By:  Lucio                                            S.B. No. 1615
                                A BILL TO BE ENTITLED
                                       AN ACT
 1-1     relating to the creation and operation of health services
 1-2     districts; granting the authority to issue bonds.
 1-3           BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS:
 1-4           SECTION 1.  Subtitle D, Title 4, Health and Safety Code, is
 1-5     amended by adding Chapter 287 to read as follows:
 1-6                   CHAPTER 287.  HEALTH SERVICES DISTRICTS
 1-7                      SUBCHAPTER A.  GENERAL PROVISIONS
 1-8           Sec. 287.001.  DEFINITIONS.  In this chapter:
 1-9                 (1)  "Board" means the board of directors of a
1-10     district.
1-11                 (2)  "District" means a health services district
1-12     created under this chapter.
1-13                 (3)  "Director" means a member of the board.
1-14           Sec. 287.002.  DISTRICT AUTHORIZATION.  A health services
1-15     district may be created and established and, if created, must be
1-16     maintained, operated, and financed in the manner provided by this
1-17     chapter.
1-18              (Sections 287.003-287.020 reserved for expansion)
1-19                     SUBCHAPTER B.  CREATION OF DISTRICT
1-20           Sec. 287.021.  CREATION BY CONCURRENT ORDERS.  (a)  Except as
1-21     provided by Subsection (b), a county or hospital district and one
1-22     or more other counties or hospital districts may create a health
1-23     services district by adopting concurrent orders.
1-24           (b)  A county or portion of a county that is in the
 2-1     boundaries of a hospital district may not be a party to the
 2-2     creation of a health services district or to a contract with a
 2-3     health services district.  The hospital district that serves the
 2-4     county or portion of the county may create and contract with the
 2-5     health services district for the boundaries of the hospital
 2-6     district.
 2-7           (c)  A concurrent order to create a health services district
 2-8     must:
 2-9                 (1)  be approved by the governing body of each creating
2-10     county and hospital district;
2-11                 (2)  contain identical provisions; and
2-12                 (3)  define the boundaries of the district to be
2-13     coextensive with the combined boundaries of each creating county
2-14     and hospital district.
2-15           (d)  A concurrent order to create a health services district
2-16     adopted by a hospital district for which the tax rate is set by the
2-17     commissioners court of the county in which the hospital district
2-18     operates must be approved by the commissioners court of that
2-19     county.
2-20           Sec. 287.022.  CONTRACT TERMS.  (a)  A county or hospital
2-21     district that creates a district under this chapter shall contract
2-22     with the district to provide, at a minimum, the health care
2-23     services the county or hospital district is required to provide by
2-24     law or under the constitution.  A contract with a county or
2-25     hospital district that created the health services district under
2-26     this chapter must:
 3-1                 (1)  state the term of the contract, not to exceed six
 3-2     years;
 3-3                 (2)  specify the purpose, terms, rights, and duties of
 3-4     the district, as authorized by this chapter;
 3-5                 (3)  specify the financial contributions to be made by
 3-6     each party to the contract to fund the district, as described by
 3-7     Section 287.024; and
 3-8                 (4)  specify the land, buildings, improvements,
 3-9     equipment, and other assets owned by a party to the contract that
3-10     the district will be required to manage and operate.
3-11           (b)  Chapter 791, Government Code, does not apply to a
3-12     contract made under this chapter.
3-13           Sec. 287.023.  PURPOSE AND DUTIES.  (a)  A health services
3-14     district shall:
3-15                 (1)  provide health care services to indigent residents
3-16     of the district;
3-17                 (2)  manage the funds contributed to the district by
3-18     each county or hospital district that contracts with the district;
3-19     and
3-20                 (3)  plan and coordinate with public and private health
3-21     care providers and entities for the long-term provision of health
3-22     care services to residents of the district.
3-23           (b)  A health services district may:
3-24                 (1)  provide health care services on a sliding-fee
3-25     scale to residents of the district who do not meet the basic income
3-26     and resources requirements established under Sections 61.006 and
 4-1     61.008 to be eligible for assistance under Chapter 61 but who are
 4-2     unable to pay for the full cost of health care services; and
 4-3                 (2)  assume responsibility for management and operation
 4-4     of the land, buildings, improvements, equipment, and other assets
 4-5     that are acquired by the district or for which the district agrees
 4-6     to assume responsibility under the terms of the contract.
