health care; 15-10 (2) application forms for patients or relatives of 15-11 patients requesting indigent health care that may require personal 15-12 and financial information to be furnished; 15-13 (3) procedures for obtaining and completing 15-14 applications for indigent health care and for filing the completed 15-15 applications with the district; 15-16 (4) procedures for reviewing applications to determine 15-17 eligibility for indigent health care; and 15-18 (5) other procedures under this section. 15-19 (c) The application procedure to determine eligibility for 15-20 indigent health care must be adopted not later than the beginning 15-21 of each operating year and must comply with Section 61.053, Health 15-22 and Safety Code. 15-23 (d) The administrator of the district may have an inquiry 15-24 made into the financial circumstances of any patient residing in 15-25 the district and admitted to a district facility and into the 15-26 financial circumstances of a relative of the patient who is legally 15-27 responsible for the patient's support. 16-1 (e) On finding that the patient or a relative of the patient 16-2 who is legally responsible for the patient's support can pay for 16-3 all or any part of the care and treatment provided by the district, 16-4 the administrator shall issue an order directing the patient or the 16-5 relative to pay the district each week a specified amount that the 16-6 individual is able to pay. 16-7 (f) The administrator may collect money owed to the district 16-8 from the estate of the patient or from that of a relative who was 16-9 legally responsible for the patient's support in the manner 16-10 provided by law for collection of expenses in the last illness of a 16-11 deceased person. 16-12 (g) If there is a dispute relating to an individual's 16-13 ability to pay, the board may call witnesses, issue subpoenas duces 16-14 tecum, administer oaths, hear and resolve the question, and issue a 16-15 final order. An appeal from a final order of the board must be 16-16 made to a district court in the county in which the district is 16-17 located and the substantial evidence rule applies. 16-18 SECTION 5.11. REIMBURSEMENT FOR SERVICES. (a) The board 16-19 shall require reimbursement from a county, city, or public hospital 16-20 located outside the boundaries of the district for the district's 16-21 care and treatment of a sick, a diseased, or an injured person of 16-22 that county, city, or public hospital as provided by Chapter 61, 16-23 Health and Safety Code. 16-24 (b) The board shall require reimbursement from the sheriff 16-25 of McLennan County for the district's care and treatment of a 16-26 person confined in a jail facility of McLennan County who is not a 16-27 resident of the district. 17-1 (c) The board may contract with state or federal government 17-2 for the state or federal government to reimburse the district for 17-3 treatment of a sick, a diseased, or an injured person. 17-4 SECTION 5.12. DISTRICT LIABILITY FOR SERVICES AND PAYMENTS. 17-5 (a) The district liability for payment for a particular mandatory 17-6 medical service for an eligible district resident is limited to the 17-7 payment standard established under the AFDC-1 Medicaid program. 17-8 (b) The district liability under this section for hospital 17-9 inpatient and outpatient services is limited to the hospital 17-10 inpatient and outpatient services that the hospital regularly 17-11 provides to other patients. 17-12 (c) Subsections (a) and (b) of this section do not apply if 17-13 the district contracts with the provider for the services and the 17-14 provider certifies that the provider will comply with Subsections 17-15 (a) and (b) for each service rendered. 17-16 SECTION 5.13. SERVICE CONTRACTS. The board may contract 17-17 with a city, county, special district, or other political 17-18 subdivision of the state or federal agency for the district to 17-19 furnish a mobile emergency medical or air ambulance service or to 17-20 provide for the investigatory or welfare needs of inhabitants of 17-21 the district. 17-22 SECTION 5.14. GIFTS AND ENDOWMENTS. On behalf of the 17-23 district, the board may accept gifts and endowments to be held in 17-24 trust for any purpose and under any direction, limitation, or 17-25 provision prescribed in writing by the donor that is consistent 17-26 with the proper management of the district. 