75R9518 JD-D
By Hunter H.B. No. 2680
Substitute the following for H.B. No. 2680:
By Hunter C.S.H.B. No. 2680
A BILL TO BE ENTITLED
1-1 AN ACT
1-2 relating to the exemption from ad valorem taxation of the property
1-3 of certain charitable organizations.
1-4 BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS:
1-5 SECTION 1. Section 11.18, Tax Code, is amended by amending
1-6 Subsection (d) and adding Subsection (k) to read as follows:
1-7 (d) A charitable organization must be organized exclusively
1-8 to perform religious, charitable, scientific, literary, or
1-9 educational purposes and, except as permitted by Subsection (h) of
1-10 this section, engage exclusively in performing one or more of the
1-11 following charitable functions:
1-12 (1) providing medical care without regard to the
1-13 beneficiaries' ability to pay, which in the case of a nonprofit
1-14 hospital or hospital system means providing charity care and
1-15 community benefits as set forth in Paragraph (A), (B), (C), (D),
1-16 (E), (F), (G), or (H):
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 hospital
1-21 or hospital system, and the tax-exempt benefits received by the
1-22 hospital or hospital system;
1-23 (B) charity care and government-sponsored
1-24 indigent health care are provided in an amount equal to at least
2-1 four percent of the hospital's or hospital system's net patient
2-2 revenue;
2-3 (C) charity care and government-sponsored
2-4 indigent health care are provided in an amount equal to at least
2-5 100 percent of the hospital's or hospital system's tax-exempt
2-6 benefits, excluding federal income tax;
2-7 (D) a nonprofit hospital that has been
2-8 designated as a disproportionate share hospital under the state
2-9 Medicaid program in the current year or in either of the previous
2-10 two fiscal years shall be considered to have provided a reasonable
2-11 amount of charity care and government-sponsored indigent health
2-12 care and shall be deemed in compliance with the standards in this
2-13 subsection;
2-14 (E) for tax years before 1996, charity care and
2-15 community benefits are provided in a combined amount equal to at
2-16 least five percent of the hospital's or hospital system's net
2-17 patient revenue, provided that charity care and
2-18 government-sponsored indigent health care are provided in an amount
2-19 equal to at least three percent of net patient revenue;
2-20 (F) beginning with the hospital's or hospital
2-21 system's tax year starting after 1995, charity care and community
2-22 benefits are provided in a combined amount equal to at least five
2-23 percent of the hospital's or hospital system's net patient revenue,
2-24 provided that charity care and government-sponsored indigent health
2-25 care are provided in an amount equal to at least four percent of
2-26 net patient revenue;
2-27 (G) a hospital operated on a nonprofit basis
3-1 that is located in a county with a population of less than 50,000
3-2 and in which the entire county or the population of the entire
3-3 county has been designated as a health professionals shortage area
3-4 is considered to be in compliance with the standards provided by
3-5 this subsection; or
3-6 (H) a hospital providing health care services to
3-7 inpatients or outpatients without receiving any payment for
3-8 providing those services from any source, including the patient or
3-9 person legally obligated to support the patient, third-party
3-10 payers, Medicare, Medicaid, or any other state or local indigent
3-11 care program but excluding charitable donations, legacies,
3-12 bequests, or grants or payments for research, is considered to be
3-13 in compliance with the standards provided by this subsection;
3-14 (2) providing support or relief to orphans,
3-15 delinquent, dependent, or handicapped children in need of
3-16 residential care, abused or battered spouses or children in need of
3-17 temporary shelter, the impoverished, or victims of natural disaster
3-18 without regard to the beneficiaries' ability to pay;
3-19 (3) providing support to elderly persons or the
3-20 handicapped without regard to the beneficiaries' ability to pay;
3-21 (4) preserving a historical landmark or site;
3-22 (5) promoting or operating a museum, zoo, library,
3-23 theater of the dramatic or performing arts, or symphony orchestra
3-24 or choir;
3-25 (6) promoting or providing humane treatment of
3-26 animals;
3-27 (7) acquiring, storing, transporting, selling, or
4-1 distributing water for public use;
4-2 (8) answering fire alarms and extinguishing fires with
4-3 no compensation or only nominal compensation to the members of the
4-4 organization;
4-5 (9) promoting the athletic development of boys or
4-6 girls under the age of 18 years;
4-7 (10) preserving or conserving wildlife;
4-8 (11) promoting educational development through loans
4-9 or scholarships to students;
4-10 (12) providing halfway house services pursuant to a
4-11 certification as a halfway house by the Board of Pardons and
4-12 Paroles;
4-13 (13) providing permanent housing and related social,
4-14 health care, and educational facilities for persons who are 62
4-15 years of age or older without regard to the residents' ability to
4-16 pay;
4-17 (14) promoting or operating an art gallery, museum, or
4-18 collection, in a permanent location or on tour, that is open to the
4-19 public;
4-20 (15) providing for the organized solicitation and
4-21 collection for distributions through gifts, grants, and agreements
4-22 to nonprofit charitable, education, religious, and youth
4-23 organizations that provide direct human, health, and welfare
4-24 services;
4-25 (16) performing biomedical or scientific research or
4-26 biomedical or scientific education for the benefit of the public;
4-27 [or]
5-1 (17) operating a television station that produces or
5-2 broadcasts educational, cultural, or other public interest
5-3 programming and that receives grants from the Corporation for
5-4 Public Broadcasting under 47 U.S.C. Section 396; or
5-5 (18) providing housing and related services to elderly
5-6 individuals by:
5-7 (A) a nursing home, if the nursing home provides
5-8 charity care and government-sponsored indigent health care to its
5-9 residents in an amount equal to at least four percent of the
5-10 nursing home's net resident revenue; or
5-11 (B) a retirement community, if the retirement
5-12 community provides assisted living services and nursing services to
5-13 its residents on a single campus:
5-14 (i) without regard to the residents'
5-15 ability to pay; or
5-16 (ii) in an amount equal to at least four
5-17 percent of the retirement community's combined net resident
5-18 revenue.