 4-7           Sec. 287.024.  FUNDING.  (a)  Each county or hospital
 4-8     district that contracts with the district shall contribute to the
 4-9     district for its operation:
4-10                 (1)  a specified dollar amount from or a percentage of
4-11     the contracting entity's operating budget and reserves if the
4-12     contracting entity is a hospital district;
4-13                 (2)  a specified percentage, not less than the
4-14     percentage required under Section 61.037 for state assistance, of
4-15     the contracting entity's general revenue levy for each state fiscal
4-16     year for the term of the contract, if the contracting entity is a
4-17     county;
4-18                 (3)  state assistance received under Chapter 61;
4-19                 (4)  federal matching funds received by a hospital
4-20     district under the Medicaid disproportionate share program; and
4-21                 (5)  any funds that are:
4-22                       (A)  received under the Agreement Regarding
4-23     Disposition of Settlement Proceeds dated July 18, 1998, or
4-24     July 24, 1998, and filed in the United States District Court,
4-25     Eastern District of Texas, in the case styled The State of Texas v.
4-26     The American Tobacco Company, et al., No. 5-96CV-91; and
 5-1                       (B)  received on or after the date on which the
 5-2     district is created and before the district is dissolved.
 5-3           (b)  The district shall maintain an accounting of the funds
 5-4     received from each county or hospital district that contracts with
 5-5     the district.
 5-6           (c)  The district may administer the financial contributions
 5-7     of all parties to the contract for district purposes.
 5-8              (Sections 287.025-287.040 reserved for expansion)
 5-9                   SUBCHAPTER C.  DISTRICT ADMINISTRATION
5-10           Sec. 287.041.  BOARD OF DIRECTORS.  (a)  A county or hospital
5-11     district that creates the district and has a population of 125,000
5-12     or more shall appoint one director to the board for every 125,000
5-13     persons in the population of the county or hospital district,
5-14     rounded to the nearest 125,000.
5-15           (b)  A county or hospital district that creates the district
5-16     and has a population of less than 125,000 may appoint one director
5-17     to the board.
5-18           (c)  The county judges of a county that creates the district
5-19     shall appoint the directors to the board on behalf of the county.
5-20     The board of directors of a hospital district that creates the
5-21     district shall appoint the directors to the board on behalf of the
5-22     hospital district.
5-23           (d)  Directors serve staggered two-year terms, with as near
5-24     as possible to one-half of the directors' terms expiring each year.
5-25           (e)  The number of directors appointed to the board by each
5-26     county or hospital district that creates the district is determined
 6-1     at the time of the initial appointment of directors under this
 6-2     section and does not vary with subsequent variations in the
 6-3     population of the county or hospital district.
 6-4           Sec. 287.042.  QUALIFICATIONS FOR OFFICE.  (a)  To be
 6-5     eligible to serve as a director, a person must be a resident of the
 6-6     county or hospital district that appoints the person under Section
 6-7     287.041.
 6-8           (b)  An employee of the district may not serve as a director.
 6-9           Sec. 287.043.  BOND.  (a)  Before assuming the duties of the
6-10     office, each director must execute a bond for $5,000 payable to the
6-11     district, conditioned on the faithful performance of the person's
6-12     duties as director.
6-13           (b)  The bond shall be kept in the permanent records of the
6-14     district.
6-15           (c)  The board may pay for directors' bonds with district
6-16     funds.
6-17           Sec. 287.044.  BOARD VACANCY.  A vacancy in the office of
6-18     director shall be filled for the unexpired term in the same manner
6-19     as the original appointment.
6-20           Sec. 287.045.  OFFICERS.  (a)  The board shall elect from
6-21     among its members a president and a vice president.
6-22           (b)  The board shall appoint a secretary, who need not be a
6-23     director.
6-24           Sec. 287.046.  OFFICERS' TERMS; VACANCY.  (a)  Each officer
6-25     of the board serves for a term of one year.
6-26           (b)  The board shall fill a vacancy in a board office for the
 7-1     unexpired term.
 7-2           Sec. 287.047.  COMPENSATION.  (a)  Directors and officers
 7-3     serve without compensation but may be reimbursed for actual
 7-4     expenses incurred in the performance of official duties.
 7-5           (b)  Expenses reimbursed under this section must be:
 7-6                 (1)  reported in the district's minute book or other
 7-7     district records; and
 7-8                 (2)  approved by the board.
