1-1  By:  Sibley                                            S.B. No. 221
    1-2        (In the Senate - Filed February 1, 1993; February 2, 1993,
    1-3  read first time and referred to Committee on Intergovernmental
    1-4  Relations; February 10, 1993, reported favorably, as amended, by
    1-5  the following vote:  Yeas 10, Nays 0; February 10, 1993, sent to
    1-6  printer.)
    1-7                            COMMITTEE VOTE
    1-8                          Yea     Nay      PNV      Absent 
    1-9        Armbrister         x                               
   1-10        Leedom             x                               
   1-11        Carriker           x                               
   1-12        Henderson                                      x   
   1-13        Madla              x                               
   1-14        Moncrief           x                               
   1-15        Patterson          x                               
   1-16        Rosson             x                               
   1-17        Shapiro            x                               
   1-18        Wentworth          x                               
   1-19        Whitmire           x                               
   1-20  COMMITTEE AMENDMENT NO. 1                                By:  Madla
   1-21        Amend S.B. No. 221 in Section 5.07, on Page 7, between lines
   1-22  8 and 9, by adding Subsections (c), (d), (e), and (f) to read as
   1-23  follows:
   1-24        (c)  For each type of service rendered under a contract or
   1-25  subcontract, the district or the general contractor shall award to
   1-26  historically underutilized businesses a number of contracts, the
   1-27  dollar value of which equals the percentage that historically
   1-28  underutilized businesses comprise of the total number of businesses
   1-29  offering the service.
   1-30        (d)  The businesses that constitute historically
   1-31  underutilized businesses shall be determined by the General
   1-32  Services Commission.
   1-33        (e)  Under the goal set by this Subsection (c) of this
   1-34  section, the agency and general contractor shall give preference,
   1-35  among bids or other proposals that are otherwise comparable, to a
   1-36  bid or other proposal by a historically underutilized business
   1-37  having its home office located in this state.
   1-38        (f)  For purposes of Subsection (c) of this section,
   1-39  "historically underutilized business" means:
   1-40              (1)  a corporation formed for the purpose of making a
   1-41  profit in which at least 51 percent of all classes of the shares of
   1-42  stock or other equitable securities are owned by one or more
   1-43  persons who have been historically underutilized because of their
   1-44  identification as members of certain groups, including
   1-45  African-Americans, Hispanic-Americans, Asian Pacific Americans,
   1-46  Native Americans, and women, who have suffered the effects of
   1-47  discriminatory practices or similar insidious circumstances over
   1-48  which they have no control;
   1-49              (2)  a sole proprietorship established for the purpose
   1-50  of making a profit that is 100 percent owned, operated, and
   1-51  controlled by a person described by Subdivision (1) of this
   1-52  subsection;
   1-53              (3)  a partnership established for the purpose of
   1-54  making a profit in which 51 percent of the assets and interest in
   1-55  the partnership is owned by one or more persons described by
   1-56  Subdivision (1) of this subsection and those persons have a
   1-57  proportionate interest in the management, operation, and control of
   1-58  the partnership; or
   1-59              (4)  a joint venture in which each participant is a
   1-60  business described by Subdivision (1), (2), or (3) of this
   1-61  subsection.
   1-62                         A BILL TO BE ENTITLED
   1-63                                AN ACT
   1-64  relating to the creation, administration, powers, duties,
   1-65  operation, and financing of the West Community Hospital District;
   1-66  authorizing a tax; granting the authority to issue bonds; and
   1-67  granting the power of eminent domain.
   1-68        BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS:
    2-1                    ARTICLE 1.  GENERAL PROVISIONS
    2-2        SECTION 1.01.  DEFINITIONS.  In this Act:
    2-3              (1)  "District" means the West Community Hospital
    2-4  District.
    2-5              (2)  "Board" means the board of directors of the
    2-6  district.
    2-7              (3)  "Director" means a member of the board.
    2-8        SECTION 1.02.  DISTRICT AUTHORIZATION.  The West Community
    2-9  Hospital District may be created and established and, if created,
   2-10  must be maintained, operated, and financed in the manner provided
   2-11  by Article IX, Section 9, of the Texas Constitution and by this
   2-12  Act.
   2-13        SECTION 1.03.  BOUNDARIES.  Except as provided by Section
   2-14  3.07 of this Act, the boundaries of the district are coextensive
   2-15  with the boundaries of the West Independent School District in
   2-16  McLennan County and the boundaries of the Gholson Independent
   2-17  School District in McLennan County.  The district does not include
   2-18  any portion of those districts located in Hill County.
   2-19                    ARTICLE 2.  TEMPORARY DIRECTORS
   2-20        SECTION 2.01.  TEMPORARY DIRECTORS.  On the effective date of
   2-21  this Act, the following persons become temporary directors of the
   2-22  district:
   2-23              (1)  David W. Pareya;
   2-24              (2)  Ray Holasek;
   2-25              (3)  Richard Griffin;
   2-26              (4)  Larry Lichnovsky;
   2-27              (5)  Freddie Kaluza;
   2-28              (6)  Martha Shaw;
   2-29              (7)  Phyllis Jackson;
   2-30              (8)  Dee Anne Reaves;
   2-31              (9)  Jose Eisma, M.D.;
   2-32              (10)  George Smith, D.O.;
   2-33              (11)  Charles Harsanyi;
   2-34              (12)  Helen Ballew;
   2-35              (13)  H. T. Sexton; and
   2-36              (14)  Tim Harrington.
   2-37        SECTION 2.02.  VACANCY IN OFFICE.  The directors remaining
   2-38  after a vacancy in the office of a temporary director shall fill
   2-39  the vacancy by appointment by majority vote.
   2-40                   ARTICLE 3.  CREATION OF DISTRICT
   2-41        SECTION 3.01.  CREATION ELECTIONS.  The district may be
   2-42  created and a tax may be authorized only if the creation and the
   2-43  tax are approved by a majority of the qualified voters of the
   2-44  territory of the proposed district voting at elections called and
   2-45  held for that purpose.
   2-46        SECTION 3.02.  ORDERING ELECTION.  (a)  A majority of the
   2-47  temporary directors of the district may order two creation
   2-48  elections to be held as prescribed by Subsection (c) of this
   2-49  section.