17-27 SECTION 5.15. AUTHORITY TO SUE AND BE SUED. The board may 18-1 sue and be sued on behalf of the district. 18-2 ARTICLE 6. DISTRICT FINANCES 18-3 SECTION 6.01. FISCAL YEAR. (a) The district operates on 18-4 the fiscal year established by the board. 18-5 (b) The fiscal year may not be changed when revenue bonds of 18-6 the district are outstanding or more than once in a 24-month 18-7 period. 18-8 SECTION 6.02. ANNUAL AUDIT. Annually, the board shall have 18-9 an audit made of the financial condition of the district. 18-10 SECTION 6.03. DISTRICT AUDIT AND RECORDS. The annual audit 18-11 and other district records are open to inspection during regular 18-12 business hours at the principal office of the district. 18-13 SECTION 6.04. ANNUAL BUDGET. (a) The administrator of the 18-14 district shall prepare a proposed annual budget for the district. 18-15 (b) The proposed budget must contain a complete financial 18-16 statement, including a statement of: 18-17 (1) the outstanding obligations of the district; 18-18 (2) the amount of cash on hand to the credit of each 18-19 fund of the district; 18-20 (3) the amount of money received by the district from 18-21 all sources during the previous year; 18-22 (4) the amount of money available to the district from 18-23 all sources during the ensuing year; 18-24 (5) the amount of the balances expected at the end of 18-25 the year in which the budget is being prepared; 18-26 (6) the estimated amount of revenues and balances 18-27 available to cover the proposed budget; and 19-1 (7) the estimated tax rate that will be required. 19-2 SECTION 6.05. NOTICE; HEARING; ADOPTION OF BUDGET. (a) The 19-3 board shall hold a public hearing on the proposed annual budget. 19-4 (b) The board shall publish notice of the hearing in a 19-5 newspaper of general circulation in the district not later than the 19-6 10th day before the date of the hearing. 19-7 (c) Any resident of the district is entitled to be present 19-8 and participate at the hearing. 19-9 (d) At the conclusion of the hearing, the board shall adopt 19-10 a budget by acting on the budget proposed by the administrator. 19-11 The board may make any changes in the proposed budget that in its 19-12 judgment the interests of the taxpayers demand. 19-13 (e) The budget is effective only after adoption by the 19-14 board. 19-15 SECTION 6.06. AMENDING BUDGET. After adoption, the annual 19-16 budget may be amended on the board's approval. 19-17 SECTION 6.07. LIMITATION ON EXPENDITURES. Money may not be 19-18 spent for an expense not included in the annual budget or an 19-19 amendment to it. 19-20 SECTION 6.08. SWORN STATEMENT. As soon as practicable after 19-21 the close of the fiscal year, the administrator shall prepare for 19-22 the board a sworn statement of the amount of money that belongs to 19-23 the district and an account of the disbursements of that money. 19-24 SECTION 6.09. SPENDING AND INVESTMENTS LIMITATIONS. 19-25 (a) Except as provided by Subsection (a) of Section 5.07 and 19-26 Sections 6.10, 7.01, 7.04, and 7.05 of this Act, the district may 19-27 not incur a debt payable from revenues of the district other than 20-1 the revenues on hand or to be on hand in the current and 20-2 immediately following fiscal years of the district. 20-3 (b) The board may invest operating, depreciation, or 20-4 building reserves only in funds or securities specified by Article 20-5 836 or 837, Revised Statutes. 20-6 SECTION 6.10. BORROWING MONEY. The district may borrow 20-7 money to pay its operating expenses in an amount not to exceed the 20-8 amount of tax revenue that the district expects to receive during 20-9 the 12-month period following the date on which the money is 20-10 borrowed. The district may pledge all or any part of those tax 20-11 revenues to the payment of the amounts borrowed. 20-12 SECTION 6.11. DEPOSITORY. (a) The board shall name at 20-13 least one bank to serve as depository for district funds. 20-14 (b) District funds, other than those invested as provided by 20-15 Subsection (b) of Section 6.09 of this Act and those transmitted to 20-16 a bank for payment of bonds or obligations issued or assumed by the 20-17 district, shall be deposited as received with the depository bank 20-18 and must remain on deposit. This subsection does not limit the 20-19 power of the board to place a portion of district funds on time 20-20 deposit or to purchase certificates of deposit. 