1-1     By:  Hamric, et al. (Senate Sponsor - Barrientos)     H.B. No. 2269
 1-2           (In the Senate - Received from the House May 11, 1999;
 1-3     May 12, 1999, read first time and referred to Committee on Finance;
 1-4     May 14, 1999, reported favorably by the following vote:  Yeas 7,
 1-5     Nays 0; May 14, 1999, sent to printer.)
 1-6                            A BILL TO BE ENTITLED
 1-7                                   AN ACT
 1-8     relating to the exemption from ad valorem taxation of property
 1-9     owned by certain charitable organizations performing certain
1-10     functions.
1-11           BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS:
1-12           SECTION 1.  Section 11.18(d), Tax Code, is amended to read as
1-13     follows:
1-14           (d)  A charitable organization must be organized exclusively
1-15     to perform religious, charitable, scientific, literary, or
1-16     educational purposes and, except as permitted by Subsection (h) of
1-17     this section, engage exclusively in performing one or more of the
1-18     following charitable functions:
1-19                 (1)  providing medical care without regard to the
1-20     beneficiaries' ability to pay, which in the case of a nonprofit
1-21     hospital or hospital system means providing charity care and
1-22     community benefits as set forth in Paragraph (A), (B), (C), (D),
1-23     (E), (F), (G), or (H):
1-24                       (A)  charity care and government-sponsored
1-25     indigent health care are provided at a level which is reasonable in
1-26     relation to the community needs, as determined through the
1-27     community needs assessment, the available resources of the hospital
1-28     or hospital system, and the tax-exempt benefits received by the
1-29     hospital or hospital system;
1-30                       (B)  charity care and government-sponsored
1-31     indigent health care are provided in an amount equal to at least
1-32     four percent of the hospital's or hospital system's net patient
1-33     revenue;
1-34                       (C)  charity care and government-sponsored
1-35     indigent health care are provided in an amount equal to at least
1-36     100 percent of the hospital's or hospital system's tax-exempt
1-37     benefits, excluding federal income tax;
1-38                       (D)  a nonprofit hospital that has been
1-39     designated as a disproportionate share hospital under the state
1-40     Medicaid program in the current year or in either of the previous
1-41     two fiscal years shall be considered to have provided a reasonable
1-42     amount of charity care and government-sponsored indigent health
1-43     care and shall be deemed in compliance with the standards in this
1-44     subsection;
1-45                       (E)  for tax years before 1996, charity care and
1-46     community benefits are provided in a combined amount equal to at
1-47     least five percent of the hospital's or hospital system's net
1-48     patient revenue, provided that charity care and
1-49     government-sponsored indigent health care are provided in an amount
1-50     equal to at least three percent of net patient revenue;
1-51                       (F)  beginning with the hospital's or hospital
1-52     system's tax year starting after 1995, charity care and community
1-53     benefits are provided in a combined amount equal to at least five
1-54     percent of the hospital's or hospital system's net patient revenue,
1-55     provided that charity care and government-sponsored indigent health
1-56     care are provided in an amount equal to at least four percent of
1-57     net patient revenue;
1-58                       (G)  a hospital operated on a nonprofit basis
1-59     that is located in a county with a population of less than 50,000
1-60     and in which the entire county or the population of the entire
1-61     county has been designated as a health professionals shortage area
1-62     is considered to be in compliance with the standards provided by
1-63     this subsection; or
1-64                       (H)  a hospital providing health care services to
 2-1     inpatients or outpatients without receiving any payment for
 2-2     providing those services from any source, including the patient or
 2-3     person legally obligated to support the patient, third-party
 2-4     payors, Medicare, Medicaid, or any other state or local indigent
 2-5     care program but excluding charitable donations, legacies,
 2-6     bequests, or grants or payments for research, is considered to be
 2-7     in compliance with the standards provided by this subsection;
 2-8                 (2)  providing support or relief to orphans,
 2-9     delinquent, dependent, or handicapped children in need of
2-10     residential care, abused or battered spouses or children in need of
2-11     temporary shelter, the impoverished, or victims of natural disaster
2-12     without regard to the beneficiaries' ability to pay;
2-13                 (3)  providing support to elderly persons or the
2-14     handicapped without regard to the beneficiaries' ability to pay;
2-15                 (4)  preserving a historical landmark or site;
2-16                 (5)  promoting or operating a museum, zoo, library,
2-17     theater of the dramatic or performing arts, or symphony orchestra
2-18     or choir;
2-19                 (6)  promoting or providing humane treatment of
2-20     animals;
2-21                 (7)  acquiring, storing, transporting, selling, or
2-22     distributing water for public use;
2-23                 (8)  answering fire alarms and extinguishing fires with
2-24     no compensation or only nominal compensation to the members of the
2-25     organization;
2-26                 (9)  promoting the athletic development of boys or
2-27     girls under the age of 18 years;
2-28                 (10)  preserving or conserving wildlife;
2-29                 (11)  promoting educational development through loans
2-30     or scholarships to students;
2-31                 (12)  providing halfway house services pursuant to a
2-32     certification as a halfway house by the Board of Pardons and
2-33     Paroles;
2-34                 (13)  providing permanent housing and related social,