 7-9           Sec. 287.048.  VOTING REQUIREMENT.  A majority of the members
7-10     of the board voting must concur in a matter relating to the
7-11     business of the district.
7-12           Sec. 287.049.  ADMINISTRATOR AND ADDITIONAL STAFF.  (a)  The
7-13     board may appoint qualified persons as administrator of the
7-14     district and as additional administrative staff members as the
7-15     board considers necessary for the efficient operation of the
7-16     district.
7-17           (b)  The administrator and other administrative staff members
7-18     serve at the will of the board.
7-19           (c)  The administrator and other administrative staff members
7-20     are entitled to compensation as determined by the board.
7-21           (d)  Before assuming the administrator's duties, the
7-22     administrator shall execute a bond payable to the health services
7-23     district in an amount not less than $5,000 as determined by the
7-24     board, conditioned on the faithful performance of the
7-25     administrator's duties under this chapter.  The board may pay for
7-26     the bond with district funds.
 8-1           Sec. 287.050.  APPOINTMENTS TO STAFF.  The board may:
 8-2                 (1)  appoint to the staff any doctors the board
 8-3     considers necessary for the efficient operation of the district;
 8-4     and
 8-5                 (2)  make temporary appointments the board considers
 8-6     necessary.
 8-7           Sec. 287.051.  TECHNICIANS, NURSES, AND OTHER DISTRICT
 8-8     EMPLOYEES.  (a)  The district may employ technicians, nurses,
 8-9     fiscal agents, accountants, architects, additional attorneys, and
8-10     other necessary employees.
8-11           (b)  The board may delegate to the administrator the
8-12     authority to employ persons for the district.
8-13           Sec. 287.052.  GENERAL DUTIES OF ADMINISTRATOR.  The
8-14     administrator shall:
8-15                 (1)  supervise the work and activities of the district;
8-16     and
8-17                 (2)  direct the general affairs of the district,
8-18     subject to the limitations prescribed by the board.
8-19           Sec. 287.053.  RETIREMENT BENEFITS.  The board may provide
8-20     retirement benefits for employees of the district by:
8-21                 (1)  establishing or administering a retirement
8-22     program; or
8-23                 (2)  electing to participate in the Texas County and
8-24     District Retirement System or in any other statewide retirement
8-25     system in which the district is eligible to participate.
 9-1              (Sections 287.054-287.070 reserved for expansion
 9-2                      SUBCHAPTER D.  POWERS AND DUTIES
 9-3           Sec. 287.071.  RESPONSIBILITY OF GOVERNMENTAL ENTITY.  On
 9-4     creation of a district, a county or hospital district that creates
 9-5     the district may transfer to the district:
 9-6                 (1)  management and operation of any land, buildings,
 9-7     improvements, and equipment related to the health care system
 9-8     located wholly in the district that are owned by the county or
 9-9     hospital district in which the district is located, as specified in
9-10     the contract with the counties and hospital districts that created
9-11     the district; and
9-12                 (2)  operating funds and reserves for operating
9-13     expenses and funds that have been budgeted by the county or
9-14     hospital district in which the district is located to provide
9-15     medical care for residents of the district, as specified in the
9-16     contract with the counties and hospital districts that created the
9-17     district.
9-18           Sec. 287.072.  DISTRICT RESPONSIBILITIES.  On creation of a
9-19     district, the district assumes the duties required under Section
9-20     287.023 and any additional duties specified in the contract with
9-21     the counties and hospital districts that created the district.
9-22           Sec. 287.073.  MANAGEMENT, CONTROL, AND ADMINISTRATION.  The
9-23     board shall manage, control, and administer the health care system
9-24     and the funds and resources of the district that are transferred
9-25     under Section 287.071.
9-26           Sec. 287.074.  DISTRICT RULES.  The board may adopt rules
 10-1    governing the operation of the district and the duties, functions,
 10-2    and responsibilities of district staff and employees.
 10-3          Sec. 287.075.  METHODS AND PROCEDURES.  The board may
 10-4    prescribe:
 10-5                (1)  the method of making purchases and expenditures by
 10-6    and for the district; and
 10-7                (2)  accounting and control procedures for the
 10-8    district.
 10-9          Sec. 287.076.  HEALTH CARE PROPERTY, FACILITIES, AND
10-10    EQUIPMENT.  (a)  The board shall determine:
10-11                (1)  the type, number, and location of buildings
10-12    required to establish and maintain an adequate health care system;
10-13    and
10-14                (2)  the type of equipment necessary for health care.
