1-1     By:  Kuempel (Senate Sponsor - Wentworth)             H.B. No. 1978
 1-2           (In the Senate - Received from the House April 26, 1999;
 1-3     April 27, 1999, read first time and referred to Committee on
 1-4     Finance; May 5, 1999, reported favorably by the following vote:
 1-5     Yeas 10, Nays 0; May 5, 1999, sent to printer.)
 1-6                            A BILL TO BE ENTITLED
 1-7                                   AN ACT
 1-8     relating to exempting property owned by organizations that provide
 1-9     support to elderly persons from ad valorem taxation.
1-10           BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS:
1-11           SECTION 1.  Section 11.18, Tax Code, is amended by amending
1-12     Subsection (d) and adding Subsection (l) to read as follows:
1-13           (d)  A charitable organization must be organized exclusively
1-14     to perform religious, charitable, scientific, literary, or
1-15     educational purposes and, except as permitted by Subsections
1-16     [Subsection] (h) and (l) of this section, engage  exclusively in
1-17     performing one or more of the following charitable functions:
1-18                 (1)  providing medical care without regard to the
1-19     beneficiaries' ability to pay, which in the case of a nonprofit
1-20     hospital or hospital system means providing charity care and
1-21     community benefits as set forth in Paragraph (A), (B), (C), (D),
1-22     (E), (F), (G), or (H):
1-23                       (A)  charity care and government-sponsored
1-24     indigent health care are provided at a level which is reasonable in
1-25     relation to the community needs, as determined through the
1-26     community needs assessment, the available resources of the hospital
1-27     or hospital system, and the tax-exempt benefits received by the
1-28     hospital or hospital system;           
1-29                       (B)  charity care and government-sponsored
1-30     indigent health care are provided in an amount equal to at least
1-31     four percent of the hospital's or hospital system's net patient
1-32     revenue;
1-33                       (C)  charity care and government-sponsored
1-34     indigent health care are provided in an amount equal to at least
1-35     100 percent of the hospital's or hospital system's tax-exempt
1-36     benefits, excluding federal income tax;
1-37                       (D)  a nonprofit hospital that has been
1-38     designated as a disproportionate share hospital under the state
1-39     Medicaid program in the current year or in either of the previous
1-40     two fiscal years shall be considered to have provided a reasonable
1-41     amount of charity care and government-sponsored indigent health
1-42     care and shall be deemed in compliance with the standards in this
1-43     subsection;
1-44                       (E)  for tax years before 1996, charity care and
1-45     community benefits are provided in a combined amount equal to at
1-46     least five percent of the hospital's or hospital system's net
1-47     patient revenue, provided that charity care and
1-48     government-sponsored indigent health care are provided in an amount
1-49     equal to at least three percent of net patient revenue;
1-50                       (F)  beginning with the hospital's or hospital
1-51     system's tax year starting after 1995, charity care and community
1-52     benefits are provided in a combined amount equal to at least five
1-53     percent of the hospital's or hospital system's net patient revenue,
1-54     provided that charity care and government-sponsored indigent health
1-55     care are provided in an amount equal to at least four percent of
1-56     net patient revenue;
1-57                       (G)  a hospital operated on a nonprofit basis
1-58     that is located in a county with a population of less than 50,000
1-59     and in which the entire county or the population of the entire
1-60     county has been designated as a health professionals shortage area
1-61     is considered to be in compliance with the standards provided by
1-62     this subsection; or
1-63                       (H)  a hospital providing health care services to
1-64     inpatients or outpatients without receiving any payment for
 2-1     providing those services from any source, including the patient or
 2-2     person legally obligated to support the patient, third-party
 2-3     payors, Medicare, Medicaid, or any other state or local indigent
 2-4     care program but excluding charitable donations, legacies,
 2-5     bequests, or grants or payments for research, is considered to be
 2-6     in compliance with the standards provided by this subsection;
 2-7                 (2)  providing support or relief to orphans,
 2-8     delinquent, dependent, or handicapped children in need of
 2-9     residential care, abused or battered spouses or children in need of
2-10     temporary shelter, the impoverished, or victims of natural
2-11     disaster without regard to the beneficiaries' ability to pay;
2-12                 (3)  providing support to elderly persons, including
2-13     the provision of recreational or social activities and facilities
2-14     designed to address the special needs of elderly persons, or to the
2-15     handicapped, without regard to the beneficiaries' ability to pay;
2-16                 (4)  preserving a historical landmark or site;
2-17                 (5)  promoting or operating a museum, zoo, library,
2-18     theater of the dramatic or performing arts, or symphony orchestra
2-19     or choir;
2-20                 (6)  promoting or providing humane treatment of
2-21     animals;
2-22                 (7)  acquiring, storing, transporting, selling, or
2-23     distributing water for public use;
2-24                 (8)  answering fire alarms and extinguishing fires with
2-25     no compensation or only nominal compensation to the members of the
2-26     organization;
2-27                 (9)  promoting the athletic development of boys or
2-28     girls under the age of 18 years;
2-29                 (10)  preserving or conserving wildlife;
2-30                 (11)  promoting educational development through loans
2-31     or scholarships to students;
2-32                 (12)  providing halfway house services pursuant to a
2-33     certification as a halfway house by the Board of Pardons and
2-34     Paroles;
2-35                 (13)  providing permanent housing and related social,
2-36     health care, and educational facilities for persons who are 62
2-37     years of age or older without regard to the residents' ability to
2-38     pay;
2-39                 (14)  promoting or operating an art gallery, museum, or
2-40     collection, in a permanent location or on tour, that is open to the
2-41     public;
2-42                 (15)  providing for the organized solicitation and
2-43     collection for distributions through gifts, grants, and agreements
2-44     to nonprofit charitable, education, religious, and youth
2-45     organizations that provide direct human, health, and welfare
2-46     services;
2-47                 (16)  performing biomedical or scientific research or
2-48     biomedical or scientific education for the benefit of the public;
2-49                 (17)  operating a television station that produces or
2-50     broadcasts educational, cultural, or other public interest
2-51     programming and that receives grants from the Corporation for
2-52     Public Broadcasting under 47 U.S.C. Section 396;
2-53                 (18)  providing housing for low-income and
2-54     moderate-income families, for unmarried individuals 62 years of age
2-55     or older, for handicapped individuals, and for families displaced
2-56     by urban renewal, through the use of trust assets that are
2-57     irrevocably and, pursuant to a contract entered into before
2-58     December 31, 1972, contractually dedicated on the sale or
2-59     disposition of the housing to a charitable organization that
2-60     performs charitable functions described by Subdivision (9); or
2-61                 (19)  providing housing and related services to persons
2-62     who are 62 years of age or older in a retirement community, if the
2-63     retirement community provides independent living services, assisted
2-64     living services, and nursing services to its residents on a single
2-65     campus:
2-66                       (A)  without regard to the residents' ability to
2-67     pay; or
2-68                       (B)  in which at least four percent of the
2-69     retirement community's combined net resident revenue is provided in
 3-1     charitable care to its residents.
