AN ACT
 1-1     relating to the Castro County, Hansford County, and Ochiltree
 1-2     County hospital districts; authorizing the issuance of bonds and
 1-3     the imposition of taxes.
 1-4           BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS:
 1-5           SECTION 1.  Section 2, Chapter 103, Acts of the 57th
 1-6     Legislature, Regular Session, 1961, is amended to read as follows:
 1-7           Sec. 2.  Each of the counties to which this Act applies may
 1-8     be constituted a hospital district as hereinafter set out, and may
 1-9     take over the hospital or hospital system, either owned separately
1-10     by a county or jointly with a city within such county, or may
1-11     provide for the establishment of a hospital or hospital system to
1-12     furnish medical and hospital care to needy persons residing in said
1-13     hospital district; provided, however, that such hospital district
1-14     shall not be created unless and until an election is duly held in
1-15     such county for such purpose, which said election may be initiated
1-16     by the Commissioners Court of each of such counties upon its own
1-17     motion or upon a petition of one hundred (100) resident [qualified
1-18     property taxpaying] electors, to be held not less than thirty (30)
1-19     days from the time said election is ordered by the Commissioners
1-20     Court.  At said election there shall be submitted to the [qualified
1-21     property taxpaying] electors the proposition of whether or not a
1-22     hospital district shall be created in the county; and a majority of
1-23     the [qualified property taxpaying] electors participating in said
1-24     election voting in favor of the proposition shall be necessary.
 2-1     The ballots shall have printed thereon:
 2-2           "FOR the creation of a hospital district; providing for the
 2-3     levy of a tax not to exceed Seventy-five Cents (75 ) on the One
 2-4     Hundred Dollars ($100.00) valuation"; and
 2-5           "AGAINST the creation of a hospital district; providing for
 2-6     the levy of a tax not to exceed Seventy-five Cents (75 ) on the One
 2-7     Hundred Dollars ($100.00) valuation."
 2-8           If such county or city located therein, either or both of
 2-9     them, has any outstanding bonds theretofore issued for hospital
2-10     purposes (which by the provisions of Section 7 of this Act are
2-11     required to be assumed by the hospital district), then the ballots
2-12     for such election shall, instead of the foregoing, have printed
2-13     thereon:
2-14           "FOR the creation of a hospital district; providing for the
2-15     levy of a tax not to exceed Seventy-five Cents (75 ) on the One
2-16     Hundred Dollars ($100.00) valuation; and providing for the
2-17     assumption by such district of all outstanding bonds heretofore
2-18     issued by ____________ County, and by any city in said county for
2-19     hospital purposes"; and
2-20           "AGAINST the creation of a hospital district; providing for
2-21     the levy of a tax not to exceed Seventy-five Cents (75 ) on the One
2-22     Hundred Dollars ($100.00) valuation; and providing for the
2-23     assumption by such district of all outstanding bonds heretofore
2-24     issued by ___________ County, and by any city in said county for
2-25     hospital purposes."
2-26           SECTION 2.  Section 3, Chapter 103, Acts of the 57th
 3-1     Legislature, Regular Session, 1961, is amended to read as follows:
 3-2           Sec. 3.  (a)  Within ten (10) days after such election is
 3-3     held the Commissioners Court in such county shall convene and
 3-4     canvass the returns of the election, and if a majority of the
 3-5     [qualified property taxpaying] electors voting at said election
 3-6     voted in favor of the proposition, the court shall so find and
 3-7     declare the hospital district established and created and appoint
 3-8     five (5) persons as directors of the hospital district to serve
 3-9     until the first Saturday in April following the creation and
3-10     establishment of the district at which time five (5) directors
3-11     shall be elected.  The three (3) directors receiving the highest
3-12     vote at such first election shall serve for two (2) years, the
3-13     other two (2) directors shall serve for one (1) year.  Thereafter,
3-14     all directors shall serve for a period of two (2) years and until
3-15     their successor has been duly elected or appointed and qualified.
3-16           (b)  A person may not [No person shall] be appointed or
3-17     elected as a member of the board of directors of said hospital
3-18     district unless the person [he] is a resident thereof [and owns
3-19     land subject to taxation therein] and, [unless] at the time of such
3-20     election or appointment, the person is [he shall be] more than
3-21     twenty-one (21) years of age.  A person may not be elected or
3-22     appointed as a member of the board of directors of the Castro
3-23     County Hospital District unless the person is a resident of the
3-24     district and is at the time of election or appointment at least 21
3-25     years of age.  An employee or a medical staff member of the
3-26     Ochiltree County or Castro County Hospital District may not serve
 4-1     as a director of the respective [that] district.
 4-2           (c)  Each member of the board of directors shall qualify by
 4-3     executing the constitutional oath of office and shall execute a
 4-4     good and sufficient bond for One Thousand Dollars ($1,000) payable
 4-5     to said district conditioned upon the faithful performance of the
 4-6     member's [his] duties, and such oaths and bonds shall be deposited
 4-7     with the depository bank of the district for safekeeping.  The
 4-8     Ochiltree County or Castro County Hospital District may purchase
 4-9     directors' bonds with district funds.
