H.B. No. 2873
    1-1                                AN ACT
    1-2  relating to the Nacogdoches County Hospital District.
    1-3        BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS:
    1-4        SECTION 1.  Section 3, Chapter 431, Acts of the 60th
    1-5  Legislature, Regular Session, 1967, is amended to read as follows:
    1-6        Sec. 3.  The district shall not be created, nor shall any tax
    1-7  therein be authorized unless and until such creation and such tax
    1-8  are approved by a majority of the qualified <property taxpaying>
    1-9  electors of the area of the proposed district voting at an election
   1-10  called for such purpose.  Such election may be called by the County
   1-11  Judge of Nacogdoches County or shall be called by the county judge
   1-12  upon presentation of a petition therefor signed by at least 100
   1-13  qualified <property taxpaying> electors of the area of the proposed
   1-14  district.  Such election shall be held not less than 45 nor more
   1-15  than 90 days from the date the election is ordered.  The order
   1-16  calling the election shall specify the date, place or places of
   1-17  holding the election, the form of ballot, the presiding judge and
   1-18  alternate judge for each voting place, and provide for clerks as in
   1-19  county elections.  Notice of election shall be given by publishing
   1-20  a substantial copy of the election order in a newspaper of general
   1-21  circulation in the county once a week for two consecutive weeks,
   1-22  the first publication to appear at least 30 days prior to the date
   1-23  established for the election.  If the proposition to create the
   1-24  Nacogdoches County Hospital District fails to carry at the
    2-1  election, no other election for the same purpose may be held within
    2-2  one year after the result of the election is announced officially.
    2-3        At said election there shall be submitted to the qualified
    2-4  <property taxpaying> electors of the area of the proposed district
    2-5  the proposition of whether the hospital district shall be created
    2-6  with authority to levy annual taxes at a rate not to exceed 75
    2-7  cents on each $100 valuation of taxable property within such
    2-8  district subject to hospital district taxation for the purpose of
    2-9  meeting the requirements of the district's bonds, indebtedness
   2-10  assumed by it, and its maintenance and operating expenses.
   2-11        The ballots for such creation election shall have printed
   2-12  thereon the following:
   2-13        "FOR the creation of NACOGDOCHES COUNTY HOSPITAL DISTRICT,
   2-14  providing for the levy of a tax not to exceed 75 cents on each $100
   2-15  valuation, and providing for the assumption by such district of all
   2-16  outstanding bonds and indebtedness heretofore issued by Nacogdoches
   2-17  County and by any city or town within said County for hospital
   2-18  purposes."
   2-19        "AGAINST the creation of NACOGDOCHES COUNTY HOSPITAL
   2-20  DISTRICT, providing for the levy of a tax not to exceed 75 cents on
   2-21  each $100 valuation, and providing for the assumption by such
   2-22  district of all outstanding bonds and indebtedness heretofore
   2-23  issued by Nacogdoches County and by any city or town within said
   2-24  County for hospital purposes."
   2-25        Within 10 days after such election is held, or as soon
   2-26  thereafter as possible, the commissioners court of said county
   2-27  shall convene and canvass the returns of the election and, in the
    3-1  event such election results favorably to the proposition specified
    3-2  in Section 2, the court shall so find and declare the hospital
    3-3  district established and created.