10-15          (b)  The board may:
10-16                (1)  acquire property, facilities, and equipment for
10-17    the district for use in the health care system;
10-18                (2)  mortgage or pledge the property, facilities, or
10-19    equipment acquired as security for the payment of the purchase
10-20    price;
10-21                (3)  transfer by lease to physicians, individuals,
10-22    companies, corporations, or other legal entities or acquire by
10-23    lease district health care facilities;
10-24                (4)  sell or otherwise dispose of property, facilities,
10-25    or equipment acquired by the district; and
10-26                (5)  contract with a state agency or other qualified
 11-1    provider to provide services.
 11-2          Sec. 287.077.  CONSTRUCTION CONTRACTS.  (a)  The board may
 11-3    enter into construction contracts for the district.
 11-4          (b)  The board may enter into construction contracts that
 11-5    involve spending more than $10,000 only after competitive bidding
 11-6    as provided by Subchapter B, Chapter 271, Local Government Code.
 11-7          (c)  Chapter 2253, Government Code, as it relates to
 11-8    performance and payment bonds, applies to construction contracts
 11-9    let by the district.
11-10          Sec. 287.078.  DISTRICT OPERATING AND MANAGEMENT CONTRACTS.
11-11    The board may enter into operating or management contracts relating
11-12    to health care facilities owned by the district or for which the
11-13    district assumes responsibility for managing and operating under
11-14    the terms of the contract with the counties and hospital districts
11-15    that created the district.
11-16          Sec. 287.079.  PAYMENT FOR HEALTH CARE SERVICES.  (a)  The
11-17    district without charge shall supply to a patient residing in the
11-18    district the care and treatment that the patient or a relative of
11-19    the patient who is legally responsible for the patient's support
11-20    cannot pay.
11-21          (b)  Not later than the first day of each operating year, the
11-22    district shall adopt an application procedure to determine
11-23    eligibility for assistance that complies with Section 61.053.
11-24          (c)  The administrator of the district may have an inquiry
11-25    made into the financial circumstances of:
11-26                (1)  a patient residing in the district and admitted to
 12-1    a district facility; and
 12-2                (2)  a relative of the patient who is legally
 12-3    responsible for the patient's support.
 12-4          (d)  The board may adopt a sliding-fee scale for health care
 12-5    services provided to a patient who can pay for some, but not all,
 12-6    of the care and treatment provided by the district.
 12-7          (e)  A county that created and contracted with the district
 12-8    may credit a district expenditure for the care and treatment of an
 12-9    eligible county resident to the same extent and in the same manner
12-10    the county would be able to claim the expenditure under Chapter 61
12-11    if the county made the expenditure.
12-12          (f)  The board shall adopt rules regarding the collection of
12-13    money that is owed to the district for health care services
12-14    provided to a patient who is determined to be able to pay for all
12-15    or any part of the services from a patient, a patient's estate, or
12-16    a relative who is legally responsible for the patient's support.
12-17          Sec. 287.080.  REIMBURSEMENT FOR SERVICES.  (a)  The board
12-18    shall require reimbursement from a county, municipality, or public
12-19    hospital located outside the boundaries of the district for the
12-20    district's care and treatment of a sick, diseased, or injured
12-21    person of that county, municipality, or public hospital as provided
12-22    by Chapter 61.
12-23          (b)  The board shall require reimbursement from the sheriff
12-24    or police chief of a county or municipality for the district's care
12-25    and treatment of a person confined in a jail facility of the county
12-26    or municipality who is not a resident of the district, as
 13-1    determined in the same manner as the person's residence is
 13-2    determined under Chapter 61.
 13-3          (c)  The board may contract with a state or federal agency or
 13-4    political subdivision of the state to provide health care services.
 13-5          Sec. 287.081.  SERVICE CONTRACTS.  The board may contract
 13-6    with a municipality, county, special district, or other political
 13-7    subdivision of the state or with a state or federal agency for the
 13-8    district to:
 13-9                (1)  furnish a mobile emergency medical service; or
13-10                (2)  provide for the investigatory or welfare needs of
13-11    inhabitants of the district.
13-12          Sec. 287.082.  GIFTS AND ENDOWMENTS.  On behalf of the
13-13    district, the board may accept gifts and endowments to be held in
13-14    trust for any purpose and under any direction, limitation, or
13-15    provision prescribed in writing by the donor that is consistent
13-16    with the proper management of the district.
