By:  Ratliff                                          S.B. No. 1840
                                A BILL TO BE ENTITLED
                                       AN ACT
 1-1     relating to the powers of the Hopkins County Hospital District.
 1-2           BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS:
 1-3           SECTION 1.  Section 3, Chapter 43, Acts of the 57th
 1-4     Legislature, 1st Called Session, 1961, is amended to read as
 1-5     follows:
 1-6           Sec. 3.  The board of directors consists of seven (7)
 1-7     directors who serve staggered three-year terms.  A director shall
 1-8     continue to serve until a successor has been duly elected or
 1-9     appointed and qualified.  No person shall be appointed or elected
1-10     as a member of the board of directors of said hospital district
1-11     unless he is a resident and a qualified voter thereof [and owns
1-12     land subject to taxation therein] and unless at the time of such
1-13     election or appointment he shall be more than twenty-one (21) years
1-14     of age.  An employee of the Hopkins County Hospital District may
1-15     not serve as a director of that district.  Each member of the board
1-16     of directors shall qualify by executing the constitutional oath of
1-17     office and shall execute a good and sufficient bond for One
1-18     Thousand Dollars ($1,000) payable to said district conditioned upon
1-19     the faithful performance of his duties, and such oaths and bonds
1-20     shall be deposited with the depository bank of the district for
1-21     safekeeping.
1-22           The board of directors shall elect a president, a vice
1-23     president, and a secretary.  A majority of the full membership of
1-24     the board of directors shall constitute a quorum and a concurrence
 2-1     of a majority shall be sufficient in all matters pertaining to the
 2-2     business of the district.  All vacancies in the office of director
 2-3     shall be filled for the unexpired term by appointment of the
 2-4     remainder of the board of directors.  In the event the number of
 2-5     directors shall be reduced to less than the number that constitutes
 2-6     a majority for any reason, the remaining directors shall
 2-7     immediately call a special election to fill said vacancies, and
 2-8     upon failure to do so a district court may, upon application of any
 2-9     voter or taxpayer of the district, issue a mandate requiring that
2-10     such election be ordered by the remaining directors.
2-11           A regular election of directors shall be held on the first
2-12     Saturday in May of each year and notice of such election shall be
2-13     published in a newspaper of general circulation in the county one
2-14     (1) time at least ten (10) days prior to the date of election.  Any
2-15     person desiring his name to be printed on the ballot as a candidate
2-16     for director shall file an application with the secretary of the
2-17     board of directors of the district.  Such application shall be
2-18     filed with such secretary at least forty-five (45) days prior to
2-19     the date of election.
2-20           SECTION 2.  Section 5, Chapter 43, Acts of the 57th
2-21     Legislature, 1st Called Session, 1961, is amended to read as
2-22     follows:
2-23           Sec. 5.  (a)  Upon the creation of such hospital district,
2-24     the board of directors shall have the power and authority and it
2-25     shall be their duty to levy on all property subject to hospital
2-26     district taxation for the benefit of the district at the same time
 3-1     taxes are levied for county purposes, using the county values and
 3-2     the county tax roll, a tax of not to exceed twenty-five cents (25 )
 3-3     on the One Hundred Dollar valuation of all taxable property within
 3-4     the hospital district.  The taxes may be used to pay the
 3-5     indebtedness issued or assumed by the district and for the
 3-6     maintenance and operation of the district.  The Tax Code governs
 3-7     the appraisal, assessment, and collection of district taxes.  The
 3-8     county tax assessor-collector is the tax assessor-collector for the
 3-9     district.
3-10           The tax collections shall be deposited in the district
3-11     depository; and such funds shall be withdrawn only as provided
3-12     herein.  All other income of the hospital district shall be
3-13     deposited in like manner with the district depository.
3-14           The board of directors shall have the authority to levy the
3-15     tax aforesaid for the entire year in which the said hospital
3-16     district is established for the purpose of securing funds to
3-17     initiate the operation of the hospital district, and to pay assumed
3-18     bonds.