   2-50        (b)  On presentation of a petition for a creation election
   2-51  signed by at least 50 of the registered voters of the territory of
   2-52  the proposed district, according to the most recent official list
   2-53  of registered voters, the temporary directors shall order two
   2-54  creation elections to be held as prescribed by Subsection (c) of
   2-55  this section.  The elections shall be called not later than the
   2-56  60th day after the date the petition is presented to the district.
   2-57        (c)  The election orders must call for an election to be held
   2-58  in the territory within the West Independent School District
   2-59  boundaries in McLennan County and a separate election to be held in
   2-60  the territory within the Gholson Independent School District
   2-61  boundaries in McLennan County.  Both elections must be held on the
   2-62  same date.
   2-63        SECTION 3.03.  ELECTION ORDER.  The orders calling the
   2-64  elections must state:
   2-65              (1)  the nature of the elections, including the
   2-66  proposition that is to appear on each ballot;
   2-67              (2)  the date of the elections;
   2-68              (3)  the hours during which the polls will be open; and
   2-69              (4)  the location of the polling places.
   2-70        SECTION 3.04.  NOTICE.  The temporary directors shall give
    3-1  notice of the elections by publishing a substantial copy of the
    3-2  election orders in a newspaper of general circulation in the
    3-3  proposed district once a week for two consecutive weeks.  The first
    3-4  publication must appear at least 35 days before the date set for
    3-5  the elections.
    3-6        SECTION 3.05.  ELECTION DATE.  (a)  The elections shall be
    3-7  held not less than 45 days or more than 60 days after the date on
    3-8  which the elections are ordered.
    3-9        (b)  Subsection (a), Section 41.001, Election Code, does not
   3-10  apply to an election ordered under this article.
   3-11        SECTION 3.06.  BALLOT PROPOSITION.  The ballot for the
   3-12  elections shall be printed to permit voting for or against the
   3-13  proposition:  "The creation of the West Community Hospital District
   3-14  and the levy of annual taxes for hospital purposes at a rate not to
   3-15  exceed 40 cents on each $100 valuation of all taxable property in
   3-16  the district."
   3-17        SECTION 3.07.  CANVASSING RETURNS.  (a)  Immediately after
   3-18  the elections, the presiding judge of each polling place shall
   3-19  deliver returns of the elections to the temporary directors, and
   3-20  the temporary directors shall canvass the returns and declare the
   3-21  results.
   3-22        (b)  If a majority of the votes cast at the elections in both
   3-23  school districts favor creation of the district, the board shall
   3-24  declare the district created and shall enter the results in its
   3-25  minutes.  If the election results are favorable in the territory
   3-26  included in the West Independent School District, but not in the
   3-27  territory included in the Gholson Independent School District, the
   3-28  temporary directors shall set the boundaries of the district to
   3-29  include only the territory included in the West Independent School
   3-30  District.  If a majority of the votes cast at each election or at
   3-31  the election in the territory included in the West Independent
   3-32  School District are against the creation of the district, the board
   3-33  shall declare that the creation of the district was defeated and
   3-34  shall enter the results in its minutes.
   3-35        (c)  If the creation of the district is defeated, the board
   3-36  may call and hold additional creation elections, but another
   3-37  creation election may not be called and held by the board within
   3-38  six months after the date of the most recent creation election.
   3-39        SECTION 3.08.  EXPIRATION OF ACT.  If the creation of the
   3-40  district is not approved at an election held within 60 months after
   3-41  the effective date of this Act, this Act expires.
   3-42                  ARTICLE 4.  DISTRICT ADMINISTRATION
   3-43        SECTION 4.01.  BOARD OF DIRECTORS.  (a)  Except as provided
   3-44  by Subsection (b) of this section, the district is governed by a
   3-45  board of seven directors.
   3-46        (b)  If the temporary directors set the boundaries of the
   3-47  district to include only the territory included in the West
   3-48  Independent School District in accordance with Subsection (b) of
   3-49  Section 3.07 of this Act, the district is governed by a board of
   3-50  five directors.
   3-51        (c)  From the time the creation of the district is approved
   3-52  until the elected directors take office, the temporary directors
   3-53  serve as directors of the district.
   3-54        SECTION 4.02.  INITIAL DIRECTORS ELECTION.  (a)  Directors
   3-55  shall be elected at an election to be held on the first Saturday in
   3-56  May following the creation of the district.
   3-57        (b)  After the initial election of directors, the directors
   3-58  shall draw lots to determine which three directors shall serve
   3-59  one-year terms and which four directors shall serve two-year terms.
   3-60  If the number of directors is reduced to five under Subsection (b)
   3-61  of Section 4.01 of this Act, after the initial election of
   3-62  directors, the directors shall draw lots to determine which two
   3-63  directors shall serve one-year terms and which three directors
   3-64  shall serve two-year terms.
   3-65        SECTION 4.03.  METHOD OF ELECTION; STAGGERED TERMS; TERM OF
   3-66  OFFICE.  (a)  The temporary directors shall establish the five or
   3-67  seven precincts, as appropriate, from which the directors are
   3-68  elected.  The precincts must be contiguous and substantially equal
   3-69  in population, according to the most recent federal decennial
   3-70  census.
    4-1        (b)  One director shall be elected from each precinct.
    4-2        (c)  After the initial election of directors, an election
    4-3  shall be held on the first Saturday in May each year to elect the
    4-4  appropriate number of successor directors.
    4-5        (d)  Except as provided by Subsection (b) of Section 4.02 of
    4-6  this Act and Subsection (e) of this section, each director is
    4-7  elected for a two-year term.
    4-8        (e)  The board shall revise each precinct after the
    4-9  publication of each federal decennial census to reflect population
   4-10  changes.  At the first election after the precincts are revised, a
   4-11  new director shall be elected from each precinct.  The directors
   4-12  shall draw lots to determine which two or three directors, as
   4-13  appropriate, shall serve one-year terms and which three or four
   4-14  directors, as appropriate, shall serve two-year terms.