13-17          Sec. 287.083.  AUTHORITY TO SUE AND BE SUED.  The board may
13-18    sue and be sued on behalf of the district.
13-19             (Sections 287.084-287.100 reserved for expansion
13-20                  SUBCHAPTER E.  DISSOLUTION OF DISTRICT
13-21          Sec. 287.101.  DISSOLUTION.  A district shall be dissolved
13-22    if:
13-23                (1)  the contract with the counties and hospital
13-24    districts that created the district expires and is not renewed; or
13-25                (2)  the counties and hospital districts that created
13-26    the district adopt concurrent orders to terminate the contract and
 14-1    dissolve the district and the concurrent orders:
 14-2                      (A)  are approved by the governing bodies of each
 14-3    county and hospital district; and
 14-4                      (B)  contain identical provisions.
 14-5          Sec. 287.102.  TRANSFER OF ASSETS AFTER DISSOLUTION.  (a)  If
 14-6    the district is dissolved, the board shall:
 14-7                (1)  transfer the land, buildings, improvements,
 14-8    equipment, and other assets acquired by the district to the county
 14-9    or hospital district in which the property is located; or
14-10                (2)  administer the property, assets, and debts in
14-11    accordance with Section 287.103.
14-12          (b)  If the district transfers its land, buildings,
14-13    improvements, equipment, and other assets to a county or hospital
14-14    district, the county or hospital district assumes all debts and
14-15    obligations of the district related to the land, buildings,
14-16    improvements, equipment, or assets at the time of the transfer, and
14-17    the district is dissolved.
14-18          Sec. 287.103.  ADMINISTRATION OF PROPERTY, DEBTS, AND ASSETS
14-19    AFTER DISSOLUTION.  (a)  If the district does not transfer its
14-20    land, buildings, improvements, equipment, and other assets to a
14-21    county or hospital district in the district, the board shall
14-22    continue to control and administer the property, debts, and assets
14-23    of the district until all funds have been disposed of and all
14-24    district debts have been paid or settled.
14-25          (b)  If, after administering the property and assets, the
14-26    board determines that the district's property and assets are
 15-1    insufficient to pay the debts of the district, the district shall
 15-2    transfer the remaining debts to the counties and hospital districts
 15-3    that created the district in proportion to the funds contributed to
 15-4    the district by each county or hospital district.
 15-5          (c)  If, after administering the property and assets, the
 15-6    board determines that unused funds remain, the board shall transfer
 15-7    the unused funds to the counties and hospital districts that
 15-8    created the district in proportion to the funds contributed to the
 15-9    district by each county or hospital district.
15-10          Sec. 287.104.  ACCOUNTING.  After the district has paid all
15-11    its debts and has disposed of all its assets and funds as
15-12    prescribed by Sections 287.102 and 287.103, the board shall provide
15-13    an accounting to each county and hospital district that created and
15-14    contracted with the district.  The accounting must show the manner
15-15    in which the assets and debts of the district were distributed.
15-16             (Sections 287.105-287.120 reserved for expansion
15-17                     SUBCHAPTER F.  DISTRICT FINANCES
15-18          Sec. 287.121.  FISCAL YEAR.  (a)  The district operates on
15-19    the fiscal year established by the board.
15-20          (b)  The fiscal year may not be changed if revenue bonds of
15-21    the district are outstanding or more than once in a 24-month
15-22    period.
15-23          Sec. 287.122.  ANNUAL AUDIT.  (a)  The board annually shall
15-24    have an independent audit made of the financial condition of the
15-25    district.
15-26          (b)  A copy of the audit must be provided to:
 16-1                (1)  each county and hospital district that created and
 16-2    contracted with the district;
 16-3                (2)  each state and federal agency with which the
 16-4    district contracts; and
 16-5                (3)  each other entity that contributes substantial
 16-6    funds to the district.
 16-7          Sec. 287.123.  DISTRICT AUDIT AND RECORDS.  The annual audit
 16-8    and other district records are open to inspection during regular
 16-9    business hours at the principal office of the district.
16-10          Sec. 287.124.  ANNUAL BUDGET.  (a)  The administrator of the
16-11    district shall prepare a proposed annual budget for the district.