4-10           (d)  The board of directors of the Hansford County and
4-11     Ochiltree County hospital districts shall organize by electing one
4-12     (1) of their number as president and one (1) of their number as
4-13     secretary.  The board of directors of the Castro County Hospital
4-14     District shall organize by electing from the membership of the
4-15     board one member to serve as president, one member to serve as vice
4-16     president, and one member to serve as secretary.  Any three (3)
4-17     members of the board of directors shall constitute a quorum and a
4-18     concurrence of three (3) shall be sufficient in all matters
4-19     pertaining to the business of the district.  All vacancies in the
4-20     office of director shall be filled for the unexpired term by
4-21     appointment of the remainder of the board of directors.  In the
4-22     event the number of directors shall be reduced to less than three
4-23     (3) for any reason, the remaining directors shall immediately call
4-24     a special election to fill said vacancies, and upon failure to do
4-25     so a district court may, upon application of any voter or taxpayer
4-26     of the district, issue a mandate requiring that such election be
 5-1     ordered by the remaining directors.
 5-2           (e)  A regular election of directors shall be held on the
 5-3     first Saturday in May of each year and notice of such election
 5-4     shall be published in a newspaper of general circulation in the
 5-5     county one (1) time not earlier than the 30th day or later than the
 5-6     10th day before [at least ten (10) days prior to] the date of the
 5-7     election.  A person who wishes to have the person's name printed on
 5-8     the ballot as a candidate for director of the Castro County
 5-9     Hospital District must file an application with the secretary of
5-10     the board of the Castro County Hospital District not later than the
5-11     45th day before the date of the election.  A [Any] person who
5-12     wishes to have the person's [desiring his] name [to be] printed on
5-13     the ballot as a candidate for director of the Ochiltree County
5-14     Hospital District shall file a petition, signed by not less than
5-15     twenty-five (25) qualified voters asking that such name be printed
5-16     on the ballot, with the secretary of the board of directors of the
5-17     district not later than the 25th day before [at least twenty-five
5-18     (25) days prior to] the date of the election.
5-19           SECTION 3.  Subsection (a), Section 3A, Chapter 103, Acts of
5-20     the 57th Legislature, Regular Session, 1961, is amended to read as
5-21     follows:
5-22           (a)  This section applies only to the Ochiltree County and
5-23     Castro County hospital districts [Hospital District].
5-24           SECTION 4.  Section 4, Chapter 103, Acts of the 57th
5-25     Legislature, Regular Session, 1961, is amended to read as follows:
5-26           Sec. 4.  The management and control of each hospital district
 6-1     created pursuant to the provisions of this Act is hereby vested in
 6-2     the board of directors of the district who shall serve without
 6-3     compensation but may be reimbursed for actual expenses incurred in
 6-4     the performance of their official duties upon the approval of such
 6-5     expenses by the entire board of directors.  The board of directors
 6-6     of the Ochiltree County or Castro County Hospital District may
 6-7     defend or indemnify an officer, director, board appointee, medical
 6-8     staff member, or employee of the district against or for liability,
 6-9     claims, or expenses that arise from the performance of a duty in
6-10     the person's respective capacity as an officer, director, board
6-11     appointee, medical staff member, or employee of the district.  The
6-12     board of directors may purchase liability insurance coverage or
6-13     establish a self-insurance program to fund indemnification under
6-14     this section.
6-15           SECTION 5.  Section 5, Chapter 103, Acts of the 57th
6-16     Legislature, Regular Session, 1961, is amended to read as follows:
6-17           Sec. 5.  (a)  Upon the creation of such hospital district,
6-18     the board of directors of the Ochiltree County or Hansford County
6-19     Hospital District shall have the power and authority and it shall
6-20     be their duty to levy on all property subject to hospital district
6-21     taxation for the benefit of the district at the same time taxes are
6-22     levied for county purposes, using the county values and the county
6-23     tax roll, a tax of not to exceed Seventy-five Cents (75 ) on the
6-24     One Hundred Dollars ($100.00) valuation of all taxable property
6-25     within the hospital district, for the purpose of:
6-26                 (1)  paying the interest on and creating a sinking fund
 7-1     for bonds which may have been assumed or which may be issued by the
 7-2     hospital district for hospital purposes as herein provided;
 7-3                 (2)  providing for the operation and maintenance of the
 7-4     hospital or hospital system; and
 7-5                 (3)  [for the purpose of] making further improvements
 7-6     and additions to the hospital system, and for the acquisition of
 7-7     necessary sites therefor, by purchase, lease or condemnation.
