By Craddick                                           H.B. No. 3266

         75R9349 CLG-D                           

                                A BILL TO BE ENTITLED

 1-1                                   AN ACT

 1-2     relating to the Midland County Hospital District.

 1-3           BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS:

 1-4           SECTION 1.  Section 3(a), Chapter 112, Acts of the 65th

 1-5     Legislature, Regular Session, 1977, is amended to read as follows:

 1-6           (a)  The district authorized to be created by this Act is

 1-7     charged with the responsibility of establishing a hospital or a

 1-8     hospital system, including medical facilities and other health

 1-9     facilities, within its boundaries to furnish hospital and medical

1-10     care to the residents of the district.  After this district is

1-11     created as provided in Section 4 of this Act, no other municipality

1-12     or political subdivision has the authority to [of this state may]

1-13     levy taxes or issue bonds or other obligations for hospital

1-14     purposes or for [of indebtedness for the purpose of] providing

1-15     [hospital service or] medical care within the boundaries of the

1-16     district.  This district shall provide all necessary [hospital and]

1-17     medical and hospital care for the needy inhabitants of the

1-18     district.  The district may provide primary care, emergency

1-19     services, preventive medical services, and other health-related

1-20     services outside the boundaries of the district, provided that the

1-21     services serve the purpose of the district as established by this

1-22     Act.

1-23           SECTION 2.  Chapter 112, Acts of the 65th Legislature,

1-24     Regular Session, 1977, is amended by adding Section 5A to read as

 2-1     follows:

 2-2           Sec. 5A.  (a)  In a general or special election of directors,

 2-3     a write-in vote may not be counted unless the name written in

 2-4     appears on the list of write-in candidates.

 2-5           (b)  To be entitled to a place on the list of write-in

 2-6     candidates, a candidate must make a declaration of write-in

 2-7     candidacy.

 2-8           (c)  A declaration of write-in candidacy must be filed with

 2-9     the secretary of the board of directors not later than 5 p.m. of

2-10     the 30th day before election day.  However, if a candidate whose

2-11     name is to appear on the ballot dies or is declared ineligible

2-12     after the 33rd day before election day, a declaration of write-in

2-13     candidacy for the office sought by the deceased or ineligible

2-14     candidate may be filed not later than 5 p.m. of the 27th day before

2-15     election day.

2-16           (d)  Subchapter B, Chapter 146, Election Code, applies to

2-17     write-in voting in an election of directors except to the extent of

2-18     a conflict with this section.

2-19           SECTION 3.  Section 6, Chapter 112, Acts of the 65th

2-20     Legislature, Regular Session, 1977, is amended to read as follows:

2-21           Sec. 6.  The board of directors shall manage, control, and

2-22     administer the hospital or hospital system of the district and all

2-23     funds and resources of the district, but operating, depreciation,

2-24     or building fund reserves may not be invested in any funds or

2-25     securities other than those specified in Articles 836 and 837,

2-26     Revised Civil Statutes of Texas, 1925, as amended.  The board is

2-27     given full authority to establish rules relating to seniority of

 3-1     employees of the district and may establish or administer a

 3-2     retirement program or elect to participate in any statewide

 3-3     retirement program in which the district is eligible to

 3-4     participate.  The district may give effect to previous years of

 3-5     service for those employees who have been continuously employed in

 3-6     the operation or management of the hospital facilities acquired

 3-7     from Midland Memorial Foundation on the creation of the district.