3-19           (b)  The Tax Code governs the appraisal, assessment, and
3-20     collection of district taxes.  The board may provide for the
3-21     appointment of a tax assessor-collector for the district or may
3-22     contract for the assessment and collection of taxes as provided by
3-23     the Tax Code.
3-24           SECTION 3.  Chapter 43, Acts of the 57th Legislature, 1st
3-25     Called Session, 1961, is amended by adding Section 6C to read as
3-26     follows:
 4-1           Sec. 6C.  The board has complete discretion to determine the
 4-2     type, number, and location, either inside or outside the district,
 4-3     of facilities required to establish and maintain an adequate
 4-4     hospital system and ancillary health care system, and the type of
 4-5     equipment necessary for hospital care and ancillary health care,
 4-6     including domiciliary care and treatment of sick or injured
 4-7     patients, geriatric services, outpatient clinics, rural health
 4-8     clinics, convalescent home facilities, physician's offices, home
 4-9     health services, durable medical equipment, long-term care, skilled
4-10     nursing care, intermediate nursing care, hospice care, ambulatory
4-11     surgery centers, urgent care facilities, operation of a mobile
4-12     emergency medical service, extended care facilities, assisted
4-13     living facilities, and any other facility or equipment the board
4-14     considers necessary for the delivery of hospital, medical, and
4-15     ancillary health care services.  The board may acquire by lease,
4-16     purchase, or lease to purchase property, facilities, supplies, and
4-17     equipment for the district for use in the hospital system and
4-18     ancillary health care system and may mortgage or pledge the
4-19     property, facilities, supplies, or equipment acquired as security
4-20     for the payment of the purchase price.  The board, on behalf of the
4-21     district, may lease, sell, or otherwise dispose of the district's
4-22     property, all or part of the hospital facilities, ancillary
4-23     facilities, other facilities, supplies, or equipment to a public or
4-24     private entity, but only to the extent necessary to maintain an
4-25     adequate hospital system for the residents of Hopkins County.
4-26           SECTION 4.  Chapter 43, Acts of the 57th Legislature, 1st
 5-1     Called Session, 1961, is amended by adding Section 6D to read as
 5-2     follows:
 5-3           Sec. 6D.  (a)  The district may issue revenue bonds to:
 5-4                 (1)  purchase, construct, acquire, repair, or renovate
 5-5     buildings or improvements for hospital purposes, including
 5-6     necessary equipment and furnishings, and the hospital system;
 5-7                 (2)  acquire sites to be used for hospital purposes; or
 5-8                 (3)  acquire and operate a mobile emergency medical or
 5-9     air ambulance service to assist the district in carrying out its
5-10     hospital purpose.
5-11           (b)  The bonds may be secured by a mortgage or deed of trust
5-12     lien on all or part of district property.  The district may not
5-13     impose taxes to pay the principal of or interest on revenue bonds.
5-14           (c)  The bonds must be issued in the manner provided by
5-15     Sections 264.042, 264.043, 264.046, 264.047, 264.048, and 264.049,
5-16     Health and Safety Code, for issuance of revenue bonds by county
5-17     hospital authorities.
5-18           (d)  Because the district is a public entity performing an
5-19     essential public function, bonds issued by the district,
5-20     transactions relating to the bonds, and profits made in the sale of
5-21     the bonds are free from taxation by the state or any city, county,
5-22     special district, or other political subdivision of the state.
5-23           SECTION 5.  Chapter 43, Acts of the 57th Legislature, 1st
5-24     Called Session, 1961, is amended by adding Section 7A to read as
5-25     follows:
5-26           Sec. 7A.  (a)  The board, on behalf of the district, may
 6-1     enter into a joint ownership arrangement with one or more public or
 6-2     private entities for the:
 6-3                 (1)  provision of management or operating services; and
 6-4                 (2)  ownership of all or part of real property,
 6-5     facilities, equipment, or supplies.
 6-6           (b)  The board must determine the arrangement is in the
 6-7     district's best interest and is for a public purpose of the
 6-8     district before the board enters into an arrangement under this
 6-9     section.