    3-4        SECTION 2.  Section 4, Chapter 431, Acts of the 60th
    3-5  Legislature, Regular Session, 1967, is amended to read as follows:
    3-6        Sec. 4.  One director is elected from each commissioner
    3-7  precinct and three directors are elected at large.  Directors serve
    3-8  staggered two-year terms.  <On the same day an election is ordered
    3-9  on the proposition specified in Section 2, the county judge shall
   3-10  also order an election for seven directors to serve as the initial
   3-11  board of directors of the district in the event the same is created
   3-12  and established.  The election for such directors shall be held at
   3-13  the same time, at the same place or places, and with the same
   3-14  election officials as prescribed in the election order for the
   3-15  creation of the district and notice thereof shall be given in the
   3-16  same manner as the election for the creation of the district, but
   3-17  separate ballots shall be used.  Persons may have their names
   3-18  printed on the ballot as candidate for the office of director by
   3-19  submitting to the county clerk an application therefor at least 30
   3-20  days prior to the date set for the holding of such election.  Such
   3-21  application shall be accepted by the county clerk only if it is
   3-22  accompanied by evidence (in affidavit form or otherwise) that the
   3-23  candidate has the requisite qualifications to serve as a director
   3-24  as in this Act provided, and such application shall be signed by
   3-25  the candidate and at least 25 other qualified electors of the
   3-26  county.  In the event the district is created, the four candidates
   3-27  receiving the largest number of votes shall serve until the first
    4-1  Saturday in April of the second year following the election for the
    4-2  creation of the district, and the three candidates receiving the
    4-3  next largest number of votes shall serve until the first Saturday
    4-4  in April of the year following the election for the creation of the
    4-5  district.  Successors shall be elected by a vote of the electors of
    4-6  the entire district for two-year terms.>  Each director and his
    4-7  successor in office shall qualify by executing the constitutional
    4-8  oath of office, and such directors, acting as a board, shall have
    4-9  and exercise the powers hereafter conferred.
   4-10        To be eligible to be a candidate for or to serve as a
   4-11  director, a person must be a resident of the district and a
   4-12  qualified voter.  In addition to those qualifications, a person who
   4-13  is elected from a commissioner precinct or who is appointed to fill
   4-14  a vacancy for a commissioner precinct must be a resident of that
   4-15  commissioner precinct.  An employee of the district may not serve
   4-16  as a director.
   4-17        <No person shall be a member of the board of directors of
   4-18  said hospital district unless he owns land subject to taxation
   4-19  therein and unless at the time of such election or appointment he
   4-20  shall be a qualified elector of the district.>
   4-21        The board of directors shall organize by electing one of
   4-22  their number as president and one of their number as vice
   4-23  president.  Each officer of the board serves for a term of one
   4-24  year.  The board shall fill a vacancy in a board office for the
   4-25  unexpired term.  A secretary, who need not be a director, shall
   4-26  also be elected.  Any four members of the board of directors shall
   4-27  constitute a quorum and a majority of the members of the board
    5-1  voting must concur in a matter relating <concurrence of four shall
    5-2  be sufficient in all matters pertaining> to the business of the
    5-3  district.  All vacancies in the office of director shall be filled
    5-4  for the unexpired term by appointment of the remainder of the board
    5-5  of directors.  In the event the number of directors shall be
    5-6  reduced to less than four for any reason, the remaining directors
    5-7  shall immediately call a special election to fill said vacancies,
    5-8  and upon failure to do so, a district court, upon application of
    5-9  any elector or taxpayer of the district, may issue a mandate
   5-10  requiring that such election be ordered by the remaining directors.
   5-11        A regular election of directors shall be held on the first
   5-12  Saturday in May <April> of each year and the appropriate number of
   5-13  successor directors shall be elected.  Notice <and notice> of such
   5-14  election shall be published in a newspaper of general circulation
   5-15  in the county one time at least 10 days prior to the date of
   5-16  election.  Any person desiring his name to be printed on the ballot
   5-17  as a candidate for director shall file a petition, signed by not
   5-18  less than 25 qualified electors asking that such name be printed on
   5-19  the ballot, with the secretary of the board of directors of the
   5-20  district.  The petition must specify the commissioner precinct the
   5-21  person wants to represent or that the person wants to represent the
   5-22  district at large.  Such petition shall be so filed at least 25
   5-23  days prior to the date of election.  The secretary shall accept
   5-24  such petition only if it is accompanied by evidence such candidate
   5-25  has the requisite qualifications as herein prescribed.