 7-8           (b)  Not later than October 1 of each year, the board of
 7-9     directors of the Ochiltree County or Hansford County Hospital
7-10     District shall levy the tax on all taxable property within the
7-11     district which is subject to taxation and shall immediately certify
7-12     such tax rate to the tax assessor and collector of the county in
7-13     which the district is located.  The tax so levied shall be
7-14     collected on all property subject to hospital district taxation by
7-15     the assessor and collector of taxes for the county on the county
7-16     tax values, and in the same manner and under the same conditions as
7-17     county taxes.  The assessor and collector of taxes shall charge and
7-18     deduct from payments to the hospital district the fees for
7-19     assessing and collecting the tax at the rate of not exceeding one
7-20     (1%) per cent of the amounts collected as may be determined by the
7-21     board of directors but in no event in excess of Five Thousand
7-22     Dollars ($5,000.00) for any one (1) fiscal year.  Such fees shall
7-23     be deposited in the county's general fund, and shall be reported as
7-24     fees of office of the tax assessor and collector.  Interest and
7-25     penalties on taxes paid to the hospital district shall be the same
7-26     as in the case of county taxes.  Discounts shall be the same as for
 8-1     county taxes.  The residue of tax collections, after deduction of
 8-2     discounts and fees for assessing and collecting, shall be deposited
 8-3     in the district depository; and such funds shall be withdrawn only
 8-4     as provided herein.  All other income of the hospital district
 8-5     shall be deposited in like manner with the district depository.
 8-6           (c)  The board of directors of the Ochiltree County or
 8-7     Hansford County Hospital District shall have the authority to levy
 8-8     the tax aforesaid for the entire year in which the said hospital
 8-9     district is established, for the purpose of securing funds to
8-10     initiate the operation of the hospital district, and to pay assumed
8-11     bonds.
8-12           SECTION 6.  Chapter 103, Acts of the 57th Legislature,
8-13     Regular Session, 1961, is amended by adding Section 5A to read as
8-14     follows:
8-15           Sec. 5A.  (a)  This section applies only to the Castro County
8-16     Hospital District.
8-17           (b)  The board of directors annually may impose property
8-18     taxes in an amount not to exceed the limit approved by the voters
8-19     at the election authorizing the levy of taxes.
8-20           (c)  The tax rate for all purposes may not exceed 75 cents on
8-21     each $100 valuation of all taxable property in the district.
8-22           (d)  The taxes may be used to pay:
8-23                 (1)  the indebtedness issued or assumed by the
8-24     district; or
8-25                 (2)  the maintenance and operating expenses of the
8-26     district.
 9-1           (e)  The district may not impose taxes to pay the principal
 9-2     of or interest on revenue bonds issued by the district.
 9-3           (f)  The Tax Code governs the appraisal, assessment, and
 9-4     collection of district taxes.
 9-5           (g)  The board of directors may provide for the appointment
 9-6     of a tax assessor-collector for the district or may contract for
 9-7     the assessment and collection of taxes as provided by the Tax Code.
 9-8           SECTION 7.  Section 6, Chapter 103, Acts of the 57th
 9-9     Legislature, Regular Session, 1961, is amended to read as follows:
9-10           Sec. 6.  (a)  The board of directors shall have the power and
9-11     authority to issue and sell as the obligations of such hospital
9-12     district, and in the name and upon the faith and credit of such
9-13     hospital district, general obligation bonds for the purchase,
9-14     construction, acquisition, repair or renovation of buildings and
9-15     improvements and equipping the same for hospital purposes and for
9-16     any or all of such purposes.
9-17           (b)  At the time of issuance of any general obligation
9-18     bond,[; provided, that] a sufficient tax shall be levied to create
9-19     an interest and sinking fund to pay the interest and principal as
9-20     same matures provided said tax together with any other taxes levied
9-21     for said district shall not exceed Seventy-five Cents (75 ) on each
9-22     $100 valuation of taxable property in any one year.  Taxes levied
9-23     by the Castro County Hospital District may not exceed the limit
9-24     approved by the voters at the election authorizing the levy of
9-25     taxes.  The Ochiltree County Hospital District may also issue and
9-26     sell bonds for health care purposes subject to the requirements of
 10-1    this section.
 10-2          (c)  General obligation [Such] bonds shall be executed in the
 10-3    name of the hospital district and on its behalf by the president of
 10-4    the board of directors, and countersigned by the secretary of the
 10-5    board of directors, and shall be subject to the same requirements
 10-6    in the matter of approval thereof by the Attorney General of the
 10-7    State of Texas and the registration thereof by the Comptroller of
 10-8    Public Accounts of the State of Texas as are by law provided for
 10-9    such approval and registration of bonds of such county.  Upon the
10-10    approval of such bonds by the Attorney General of Texas the same
10-11    shall be incontestable for any cause.
10-12          (d)  Except as provided by Section 6A, no bonds shall be
10-13    issued by such hospital district (except refunding bonds) until
10-14    authorized by a majority vote of the [legally qualified property
10-15    taxpaying] electors[,] residing in such hospital district, voting
10-16    at an election called and held for such purpose.  Such election may
10-17    be called by the board of directors of its own motion, shall
10-18    specify the place or places where the election shall be held, the
10-19    presiding officers thereof, the purpose for which the bonds are to
10-20    be issued, the amount thereof, maximum interest rate (not to exceed
10-21    six (6%) per cent per annum) and the maximum maturity date of such
10-22    bonds (not to exceed forty (40) years from their date of issuance).