20-21 (c) Before the district deposits funds in a bank in an 20-22 amount that exceeds the maximum amount secured by the Federal 20-23 Deposit Insurance Corporation, the bank must execute a bond or 20-24 other security in an amount sufficient to secure from loss the 20-25 district funds that exceed the amount secured by the Federal 20-26 Deposit Insurance Corporation. 20-27 ARTICLE 7. BONDS 21-1 SECTION 7.01. GENERAL OBLIGATION BONDS. The board may issue 21-2 and sell bonds authorized by an election in the name and on the 21-3 faith and credit of the hospital district to: 21-4 (1) purchase, construct, acquire, repair, or renovate 21-5 buildings or improvements; 21-6 (2) equip buildings or improvements for hospital 21-7 purposes; or 21-8 (3) acquire and operate a mobile emergency medical or 21-9 air ambulance service. 21-10 SECTION 7.02. TAXES TO PAY BONDS. (a) At the time the 21-11 bonds are issued by the district, the board shall levy a tax. 21-12 (b) The tax must be sufficient to create an interest and 21-13 sinking fund to pay the principal of and interest on the bonds as 21-14 they mature. 21-15 (c) In any year, the tax together with any other tax the 21-16 district levies may not exceed the limit approved by the voters at 21-17 the election authorizing the levy of taxes. 21-18 SECTION 7.03. BOND ELECTION. (a) The district may issue 21-19 general obligation bonds only if the bonds are authorized by a 21-20 majority of the qualified voters of the district voting at an 21-21 election called and held for that purpose. 21-22 (b) The board may order a bond election. The order calling 21-23 the election must state the nature and date of the election, the 21-24 hours during which the polls will be open, the location of the 21-25 polling places, the amounts of bonds to be authorized, and the 21-26 maximum maturity of the bonds. 21-27 (c) Notice of a bond election shall be given as provided by 22-1 Article 704, Revised Statutes. 22-2 (d) The board shall canvass the returns and declare the 22-3 results of the election. 22-4 SECTION 7.04. REVENUE BONDS. (a) The board may issue bonds 22-5 to: 22-6 (1) purchase, construct, acquire, repair, equip, or 22-7 renovate buildings or improvements for hospital purposes, including 22-8 the purposes provided by Section 5.06 of this Act; 22-9 (2) acquire sites to be used for hospital purposes; or 22-10 (3) acquire and operate a mobile emergency medical or 22-11 air ambulance service to assist the district in carrying out its 22-12 hospital purpose. 22-13 (b) The bonds must be payable from and secured by a pledge 22-14 of all or part of the revenues derived from the operation of the 22-15 district's hospital system. The bonds may be additionally secured 22-16 by a mortgage or deed of trust lien on all or part of district 22-17 property. 22-18 (c) The bonds must be issued in the manner provided by 22-19 Sections 264.042, 264.043, 264.046, 264.047, 264.048, and 264.049, 22-20 Health and Safety Code, for issuance of revenue bonds by county 22-21 hospital authorities. 22-22 SECTION 7.05. REFUNDING BONDS. (a) Refunding bonds of the 22-23 district may be issued to refund and pay off any outstanding 22-24 indebtedness the district has issued or assumed. 22-25 (b) The bonds must be issued in the manner provided by 22-26 Chapter 784, Acts of the 61st Legislature, Regular Session, 1969 22-27 (Article 717k-3, Vernon's Texas Civil Statutes). 23-1 (c) The refunding bonds may be sold and the proceeds applied 23-2 to the payment of outstanding indebtedness or may be exchanged in 23-3 whole or in part for not less than a similar principal amount of 23-4 outstanding indebtedness. If the refunding bonds are to be sold 23-5 and the proceeds applied to the payment of outstanding 23-6 indebtedness, the refunding bonds must be issued and payments made 23-7 in the manner provided by Chapter 503, Acts of the 54th 23-8 Legislature, 1955 (Article 717k, Vernon's Texas Civil Statutes). 23-9 SECTION 7.06. INTEREST AND MATURITY. District bonds must 23-10 mature not more than 50 years after the date of their issuance and 23-11 must bear interest at a rate not to exceed that provided by Chapter 23-12 3, Acts of the 61st Legislature, Regular Session, 1969 (Article 23-13 717k-2, Vernon's Texas Civil Statutes). 23-14 SECTION 7.07. EXECUTION OF BONDS. The president of the 23-15 board shall execute the bonds in the name of the district, and the 23-16 secretary of the board shall countersign the bonds in the manner 23-17 provided by the Texas Uniform Facsimile Signature of Public 23-18 Officials Act (Article 717j-1, Vernon's Texas Civil Statutes). 