By Kuempel                                            H.B. No. 1978
         76R1285 JD-D                           
                                A BILL TO BE ENTITLED
 1-1                                   AN ACT
 1-2     relating to exempting property owned by organizations that provide
 1-3     support to elderly persons from ad valorem taxation.
 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 (l) 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 Subsections
1-10     [Subsection] (h) and (l) of this section, engage  exclusively in
1-11     performing one or more of the 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     payors, 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
3-18     disaster without regard to the beneficiaries' ability to pay;
3-19                 (3)  providing support to elderly persons, including
3-20     the provision of recreational or social activities and facilities
3-21     designed to address the special needs of elderly persons, or to the
3-22     handicapped, without regard to the beneficiaries' ability to pay;
3-23                 (4)  preserving a historical landmark or site;
3-24                 (5)  promoting or operating a museum, zoo, library,
3-25     theater of the dramatic or performing arts, or symphony orchestra
3-26     or choir;
3-27                 (6)  promoting or providing humane treatment of
 4-1     animals;
 4-2                 (7)  acquiring, storing, transporting, selling, or
 4-3     distributing water for public use;
 4-4                 (8)  answering fire alarms and extinguishing fires with
 4-5     no compensation or only nominal compensation to the members of the
 4-6     organization;
 4-7                 (9)  promoting the athletic development of boys or
 4-8     girls under the age of 18 years;
 4-9                 (10)  preserving or conserving wildlife;
4-10                 (11)  promoting educational development through loans
4-11     or scholarships to students;
4-12                 (12)  providing halfway house services pursuant to a
4-13     certification as a halfway house by the Board of Pardons and
4-14     Paroles;
4-15                 (13)  providing permanent housing and related social,
4-16     health care, and educational facilities for persons who are 62
4-17     years of age or older without regard to the residents' ability to
4-18     pay;
4-19                 (14)  promoting or operating an art gallery, museum, or
4-20     collection, in a permanent location or on tour, that is open to the
4-21     public;
4-22                 (15)  providing for the organized solicitation and
4-23     collection for distributions through gifts, grants, and agreements
4-24     to nonprofit charitable, education, religious, and youth
4-25     organizations that provide direct human, health, and welfare
4-26     services;
4-27                 (16)  performing biomedical or scientific research or
 5-1     biomedical or scientific education for the benefit of the public;
 5-2                 (17)  operating a television station that produces or
 5-3     broadcasts educational, cultural, or other public interest
 5-4     programming and that receives grants from the Corporation for
 5-5     Public Broadcasting under 47 U.S.C. Section 396;
 5-6                 (18)  providing housing for low-income and
 5-7     moderate-income families, for unmarried individuals 62 years of age
 5-8     or older, for handicapped individuals, and for families displaced
 5-9     by urban renewal, through the use of trust assets that are
5-10     irrevocably and, pursuant to a contract entered into before
5-11     December 31, 1972, contractually dedicated on the sale or
5-12     disposition of the housing to a charitable organization that
5-13     performs charitable functions described by Subdivision (9); or
5-14                 (19)  providing housing and related services to persons
5-15     who are 62 years of age or older in a retirement community, if the
5-16     retirement community provides independent living services, assisted
5-17     living services, and nursing services to its residents on a single
5-18     campus:
5-19                       (A)  without regard to the residents' ability to
5-20     pay; or
5-21                       (B)  in which at least four percent of the
5-22     retirement community's combined net resident revenue is provided in
5-23     charitable care to its residents.
5-24           For purposes of satisfying Paragraph (F) of Subdivision (1),
5-25     a hospital or hospital system may not change its existing fiscal
5-26     year unless the hospital or hospital system changes its ownership
5-27     or corporate structure as a result of a sale or merger.
 6-1           For purposes of this subsection, a hospital that satisfies
 6-2     Paragraph (A), (D), (G), or (H) of Subdivision (1) shall be
 6-3     excluded in determining a hospital system's compliance with the
 6-4     standards provided by Paragraph (B), (C), (E), or (F) of
 6-5     Subdivision (1).