16-12          (b)  The proposed budget must contain a complete financial
16-13    statement, including a statement of:
16-14                (1)  the outstanding obligations of the district;
16-15                (2)  the amount of cash on hand to the credit of each
16-16    fund of the district;
16-17                (3)  the amount of money received by the district from
16-18    all sources during the previous year;
16-19                (4)  the amount of money available to the district from
16-20    all sources during the ensuing year;
16-21                (5)  the amount of the balances expected at the end of
16-22    the year in which the budget is being prepared; and
16-23                (6)  the estimated amount of revenues and balances
16-24    available to cover the proposed budget.
16-25          Sec. 287.125.  NOTICE; HEARING; ADOPTION OF BUDGET.  (a)  The
16-26    board shall hold a public hearing on the proposed annual budget.
 17-1          (b)  The board shall publish notice of the hearing in a
 17-2    newspaper of general circulation in the district not later than the
 17-3    10th day before the date of the hearing.
 17-4          (c)  Any resident of the district is entitled to be present
 17-5    and participate at the hearing.
 17-6          (d)  At the conclusion of the hearing, the board shall adopt
 17-7    a budget by acting on the budget proposed by the administrator.
 17-8    The board may make any changes in the proposed budget that in its
 17-9    judgment the interests of the residents of the district demand.
17-10          (e)  The budget is effective only after adoption by the
17-11    board.
17-12          Sec. 287.126.  AMENDING BUDGET.  After adoption, the annual
17-13    budget may be amended on the board's approval.
17-14          Sec. 287.127.  LIMITATION OF EXPENDITURES.  Money may not be
17-15    spent for an expense not included in the annual budget or an
17-16    amendment to it.
17-17          Sec. 287.128.  SWORN STATEMENT.  As soon as practicable after
17-18    the close of the fiscal year, the administrator shall prepare for
17-19    the board a sworn statement of the amount of money that belongs to
17-20    the district and an account of the disbursements of that money.
17-21          Sec. 287.129.  SPENDING AND INVESTMENT LIMITATIONS.
17-22    (a)  Except for construction contracts under Section 287.077(a) or
17-23    as provided by Sections 287.142 and 287.143, the district may not
17-24    incur a debt payable from revenues of the district other than the
17-25    revenues on hand or to be on hand in the current and immediately
17-26    following fiscal year of the district.
 18-1          (b)  The board may invest operating, depreciation, or
 18-2    building reserves only in funds or securities specified by Article
 18-3    836 or 837, Revised Statutes.
 18-4          Sec. 287.130.  DEPOSITORY.  (a)  The board shall name at
 18-5    least one bank to serve as depository for district funds.
 18-6          (b)  District funds, other than those invested as provided by
 18-7    Section 287.129(b) and those transmitted to a bank of payment for
 18-8    bonds or obligations issued or assumed by the district, shall be
 18-9    deposited as received with the depository bank and must remain on
18-10    deposit.  This subsection does not limit the power of the board to
18-11    place a portion of district funds on time deposit or to purchase
18-12    certificates of deposit.
18-13          (c)  Before the district deposits funds in a bank in an
18-14    amount that exceeds the maximum amount secured by the Federal
18-15    Deposit Insurance Corporation, the bank must execute a bond or
18-16    other security in an amount sufficient to secure from loss the
18-17    district funds that exceed the amount secured by the Federal
18-18    Deposit Insurance Corporation.
18-19          Sec. 287.131.  AD VALOREM TAXATION.  A district may not
18-20    impose an ad valorem tax.
18-21             (Sections 287.132-287.140 reserved for expansion
18-22                           SUBCHAPTER G.  BONDS
18-23          Sec. 287.141.  GENERAL OBLIGATION BONDS.  A district may not
18-24    issue general obligation bonds.
18-25          Sec. 287.142.  REVENUE BONDS.  (a)  The board may issue
18-26    revenue bonds to:
 19-1                (1)  purchase, construct, acquire, repair, equip, or
 19-2    renovate buildings or improvements for district purposes;
 19-3                (2)  acquire sites to be used for district purposes; or
 19-4                (3)  acquire and operate a mobile emergency medical
 19-5    service to assist the district in carrying out its purposes.
 19-6          (b)  The bonds must be payable from and secured by a pledge
 19-7    of all or part of the revenues derived from the operation of the
 19-8    district.  The bonds may be additionally secured by a mortgage or
 19-9    deed of trust lien on all or part of district property.