10-23    Notice of election shall be given by publishing a substantial copy
10-24    of the order calling the election in a newspaper of general
10-25    circulation in such county once a week for two (2) consecutive
10-26    weeks prior to the date of election, the date of the first
 11-1    publication being at least fourteen (14) full days prior to the
 11-2    date set for the election.  The costs of such election shall be
 11-3    paid by the hospital district.
 11-4          (e)  The [In the manner hereinabove provided, the] bonds of
 11-5    such hospital district may, without the necessity of any election
 11-6    therefor, be issued for the purpose of refunding and paying off any
 11-7    bonded indebtedness theretofore assumed by such hospital district
 11-8    and any bonds therefore issued by such hospital district.
 11-9    Refunding bonds issued by the Castro County Hospital District must
11-10    be issued in the manner provided by Chapter 784, Acts of the 61st
11-11    Legislature, Regular Session, 1969 (Article 717k-3, Vernon's Texas
11-12    Civil Statutes).  The[; such] refunding bonds may be sold and the
11-13    proceeds thereof applied to the payment of any such outstanding
11-14    bonds or may be exchanged in whole or in part for not less than a
11-15    like amount of said outstanding bonds and interest matured thereon,
11-16    but unpaid; provided the average interest cost per annum on the
11-17    refunding bonds, computed in accordance with recognized standard
11-18    bond interest cost tables, shall not exceed the average interest
11-19    cost per annum so computed, upon the bonds to be discharged out of
11-20    the proceeds of the refunding bonds, unless the total interest cost
11-21    on the refunding bonds, computed to their respective maturity
11-22    dates, is less than the total interest cost so computed on the
11-23    bonds to be discharged out of such proceeds.  In the foregoing
11-24    computations, any premium or premiums required to be paid upon the
11-25    bonds to be refunded as a condition to payment in advance of their
11-26    stated maturity dates shall be taken into account as an addition to
 12-1    the net interest cost to the hospital district of the refunding
 12-2    bonds.
 12-3          (f)  If the county in which the district is located or any
 12-4    city within such county has voted bonds to provide hospital
 12-5    facilities,[;] but such bonds have not been sold and delivered at
 12-6    the date of the creation of the hospital district, the authority
 12-7    for such bonds shall be canceled and they shall not be sold.
 12-8          SECTION 8.  Section 6A, Chapter 103, Acts of the 57th
 12-9    Legislature, Regular Session, 1961, is amended by amending
12-10    Subsection (a) and by adding Subsection (d) to read as follows:
12-11          (a)  In selling and reissuing bonds, and in making payments
12-12    of outstanding indebtedness, the Ochiltree County and Castro County
12-13    hospital districts [Hospital District] shall comply with Chapter
12-14    503, Acts of the 54th Legislature, Regular Session, 1955 (Article
12-15    717k, Vernon's Texas Civil Statutes), and Chapter 784, Acts of the
12-16    61st Legislature, Regular Session, 1969 (Article 717k-3, Vernon's
12-17    Texas Civil Statutes).  The interest rate for district bonds may
12-18    not exceed the maximum rate allowed under Chapter 3, Acts of the
12-19    61st Legislature, Regular Session, 1969 (Article 717k-2, Vernon's
12-20    Texas Civil Statutes).
12-21          (d)  The board of directors of the Castro County Hospital
12-22    District may issue revenue bonds in the name and on the faith and
12-23    credit of the district to purchase, construct, repair, renovate, or
12-24    acquire buildings or improvements, equip buildings and improvements
12-25    for hospital purposes, and acquire real property for hospital
12-26    purposes.  The revenue bonds issued under this subsection must be
 13-1    payable from and secured by a pledge of all or part of the Castro
 13-2    County Hospital District's revenues from operations of the hospital
 13-3    system. The bonds may also be secured by a mortgage or deed of
 13-4    trust on all or part of the district's property.  The revenue bonds
 13-5    must be issued in the manner provided by Sections 264.042, 264.043,
 13-6    264.046, 264.047, 264.048, and 264.049, Health and Safety Code, for
 13-7    the issuance of revenue bonds by county hospital authorities.
 13-8          SECTION 9.  Section 6B, Chapter 103, Acts of the 57th
 13-9    Legislature, Regular Session, 1961, is amended to read as follows:
13-10          Sec. 6B.  The board of directors of the Ochiltree County or
13-11    Castro County Hospital District may borrow money for district
13-12    purposes on the credit of the district or secured by revenues of
13-13    the district.