6-10           SECTION 6.  Chapter 43, Acts of the 57th Legislature, 1st
6-11     Called Session, 1961, is amended by adding Section 8B to read as
6-12     follows:
6-13           Sec. 8B.  (a)  If the hospital board of directors declares
6-14     that funds are not currently available to meet lawfully authorized
6-15     obligations of the district, the board may, by majority vote,
6-16     borrow money to satisfy those obligations in an amount not to
6-17     exceed, at any one time in the aggregate, 10 percent of the annual
6-18     operational expenses of the district for the prior fiscal year and,
6-19     in addition, the board may, by unanimous vote, borrow money to
6-20     satisfy obligations that exceed 10 percent of annual operating
6-21     expenses of the district for the prior fiscal year.
6-22           (b)  To secure a loan, the board may pledge:
6-23                 (1)  revenues of the district that are not pledged to
6-24     pay bonded indebtedness of the district; or
6-25                 (2)  district taxes to be levied by the district in the
6-26     next 12-month period that are not pledged to pay the principal of
 7-1     or interest on district bonds.
 7-2           (c)  A loan for which taxes are pledged must mature and be
 7-3     paid not later than the first anniversary of the date on which the
 7-4     loan is made.
 7-5           (d)  The board may not spend money obtained from a loan under
 7-6     this section for any purpose other than the purpose declared by the
 7-7     board and, if taxes are pledged to pay the loan, for any purpose
 7-8     other than the purposes for which the pledged taxes were levied.
 7-9           SECTION 7.  Section 14, Chapter 43, Acts of the 57th
7-10     Legislature, 1st Called Session, 1961, is amended to read as
7-11     follows:
7-12           Sec. 14.  (a)  The district shall, without charge, supply to
7-13     a patient residing in the district the care and treatment that the
7-14     patient or a relative of the patient who is legally responsible for
7-15     the patient's support cannot pay.
7-16           (b)  Not later than the beginning of each operating year, the
7-17     district shall adopt an application procedure to determine
7-18     eligibility for assistance, as provided by Section 61.053, Health
7-19     and Safety Code.
7-20           (c)  Whenever a patient has been admitted to the facilities
7-21     of the hospital district, the directors shall cause inquiry to be
7-22     made as to his circumstances, and of the relatives of such patient
7-23     legally liable for his support.
7-24           (d)  If he finds that such patient or said relatives are
7-25     liable to pay for his care and treatment in whole or in part, an
7-26     order shall be made directing such patient, or said relatives, to
 8-1     pay to the treasurer of the hospital district for the support of
 8-2     such patient a specified sum per week, in proportion to their
 8-3     financial ability, but such sum shall not exceed the actual per
 8-4     capita cost of maintenance.
 8-5           (e)  The district shall have power and authority to collect
 8-6     such sum from the estate of the patient, or his relatives legally
 8-7     liable for his support, in the manner provided by law for the
 8-8     collection of expenses of the last illness of a deceased person.
 8-9           (f)  [If the agent designated by the district to handle such
8-10     affairs finds that such patient or said relatives are not able to
8-11     pay, either in whole or in part, for his care and treatment in such
8-12     hospital, the same shall become a charge upon the hospital
8-13     district.]  Should there be a dispute as to the ability to pay, or
8-14     doubt in the mind of the person designated as aforesaid, the
8-15     district's directors shall hear and determine same, after calling
8-16     witnesses, and shall make such order as may be proper, from which
8-17     appeal shall lie to the district court by either party to the
8-18     dispute.
8-19           SECTION 8.  Chapter 43, Acts of the 57th Legislature, 1st
8-20     Called Session, 1961, is amended by adding Section 21 to read as
8-21     follows:
8-22           Sec. 21.  (a)  The district may be dissolved and its assets
8-23     and liabilities sold or transferred to another entity or person
8-24     only if the dissolution and transfer are approved by a majority of
8-25     the qualified voters of the territory of the district voting at an
8-26     election called and held for that purpose.
 9-1           (b)  A majority of the directors may order an election to be
 9-2     held on the question of dissolution of the district and the
 9-3     transfer of its assets and liabilities.