   4-15        SECTION 4.04.  NOTICE OF ELECTION.  At least 35 days before
   4-16  the date of an election of directors, notice of the election shall
   4-17  be published one time in a newspaper with general circulation in
   4-18  the district.
   4-19        SECTION 4.05.  APPLICATION.  (a)  A person who wishes to have
   4-20  the person's name printed on the ballot as a candidate for director
   4-21  must file with the secretary of the board of directors an
   4-22  application on a form provided by the district asking that the
   4-23  person's name be placed on the ballot.
   4-24        (b)  The application must specify the precinct that the
   4-25  candidate wishes to represent.
   4-26        SECTION 4.06.  QUALIFICATIONS FOR OFFICE.  (a)  To be
   4-27  eligible to be a candidate for or to serve as a director, a person
   4-28  must be:
   4-29              (1)  a resident of the district; and
   4-30              (2)  a qualified voter.
   4-31        (b)  In addition to the qualifications required by Subsection
   4-32  (a) of this section, a person who is elected from a precinct or who
   4-33  is appointed to fill a vacancy for a precinct must be a resident of
   4-34  that precinct.
   4-35        (c)  An employee of the district may not serve as a director.
   4-36        SECTION 4.07.  BOND.  (a)  Before assuming the duties of the
   4-37  office, each director must execute a bond for $5,000 payable to the
   4-38  district, conditioned on the faithful performance of the person's
   4-39  duties as director.
   4-40        (b)  The bond shall be kept in the permanent records of the
   4-41  district.
   4-42        (c)  The director shall obtain the bond from an insurance
   4-43  company authorized to do business in this state.  The board shall
   4-44  pay for the director's bond with district funds.
   4-45        SECTION 4.08.  BOARD VACANCY.  (a)  Except as provided by
   4-46  Subsection (b) of this section, a vacancy in the office of director
   4-47  shall be filled for the unexpired term by appointment by the
   4-48  remaining directors.  The person appointed must have the
   4-49  qualifications prescribed by Section 4.06 of this Act.
   4-50        (b)  If the offices of five or more directors are vacant
   4-51  simultaneously, the remaining directors shall call a special
   4-52  election to fill the unexpired terms.   Sections 3.03, 3.04, and
   4-53  3.05 of this Act apply to an election called under this subsection.
   4-54        SECTION 4.09.  OFFICERS.  The board shall elect from among
   4-55  its members a president, a vice-president, and a treasurer.  The
   4-56  board shall also appoint a secretary.  The secretary need not be a
   4-57  director.
   4-58        SECTION 4.10.  OFFICERS' TERMS; VACANCY.  (a)  Each officer
   4-59  of the board serves for a term of one year.
   4-60        (b)  The board shall fill a vacancy in a board office for the
   4-61  unexpired term.
   4-62        SECTION 4.11.  COMPENSATION.  Directors and officers serve
   4-63  without compensation but may be reimbursed for actual expenses
   4-64  incurred in the performance of official duties.  Those expenses
   4-65  must be reported in the district's minute book or other district
   4-66  records and must be approved by the board.
   4-67        SECTION 4.12.  QUORUM; VOTING REQUIREMENT.  (a)  Except as
   4-68  necessary to call a special election under Subsection (b) of
   4-69  Section 4.08 of this Act, a majority of the membership of the board
   4-70  constitutes a quorum for the transaction of business.
    5-1        (b)  A concurrence of a majority of the members of the board
    5-2  voting is necessary in matters relating to the business of the
    5-3  district.
    5-4        SECTION 4.13.  ADMINISTRATOR.  (a)  The board may appoint a
    5-5  qualified person as administrator of the district.
    5-6        (b)  The administrator serves at the will of the board.
    5-7        (c)  The administrator is entitled to compensation as
    5-8  determined by the board.
    5-9        (d)  Before assuming the duties of administrator, the person
   5-10  appointed shall execute a bond payable to the hospital district in
   5-11  the amount of not less than $5,000 as determined by the board,
   5-12  conditioned on the faithful performance of duties under this Act.
   5-13  The bond shall be kept in the permanent records of the district.
   5-14  The administrator shall obtain the bond from an insurance company
   5-15  authorized to do business in this state.  The board may pay for the
   5-16  bond with district funds.
   5-17        SECTION 4.14.  APPOINTMENTS TO STAFF.  The board may appoint
   5-18  to or remove from the staff any doctors as the board considers
   5-19  necessary for the efficient operation of the district and may make
   5-20  temporary appointments as considered necessary.  The board may
   5-21  adopt policies relating to the method of appointing and removing
   5-22  staff members.
   5-23        SECTION 4.15.  TECHNICIANS, NURSES, AND OTHER DISTRICT
   5-24  EMPLOYEES.  (a)  The district may employ technicians, nurses,
   5-25  fiscal agents, accountants, architects, attorneys, and other
   5-26  necessary employees.
   5-27        (b)  The board may delegate to the administrator the
   5-28  authority to employ persons for the district.
   5-29        SECTION 4.16.  PROFESSIONAL PERSONNEL RECRUITMENT.  The board
   5-30  may employ innovative methods to recruit physicians, nurses,
   5-31  technicians, and other professional personnel.  The methods may
   5-32  include scholarship programs, agreements for future services,
   5-33  shared personnel, bonuses, and any other method the district
   5-34  considers necessary.
   5-35        SECTION 4.17.  GENERAL DUTIES OF ADMINISTRATOR.  The
   5-36  administrator shall supervise the work and activities of the
   5-37  district and shall direct the general affairs of the district,
   5-38  subject to the limitations prescribed by the board.
   5-39        SECTION 4.18.  RETIREMENT BENEFITS.  The board may provide
   5-40  retirement benefits for employees of the district by establishing
   5-41  or administering a retirement program or by electing to participate
   5-42  in the Texas County and District Retirement System or in any other
   5-43  statewide retirement system in which the district is eligible to
   5-44  participate.