13-14          SECTION 10.  Section 7, Chapter 103, Acts of the 57th
13-15    Legislature, Regular Session, 1961, is amended to read as follows:
13-16          Sec. 7.  (a)  Any lands, buildings or equipment that may be
13-17    jointly or separately owned by the county and city within the
13-18    boundaries of the district and by which medical services or
13-19    hospital care, including geriatric care, are furnished to needy
13-20    persons of the city and county, shall become the property of the
13-21    hospital district; and title thereto shall vest in the hospital;
13-22    and any funds of such city and county, or either, which are the
13-23    proceeds of any bonds assumed by the hospital district, as hereby
13-24    provided, shall become the funds of the hospital district; and
13-25    title thereto shall vest in the hospital district; and there shall
13-26    vest in the hospital district and become the funds of the hospital
 14-1    district the unspent portions of any funds theretofore set up or
 14-2    appropriated by budget or otherwise by such city or the county, or
 14-3    either of them, for the support and maintenance of the hospital
 14-4    facilities for the year within which the hospital district comes
 14-5    into existence, thereby providing such hospital district with funds
 14-6    with which to maintain and operate such facilities for the
 14-7    remainder of such year.  All obligations under contract legally
 14-8    incurred by such city or county, or either of them, for the
 14-9    building of, or the support and maintenance of, hospital
14-10    facilities, prior to the creation of the said district but
14-11    outstanding at the time of the creation of the district, shall be
14-12    assumed and discharged by the hospital district without prejudice
14-13    to the rights of third parties, provided that the management and
14-14    control of the property and affairs of the present hospital system
14-15    shall continue in the board of managers of such system until
14-16    appointment and organization of the board of directors of the
14-17    hospital district, at which time the board of managers of the
14-18    present hospital system or systems shall turn over all records,
14-19    property and affairs of said hospital system to the board of
14-20    directors of the hospital district and shall cease to exist.
14-21          (b)  Any outstanding bonded indebtedness incurred by such
14-22    city or county, either or both of them, in the acquisition of such
14-23    lands, buildings and equipment, or in the construction and
14-24    equipping of such hospital facilities, together with any other
14-25    outstanding bonds issued by either of them for hospital purposes,
14-26    and the proceeds of which are in whole or in part still unspent,
 15-1    shall be assumed by the hospital district and become the obligation
 15-2    of the hospital district; and the city or county, either or both of
 15-3    them, that issued such bonds, shall be by the hospital district
 15-4    relieved of any further liability for the payment thereof, or for
 15-5    providing interest and sinking fund requirements thereon; provided
 15-6    that nothing herein contained shall limit or affect any of the
 15-7    rights of any of the holders of such bonds against the city or the
 15-8    county, as the case may be, in the event of default in the payment
 15-9    of the principal or interest on any of such bonds in accordance
15-10    with their respective terms.
15-11          (c)  The Commissioners Court and the city, where a hospital
15-12    or hospital system is jointly operated, or the Commissioners Court,
15-13    where the county owns the hospital or hospital system, as the case
15-14    may be, as soon as the hospital district is created and authorized
15-15    at the election hereinabove provided, and there have been appointed
15-16    and qualified the board of hospital managers as hereinbefore
15-17    provided, shall execute and deliver to the hospital district,
15-18    to-wit:  to its said board of directors, an instrument in writing
15-19    conveying to said hospital district the hospital property,
15-20    including lands, buildings and equipment; and shall transfer to
15-21    said hospital district the funds hereinabove provided to become
15-22    vested in the hospital district, upon being furnished the
15-23    certificate of the chairman of the board to the fact that a
15-24    depository for the district's funds has been selected and has
15-25    qualified; which funds shall, in the hands of the hospital district
15-26    and of its board of directors be used for all or any of the same
 16-1    purposes as, and for no other purposes than, the purposes for which
 16-2    the county or the city transferring such funds could lawfully have
 16-3    used the same had they remained the property and funds of such
 16-4    county or city.
 16-5          SECTION 11.  Subsections (b), (c), and (d), Section 8,
 16-6    Chapter 103, Acts of the 57th Legislature, Regular Session, 1961,
 16-7    are amended to read as follows:
 16-8          (b)  The board of directors of the Ochiltree County or Castro
 16-9    County Hospital District may appoint a qualified person as
16-10    administrator of the district.  The administrator serves at the
16-11    will of the board of directors and receives compensation as
16-12    determined by the board of directors.  The administrator shall
16-13    supervise the work and activities of the district and direct the
16-14    general affairs of the district subject to the limitations
16-15    prescribed by the board of directors.
16-16          (c)  The board of directors of the Ochiltree County or Castro
16-17    County Hospital District may employ technicians, nurses, fiscal
16-18    agents, accountants, and other necessary employees.  The board of
16-19    directors may delegate to the administrator the authority to employ
16-20    these persons for the district.
16-21          (d)  The board of directors of the Ochiltree County or Castro
16-22    County Hospital District may appoint doctors to the medical staff
16-23    or remove doctors from the medical staff as necessary for the
16-24    efficient operation of the district.  This authority includes the
16-25    authority to make temporary appointments.  The board of directors
16-26    may adopt policies relating to the appointment and removal of
 17-1    medical staff members.
