BWH C.S.H.B. 3457 75(R) BILL ANALYSIS COUNTY AFFAIRS C.S.H.B. 3457 By: Chisum 3-26-97 Committee Report (Substituted) BACKGROUND Hospital districts are set up with very specific rules that must be changed through legislation. The law must be fine-tuned until the operations of the board and the district are the most efficient for the services provided to the specific region. PURPOSE To make changes to the enabling legislation of Hutchinson County Hospital District. RULEMAKING AUTHORITY This legislation does not expressly delegate any rulemaking authority to any state officer, department, agency, or institution. SECTION BY SECTION ANALYSIS SECTION 1: Amends Section 4.01(a), Chap. 77, Acts of the 71st Legislature to require that 4 of the 7 directors will be elected and three will be appointed by the county commissioners court. SECTION 2. Amends Section 4.03(d), Chap. 77 to allow an appointed director to serve more than 2 terms. SECTION 3. Amends Section 4.05(a), Chap. 77 to allow candidate to file for director's position, in accordance with the Election Code. SECTION 4. Adds Section 4.055 to Chap. 77 to allow write-in voting in elections. SECTION 5. Amends Section 4.12, Chap. 77 to make administrator plural throughout the section. SECTION 6. Amends Section 4.14(b), Chap. 77 to specify district administrator. SECTION 7. Section 4.15, Chap. 77 to name general duties of the district administrator. SECTION 8. Amends Section 5.02, Chap. 77 to include ancillary health care. SECTION 9. Amends Section 5.03, Chap. 77 to include ancillary health care. SECTION 10. Amends Section 5.04, Chap. 77 to include ancillary health care. SECTION 11. Amends Section 5.06, Chap. 77 to include ancillary health care and list what ancillary health care includes. Allows the board to acquire property and supplies for ancillary services. Allows the board to sell property of either the ancillary services or the district. SECTION 12. Amends Section 5.07(c), Chap. 77 to make conforming changes to existing statute. SECTION 13. Amends Section 5.08, Chap. 77 to allow the board to enter into contracts with public or private entities for both the hospital and the ancillary facilities. SECTION 14. Amends Sections 5.11(b) and (c), Chap. 77 to make conforming changes. SECTION 15. Amends Sections 5.12(a) and (c), Chap. 77 to make conforming changes. The board may contract with a state agency or political subdivision or the federal government. SECTION 16. Amends Sections 5.13, Chap. 77 to allow service contracts with a public or private entity, includes those outside the district. SECTION 17. Adds Section 5.19 to Chap. 77 to provide for joint ownership arrangements. The board must determine the arrangement is in the best interests of the district. SECTION 18. Amends Section 6.05(d), Chap. 77 to specify the district administrator and include ancillary care. SECTION 19. Amends Section 6.09(b), Chap. 77 to allow investments in any investment vehicle that is in the district's best interest and does not violate the Texas Constitution. SECTION 20. Amends Section 7.01, Chap. 77 to include equipment, and ancillary health care. SECTION 21. Amends Section 7.04(a) and (c), Chap. 77 to include ancillary health care. SECTION 22. Act takes effect immediately, with exceptions. SECTION 23. Emergency clause. COMPARISION OF ORIGINAL TO SUBSTITUTE The substitute deletes SECTIONS 1-3 of the original, and adds new SECTIONS 1-23 to the substitute.