   5-45                     ARTICLE 5.  POWERS AND DUTIES
   5-46        SECTION 5.01.  RESPONSIBILITY OF AND LIMITATION ON
   5-47  GOVERNMENTAL ENTITY.  (a)  On creation of the district, West
   5-48  Hospital Authority and McLennan County shall convey or transfer to
   5-49  the district:
   5-50              (1)  title to land, buildings, improvements, and
   5-51  equipment related to any hospital system located in the district
   5-52  that is owned by the West Hospital Authority or McLennan County;
   5-53              (2)  operating funds and reserves for operating
   5-54  expenses and funds that have been budgeted by the West Hospital
   5-55  Authority or McLennan County to provide medical care for residents
   5-56  of the district for the remainder of the fiscal year in which the
   5-57  district is established;
   5-58              (3)  accounts receivable of the West Hospital Authority
   5-59  or McLennan County for medical care provided for residents of the
   5-60  district;
   5-61              (4)  taxes levied by McLennan County for hospital
   5-62  purposes for residents of the district for the year in which the
   5-63  district is created; and
   5-64              (5)  funds established for payment of indebtedness
   5-65  assumed by the district.
   5-66        (b)  On or after creation of the West Community Hospital
   5-67  District, another political entity may not levy taxes or issue
   5-68  bonds or other obligations for hospital purposes or for providing
   5-69  medical care for the residents of the district.
   5-70        SECTION 5.02.  DISTRICT RESPONSIBILITIES.  (a)  On creation
    6-1  of the district, the district:
    6-2              (1)  assumes full responsibility for operating hospital
    6-3  facilities and for furnishing medical and hospital care for the
    6-4  district's needy inhabitants;
    6-5              (2)  assumes any outstanding indebtedness, including
    6-6  bonded indebtedness, incurred by the West Community Hospital, the
    6-7  West Hospital Authority, or McLennan County for hospital purposes
    6-8  for residents of the district before the district's creation;
    6-9              (3)  may operate or provide for the operation of a
   6-10  mobile emergency medical or air ambulance service; and
   6-11              (4)  may operate or provide for home-health services,
   6-12  long-term care, skilled nursing care, intermediate nursing care,
   6-13  hospital care, or any other reasonable or appropriate medical care
   6-14  or medical services.
   6-15        (b)  The board has complete discretion as to the type and
   6-16  extent of services the district will offer.  The district may
   6-17  provide any services the board finds necessary for hospital or
   6-18  medical care, including necessary nurses or domiciliaries.
   6-19        SECTION 5.03.  MANAGEMENT, CONTROL, AND ADMINISTRATION.  The
   6-20  board shall manage, control, and administer the hospital system and
   6-21  the funds and resources of the district.
   6-22        SECTION 5.04.  DISTRICT RULES.  The board may adopt rules
   6-23  governing the operations of the hospital and hospital system and
   6-24  the duties, functions, and responsibilities of district staff and
   6-25  employees.
   6-26        SECTION 5.05.  METHODS AND PROCEDURES.  (a)  The board may
   6-27  prescribe the method of making purchases and expenditures by and
   6-28  for the district.
   6-29        (b)  The board may prescribe accounting and control
   6-30  procedures for the district.
   6-31        (c)  The board may spend money to recruit physicians, nurses,
   6-32  and other personnel, except as prohibited by law.
   6-33        SECTION 5.06.  HOSPITAL FACILITIES.  (a)  The board shall
   6-34  determine the type, number, and location of buildings required to
   6-35  establish and maintain an adequate hospital system and the type of
   6-36  equipment necessary for hospital care.
   6-37        (b)  The district has complete discretion as to the type and
   6-38  extent of services the district will offer.  The district may
   6-39  provide any facilities the board finds necessary for hospital or
   6-40  medical care, including facilities for:
   6-41              (1)  domiciliary care, including geriatric domiciliary
   6-42  care;
   6-43              (2)  outpatient clinics and minor emergency centers;
   6-44              (3)  dispensaries;
   6-45              (4)  convalescent homes;
   6-46              (5)  blood banks;
   6-47              (6)  community mental health centers;
   6-48              (7)  alcohol or chemical dependency centers;
   6-49              (8)  research centers;
   6-50              (9)  laboratories; or
   6-51              (10)  training centers.
   6-52        (c)  The board may acquire property, facilities, and
   6-53  equipment for the district for use in the hospital system and may
   6-54  mortgage or pledge the property, facilities, or equipment acquired
   6-55  as security for the payment of the purchase price.
   6-56        (d)  The board may lease hospital facilities on behalf of the
   6-57  district.
   6-58        (e)  The board may sell or otherwise dispose of property,
   6-59  facilities, or equipment on behalf of the district at public or
   6-60  private sale and at the price and terms the board considers most
   6-61  advantageous.  The board shall give notice of intent to sell land
   6-62  or buildings by publishing a notice of intent in a newspaper with
   6-63  general circulation in McLennan County, Texas, not later than the
   6-64  30th day before the date of the sale.
   6-65        (f)  Subchapter D, Chapter 285, Health and Safety Code, does
   6-66  not apply to the district.
   6-67        SECTION 5.07.  CONSTRUCTION CONTRACTS.  (a)  The board may
   6-68  enter into construction contracts on behalf of the district.
   6-69  However, the board may enter into construction contracts that
   6-70  involve spending more than $10,000 only after competitive bidding
    7-1  as provided by Subchapter B, Chapter 271, Local Government Code.
    7-2        (b)  Article 5160, Revised Statutes, as it relates to
    7-3  performance and payment bonds, applies to construction contracts
    7-4  let by the district.
    7-5        SECTION 5.08.  DISTRICT OPERATING AND MANAGEMENT CONTRACTS.
    7-6  The board may enter into operating or management contracts relating
    7-7  to hospital facilities on behalf of the district.
    7-8        SECTION 5.09.  EMINENT DOMAIN.  (a)  The district may
    7-9  exercise the power of eminent domain to acquire by condemnation a
   7-10  fee simple or other interest in property located in the territory
   7-11  of the district if the property interest is necessary to the
   7-12  exercise of the rights or authority conferred by this Act.
   7-13        (b)  The district must exercise the power of eminent domain
   7-14  in the manner provided by Chapter 21, Property Code,  but the
   7-15  district is not required to deposit in the trial court money or
   7-16  bond as provided by Subsection (a), Section 21.021, Property Code.