5-19 For purposes of satisfying Paragraph (F) of Subdivision (1),
5-20 a hospital or hospital system may not change its existing fiscal
5-21 year unless the hospital or hospital system changes its ownership
5-22 or corporate structure as a result of a sale or merger.
5-23 For purposes of this subsection, a hospital that satisfies
5-24 Paragraph (A), (D), (G), or (H) of Subdivision (1) shall be
5-25 excluded in determining a hospital system's compliance with the
5-26 standards provided by Paragraph (B), (C), (E), or (F) of
5-27 Subdivision (1).
6-1 For purposes of this subsection, the terms "charity care,"
6-2 "government-sponsored indigent health care," "health care
6-3 organization," "hospital system," "net patient revenue," "nonprofit
6-4 hospital," and "tax-exempt benefits" have the meanings set forth in
6-5 Sections 311.031 and 311.042, Health and Safety Code. A
6-6 determination of the amount of community benefits and charity care
6-7 and government-sponsored indigent health care provided by a
6-8 hospital or hospital system and the hospital's or hospital system's
6-9 compliance with the requirements of Section 311.045, Health and
6-10 Safety Code, shall be based on the most recently completed and
6-11 audited prior fiscal year of the hospital or hospital system.
6-12 The providing of charity care and government-sponsored
6-13 indigent health care in accordance with Paragraph (A) of
6-14 Subdivision (1) shall be guided by the prudent business judgment of
6-15 the hospital which will ultimately determine the appropriate level
6-16 of charity care and government-sponsored indigent health care based
6-17 on the community needs, the available resources of the hospital,
6-18 the tax-exempt benefits received by the hospital, and other factors
6-19 that may be unique to the hospital, such as the hospital's volume
6-20 of Medicare and Medicaid patients. These criteria shall not be
6-21 determinative factors, but shall be guidelines contributing to the
6-22 hospital's decision along with other factors which may be unique to
6-23 the hospital. The formulas contained in Paragraphs (B), (C), (E),
6-24 and (F) of Subdivision (1) shall also not be considered
6-25 determinative of a reasonable amount of charity care and
6-26 government-sponsored indigent health care.
6-27 The requirements of this subsection shall not apply to the
7-1 extent a hospital or hospital system demonstrates that reductions
7-2 in the amount of community benefits, charity care, and
7-3 government-sponsored indigent health care are necessary to maintain
7-4 financial reserves at a level required by a bond covenant, are
7-5 necessary to prevent the hospital or hospital system from
7-6 endangering its ability to continue operations, or if the hospital
7-7 or hospital system, as a result of a natural or other disaster, is
7-8 required substantially to curtail its operations.
7-9 In any fiscal year that a hospital or hospital system,
7-10 through unintended miscalculation, fails to meet any of the
7-11 standards in Subdivision (1), the hospital or hospital system shall
7-12 not lose its tax-exempt status without the opportunity to cure the
7-13 miscalculation in the fiscal year following the fiscal year the
7-14 failure is discovered by both meeting one of the standards and
7-15 providing an additional amount of charity care and
7-16 government-sponsored indigent health care that is equal to the
7-17 shortfall from the previous fiscal year. A hospital or hospital
7-18 system may apply this provision only once every five years.
7-19 (k) In connection with a nursing home or retirement
7-20 community, for purposes of Subsection (d):
7-21 (1) "Assisted living services" means responsible adult
7-22 supervision of or assistance with routine living functions of an
7-23 individual in instances where the individual's condition
7-24 necessitates that supervision or assistance.
7-25 (2) "Charity care," "government-sponsored indigent
7-26 health care," and "net resident revenue" are determined in the
7-27 same manner for a retirement community or nursing home as for a
8-1 hospital under Subsection (d).
8-2 (3) "Nursing care services" includes services provided
8-3 by nursing personnel, including patient observation, the promotion
8-4 and maintenance of health, prevention of illness or disability,
8-5 guidance and counseling to individuals and families, and referral
8-6 of patients to physicians, other health care providers, or
8-7 community resources if appropriate.
8-8 (4) "Retirement community" means a collection of
8-9 various types of housing that are under common ownership and
8-10 designed for habitation by individuals over the age of 62.
8-11 (5) "Single campus" means a facility designed to
8-12 provide multiple levels of retirement housing that is
8-13 geographically situated on a site at which all levels of housing
8-14 are contiguous to each other on a single property.
8-15 SECTION 2. This Act takes effect January 1, 1998.
8-16 SECTION 3. The importance of this legislation and the
8-17 crowded condition of the calendars in both houses create an
8-18 emergency and an imperative public necessity that the
8-19 constitutional rule requiring bills to be read on three several
8-20 days in each house be suspended, and this rule is hereby suspended.