23-19 SECTION 7.08. APPROVAL AND REGISTRATION OF BONDS. 23-20 (a) District bonds are subject to the same requirements with 23-21 regard to approval by the attorney general and registration by the 23-22 comptroller of public accounts as the law provides for approval and 23-23 registration of bonds issued by counties. 23-24 (b) On approval by the attorney general and registration by 23-25 the comptroller of public accounts, the bonds are incontestable for 23-26 any cause. 23-27 SECTION 7.09. BONDS AS INVESTMENTS. District bonds and 24-1 indebtedness assumed by the district are legal and authorized 24-2 investments for: 24-3 (1) banks; 24-4 (2) savings banks; 24-5 (3) trust companies; 24-6 (4) savings and loan associations; 24-7 (5) insurance companies; 24-8 (6) fiduciaries; 24-9 (7) trustees; 24-10 (8) guardians; and 24-11 (9) sinking funds of cities, counties, school 24-12 districts, and other political subdivisions of the state and other 24-13 public funds of the state and its agencies, including the permanent 24-14 school fund. 24-15 SECTION 7.10. BONDS AS SECURITY FOR DEPOSITS. District 24-16 bonds are eligible to secure deposits of public funds of the state 24-17 and of cities, counties, school districts, and other political 24-18 subdivisions of the state. The bonds are lawful and sufficient 24-19 security for deposits to the extent of their value if accompanied 24-20 by all unmatured coupons. 24-21 SECTION 7.11. TAX STATUS OF BONDS. Since the district 24-22 created under this Act is a public entity performing an essential 24-23 public function, bonds issued by the district, any transaction 24-24 relating to the bonds, and profits made in the sale of the bonds 24-25 are free from taxation by the state or by any city, county, special 24-26 district, or other political subdivision of the state. 24-27 ARTICLE 8. TAXES 25-1 SECTION 8.01. LEVY OF TAXES. (a) The board may annually 25-2 levy taxes in an amount not to exceed the limit approved by the 25-3 voters at the election authorizing the levy of taxes. 25-4 (b) The tax rate for all purposes may not exceed 40 cents on 25-5 each $100 valuation of all taxable property in the district. 25-6 (c) The taxes may be used to pay: 25-7 (1) the indebtedness issued or assumed by the 25-8 district; and 25-9 (2) the maintenance and operating expenses of the 25-10 district. 25-11 (d) The district may not levy taxes to pay the principal of 25-12 or interest on revenue bonds issued under this Act. 25-13 SECTION 8.02. BOARD AUTHORITY. (a) The board may levy 25-14 taxes for the entire year in which the district is created. 25-15 (b) The board shall levy taxes on all property in the 25-16 district subject to hospital district taxation. 25-17 SECTION 8.03. SETTING OF TAX RATE. In setting the tax rate, 25-18 the board shall take into consideration the income of the district 25-19 from sources other than taxation. On determination of the amount 25-20 of tax required to be levied, the board shall make the levy and 25-21 certify it to the tax assessor-collector. 25-22 SECTION 8.04. TAX ASSESSMENT AND COLLECTION. (a) The Tax 25-23 Code governs the appraisal, assessment, and collection of district 25-24 taxes. 25-25 (b) The board may provide for the appointment of a tax 25-26 assessor-collector for the district or may contract for the 25-27 assessment and collection of taxes as provided by the Tax Code. 26-1 ARTICLE 9. DISSOLUTION OF DISTRICT 26-2 SECTION 9.01. DISSOLUTION ELECTION. The district may be 26-3 dissolved and its assets and liabilities sold or transferred to 26-4 another entity or person only if the dissolution and transfer are 26-5 approved by a majority of the qualified voters of the territory of 26-6 the district voting at an election called and held for that 26-7 purpose. 26-8 SECTION 9.02. ORDERING ELECTION. (a) A majority of the 26-9 directors may order an election to be held on the question of 26-10 dissolution of the district and the transfer of its assets and 26-11 liabilities. 26-12 (b) On presentation of a petition for a dissolution election 26-13 signed by at least 300 of the registered voters of the territory of 26-14 the district, according to the most recent official list of 26-15 registered voters, the directors shall order an election to be held 26-16 on the question of dissolution of the district and transfer of its 26-17 assets. The election shall be called not later than the 60th day 26-18 after the date the petition is presented to the district. 