   7-17        (c)  In a condemnation proceeding brought by the district,
   7-18  the district is not required to pay in advance or give bond or
   7-19  other security for costs in the trial court, to give bond for the
   7-20  issuance of a temporary restraining order or a temporary
   7-21  injunction, or to give bond for costs or supersedeas on an appeal
   7-22  or writ of error.
   7-23        SECTION 5.10.  EXPENSES FOR MOVING FACILITIES OF RAILROADS
   7-24  AND UTILITIES.  In exercising the power of eminent domain, if the
   7-25  board requires relocating, raising, lowering, rerouting, changing
   7-26  the grade, or altering the construction of any railroad, highway,
   7-27  pipeline, or electric transmission and electric distribution,
   7-28  telegraph, or telephone lines, conduits, poles, or facilities, the
   7-29  district must bear the actual cost of relocating, raising,
   7-30  lowering, rerouting, changing the grade, or altering the
   7-31  construction to provide comparable replacement without enhancement
   7-32  of facilities, after deducting the net salvage value derived from
   7-33  the old facility.
   7-34        SECTION 5.11.  INDIGENT CARE.  (a)  The district shall supply
   7-35  care and treatment without charge to a patient who resides in the
   7-36  district if the patient or relative who is legally responsible for
   7-37  the patient's support cannot pay for the care and treatment, as
   7-38  required by Article IX, Section 9, of the Texas Constitution.  Care
   7-39  and treatment provided under this subsection is limited to the
   7-40  hospital inpatient and outpatient services that the hospital
   7-41  regularly provides to other patients.
   7-42        (b)  The district may adopt, amend, or repeal policies or
   7-43  rules relating to indigent health care, including policies or rules
   7-44  relating to:
   7-45              (1)  eligibility of patients for indigent health care;
   7-46              (2)  application forms for patients or relatives of
   7-47  patients requesting indigent health care that may require personal
   7-48  and financial information to be furnished;
   7-49              (3)  procedures for obtaining and completing
   7-50  applications for indigent health care and for filing the completed
   7-51  applications with the district;
   7-52              (4)  procedures for reviewing applications to determine
   7-53  eligibility for indigent health care; and
   7-54              (5)  other procedures under this section.
   7-55        (c)  The application procedure to determine eligibility for
   7-56  indigent health care must be adopted not later than the beginning
   7-57  of each operating year and must comply with Section 61.053, Health
   7-58  and Safety Code.
   7-59        (d)  The administrator of the district may have an inquiry
   7-60  made into the financial circumstances of any patient residing in
   7-61  the district and admitted to a district facility and into the
   7-62  financial circumstances of a relative of the patient who is legally
   7-63  responsible for the patient's support.
   7-64        (e)  On finding that the patient or a relative of the patient
   7-65  who is legally responsible for the patient's support can pay for
   7-66  all or any part of the care and treatment provided by the district,
   7-67  the administrator shall issue an order directing the patient or the
   7-68  relative to pay the district each week a specified amount that the
   7-69  individual is able to pay.
   7-70        (f)  The administrator may collect money owed to the district
    8-1  from the estate of the patient or from that of a relative who was
    8-2  legally responsible for the patient's support in the manner
    8-3  provided by law for collection of expenses in the last illness of a
    8-4  deceased person.
    8-5        (g)  If there is a dispute relating to an individual's
    8-6  ability to pay, the board may call witnesses, issue subpoenas duces
    8-7  tecum, administer oaths, hear and resolve the question, and issue a
    8-8  final order.  An appeal from a final order of the board must be
    8-9  made to a district court in the county in which the district is
   8-10  located and the substantial evidence rule applies.
   8-11        SECTION 5.12.  REIMBURSEMENT FOR SERVICES.  (a)  The board
   8-12  shall require reimbursement from a county, city, or public hospital
   8-13  located outside the boundaries of the district for the district's
   8-14  care and treatment of a sick, diseased, or injured person of that
   8-15  county, city, or public hospital as provided by Chapter 61, Health
   8-16  and Safety Code.
   8-17        (b)  The board shall require reimbursement from the sheriff
   8-18  of McLennan County for the district's care and treatment of a
   8-19  person confined in a jail facility of McLennan County who is not a
   8-20  resident of the district.
   8-21        (c)  The board may contract with state or federal government
   8-22  for the state or federal government to reimburse the district for
   8-23  treatment of a sick, a diseased, or an injured person.
   8-24        SECTION 5.13.  DISTRICT LIABILITY FOR SERVICES AND PAYMENTS.
   8-25  (a)  The maximum district liability for each district fiscal year
   8-26  for all services to an eligible district resident in that year is
   8-27  $5,000.
   8-28        (b)  The district liability for payment for a particular
   8-29  mandatory medical service for an eligible district resident is
   8-30  limited to the payment standard established under the AFDC-1
   8-31  Medicaid program.
   8-32        (c)  The district liability under this section for hospital
   8-33  inpatient and outpatient services is limited to the hospital
   8-34  inpatient and outpatient services that the hospital regularly
   8-35  provides to other patients.
   8-36        (d)  Subsections (b) and (c) of this section do not apply if
   8-37  the district contracts with the provider for the services and the
   8-38  provider certifies that the provider will comply with Subsections
   8-39  (b) and (c) for each service rendered.
   8-40        SECTION 5.14.  SERVICE CONTRACTS.  The board may contract
   8-41  with a city, county, special district, or other political
   8-42  subdivision of the state or federal agency for the district to
   8-43  furnish a mobile emergency medical or air ambulance service or to
   8-44  provide for the investigatory or welfare needs of inhabitants of
   8-45  the district.
   8-46        SECTION 5.15.  GIFTS AND ENDOWMENTS.  On behalf of the
   8-47  district, the board may accept gifts and endowments to be held in
   8-48  trust for any purpose and under any direction, limitation, or
   8-49  provision prescribed in writing by the donor that is consistent
   8-50  with the proper management of the district.
   8-51        SECTION 5.16.  AUTHORITY TO SUE AND BE SUED.  The board may
   8-52  sue and be sued on behalf of the district.
   8-53                     ARTICLE 6.  DISTRICT FINANCES
   8-54        SECTION 6.01.  FISCAL YEAR.  (a)  The district operates on
   8-55  the fiscal year established by the board.