 3-2           For purposes of satisfying Paragraph (F) of Subdivision (1),
 3-3     a hospital or hospital system may not change its existing fiscal
 3-4     year unless the hospital or hospital system changes its ownership
 3-5     or corporate structure as a result of a sale or merger.
 3-6           For purposes of this subsection, a hospital that satisfies
 3-7     Paragraph (A), (D), (G), or (H) of Subdivision (1) shall be
 3-8     excluded in determining a hospital system's compliance with the
 3-9     standards provided by Paragraph (B), (C), (E), or (F) of
3-10     Subdivision (1).
3-11           For purposes of this subsection, the terms "charity care,"
3-12     "government-sponsored indigent health care," "health care
3-13     organization," "hospital system," "net patient revenue," "nonprofit
3-14     hospital," and "tax-exempt benefits" have the meanings set forth in
3-15     Sections 311.031 and 311.042, Health and Safety Code.  A
3-16     determination of the amount of community benefits and charity care
3-17     and government-sponsored indigent health care provided by a
3-18     hospital or hospital system and the hospital's or hospital system's
3-19     compliance with the requirements of Section 311.045, Health and
3-20     Safety Code, shall be based on the most recently completed and
3-21     audited prior fiscal year of the hospital or hospital system.
3-22           The providing of charity care and government-sponsored
3-23     indigent health care in accordance with Paragraph (A) of
3-24     Subdivision (1) shall be guided by the prudent business judgment of
3-25     the hospital which will ultimately determine the appropriate level
3-26     of charity care and government-sponsored indigent health care based
3-27     on the community needs, the available resources of the hospital,
3-28     the tax-exempt benefits received by the hospital, and other factors
3-29     that may be unique to the hospital, such as the hospital's volume
3-30     of Medicare and Medicaid patients.  These criteria shall not be
3-31     determinative factors, but shall be guidelines contributing to the
3-32     hospital's decision along with other factors which may be unique to
3-33     the hospital.  The formulas contained in Paragraphs (B), (C), (E),
3-34     and (F) of Subdivision (1) shall also not be considered
3-35     determinative of a reasonable amount of charity care and
3-36     government-sponsored indigent health care.             
3-37           The requirements of this subsection shall not apply to the
3-38     extent a hospital or hospital system demonstrates that reductions
3-39     in the amount of community benefits, charity care, and
3-40     government-sponsored indigent health care are necessary to maintain
3-41     financial reserves at a level required by a bond covenant, are
3-42     necessary to prevent the hospital or hospital system from
3-43     endangering its ability to continue operations, or if the hospital
3-44     or hospital system, as a result of a natural or other disaster, is
3-45     required substantially to curtail its operations.
3-46           In any fiscal year that a hospital or hospital system,
3-47     through unintended miscalculation, fails to meet any of the
3-48     standards in Subdivision (1), the hospital or hospital system shall
3-49     not lose its tax-exempt status without the opportunity to cure the
3-50     miscalculation in the fiscal year following the fiscal year the
3-51     failure is discovered by both meeting one of the standards and
3-52     providing an additional amount of charity care and
3-53     government-sponsored indigent health care that is equal to the
3-54     shortfall from the previous fiscal year.  A hospital or hospital
3-55     system may apply this provision only once every five years.
3-56           (l)  A charitable organization described by Subsection (d)(3)
3-57     that provides support to elderly persons must engage primarily in
3-58     performing charitable functions described by Subsection (d)(3), but
3-59     may engage in other activities that support or are related to its
3-60     charitable functions.
3-61           SECTION 2.  (a)  This Act takes effect as provided by this
3-62     section, but only if the constitutional amendment proposed by the
3-63     76th Legislature, Regular Session, 1999, to authorize the exemption
3-64     of property of institutions of public charity, as defined by
3-65     general law, from ad valorem taxation, is approved by the voters.
3-66     If that amendment is not approved by the voters, this Act has no
3-67     effect.
3-68           (b)  This Act takes effect January 1, 2000, and applies only
3-69     to ad valorem taxes imposed in a tax year that begins on or after
 4-1     that date.
 4-2           SECTION 3.  The importance of this legislation and the
 4-3     crowded condition of the calendars in both houses create an
 4-4     emergency and an imperative public necessity that the
 4-5     constitutional rule requiring bills to be read on three several
 4-6     days in each house be suspended, and this rule is hereby suspended.
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