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.