   8-56        (b)  The fiscal year may not be changed when revenue bonds of
   8-57  the district are outstanding or more than once in a 24-month
   8-58  period.
   8-59        SECTION 6.02.  ANNUAL AUDIT.  Annually, the board shall have
   8-60  an audit made of the financial condition of the district.
   8-61        SECTION 6.03.  DISTRICT AUDIT AND RECORDS.  The annual audit
   8-62  and other district records are open to inspection during regular
   8-63  business hours at the principal office of the district.
   8-64        SECTION 6.04.  ANNUAL BUDGET.  (a)  The administrator of the
   8-65  district shall prepare a proposed annual budget for the district.
   8-66        (b)  The proposed budget must contain a complete financial
   8-67  statement, including a statement of:
   8-68              (1)  the outstanding obligations of the district;
   8-69              (2)  the amount of cash on hand to the credit of each
   8-70  fund of the district;
    9-1              (3)  the amount of money received by the district from
    9-2  all sources during the previous year;
    9-3              (4)  the amount of money available to the district from
    9-4  all sources during the ensuing year;
    9-5              (5)  the amount of the balances expected at the end of
    9-6  the year in which the budget is being prepared;
    9-7              (6)  the estimated amount of revenues and balances
    9-8  available to cover the proposed budget; and
    9-9              (7)  the estimated tax rate that will be required.
   9-10        SECTION 6.05.  NOTICE; HEARING; ADOPTION OF BUDGET.  (a)  The
   9-11  board shall hold a public hearing on the proposed annual budget.
   9-12        (b)  The board shall publish notice of the hearing in a
   9-13  newspaper of general circulation in the district not later than the
   9-14  10th day before the date of the hearing.
   9-15        (c)  Any resident of the district is entitled to be present
   9-16  and participate at the hearing.
   9-17        (d)  At the conclusion of the hearing, the board shall adopt
   9-18  a budget by acting on the budget proposed by the administrator.
   9-19  The board may make any changes in the proposed budget that in its
   9-20  judgment the interests of the taxpayers demand.
   9-21        (e)  The budget is effective only after adoption by the
   9-22  board.
   9-23        SECTION 6.06.  AMENDING BUDGET.  After adoption, the annual
   9-24  budget may be amended on the board's approval.
   9-25        SECTION 6.07.  LIMITATION ON EXPENDITURES.  Money may not be
   9-26  spent for an expense not included in the annual budget or an
   9-27  amendment to it.
   9-28        SECTION 6.08.  SWORN STATEMENT.  As soon as practicable after
   9-29  the close of the fiscal year, the administrator shall prepare for
   9-30  the board a sworn statement of the amount of money that belongs to
   9-31  the district and an account of the disbursements of that money.
   9-32        SECTION 6.09.  SPENDING AND INVESTMENTS LIMITATIONS.
   9-33  (a)  Except as provided by Subsection (a) of Section 5.07 and
   9-34  Sections 6.10, 7.01, 7.04, and 7.05 of this Act, the district may
   9-35  not incur a debt payable from revenues of the district other than
   9-36  the revenues on hand or to be on hand in the current and
   9-37  immediately following fiscal years of the district.
   9-38        (b)  The board may invest operating, depreciation, or
   9-39  building reserves only in funds or securities specified by Article
   9-40  836 or 837, Revised Statutes.
   9-41        SECTION 6.10.  BORROWING MONEY.  The district may borrow
   9-42  money to pay its operating expenses in an amount not to exceed the
   9-43  amount of tax revenue that the district expects to receive during
   9-44  the 12-month period following the date on which the money is
   9-45  borrowed.  The district may pledge all or any part of those tax
   9-46  revenues to the payment of the amounts borrowed.
   9-47        SECTION 6.11.  DEPOSITORY.  (a)  The board shall name at
   9-48  least one bank to serve as depository for district funds.
   9-49        (b)  District funds, other than those invested as provided by
   9-50  Subsection (b) of Section 6.09 of this Act and those transmitted to
   9-51  a bank for payment of bonds or obligations issued or assumed by the
   9-52  district, shall be deposited as received with the depository bank
   9-53  and must remain on deposit.  This subsection does not limit the
   9-54  power of the board to place a portion of district funds on time
   9-55  deposit or to purchase certificates of deposit.
   9-56        (c)  Before the district deposits funds in a bank in an
   9-57  amount that exceeds the maximum amount secured by the Federal
   9-58  Deposit Insurance Corporation, the bank must execute a bond or
   9-59  other security in an amount sufficient to secure from loss the
   9-60  district funds that exceed the amount secured by the Federal
   9-61  Deposit Insurance Corporation.
   9-62                           ARTICLE 7.  BONDS
   9-63        SECTION 7.01.  GENERAL OBLIGATION BONDS.  The board may issue
   9-64  and sell bonds authorized by an election in the name and on the
   9-65  faith and credit of the hospital district to:
   9-66              (1)  purchase, construct, acquire, repair, or renovate
   9-67  buildings or improvements;
   9-68              (2)  equip buildings or improvements for hospital
   9-69  purposes; or
   9-70              (3)  acquire and operate a mobile emergency medical or
   10-1  air ambulance service.
   10-2        SECTION 7.02.  TAXES TO PAY BONDS.  (a)  At the time the
   10-3  bonds are issued by the district, the board shall levy a tax.
   10-4        (b)  The tax must be sufficient to create an interest and
   10-5  sinking fund to pay the principal of and interest on the bonds as
   10-6  they mature.
   10-7        (c)  In any year, the tax together with any other tax the
   10-8  district levies may not exceed the limit approved by the voters at
   10-9  the election authorizing the levy of taxes.
  10-10        SECTION 7.03.  BOND ELECTION.  (a)  The district may issue
  10-11  general obligation bonds only if the bonds are authorized by a
  10-12  majority of the qualified voters of the district voting at an
  10-13  election called and held for that purpose.
  10-14        (b)  The board may order a bond election.  The order calling
  10-15  the election must state the nature and date of the election, the
  10-16  hours during which the polls will be open, the location of the
  10-17  polling places, the amounts of bonds to be authorized, and the
  10-18  maximum maturity of the bonds.