   5-26        SECTION 3.  Section 6, Chapter 431, Acts of the 60th
   5-27  Legislature, Regular Session, 1967, is amended to read as follows:
    6-1        Sec. 6.  The district shall be operated on the basis of a
    6-2  fiscal year commencing on July 1 of each year and ending on June 30
    6-3  of the following year, and it shall cause an audit to be made of
    6-4  the financial condition of said district, which together with other
    6-5  records of the district shall be open to inspection at the
    6-6  principal office of the district.  The administrator or manager
    6-7  shall prepare an annual budget for approval by the board of
    6-8  directors.  The budget shall also contain a complete financial
    6-9  statement of the district showing all outstanding obligations of
   6-10  the district, the cash on hand to the credit of each and every fund
   6-11  of the district, the funds received from all sources during the
   6-12  previous year, the funds available from all sources during the
   6-13  ensuing year, with balances expected at year end of the year in
   6-14  which the budget is being prepared, and estimated revenues and
   6-15  balances available to cover the proposed budget and the estimated
   6-16  tax rate which will be required.  A public hearing on the annual
   6-17  budget shall be held by the board of directors after notice of such
   6-18  hearing has been published one time at least 10 days before the
   6-19  date set therefor.  Any resident <property taxpayer> of the
   6-20  district shall have the right to be present and participate in said
   6-21  hearing.  At the conclusion of the hearing, the budget, as proposed
   6-22  by the president, shall be acted upon by the board of directors.
   6-23  The board of directors shall have authority to make such changes in
   6-24  the budget as in their judgment the law warrants and the interest
   6-25  of the taxpayers demand.  No expenditure may be made for any
   6-26  expense not included in the annual budget or an amendment thereto.
   6-27  The annual budget may be amended from time to time as the
    7-1  circumstances may require, but the annual budget, and all
    7-2  amendments thereto, shall be approved by the board of directors.
    7-3  As soon as practicable after the close of each fiscal year, the
    7-4  administrator or manager shall prepare for the board a full sworn
    7-5  statement of all moneys belonging to the district and a full
    7-6  account of the disbursements of same.
    7-7        SECTION 4.  Section 7, Chapter 431, Acts of the 60th
    7-8  Legislature, Regular Session, 1967, is amended to read as follows:
    7-9        Sec. 7.  The board of directors shall have the power and
   7-10  authority to issue and sell its bonds in the name and upon the
   7-11  faith and credit of such hospital district for the purchase,
   7-12  construction, acquisition, repair or renovation of buildings and
   7-13  improvements and equipping the same for hospital purposes, and for
   7-14  any or all of such purposes.  At the time of issuance of any bonds
   7-15  by the district a tax shall be levied by the board sufficient to
   7-16  create an interest and sinking fund to pay the interest on and
   7-17  principal of said bonds as same mature, providing such tax together
   7-18  with any other taxes levied for said district shall not exceed 75
   7-19  cents on each $100 valuation of taxable property in any one year,
   7-20  within the district subject to hospital district taxation.  No
   7-21  bonds shall be issued by such hospital district except refunding
   7-22  bonds until authorized by a majority of the qualified electors of
   7-23  the district <who own taxable property therein and who have duly
   7-24  rendered the same for taxation> voting at an election called for
   7-25  such purpose.  The order for bond election shall specify the date
   7-26  of the election, the amount of bonds to be authorized, the maximum
   7-27  maturity thereof, the maximum rate of interest they are to bear,
    8-1  the place or places where the election shall be held, the presiding
    8-2  judge and alternate judge for each voting place and provide for
    8-3  clerks as in county elections.  Notice of any bond election (except
    8-4  one held under the provisions of Section 8, in which instance
    8-5  notice shall be given as provided in Section 3) shall be given as
    8-6  provided in Article 704, Revised <Civil> Statutes <of Texas, 1925,
    8-7  as amended>, and shall be conducted in accordance with the general
    8-8  laws of Texas pertaining to general elections, except as modified
    8-9  by the provisions of this Act.
   8-10        Refunding bonds of the district may be issued for the purpose
   8-11  of refunding and paying off any outstanding indebtedness it has
   8-12  issued or assumed.  Such refunding bonds may be sold and the
   8-13  proceeds thereof applied to the payment of outstanding
   8-14  indebtedness, or may be exchanged in whole or in part for not less
   8-15  than a like principal amount of such outstanding indebtedness
   8-16  provided that, if refunding bonds are to be exchanged for a like
   8-17  amount of said outstanding indebtedness, such refunding bonds shall
   8-18  bear interest at the same or lower rate than borne by the debt
   8-19  refunded, unless it is shown mathematically that a saving will
   8-20  result in the total amount of interest to be paid on said refunding
   8-21  bonds, and provided further that if such refunding bonds are to be
   8-22  sold and the proceeds thereof applied to the payment of any such
   8-23  outstanding indebtedness, same shall be issued and payments made in
   8-24  the manner specified by Chapter 503, Acts of the 54th Legislature,
   8-25  1955, as amended (Article 717k, Vernon's Texas Civil Statutes).
