By Danburg                                             H.B. No. 538
       74R2960 SMH-D
                                 A BILL TO BE ENTITLED
    1-1                                AN ACT
    1-2  relating to the exemption from property taxation of a charitable
    1-3  organization that promotes economic development in the United
    1-4  Mexican States, Central America, or South America.
    1-5        BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS:
    1-6        SECTION 1.  Section 11.18(d), Tax Code, is amended to read as
    1-7  follows:
    1-8        (d)  A charitable organization must be organized exclusively
    1-9  to perform religious, charitable, scientific, literary, or
   1-10  educational purposes and, except as permitted by Subsection (h) of
   1-11  this section, engage exclusively in performing one or more of the
   1-12  following charitable functions:
   1-13              (1)  providing medical care without regard to the
   1-14  beneficiaries' ability to pay, which in the case of a nonprofit
   1-15  hospital means providing charity care and community benefits as set
   1-16  forth in Paragraph (A), (B), (C), (D), (E), or (F):
   1-17                    (A)  charity care and government-sponsored
   1-18  indigent health care are provided at a level which is reasonable in
   1-19  relation to the community needs, as determined through the
   1-20  community needs assessment, the available resources of the
   1-21  hospital, and the tax-exempt benefits received by the hospital;
   1-22                    (B)  charity care and government-sponsored
   1-23  indigent health care are provided in an amount equal to at least
   1-24  four percent of the hospital's net patient revenue;
    2-1                    (C)  charity care and government-sponsored
    2-2  indigent health care are provided in an amount equal to at least
    2-3  100 percent of the hospital's tax-exempt benefits, excluding
    2-4  federal income tax;
    2-5                    (D)  a nonprofit hospital that has been
    2-6  designated as a disproportionate share hospital under the state
    2-7  Medicaid program in either of the previous two fiscal years shall
    2-8  be considered to have provided a reasonable amount of charity care
    2-9  and government-sponsored indigent health care and shall be deemed
   2-10  in compliance with the standards in this subsection;
   2-11                    (E)  for tax years before 1996, charity care and
   2-12  community benefits are provided in a combined amount equal to at
   2-13  least five percent of the hospital's net patient revenue, provided
   2-14  that charity care and government-sponsored indigent health care are
   2-15  provided in an amount equal to at least three percent of net
   2-16  patient revenue; or
   2-17                    (F)  for tax years after 1995, charity care and
   2-18  community benefits are provided in a combined amount equal to at
   2-19  least five percent of the hospital's net patient revenue, provided
   2-20  that charity care and government-sponsored indigent health care are
   2-21  provided in an amount equal to at least four percent of net patient
   2-22  revenue;
   2-23              (2)  providing support or relief to orphans,
   2-24  delinquent, dependent, or handicapped children in need of
   2-25  residential care, abused or battered spouses or children in need of
   2-26  temporary shelter, the impoverished, or victims of natural disaster
   2-27  without regard to the beneficiaries' ability to pay;
    3-1              (3)  providing support to elderly persons or the
    3-2  handicapped without regard to the beneficiaries' ability to pay;
    3-3              (4)  preserving a historical landmark or site;
    3-4              (5)  promoting or operating a museum, zoo, library,
    3-5  theater of the dramatic arts, or symphony orchestra or choir;
    3-6              (6)  promoting or providing humane treatment of
    3-7  animals;
    3-8              (7)  acquiring, storing, transporting, selling, or
    3-9  distributing water for public use;
   3-10              (8)  answering fire alarms and extinguishing fires with
   3-11  no compensation or only nominal compensation to the members of the
   3-12  organization;
   3-13              (9)  promoting the athletic development of boys or
   3-14  girls under the age of 18 years;
   3-15              (10)  preserving or conserving wildlife;
   3-16              (11)  promoting educational development through loans
   3-17  or scholarships to students;
   3-18              (12)  providing halfway house services pursuant to a
   3-19  certification as a halfway house by the Board of Pardons and
   3-20  Paroles;
   3-21              (13)  providing permanent housing and related social,
   3-22  health care, and educational facilities for persons who are 62
   3-23  years of age or older without regard to the residents' ability to
   3-24  pay;
   3-25              (14)  promoting or operating an art gallery, museum, or
   3-26  collection, in a permanent location or on tour, that is open to the
   3-27  public;
    4-1              (15)  providing for the organized solicitation and
    4-2  collection for distributions through gifts, grants, and agreements
    4-3  to nonprofit charitable, education, religious, and youth
    4-4  organizations that provide direct human, health, and welfare
    4-5  services;
    4-6              (16)  performing biomedical or scientific research or
    4-7  biomedical or scientific education for the benefit of the public;
    4-8              (17)  operating a television station that produces or
    4-9  broadcasts educational, cultural, or other public interest
   4-10  programming and that receives grants from the Corporation for
   4-11  Public Broadcasting under 47 U.S.C. Section 396; <or>
   4-12              (18)  in the case of a nonprofit hospital, providing
   4-13  health care services without receiving any payment for providing
   4-14  those services to inpatients or outpatients from any source
   4-15  including but not limited to the patient or person legally
   4-16  obligated to support the patient, third-party payors, Medicare,
   4-17  Medicaid, or any other state or local indigent care program.