 3-8     The district, through its board of directors, shall have the power

 3-9     and authority to sue and be sued and to promulgate rules governing

3-10     the operation of the hospital, hospital system, its staff, and its

3-11     employees.  The board of directors may appoint a qualified person

3-12     as the administrator of the hospital district and may in its

3-13     discretion appoint assistants to the administrator.  The

3-14     administrator and assistant administrator, if any, serve at the

3-15     will of the board and receive compensation fixed by the board.  The

3-16     administrator shall on assuming his duties execute a bond payable

3-17     to the hospital district in an amount set by the board of

3-18     directors, not less than $10,000, conditioned on performance of the

3-19     duties required of him and containing other conditions as the board

3-20     may require.  The administrator shall supervise all the work and

3-21     activities of the district and shall have general direction of the

3-22     affairs of the district, subject to the limitations prescribed by

3-23     the board.  The board of directors shall have authority to appoint

3-24     and dismiss from the staff such doctors as it deems necessary for

3-25     the efficient operation of the district and may provide for

3-26     temporary appointment to the staff if warranted by circumstances.

3-27     The board may delegate to the administrator the authority to employ

 4-1     or contract with technicians, nurses, and other persons or

 4-2     employees of the district as deemed advisable by the administrator.

 4-3     The board may enter into agreements, spend district funds, and take

 4-4     other necessary action to recruit or otherwise obtain physicians

 4-5     and other personnel for the district's medical staff or for

 4-6     employment with the hospital or hospital system, including medical

 4-7     facilities or other health facilities owned or operated by the

 4-8     district.  The actions may include advertising and marketing,

 4-9     paying recruitment expenses, paying travel and relocation expenses,

4-10     and providing subsidies and scholarships.  The board shall be

4-11     authorized to contract with any person, firm, corporation, [other]

4-12     political subdivision, or governmental agency whereby the district

4-13     will provide investigatory or other services as to the medical,

4-14     hospital, or welfare needs of the inhabitants of the district.  The

4-15     board shall be authorized to contract with any person, firm,

4-16     corporation, hospital or hospital authority, hospital district,

4-17     emergency services district, county, incorporated municipality, or

4-18     any [other] political subdivision of this state, [that is] located

4-19     inside or outside its boundaries, for the hospitalization and

4-20     treatment of [the] sick, diseased, or injured persons.  The

4-21     district may operate or provide for the operation of an ambulance

4-22     or mobile emergency service.  The district may [of any such entity

4-23     and shall have the authority to] contract with the state or its

4-24     agencies, [and] the federal government or its agencies, or a

4-25     person, firm, corporation, hospital, hospital authority, emergency

4-26     services district, county, incorporated municipality, or another

4-27     political subdivision of this state, located inside or outside its

 5-1     boundaries, for services provided by the district, including the

 5-2     promotion of health,  [for the] hospital treatment of sick,

 5-3     diseased, or injured persons, and [for] the training of doctors,

 5-4     nurses, and other health care disciplines.  The board of directors

 5-5     may exercise all of the [foregoing] powers of this section and all

 5-6     other sections of this Act, unless  an operating or [unless a]

 5-7     management agreement is entered into with the board of directors,

 5-8     in accordance with Section 7 hereof, by which either all or a part

 5-9     of such powers shall be exercised pursuant to the operating or [a]

5-10     management agreement.

5-11           SECTION 4.  Section 7, Chapter 112, Acts of the 65th

5-12     Legislature, Regular Session, 1977, is amended to read as follows:

5-13           Sec. 7.  The board of directors, in addition to any other

5-14     powers which it may now or hereafter have, is hereby authorized to

5-15     enter into a management agreement with the Midland Memorial

5-16     Foundation or its successors or any other individual, corporation,

5-17     agency, or governmental subdivision or entity for the management

5-18     and operation of any hospital or part thereof owned by the

5-19     district, under such terms and conditions as may be satisfactory to

5-20     the board of directors and the Midland Memorial Foundation or any

5-21     other individual, corporation, agency, or governmental subdivision

5-22     or entity.  Such agreement may be for a term of up to 10 years with

5-23     such options of renewal as deemed advisable.  A nonprofit

5-24     corporation that manages a hospital or provides services under a

5-25     contract with the district under this Act and any employee of the

5-26     corporation are, while performing services under the contract for

5-27     the benefit of the district, employees of the district for the

 6-1     purposes of Chapters 101 and 102, Civil Practice and Remedies Code.