   8-26        Bonds of the district shall bear interest not to exceed six
   8-27  percent per annum, shall mature within 40 years of their date,
    9-1  shall be executed in the name of the hospital district and in its
    9-2  behalf by the president of the board and countersigned by the
    9-3  secretary in the manner provided by Chapter 204, Acts of the 57th
    9-4  Legislature, Regular Session, 1961 (Article 717j-1, Vernon's Texas
    9-5  Civil Statutes), as amended, and shall be subject to the same
    9-6  requirements in the matter of approval by the Attorney General of
    9-7  Texas and registration by the Comptroller of Public Accounts of the
    9-8  State of Texas as are by law provided for approval and registration
    9-9  of bonds issued by counties.  Upon the approval of such bonds by
   9-10  the attorney general and registration by the comptroller, the same
   9-11  shall be incontestable for any cause.
   9-12        SECTION 5.  Section 10, Chapter 431, Acts of the 60th
   9-13  Legislature, Regular Session, 1967, is amended to read as follows:
   9-14        Sec. 10.  The board of directors of such district shall have
   9-15  the power to prescribe the method and manner of making purchases
   9-16  and expenditures by and for such hospital district, and also shall
   9-17  be authorized to prescribe all accounting and control procedures.
   9-18  Pending receipt of accounts receivable, the board may borrow money
   9-19  for the payment of maintenance and operating expenses of the
   9-20  district.  A loan obtained by the district must be repaid not later
   9-21  than one year after the date on which the loan is made.  All
   9-22  contracts for construction or purchases involving the expenditure
   9-23  of more than $10,000 <$2,000> may be made only after advertising in
   9-24  the manner provided by Subchapter B, Chapter 271, Local Government
   9-25  Code <Chapter 163, General Laws, Acts of the 42nd Legislature,
   9-26  Regular Session, 1931 (Article 2368a, Vernon's Texas Civil
   9-27  Statutes), as amended>.  The provisions of Article 5160 relating to
   10-1  performance and payment bonds shall apply to construction contracts
   10-2  let by the district.  The district may acquire equipment for use in
   10-3  its hospital system and mortgage or pledge the property so acquired
   10-4  as security for the payment of the purchase price, but any such
   10-5  contract shall provide for the entire obligation of the district to
   10-6  be retired within five years from the date of the contract.  Except
   10-7  as permitted by this section and as permitted by Sections 7 and 8,
   10-8  the district may incur no obligation payable from any revenues of
   10-9  the district (taxes or otherwise) except those on hand or to be on
  10-10  hand within the then current and following fiscal year of the
  10-11  district.
  10-12        SECTION 6.  Section 15(b), Chapter 431, Acts of the 60th
  10-13  Legislature, Regular Session, 1967, is amended to read as follows:
  10-14        (b)  Under this subsection, taxes shall be assessed and
  10-15  collected by a tax assessor-collector appointed by the directors,
  10-16  who shall also fix the terms of his employment, compensation and
  10-17  requirement for bond to assure the faithful performance of his
  10-18  duties, but in no event shall such bond be for less than $5,000.
  10-19  The directors shall also annually appoint five persons to serve as
  10-20  a board of equalization and shall fix their compensation.  Each
  10-21  member of the board and the tax assessor shall be residents of the
  10-22  district <and own real property subject to hospital district
  10-23  taxation,> and each shall have the same duties (including the
  10-24  obligation to execute the oath of office) as required by county
  10-25  officials exercising such powers and duties.  Except as in this law
  10-26  provided to the contrary, all the provisions of the Tax Code <Title
  10-27  122, Revised Civil Statutes of Texas, 1925, as amended,> shall
   11-1  apply to the district.