  10-19        (c)  Notice of a bond election shall be given as provided by
  10-20  Article 704, Revised Statutes.
  10-21        (d)  The board shall canvass the returns and declare the
  10-22  results of the election.
  10-23        SECTION 7.04.  REVENUE BONDS.  (a)  The board may issue bonds
  10-24  to:
  10-25              (1)  purchase, construct, acquire, repair, equip, or
  10-26  renovate buildings or improvements for hospital purposes, including
  10-27  the purposes provided by Section 5.06 of this Act;
  10-28              (2)  acquire sites to be used for hospital purposes; or
  10-29              (3)  acquire and operate a mobile emergency medical or
  10-30  air ambulance service to assist the district in carrying out its
  10-31  hospital purpose.
  10-32        (b)  The bonds must be payable from and secured by a pledge
  10-33  of all or part of the revenues derived from the operation of the
  10-34  district's hospital system.  The bonds may be additionally secured
  10-35  by a mortgage or deed of trust lien on all or part of district
  10-36  property.
  10-37        (c)  The bonds must be issued in the manner provided by
  10-38  Sections 264.042, 264.043, 264.046, 264.047, 264.048, and 264.049,
  10-39  Health and Safety Code, for issuance of revenue bonds by county
  10-40  hospital authorities.
  10-41        SECTION 7.05.  REFUNDING BONDS.  (a)  Refunding bonds of the
  10-42  district may be issued to refund and pay off any outstanding
  10-43  indebtedness the district has issued or assumed.
  10-44        (b)  The bonds must be issued in the manner provided by
  10-45  Chapter 784, Acts of the 61st Legislature, Regular Session, 1969
  10-46  (Article 717k-3, Vernon's Texas Civil Statutes).
  10-47        (c)  The refunding bonds may be sold and the proceeds applied
  10-48  to the payment of outstanding indebtedness or may be exchanged in
  10-49  whole or in part for not less than a similar principal amount of
  10-50  outstanding indebtedness.  If the refunding bonds are to be sold
  10-51  and the proceeds applied to the payment of outstanding
  10-52  indebtedness, the refunding bonds must be issued and payments made
  10-53  in the manner provided by Chapter 503, Acts of the 54th
  10-54  Legislature, 1955 (Article 717k, Vernon's Texas Civil Statutes).
  10-55        SECTION 7.06.  INTEREST AND MATURITY.  District bonds must
  10-56  mature not more than 50 years after the date of their issuance and
  10-57  must bear interest at a rate not to exceed that provided by Chapter
  10-58  3, Acts of the 61st Legislature, Regular Session, 1969 (Article
  10-59  717k-2, Vernon's Texas Civil Statutes).
  10-60        SECTION 7.07.  EXECUTION OF BONDS.  The president of the
  10-61  board shall execute the bonds in the name of the district, and the
  10-62  secretary of the board shall countersign the bonds in the manner
  10-63  provided by the Texas Uniform Facsimile Signature of Public
  10-64  Officials Act (Article 717j-1, Vernon's Texas Civil Statutes).
  10-65        SECTION 7.08.  APPROVAL AND REGISTRATION OF BONDS.
  10-66  (a)  District bonds are subject to the same requirements with
  10-67  regard to approval by the attorney general and registration by the
  10-68  comptroller of public accounts as the law provides for approval and
  10-69  registration of bonds issued by counties.
  10-70        (b)  On approval by the attorney general and registration by
   11-1  the comptroller of public accounts, the bonds are incontestable for
   11-2  any cause.
   11-3        SECTION 7.09.  BONDS AS INVESTMENTS.  District bonds and
   11-4  indebtedness assumed by the district are legal and authorized
   11-5  investments for:
   11-6              (1)  banks;
   11-7              (2)  savings banks;
   11-8              (3)  trust companies;
   11-9              (4)  savings and loan associations;
  11-10              (5)  insurance companies;
  11-11              (6)  fiduciaries;
  11-12              (7)  trustees;
  11-13              (8)  guardians; and
  11-14              (9)  sinking funds of cities, counties, school
  11-15  districts, and other political subdivisions of the state and other
  11-16  public funds of the state and its agencies, including the permanent
  11-17  school fund.
  11-18        SECTION 7.10.  BONDS AS SECURITY FOR DEPOSITS.  District
  11-19  bonds are eligible to secure deposits of public funds of the state
  11-20  and of cities, counties, school districts, and other political
  11-21  subdivisions of the state.  The bonds are lawful and sufficient
  11-22  security for deposits to the extent of their value if accompanied
  11-23  by all unmatured coupons.
  11-24        SECTION 7.11.  TAX STATUS OF BONDS.  Since the district
  11-25  created under this Act is a public entity performing an essential
  11-26  public function, bonds issued by the district, any transaction
  11-27  relating to the bonds, and profits made in the sale of the bonds
  11-28  are free from taxation by the state or by any city, county, special
  11-29  district, or other political subdivision of the state.
  11-30                           ARTICLE 8.  TAXES
  11-31        SECTION 8.01.  LEVY OF TAXES.  (a)  The board may annually
  11-32  levy taxes in an amount not to exceed the limit approved by the
  11-33  voters at the election authorizing the levy of taxes.
  11-34        (b)  The tax rate for all purposes may not exceed 40 cents on
  11-35  each $100 valuation of all taxable property in the district.
  11-36        (c)  The taxes may be used to pay:
  11-37              (1)  the indebtedness issued or assumed by the
  11-38  district; and
  11-39              (2)  the maintenance and operating expenses of the
  11-40  district.
  11-41        (d)  The district may not levy taxes to pay the principal of
  11-42  or interest on revenue bonds issued under this Act.
  11-43        SECTION 8.02.  BOARD AUTHORITY.  (a)  The board may levy
  11-44  taxes for the entire year in which the district is created.
  11-45        (b)  The board shall levy taxes on all property in the
  11-46  district subject to hospital district taxation.
  11-47        SECTION 8.03.  SETTING OF TAX RATE.  In setting the tax rate,
  11-48  the board shall take into consideration the income of the district
  11-49  from sources other than taxation.  On determination of the amount
  11-50  of tax required to be levied, the board shall make the levy and
  11-51  certify it to the tax assessor-collector.