 6-6           For purposes of this subsection, the terms "charity care,"
 6-7     "government-sponsored indigent health care," "health care
 6-8     organization," "hospital system," "net patient revenue," "nonprofit
 6-9     hospital," and "tax-exempt benefits" have the meanings set forth in
6-10     Sections 311.031 and 311.042, Health and Safety Code.  A
6-11     determination of the amount of community benefits and charity care
6-12     and government-sponsored indigent health care provided by a
6-13     hospital or hospital system and the hospital's or hospital system's
6-14     compliance with the requirements of Section 311.045, Health and
6-15     Safety Code, shall be based on the most recently completed and
6-16     audited prior fiscal year of the hospital or hospital system.
6-17           The providing of charity care and government-sponsored
6-18     indigent health care in accordance with Paragraph (A) of
6-19     Subdivision (1) shall be guided by the prudent business judgment of
6-20     the hospital which will ultimately determine the appropriate level
6-21     of charity care and government-sponsored indigent health care based
6-22     on the community needs, the available resources of the hospital,
6-23     the tax-exempt benefits received by the hospital, and other factors
6-24     that may be unique to the hospital, such as the hospital's volume
6-25     of Medicare and Medicaid patients.  These criteria shall not be
6-26     determinative factors, but shall be guidelines contributing to the
6-27     hospital's decision along with other factors which may be unique to
 7-1     the hospital.  The formulas contained in Paragraphs (B), (C), (E),
 7-2     and (F) of Subdivision (1) shall also not be considered
 7-3     determinative of a reasonable amount of charity care and
 7-4     government-sponsored indigent health care.             
 7-5           The requirements of this subsection shall not apply to the
 7-6     extent a hospital or hospital system demonstrates that reductions
 7-7     in the amount of community benefits, charity care, and
 7-8     government-sponsored indigent health care are necessary to maintain
 7-9     financial reserves at a level required by a bond covenant, are
7-10     necessary to prevent the hospital or hospital system from
7-11     endangering its ability to continue operations, or if the hospital
7-12     or hospital system, as a result of a natural or other disaster, is
7-13     required substantially to curtail its operations.
7-14           In any fiscal year that a hospital or hospital system,
7-15     through unintended miscalculation, fails to meet any of the
7-16     standards in Subdivision (1), the hospital or hospital system shall
7-17     not lose its tax-exempt status without the opportunity to cure the
7-18     miscalculation in the fiscal year following the fiscal year the
7-19     failure is discovered by both meeting one of the standards and
7-20     providing an additional amount of charity care and
7-21     government-sponsored indigent health care that is equal to the
7-22     shortfall from the previous fiscal year.  A hospital or hospital
7-23     system may apply this provision only once every five years.
7-24           (l)  A charitable organization described by Subsection (d)(3)
7-25     that provides support to elderly persons must engage primarily in
7-26     performing charitable functions described by Subsection (d)(3), but
7-27     may engage in other activities that support or are related to its
 8-1     charitable functions.
 8-2           SECTION 2.  (a)  This Act takes effect as provided by this
 8-3     section, but only if the constitutional amendment proposed by the
 8-4     76th Legislature, Regular Session, 1999, to authorize the exemption
 8-5     of property of institutions of public charity, as defined by
 8-6     general law, from ad valorem taxation, is approved by the voters.
 8-7     If that amendment is not approved by the voters, this Act has no
 8-8     effect.
 8-9           (b)  This Act takes effect January 1, 2000, and applies only
8-10     to ad valorem taxes imposed in a tax year that begins on or after
8-11     that date.
8-12           SECTION 3.  The importance of this legislation and the
8-13     crowded condition of the calendars in both houses create an
8-14     emergency and an imperative public necessity that the
8-15     constitutional rule requiring bills to be read on three several
8-16     days in each house be suspended, and this rule is hereby suspended.