   11-2        SECTION 7.  Chapter 431, Acts of the 60th Legislature,
   11-3  Regular Session, 1967, is amended by adding Sections 16A-16E to
   11-4  read as follows:
   11-5        Sec. 16A.  The board may provide retirement benefits for
   11-6  employees of the district by:
   11-7              (1)  establishing or administering a retirement
   11-8  program; or
   11-9              (2)  electing to participate in the Texas County and
  11-10  District Retirement System or in any other statewide retirement
  11-11  system in which the district is eligible to participate.
  11-12        Sec. 16B.  The board may adopt rules governing the operation
  11-13  of the hospital and hospital system and the duties, functions, and
  11-14  responsibilities of district staff and employees.
  11-15        Sec. 16C.  The board may contract with a municipality,
  11-16  county, special district, or other political subdivision of the
  11-17  state or with a state or federal agency for the district to:
  11-18              (1)  furnish a mobile emergency medical service;
  11-19              (2)  provide for the investigatory or welfare needs of
  11-20  inhabitants of the district; or
  11-21              (3)  provide a rural health clinic to care for the
  11-22  inhabitants of the contracting political subdivision.
  11-23        Sec. 16D.  (a)  Registered voters of a defined territory that
  11-24  is not included in a district may file a petition with the
  11-25  secretary of the board requesting the inclusion of the territory in
  11-26  the district.  The petition must be signed by at least 50
  11-27  registered voters of the territory or a majority of those voters,
   12-1  whichever is less.
   12-2        (b)  The board by order shall set a time and place to hold a
   12-3  hearing on the petition to include the territory in the district.
   12-4  The board shall set a date for the hearing that is after the 30th
   12-5  day after the date the board issues the order.
   12-6        (c)  If after the hearing the board finds that annexation of
   12-7  the territory into the district would be feasible and would benefit
   12-8  the district, the board may approve the annexation by a resolution
   12-9  entered in its minutes.  The board is not required to include all
  12-10  of the territory described in the petition if the board finds that
  12-11  a modification or change is necessary or desirable.
  12-12        (d)  Annexation of territory is final when approved by a
  12-13  majority of the voters at an election held in the district and by a
  12-14  majority of the voters at a separate election held in the territory
  12-15  to be annexed.  If the district has outstanding debts or taxes, the
  12-16  voters in the election to approve the annexation must also
  12-17  determine if the annexed territory will assume its proportion of
  12-18  the debts or taxes if added to the district.
  12-19        (e)  The election ballots shall be printed to permit voting
  12-20  for or against the following, as applicable:
  12-21              (1)  "Adding (description of territory to be added) to
  12-22  the Nacogdoches County Hospital District."
  12-23              (2)  "(Description of territory to be added) assuming
  12-24  its proportionate share of the outstanding debts and taxes of the
  12-25  Nacogdoches County Hospital District, if it is added to the
  12-26  district."
  12-27        (f)  The election shall be held after the 45th day and on or
   13-1  before the 60th day after the date the election is ordered.  The
   13-2  election shall be ordered and notice of the election shall be given
   13-3  in the same manner as provided by Section 3 for ordering and giving
   13-4  notice of an election authorizing creation of the district.
   13-5  Section 41.001(a), Election Code, does not apply to an election
   13-6  held under this section.
   13-7        Sec. 16E.  (a)  The board shall require reimbursement from a
   13-8  county, municipality, or public hospital located outside the
   13-9  boundaries of the district for the district's care and treatment of
  13-10  a sick, diseased, or injured person of that county, municipality,
  13-11  or public hospital as provided by Chapter 61, Health and Safety
  13-12  Code.
  13-13        (b)  The board shall require reimbursement from the sheriff
  13-14  or police chief of a county or municipality for the district's care
  13-15  and treatment of a person confined in a jail facility of the county
  13-16  or municipality who is not a resident of the district.
  13-17        (c)  The board may contract with the state or federal
  13-18  government for the state or federal government to reimburse the
  13-19  district for treatment of a sick, diseased, or injured person.
  13-20        SECTION 8.  The importance of this legislation and the
  13-21  crowded condition of the calendars in both houses create an
  13-22  emergency and an imperative public necessity that the
  13-23  constitutional rule requiring bills to be read on three several
  13-24  days in each house be suspended, and this rule is hereby suspended,
  13-25  and that this Act take effect and be in force from and after its
  13-26  passage, and it is so enacted.