26-19 SECTION 9.03. ELECTION ORDER. The order calling the 26-20 election must state: 26-21 (1) the nature of the election, including the 26-22 proposition that is to appear on the ballot; 26-23 (2) the date of the election; 26-24 (3) the hours during which the polls will be open; and 26-25 (4) the location of the polling places. 26-26 SECTION 9.04. NOTICE. The directors shall give notice of 26-27 the election by publishing a substantial copy of the election order 27-1 in a newspaper with general circulation in the district once a week 27-2 for two consecutive weeks. The first publication must appear at 27-3 least 35 days before the date set for election. 27-4 SECTION 9.05. ELECTION DATE. (a) The election shall be 27-5 held not less than 45 days after the date on which the election is 27-6 ordered. 27-7 (b) Subsection (a), Section 41.001, Election Code, does not 27-8 apply to an election ordered under this article. 27-9 SECTION 9.06. BALLOT PROPOSITION. The ballot for an 27-10 election at which the dissolution of the district is proposed shall 27-11 be printed to permit voting for or against the proposition: "The 27-12 dissolution of the West Community Hospital District and the 27-13 transfer of its assets and liabilities in the following manner: 27-14 ________________________ (insert provisions for transfer)." 27-15 SECTION 9.07. CANVASSING RETURNS. (a) The directors shall 27-16 canvass the returns of the election. 27-17 (b) If the directors find that the election results are 27-18 favorable to the proposition to dissolve the district and transfer 27-19 its assets and liabilities, they shall issue an order declaring the 27-20 district dissolved and shall proceed with the sale or transfer of 27-21 its assets and liabilities according to the plan proposed on the 27-22 ballot. 27-23 (c) If the directors find that the election results are not 27-24 favorable to the proposition to dissolve the district and transfer 27-25 its assets and liabilities, another dissolution election may not be 27-26 held before the first anniversary of the date of the election at 27-27 which voters disapproved the proposition. 28-1 SECTION 9.08. TRANSFER OF ASSETS. (a) Notwithstanding any 28-2 other provision of this article, the district may not be dissolved 28-3 unless the board provides for the sale or transfer of the 28-4 district's assets and liabilities to another entity or person. The 28-5 dissolution of the district and the sale or transfer of the 28-6 district's assets and liabilities may not contravene a trust 28-7 indenture or bond resolution relating to the outstanding bonds of 28-8 the district. In addition, the dissolution and sale or transfer 28-9 may not diminish or impair the rights of the holders of any 28-10 outstanding bonds, warrants, or other obligations of the district. 28-11 (b) The sale or transfer of the district's assets and 28-12 liabilities must satisfy the debt and bond obligations of the 28-13 district in a manner that protects the interests of the residents 28-14 of the district, including their collective property rights in the 28-15 district's assets. Any grant from federal funds is considered an 28-16 obligation to be repaid in satisfaction. The district may not 28-17 transfer or dispose of the district's assets except for due 28-18 compensation unless the transfer is made to another governmental 28-19 agency embracing the district and using the transferred assets for 28-20 the benefit of residents formerly in the district. 28-21 ARTICLE 10. MISCELLANEOUS 28-22 SECTION 10.01. LIMITATION ON STATE ASSISTANCE. The state 28-23 may not become obligated for the support or maintenance of a 28-24 hospital district created under this Act, nor may the legislature 28-25 make a direct appropriation for the construction, maintenance, or 28-26 improvement of a facility of the district. 28-27 SECTION 10.02. EMERGENCY. The importance of this 29-1 legislation and the crowded condition of the calendars in both 29-2 houses create an emergency and an imperative public necessity that 29-3 the constitutional rule requiring bills to be read on three several 29-4 days in each house be suspended, and this rule is hereby suspended, 29-5 and that this Act take effect and be in force from and after its 29-6 passage, and it is so enacted.