 6-2           SECTION 5.  Section 11, Chapter 112, Acts of the 65th

 6-3     Legislature, Regular Session, 1977, is amended to read as follows:

 6-4           Sec. 11.  The board of directors is given complete discretion

 6-5     as to the type, number, and location of buildings and property

 6-6     required to establish and maintain an adequate hospital system.

 6-7     The hospital system may include facilities for domiciliary care of

 6-8     the sick, wounded, and injured, outpatient clinics, dispensaries,

 6-9     facilities for geriatric domiciliary care, convalescent home

6-10     facilities, necessary nurses' domiciliaries, and training centers,

6-11     training facilities for doctors, nurses, and other health care

6-12     disciplines, blood banks, community mental health centers, research

6-13     centers or laboratories, parking, and any other facilities deemed

6-14     necessary by the board of directors for a hospital or hospital

6-15     system and a medical facility or other health facility included in

6-16     the hospital or hospital system [for medical and hospital care by

6-17     the board of directors].  The district, through its board of

6-18     directors, is authorized to lease property, facilities, or

6-19     equipment and to enter into leases of all or a part of its

6-20     buildings and facilities with any person, corporation, political

6-21     subdivision, agency, or branch of the state or United States, with

6-22     such terms and conditions as considered to be in the best interest

6-23     of the district; provided that no lease may be for a period in

6-24     excess of 40 years from the date entered.  On the district's

6-25     behalf, the board of directors may hold, construct, condemn,

6-26     purchase, acquire, lease, add to, maintain, operate, regulate,

6-27     sell, convey, [The district may sell] or otherwise dispose of land,

 7-1     equipment, or property of any nature, or a property  right,

 7-2     hospital facility, or hospital system [any property, real or

 7-3     personal, or equipment of any nature] on terms and conditions found

 7-4     by the board to be in the best interest of the district's [its]

 7-5     inhabitants.

 7-6           SECTION 6.  Section 12, Chapter 112, Acts of the 65th

 7-7     Legislature, Regular Session, 1977, is amended to read as follows:

 7-8           Sec. 12.  The board of directors has the power to prescribe

 7-9     the method and manner of making purchases and expenditures by and

7-10     for the hospital district and shall also be authorized to prescribe

7-11     all accounting and control procedures or may delegate all or any of

7-12     those powers, by the adoption of  an appropriate resolution to that

7-13     effect, to the Midland Memorial Foundation or its successors, or to

7-14     an individual, corporation, agency, political subdivision, or other

7-15     entity that enters into an operating or management agreement with

7-16     the district to exercise all or any of those powers.  All contracts

7-17     by the district for construction or purchases involving the

7-18     expenditure of more than $10,000 may be made only after advertising

7-19     in the manner provided by Chapter 252, Local Government Code.  The

7-20     provisions of Chapter 2253, Government Code [Article 5160, Revised

7-21     Civil Statutes of Texas, 1925, as amended], apply to construction

7-22     contracts let by the district.  The district may acquire equipment

7-23     for use in its hospital system, including medical facilities and

7-24     health facilities, and mortgage or pledge the property so acquired

7-25     as security for the payment of the purchase price, but any such

7-26     contract shall provide for the entire obligation of the district to

7-27     be retired within five years from the date of the contract.  Except

 8-1     as permitted in the preceding sentence and as permitted by Sections

 8-2     9  and 10 of this Act, the district may incur no obligation payable

 8-3     from any revenues of the district, taxes or otherwise, except those

 8-4     on hand or to be on hand within the current and following fiscal

 8-5     year of  the district.

 8-6           SECTION 7.  This Act takes effect September 1, 1997.

 8-7           SECTION 8.  The importance of this legislation and the

 8-8     crowded condition of the calendars in both houses create an

 8-9     emergency and an imperative public necessity that the

8-10     constitutional rule requiring bills to be read on three several

8-11     days in each house be suspended, and this rule is hereby suspended.