 17-2          SECTION 12.  Section 8A, Chapter 103, Acts of the 57th
 17-3    Legislature, Regular Session, 1961, is amended by adding
 17-4    Subsections (f) through (l) to read as follows:
 17-5          (f)  The district, subject to the approval of the board of
 17-6    directors, may provide primary care, emergency services,
 17-7    preventative medical services, and other health-related services
 17-8    outside the district, provided that the services serve the purpose
 17-9    of the district as established by this Act.
17-10          (g)  The board of directors may contract with a political
17-11    subdivision or governmental agency to provide investigatory or
17-12    other services related to facilities for the medical care,
17-13    hospital, or welfare needs of the inhabitants of the district and
17-14    may contract with a hospital, hospital authority, hospital
17-15    district, emergency services district, county, municipality, or
17-16    other political subdivision of this state that is located outside
17-17    its boundaries to be reimbursed for the care and treatment of the
17-18    sick, diseased, or injured persons of that entity.  The board of
17-19    directors may also contract with the state or agencies of the
17-20    federal government to be reimbursed for the treatment of sick,
17-21    diseased, or injured persons.
17-22          (h)  The district may contract with, affiliate with, or enter
17-23    into another arrangement with a managed care system, a preferred
17-24    provider organization, a health maintenance organization, another
17-25    provider of alternative health care or delivery system, or a
17-26    private hospital to jointly administer or deliver health care
 18-1    services.  The district may spend district funds to establish and
 18-2    maintain partnerships, corporations, or other entities involved in
 18-3    the delivery of health care services.
 18-4          (i)  The district may sponsor and create a non-profit
 18-5    corporation under the Texas Non-Profit Corporation Act (Article
 18-6    1396-1.01 et seq., Vernon's Texas Civil Statutes) and may
 18-7    contribute funds to or solicit funds for the corporation.  The
 18-8    corporation may use funds, other than funds paid by the corporation
 18-9    to the district, only to provide health care or other services the
18-10    district may provide under this Act.  The board of directors of the
18-11    hospital district shall establish adequate controls to ensure that
18-12    the corporation uses its funds as required by this subsection.  The
18-13    corporation may invest corporation funds in any manner in which the
18-14    district may invest funds, including investing funds as authorized
18-15    by Chapter 2256, Government Code.
18-16          (j)  The board of directors may spend district funds, enter
18-17    into agreements, and take other necessary action to recruit
18-18    physicians and other persons to serve as medical staff members or
18-19    employees of the district, including:
18-20                (1)  advertising and marketing;
18-21                (2)  paying travel, recruitment, and relocation
18-22    expenses;
18-23                (3)  providing a loan or scholarship to a physician or
18-24    a person currently enrolled in health care education courses at an
18-25    institution of higher education who contractually agrees to become
18-26    a district employee or medical staff member; and
 19-1                (4)  providing office space without the payment of rent
 19-2    for the space or otherwise subsidizing office space or other
 19-3    facilities for a health care professional, including a physician.
 19-4          (k)  The board of directors may spend district funds, enter
 19-5    into agreements, and take other necessary action to conduct,
 19-6    participate in, or otherwise assist in providing health care
 19-7    educational programs for current or prospective medical staff
 19-8    members or employees of the district.
 19-9          (l)  The board of directors may provide retirement benefits
19-10    for employees of the district by:
19-11                (1)  establishing or administering a retirement
19-12    program; or
19-13                (2)  participating in the Texas County and District
19-14    Retirement System or in any other statewide retirement system in
19-15    which the district is eligible to participate.
19-16          SECTION 13.  Section 9, Chapter 103, Acts of the 57th
19-17    Legislature, Regular Session, 1961, is amended to read as follows:
19-18          Sec. 9.   (a)  The fiscal year of the Ochiltree County
19-19    Hospital District authorized to be established by the provisions
19-20    hereof shall commence on October 1 of each year and end on the 30th
19-21    day of September of the following year.  The Castro County Hospital
19-22    District shall operate on the fiscal year established by the board
19-23    of directors of that district.  The district directors shall cause
19-24    an annual independent audit to be made of the books and records of
19-25    the district, such audit to be made covering such fiscal year, and
19-26    the same shall be filed with the Comptroller of Public Accounts of
 20-1    the State of Texas and at the office of the district not later than
 20-2    December 31st of each year.
 20-3          (b)  The board of directors shall each year cause a budget to
 20-4    be prepared showing the proposed expenditures and disbursements and
 20-5    the estimated receipts and collections for the following fiscal
 20-6    year and shall hold a public hearing on the proposed budget after
 20-7    publication of a notice of hearing in a newspaper of general
 20-8    circulation in the county at least once not less than ten (10) days
 20-9    prior to the date set for the hearing.  Any person who is a
20-10    taxpayer of the district shall have the right to appear at the time
20-11    and place designated  in the notice and be heard with reference to
20-12    any item shown in the proposed budget.  The proposed budget shall
20-13    also show the amount of taxes required to be levied and collected
20-14    during such fiscal year and upon final approval of the budget, the
20-15    board of directors shall levy such tax as may be required and
20-16    certify the tax rate for such year to the county tax assessor and
20-17    collector as provided in Section 5 hereof, and it shall be the duty
20-18    of the said tax assessor and collector to assess and collect such
20-19    tax.