19-10          (c)  The bonds must be issued in the manner provided by
19-11    Sections 264.042, 264.043, 264.046, 264.047, 264.048, and 264.049
19-12    for issuance of revenue bonds by county hospital authorities.
19-13          (d)  Revenue derived from the operation of the district and
19-14    pledged to the repayment of revenue bonds issued by the district
19-15    must be used to repay the principal and interest owed on the bonds
19-16    before being used to repay any other obligation of the district,
19-17    including money owed to physicians who are employed by or who
19-18    contract with the district.
19-19          Sec. 287.143.  REFUNDING BONDS.  (a)  Refunding bonds of the
19-20    district may be issued to refund an outstanding indebtedness the
19-21    district has issued or assumed.
19-22          (b)  The bonds must be issued in the manner provided by
19-23    Chapter 784, Acts of the 61st Legislature, Regular Session, 1969
19-24    (Article 717k-3, Vernon's Texas Civil Statutes).
19-25          (c)  The refunding bonds may be sold and the proceeds applied
19-26    to the payment of outstanding indebtedness or may be exchanged in
 20-1    whole or in part for not less than a similar principal amount of
 20-2    outstanding indebtedness.  If the refunding bonds are to be sold
 20-3    and the proceeds applied to the payment of outstanding
 20-4    indebtedness, the refunding bonds must be issued and payments made
 20-5    in the manner provided by Chapter 503, Acts of the 54th
 20-6    Legislature, Regular Session, 1955 (Article 717k, Vernon's Texas
 20-7    Civil Statutes).
 20-8          Sec. 287.144.  INTEREST AND MATURITY.  District bonds must
 20-9    mature not later than the 50th anniversary of the date of their
20-10    issuance and must bear interest at a rate not to exceed that
20-11    provided by Chapter 3, Acts of the 61st Legislature, Regular
20-12    Session, 1969 (Article 717k-2, Vernon's Texas Civil Statutes).
20-13          Sec. 287.145.  EXECUTION OF BONDS.  The president of the
20-14    board shall execute the bonds in the name of the district, and the
20-15    secretary of the board shall countersign the bonds in the manner
20-16    provided by the Texas Uniform Facsimile Signature of Public
20-17    Officials Act (Article 717j-1, Vernon's Texas Civil Statutes).
20-18          Sec. 287.146.  APPROVAL AND REGISTRATION OF BONDS.
20-19    (a)  District bonds are subject to the same requirements with
20-20    regard to approval by the attorney general and registration by the
20-21    comptroller as the law provides for approval and registration of
20-22    bonds issued by counties.
20-23          (b)  On approval by the attorney general and registration by
20-24    the comptroller, the bonds are incontestable for any cause.
20-25          Sec. 287.147.  BONDS AS INVESTMENTS.  District bonds and
20-26    indebtedness assumed by the district are legal and authorized
 21-1    investments for:
 21-2                (1)  banks;
 21-3                (2)  savings banks;
 21-4                (3)  trust companies;
 21-5                (4)  savings and loan associations;
 21-6                (5)  insurance companies;
 21-7                (6)  fiduciaries;
 21-8                (7)  trustees;
 21-9                (8)  guardians; and
21-10                (9)  sinking funds of municipalities, counties, school
21-11    districts, and other political subdivisions of the state and other
21-12    public funds of the state and its agencies, including the permanent
21-13    school fund.
21-14          Sec. 287.148.  BONDS AS SECURITY FOR DEPOSITS.  District
21-15    bonds are eligible to secure deposits of public funds of the state
21-16    and of municipalities, counties, school districts, and other
21-17    political subdivisions of the state.  The bonds are lawful and
21-18    sufficient security for deposits to the extent of their value if
21-19    accompanied by all unmatured coupons.
21-20          Sec. 287.149.  TAX STATUS OF BONDS.  Because the district
21-21    created under this chapter is a public entity performing an
21-22    essential public function, bonds issued by the district, any
21-23    transaction relating to the bonds, and profits made in the sale of
21-24    the bonds are free from taxation by the state or by any
21-25    municipality, county, special district, or other political
21-26    subdivision of the state.
 22-1          SECTION 2.  This Act takes effect September 1, 1999.
 22-2          SECTION 3.  The importance of this legislation and the
 22-3    crowded condition of the calendars in both houses create an
 22-4    emergency and an imperative public necessity that the
 22-5    constitutional rule requiring bills to be read on three several
 22-6    days in each house be suspended, and this rule is hereby suspended.