  11-52        SECTION 8.04.  TAX ASSESSMENT AND COLLECTION.  (a)  The Tax
  11-53  Code governs the appraisal, assessment, and collection of district
  11-54  taxes.
  11-55        (b)  The board may provide for the appointment of a tax
  11-56  assessor-collector for the district or may contract for the
  11-57  assessment and collection of taxes as provided by the Tax Code.
  11-58                  ARTICLE 9.  DISSOLUTION OF DISTRICT
  11-59        SECTION 9.01.  DISSOLUTION ELECTION.  The district may be
  11-60  dissolved and its assets and liabilities sold or transferred to
  11-61  another entity or person only if the dissolution and transfer are
  11-62  approved by a majority of the qualified voters of the territory of
  11-63  the district voting at an election called and held for that
  11-64  purpose.
  11-65        SECTION 9.02.  ORDERING ELECTION.  (a)  A majority of the
  11-66  directors may order an election to be held on the question of
  11-67  dissolution of the district and the transfer of its assets and
  11-68  liabilities.
  11-69        (b)  On presentation of a petition for a dissolution election
  11-70  signed by at least 300 of the registered voters of the territory of
   12-1  the district, according to the most recent official list of
   12-2  registered voters, the directors shall order an election to be held
   12-3  on the question of dissolution of the district and transfer of its
   12-4  assets.  The election shall be called not later than the 60th day
   12-5  after the date the petition is presented to the district.
   12-6        SECTION 9.03.  ELECTION ORDER.  The order calling the
   12-7  election must state:
   12-8              (1)  the nature of the election, including the
   12-9  proposition that is to appear on the ballot;
  12-10              (2)  the date of the election;
  12-11              (3)  the hours during which the polls will be open; and
  12-12              (4)  the location of the polling places.
  12-13        SECTION 9.04.  NOTICE.  The directors shall give notice of
  12-14  the election by publishing a substantial copy of the election order
  12-15  in a newspaper with general circulation in the district once a week
  12-16  for two consecutive weeks.  The first publication must appear at
  12-17  least 35 days before the date set for election.
  12-18        SECTION 9.05.  ELECTION DATE.  (a)  The election shall be
  12-19  held not less than 45 days after the date on which the election is
  12-20  ordered.
  12-21        (b)  Subsection (a), Section 41.001, Election Code, does not
  12-22  apply to an election ordered under this article.
  12-23        SECTION 9.06.  BALLOT PROPOSITION.  The ballot for an
  12-24  election at which the dissolution of the district is proposed shall
  12-25  be printed to permit voting for or against the proposition:  "The
  12-26  dissolution of the West Community Hospital District and the
  12-27  transfer of its assets and liabilities in the following manner:
  12-28  ________________________ (insert provisions for transfer)."
  12-29        SECTION 9.07.  CANVASSING RETURNS.  (a)  The directors shall
  12-30  canvass the returns of the election.
  12-31        (b)  If the directors find that the election results are
  12-32  favorable to the proposition to dissolve the district and transfer
  12-33  its assets and liabilities, they shall issue an order declaring the
  12-34  district dissolved and shall proceed with the sale or transfer of
  12-35  its assets and liabilities according to the plan proposed on the
  12-36  ballot.
  12-37        (c)  If the directors find that the election results are not
  12-38  favorable to the proposition to dissolve the district and transfer
  12-39  its assets and liabilities, another dissolution election may not be
  12-40  held before the first anniversary of the date of the election at
  12-41  which voters disapproved the proposition.
  12-42        SECTION 9.08.  TRANSFER OF ASSETS.  (a)  Notwithstanding any
  12-43  other provision of this article, the district may not be dissolved
  12-44  unless the board provides for the sale or transfer of the
  12-45  district's assets and liabilities to another entity or person.  The
  12-46  dissolution of the district and the sale or transfer of the
  12-47  district's assets and liabilities may not contravene a trust
  12-48  indenture or bond resolution relating to the outstanding bonds of
  12-49  the district.  In addition, the dissolution and sale or transfer
  12-50  may not diminish or impair the rights of the holders of any
  12-51  outstanding bonds, warrants, or other obligations of the district.
  12-52        (b)  The sale or transfer of the district's assets and
  12-53  liabilities must satisfy the debt and bond obligations of the
  12-54  district in a manner that protects the interests of the residents
  12-55  of the district, including their collective property rights in the
  12-56  district's assets.  Any grant from federal funds is considered an
  12-57  obligation to be repaid in satisfaction.  The district may not
  12-58  transfer or dispose of the district's assets except for due
  12-59  compensation unless the transfer is made to another governmental
  12-60  agency embracing the district and using the transferred assets for
  12-61  the benefit of residents formerly in the district.
  12-62                      ARTICLE 10.  MISCELLANEOUS
  12-63        SECTION 10.01.  LIMITATION ON STATE ASSISTANCE.  The state
  12-64  may not become obligated for the support or maintenance of a
  12-65  hospital district created under this Act, nor may the legislature
  12-66  make a direct appropriation for the construction, maintenance, or
  12-67  improvement of a facility of the district.
  12-68        SECTION 10.02.  EMERGENCY.  The importance of this
  12-69  legislation and the crowded condition of the calendars in both
  12-70  houses create an emergency and an imperative public necessity that
   13-1  the constitutional rule requiring bills to be read on three several
   13-2  days in each house be suspended, and this rule is hereby suspended,
   13-3  and that this Act take effect and be in force from and after its
   13-4  passage, and it is so enacted.
   13-5                               * * * * *
   13-6                                                         Austin,
   13-7  Texas
   13-8                                                         February 10,
   13-9  1993
  13-10  Hon. Bob Bullock
  13-11  President of the Senate
  13-12  Sir:
  13-13  We, your Committee on Intergovernmental Relations to which was
  13-14  referred S.B. No. 221, have had the same under consideration, and I
  13-15  am instructed to report it back to the Senate with the
  13-16  recommendation that it do pass, as amended, and be printed.
  13-17                                                         Armbrister,
  13-18  Chairman
  13-19                               * * * * *
  13-20                               WITNESSES
  13-21  No witnesses appeared on S.B. No. 221.