   4-18  Payment for providing health care services does not include
   4-19  charitable donations, legacies, bequests, or grants or payment for
   4-20  research; or
   4-21              (19)  promoting economic development in the United
   4-22  Mexican States, Central America, or South America.
   4-23        For purposes of this subsection, the terms "charity care,"
   4-24  "government-sponsored indigent health care," "net patient revenue,"
   4-25  "nonprofit hospital," and "tax-exempt benefits" have the meanings
   4-26  set forth in Sections 311.031 and 311.042, Health and Safety Code.
   4-27  A determination of the amount of community benefits and charity
    5-1  care and government-sponsored indigent health care provided by a
    5-2  hospital and the hospital's compliance with the requirements of
    5-3  Section 311.045, Health and Safety Code, shall be based on the most
    5-4  recently completed and audited prior fiscal year of the hospital.
    5-5        The providing of charity care and government-sponsored
    5-6  indigent health care in accordance with Paragraph (A) of
    5-7  Subdivision (1) shall be guided by the prudent business judgment of
    5-8  the hospital which will ultimately determine the appropriate level
    5-9  of charity care and government-sponsored indigent health care based
   5-10  on the community needs, the available resources of the hospital,
   5-11  the tax-exempt benefits received by the hospital, and other factors
   5-12  that may be unique to the hospital.  These criteria shall not be
   5-13  determinative factors, but shall be guidelines contributing to the
   5-14  hospital's decision along with other factors which may be unique to
   5-15  the hospital.  The formulas contained in Paragraphs (B), (C), (E),
   5-16  and (F) of Subdivision (1) shall also not be considered
   5-17  determinative of a reasonable amount of charity care and
   5-18  government-sponsored indigent health care.
   5-19        The requirements of this subsection shall not apply to the
   5-20  extent a hospital demonstrates that reductions in the amount of
   5-21  community benefits, charity care, and government-sponsored indigent
   5-22  health care are necessary to maintain financial reserves at a level
   5-23  required by a bond covenant, are necessary to prevent the hospital
   5-24  from endangering its ability to continue operations, or if the
   5-25  hospital, as a result of a natural or other disaster, is required
   5-26  substantially to curtail its operations.
   5-27        In any fiscal year that a hospital, through unintended
    6-1  miscalculation, fails to meet any of the standards in Subdivision
    6-2  (1), the hospital shall not lose its tax-exempt status without the
    6-3  opportunity to cure the miscalculation in the fiscal year following
    6-4  the fiscal year the failure is discovered by both meeting one of
    6-5  the standards and providing an additional amount of charity care
    6-6  and government-sponsored indigent health care that is equal to the
    6-7  shortfall from the previous fiscal year.  A hospital may apply this
    6-8  provision only once every five years.
    6-9        SECTION 2.  This Act takes effect January 1, 1996.
   6-10        SECTION 3.  The importance of this legislation and the
   6-11  crowded condition of the calendars in both houses create an
   6-12  emergency and an imperative public necessity that the
   6-13  constitutional rule requiring bills to be read on three several
   6-14  days in each house be suspended, and this rule is hereby suspended.