20-20          SECTION 14.  Section 14, Chapter 103, Acts of the 57th
20-21    Legislature, Regular Session, 1961, is amended to read as follows:
20-22          Sec. 14.  Whenever a patient has been admitted to the
20-23    facilities of the hospital district from the county in which the
20-24    district is situated, the directors shall cause inquiry to be made
20-25    as to the patient's [his] circumstances, and of the relatives of
20-26    such patient legally liable for the patient's [his] support.  If
 21-1    the patient [he] finds that such patient or said relatives are
 21-2    liable to pay for the patient's [his] care and treatment in whole
 21-3    or in part, an order shall be made directing such patient, or said
 21-4    relatives, to pay to the treasurer of the hospital district for the
 21-5    support of such patient a specified sum per week, in proportion to
 21-6    their financial ability, but such sum shall not exceed the actual
 21-7    per capita cost of maintenance.  The district shall have power and
 21-8    authority to collect such sum from the estate of the patient, or
 21-9    the patient's [his] relatives legally liable for the patient's
21-10    [his] support, in the manner provided by law for the collection of
21-11    expenses of the last illness of a deceased person.  If the agent
21-12    designated by the district to handle such affairs finds that such
21-13    patient or said relatives are not able to pay, either in whole or
21-14    in part, for the patient's [his] care and treatment in such
21-15    hospital, the same shall become a charge upon the hospital
21-16    district.  Should there be a dispute as to the ability to pay, or
21-17    doubt in the mind of the person designated as aforesaid, the
21-18    district's directors shall hear and determine same, after calling
21-19    witnesses, and shall make such order as may be proper, from which
21-20    appeal shall lie to the district court by either party to the
21-21    dispute.
21-22          SECTION 15.  Section 14A, Chapter 103, Acts of the 57th
21-23    Legislature, Regular Session, 1961, is amended to read as follows:
21-24          Sec. 14A.  (a)  This section applies only to the Ochiltree
21-25    County and Castro County hospital districts.
21-26          (b)  The board of directors of the district [Ochiltree County
 22-1    Hospital District] shall seek reimbursement, in the manner provided
 22-2    by Chapter 61, Health and Safety Code, from a county, municipality,
 22-3    or public hospital located outside the boundaries of the district
 22-4    for the district's care for or treatment of a sick, diseased, or
 22-5    injured person for whom that county, municipality, or public
 22-6    hospital has an obligation to provide care.  The board of directors
 22-7    shall seek reimbursement under Article 104.002, Code of Criminal
 22-8    Procedure, for the district's care for or treatment of a person who
 22-9    is not a resident of the district and who is confined in a county
22-10    jail facility.
22-11          SECTION 16.  Chapter 103, Acts of the 57th Legislature,
22-12    Regular Session, 1961, is amended by adding Sections 16A and 21 to
22-13    read as follows:
22-14          Sec. 16A.  (a)  This section applies only to the Castro
22-15    County Hospital District.
22-16          (b)  The board of directors may borrow money at a rate not to
22-17    exceed the maximum annual percentage rate allowed by law for
22-18    district obligations at the time of the loan.
22-19          (c)  To secure a loan, the board of directors may pledge:
22-20                (1)  the revenues of the district that are not pledged
22-21    to pay bonded indebtedness of the district;
22-22                (2)  taxes to be levied by the district in the next 12
22-23    months that are not pledged to pay the principal of or interest on
22-24    district bonds; or
22-25                (3)  district bonds that have been authorized but not
22-26    sold.
 23-1          (d)  A loan for which taxes or bonds are pledged must mature
 23-2    not later than the first anniversary of the date on which the loan
 23-3    was made.  A loan for which district revenues are pledged must
 23-4    mature not later than the fifth anniversary of the date on which
 23-5    the loan was made.
 23-6          Sec. 21.  (a)  This section applies only to the Castro County
 23-7    Hospital District.
 23-8          (b)  The district may be dissolved only if the dissolution is
 23-9    approved by a majority of the voters of the district voting in an
23-10    election called and held for that purpose.
23-11          (c)  The board of directors may order an election on the
23-12    question of dissolving the district and disposing of the district's
23-13    assets and obligations.  The board shall order an election if the
23-14    board receives a petition requesting an election that is signed by
23-15    a number of residents of the district equal to at least 15 percent
23-16    of the registered voters in the district.
23-17          (d)  The election shall be held not later than the 60th day
23-18    after the date the election is ordered.  Section 41.001(a),
23-19    Election Code, does not apply to an election ordered under this
23-20    section.  The order calling the election shall state:
23-21                (1)  the nature of the election, including the
23-22    proposition that is to appear on the ballot;
23-23                (2)  the date of the election;
23-24                (3)  the hours during which the polls will be open; and
23-25                (4)  the locations of the polling places.