 9-4           (c)  On presentation of a petition for a dissolution election
 9-5     signed by at least 500 of the registered voters of the territory of
 9-6     the district, according to the most recent official list of
 9-7     registered voters, the directors shall order an election to be held
 9-8     on the question of dissolution of the district and transfer of its
 9-9     assets.  The election shall be called not later than the 60th day
9-10     after the date the petition is presented to the district.
9-11           (d)  The order calling the election must state:
9-12                 (1)  the nature of the election, including the
9-13     proposition that is to appear on the ballot;
9-14                 (2)  the date of the election;
9-15                 (3)  the hours during which the polls will be open; and
9-16                 (4)  the location of the polling places.
9-17           (e)  The directors shall give notice of the election by
9-18     publishing a substantial copy of the election order in a newspaper
9-19     with general circulation in the district once a week for two
9-20     consecutive weeks.  The first publication must appear at least 35
9-21     days before the date set for election.
9-22           (f)  The election shall be held not less than 45 days after
9-23     the date on which the election is ordered.
9-24           (g)  Section 41.001(a), Election Code, does not apply to an
9-25     election ordered under this section.
9-26           (h)  The ballot for an election at which the dissolution of
 10-1    the district is proposed shall be printed to permit voting for or
 10-2    against the proposition: "The dissolution of the Hopkins County
 10-3    Hospital District and the transfer of its assets and liabilities in
 10-4    the following manner: ________________________ (insert provisions
 10-5    for transfer)."
 10-6          (i)  The directors shall canvass the returns of the election.
 10-7          (j)  If the directors find that the election results are
 10-8    favorable to the proposition to dissolve the district and transfer
 10-9    its assets and liabilities, they shall issue an order declaring the
10-10    district dissolved and shall proceed with the sale or transfer of
10-11    its assets and liabilities according to the plan proposed on the
10-12    ballot.
10-13          (k)  If the directors find that the election results are not
10-14    favorable to the proposition to dissolve the district and transfer
10-15    its assets and liabilities, another dissolution election may not be
10-16    held before the first anniversary of the date of the election at
10-17    which voters disapproved the proposition.
10-18          (l)  Notwithstanding any other provision of this section, the
10-19    district may not be dissolved unless the board provides for the
10-20    sale or transfer of the district's assets and liabilities to
10-21    another entity or person.  The dissolution of the district and the
10-22    sale or transfer of the district's assets and liabilities may not
10-23    contravene a trust indenture or bond resolution relating to the
10-24    outstanding bonds of the district.  In addition, the dissolution
10-25    and sale or transfer may not diminish or impair the rights of the
10-26    holders of any outstanding bonds, warrants, or other obligations of
 11-1    the district.
 11-2          (m)  The sale or transfer of the district's assets and
 11-3    liabilities must satisfy the debt and bond obligations of the
 11-4    district in a manner that protects the interests of the residents
 11-5    of the district, including their collective property rights in the
 11-6    district's assets.  Any grant from federal funds is considered an
 11-7    obligation to be repaid in satisfaction.  The district may not
 11-8    transfer or dispose of the district's assets except for due
 11-9    compensation unless the transfer is made to another governmental
11-10    agency embracing the district and using the transferred assets for
11-11    the benefit of residents formerly in the district.
11-12          SECTION 9.  This Act takes effect September 1, 1999.
11-13          SECTION 10.  The importance of this legislation and the
11-14    crowded condition of the calendars in both houses create an
11-15    emergency and an imperative public necessity that the
11-16    constitutional rule requiring bills to be read on three several
11-17    days in each house be suspended, and this rule is hereby suspended.
11-18                         COMMITTEE AMENDMENT NO. 1
11-19          Amend S.B. No. 1840 in SECTION 8 of the bill, in added
11-20    Subsection (c), Section 21, Chapter 43, Acts of the 57th
11-21    Legislature, 1st Called Session, 1961 (senate engrossment, page 9,
11-22    line 5), by striking "at least 500 of the registered voters of the
11-23    territory of" and substituting "a number of registered voters of
11-24    the district equal to at least 15 percent of the registered voters
11-25    residing in".
11-26    76R14841 CMR-D                                              Farabee