2-35     health care, and educational facilities for persons who are 62
2-36     years of age or older without regard to the residents' ability to
2-37     pay;
2-38                 (14)  promoting or operating an art gallery, museum, or
2-39     collection, in a permanent location or on tour, that is open to the
2-40     public;
2-41                 (15)  providing for the organized solicitation and
2-42     collection for distributions through gifts, grants, and agreements
2-43     to nonprofit charitable, education, religious, and youth
2-44     organizations that provide direct human, health, and welfare
2-45     services;
2-46                 (16)  performing biomedical or scientific research or
2-47     biomedical or scientific education for the benefit of the public;
2-48                 (17)  operating a television station that produces or
2-49     broadcasts educational, cultural, or other public interest
2-50     programming and that receives grants from the Corporation for
2-51     Public Broadcasting under 47 U.S.C. Section 396 and its subsequent
2-52     amendments;
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; or
 3-2                 (20)  providing housing on a cooperative basis to
 3-3     students of an institution of higher education if:
 3-4                       (A)  the organization is exempt from federal
 3-5     income taxation under Section 501(a) of the Internal Revenue Code
 3-6     of 1986, and its subsequent amendments, by being listed as an
 3-7     exempt entity under Section 501(c)(3) of that code;
 3-8                       (B)  membership in the organization is open to
 3-9     all students enrolled in the institution and is not limited to
3-10     those chosen by current members of the organization;
3-11                       (C)  the organization is governed by its members;
3-12     and
3-13                       (D)  the members of the organization share the
3-14     responsibility for managing the housing.
3-15           For purposes of satisfying Paragraph (F) of Subdivision (1),
3-16     a hospital or hospital system may not change its existing fiscal
3-17     year unless the hospital or hospital system changes its ownership
3-18     or corporate structure as a result of a sale or merger.
3-19           For purposes of this subsection, a hospital that satisfies
3-20     Paragraph (A), (D), (G), or (H) of Subdivision (1) shall be
3-21     excluded in determining a hospital system's compliance with the
3-22     standards provided by Paragraph (B), (C), (E), or (F) of
3-23     Subdivision (1).
3-24           For purposes of this subsection, the terms "charity care,"
3-25     "government-sponsored indigent health care," "health care
3-26     organization," "hospital system," "net patient revenue," "nonprofit
3-27     hospital," and "tax-exempt benefits" have the meanings set forth in
3-28     Sections 311.031 and 311.042, Health and Safety Code.  A
3-29     determination of the amount of community benefits and charity care
3-30     and government-sponsored indigent health care provided by a
3-31     hospital or hospital system and the hospital's or hospital system's
3-32     compliance with the requirements of Section 311.045, Health and
3-33     Safety Code, shall be based on the most recently completed and
3-34     audited prior fiscal year of the hospital or hospital system.
3-35           The providing of charity care and government-sponsored
3-36     indigent health care in accordance with Paragraph (A) of
3-37     Subdivision (1) shall be guided by the prudent business judgment of
3-38     the hospital which will ultimately determine the appropriate level
3-39     of charity care and government-sponsored indigent health care based
3-40     on the community needs, the available resources of the hospital,
3-41     the tax-exempt benefits received by the hospital, and other factors
3-42     that may be unique to the hospital, such as the hospital's volume
3-43     of Medicare and Medicaid patients.  These criteria shall not be
3-44     determinative factors, but shall be guidelines contributing to the
3-45     hospital's decision along with other factors which may be unique to
3-46     the hospital.  The formulas contained in Paragraphs (B), (C), (E),
3-47     and (F) of Subdivision (1) shall also not be considered
3-48     determinative of a reasonable amount of charity care and
3-49     government-sponsored indigent health care.
3-50           The requirements of this subsection shall not apply to the
3-51     extent a hospital or hospital system demonstrates that reductions
3-52     in the amount of community benefits, charity care, and
3-53     government-sponsored indigent health care are necessary to maintain
3-54     financial reserves at a level required by a bond covenant, are
3-55     necessary to prevent the hospital or hospital system from
3-56     endangering its ability to continue operations, or if the hospital
3-57     or hospital system, as a result of a natural or other disaster, is
3-58     required substantially to curtail its operations.
3-59           In any fiscal year that a hospital or hospital system,
3-60     through unintended miscalculation, fails to meet any of the
3-61     standards in Subdivision (1), the hospital or hospital system shall
3-62     not lose its tax-exempt status without the opportunity to cure the
3-63     miscalculation in the fiscal year following the fiscal year the
3-64     failure is discovered by both meeting one of the standards and
3-65     providing an additional amount of charity care and
3-66     government-sponsored indigent health care that is equal to the
3-67     shortfall from the previous fiscal year.  A hospital or hospital
3-68     system may apply this provision only once every five years.
3-69           SECTION 2.  This Act takes effect January 1, 2000.
 4-1           SECTION 3.  The importance of this legislation and the
 4-2     crowded condition of the calendars in both houses create an
 4-3     emergency and an imperative public necessity that the
 4-4     constitutional rule requiring bills to be read on three several
 4-5     days in each house be suspended, and this rule is hereby suspended.
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