23-26          (e)  The board of directors shall give notice of the election
 24-1    by publishing the election order in a newspaper with general
 24-2    circulation in the district once a week for two consecutive weeks.
 24-3    The first publication must appear not less than 35 days before the
 24-4    date set for the election.  The ballot for the election shall be
 24-5    printed to permit voting for or against the proposition:  "The
 24-6    dissolution of the Castro County Hospital District."
 24-7          (f)  If a majority of the votes in the election favor
 24-8    dissolution, the board of directors shall find that the district is
 24-9    dissolved.   If a majority of the votes in the election do not
24-10    favor dissolution, the board shall continue to administer the
24-11    district, and another election on the question of dissolution may
24-12    not be held before the first anniversary of the most recent
24-13    election to dissolve the district.
24-14          (g)  If a majority of the votes in the election favor
24-15    dissolution, the board of directors shall:
24-16                (1)  transfer the land, buildings, improvements,
24-17    equipment, and other assets that belong to the district to a county
24-18    or other governmental agency in the county in which the district is
24-19    located; or
24-20                (2)  administer the property, assets, and debts until
24-21    all funds have been disposed of and all district debts have been
24-22    paid or settled.
24-23          (h)  If the district transfers the land, buildings,
24-24    improvements, equipment, and other assets to a  county or other
24-25    governmental agency, the county or agency assumes all debts and
24-26    obligations of the district at the time of the transfer, and the
 25-1    district is dissolved.
 25-2          (i)  After the board of directors finds that the district is
 25-3    dissolved, the board shall:
 25-4                (1)  determine the debt owed by the district; and
 25-5                (2)  impose on the property included in the district's
 25-6    tax rolls a tax that is in proportion of the debt to the property
 25-7    value.
 25-8          (j)  When all outstanding debts and obligations of the
 25-9    district are paid, the board of directors shall order the secretary
25-10    to return the pro rata share of all unused tax money to each
25-11    district taxpayer.
25-12          (k)  A taxpayer may request that the taxpayer's share of
25-13    surplus tax money be credited to the taxpayer's county taxes.  If a
25-14    taxpayer requests the credit, the board of directors shall direct
25-15    the secretary to transmit the funds to the county tax
25-16    assessor-collector.
25-17          (l)  After the district has paid all its debts and has
25-18    disposed of all its assets and funds as prescribed by this section,
25-19    the board of directors shall file a written report with the
25-20    commissioners court of Castro County setting forth a summary of the
25-21    board's actions in dissolving the district.
25-22          (m)  Not later than the 10th day after the date it receives
25-23    the report and determines that the requirements of this section
25-24    have been fulfilled, the commissioners court of Castro County shall
25-25    enter an order dissolving the district and releasing the board of
25-26    directors of the district from any further duty or obligation.
 26-1          (n)  The district may not be dissolved unless the board of
 26-2    directors provides for the sale or transfer of the district's
 26-3    assets and liabilities to another person or entity.  The
 26-4    dissolution of the district and the sale or transfer of the
 26-5    district's assets and liabilities may not contravene a trust
 26-6    indenture or bond resolution relating to the outstanding bonds of
 26-7    the district.  The dissolution and sale or transfer does not
 26-8    diminish or impair the rights of a holder of an outstanding bond,
 26-9    warrant, or other obligation of the district.
26-10          (o)  The sale or transfer of the district's assets and
26-11    liabilities must satisfy the debt and bond obligations of the
26-12    district in a manner that protects the interests of the residents
26-13    of the district, including the residents' collective property
26-14    rights in the district's assets.  A grant from federal funds is an
26-15    obligation to be repaid in satisfaction.  The district may not
26-16    transfer or dispose of the district's assets except for due
26-17    compensation unless the transfer is made to a governmental agency
26-18    that serves the district and the transferred assets are to be used
26-19    for the benefit of the residents of the district.
26-20          SECTION 17.  The importance of this legislation and the
26-21    crowded condition of the calendars in both houses create an
26-22    emergency and an imperative public necessity that the
26-23    constitutional rule requiring bills to be read on three several
26-24    days in each house be suspended, and this rule is hereby suspended,
26-25    and that this Act take effect and be in force from and after its
26-26    passage, and it is so enacted.
         _______________________________     _______________________________
             President of the Senate              Speaker of the House
               I hereby certify that S.B. No. 1627 passed the Senate on
         April 8, 1999, by the following vote:  Yeas 30, Nays 0.
                                             _______________________________
                                                 Secretary of the Senate
               I hereby certify that S.B. No. 1627 passed the House on
         May 4, 1999, by the following vote:  Yeas 144, Nays 0, two present
         not voting.
                                             _______________________________
                                                 Chief Clerk of the House
         Approved:
         _______________________________
                     Date
         _______________________________
                   Governor