By: Madla, Bernsen S.B. No. 115 A BILL TO BE ENTITLED 1-1 AN ACT 1-2 relating to creating a foundation to finance health programs in the 1-3 rural areas of the state. 1-4 BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS: 1-5 SECTION 1. Subtitle E, Title 2, Health and Safety Code, is 1-6 amended by adding Chapter 110 to read as follows: 1-7 CHAPTER 110. RURAL HEALTH FOUNDATION 1-8 Sec. 110.001. CREATION OF FOUNDATION. (a) The Center for 1-9 Rural Health Initiatives shall establish the Rural Health 1-10 Foundation as a nonprofit corporation that complies with the Texas 1-11 Non-Profit Corporation Act (Article 1396-1.01 et seq., Vernon's 1-12 Texas Civil Statutes), except as otherwise provided by this 1-13 chapter, and qualifies as an organization exempt from federal 1-14 income tax under Section 501(c)(3), Internal Revenue Code of 1986, 1-15 as amended. 1-16 (b) The Center for Rural Health Initiatives shall ensure 1-17 that the Rural Health Foundation operates independently of any 1-18 state agency or political subdivision of the state. 1-19 Sec. 110.002. POWERS AND DUTIES. (a) The Rural Health 1-20 Foundation shall raise money from foundations, governmental 1-21 entities, and other sources to finance health programs in the rural 1-22 areas of the state. 1-23 (b) The Rural Health Foundation shall have the powers that 1-24 are necessary and convenient to carry out its duties. 1-25 (c) The Rural Health Foundation shall develop and implement 2-1 policies and procedures that clearly separate the responsibilities 2-2 and activities of the foundation from the Center for Rural Health 2-3 Initiatives. 2-4 Sec. 110.003. BOARD OF DIRECTORS. (a) The Rural Health 2-5 Foundation is governed by a board of five directors appointed by 2-6 the executive committee of the Center for Rural Health Initiatives 2-7 from individuals recommended by the executive director of the 2-8 Center for Rural Health Initiatives. 2-9 (b) Members of the board of directors of the Rural Health 2-10 Foundation serve for staggered terms of six years, with as near as 2-11 possible to one-third of the members' terms expiring February 1 of 2-12 each odd-numbered year. 2-13 (c) Appointments to the board of directors of the Rural 2-14 Health Foundation shall be made without regard to the race, color, 2-15 disability, sex, religion, age, or national origin of the 2-16 appointees. 2-17 (d) The board of directors of the Rural Health Foundation 2-18 shall ensure that the foundation remains eligible for an exemption 2-19 from federal income tax under Section 501(a), Internal Revenue Code 2-20 of 1986, as amended, by being listed as an exempt organization 2-21 under Section 501(c)(3) of that code, as amended. 2-22 Sec. 110.004. RESTRICTIONS ON BOARD APPOINTMENT, MEMBERSHIP, 2-23 AND EMPLOYMENT. (a) In this section, "Texas trade association" 2-24 means a cooperative and voluntarily joined association of business 2-25 or professional competitors in this state designed to assist its 2-26 members and its industry or profession in dealing with mutual 3-1 business or professional problems and in promoting their common 3-2 interest. 3-3 (b) A person may not be a member of the board of directors 3-4 of the Rural Health Foundation and may not be a foundation employee 3-5 employed in a "bona fide executive, administrative, or professional 3-6 capacity," as that phrase is used for purposes of establishing an 3-7 exemption to the overtime provisions of the federal Fair Labor 3-8 Standards Act of 1938 (29 U.S.C. Section 201 et seq.), as amended, 3-9 if: 3-10 (1) the person is an officer, employee, or paid 3-11 consultant of a Texas trade association in the field of health 3-12 care; or 3-13 (2) the person's spouse is an officer, manager, or 3-14 paid consultant of a Texas trade association in the field of health 3-15 care. 3-16 (c) A person may not be a member of the board of directors 3-17 of the Rural Health Foundation or act as the general counsel to the 3-18 board of directors or the foundation if the person is required to 3-19 register as a lobbyist under Chapter 305, Government Code, because 3-20 of the person's activities for compensation on behalf of a 3-21 profession related to the operation of the foundation. 3-22 Sec. 110.005. REMOVAL OF BOARD MEMBER. (a) It is a ground 3-23 for removal from the board of directors of the Rural Health 3-24 Foundation that a member: 3-25 (1) is ineligible for membership under Section 3-26 110.004; 4-1 (2) cannot, because of illness or disability, 4-2 discharge the member's duties for a substantial part of the 4-3 member's term; or 4-4 (3) is absent from more than half of the regularly 4-5 scheduled board meetings that the member is eligible to attend 4-6 during a calendar year without an excuse approved by a majority 4-7 vote of the board of directors. 4-8 (b) The validity of an action of the board of directors of 4-9 the Rural Health Foundation is not affected by the fact that it is 4-10 taken when a ground for removal of a board member exists. 4-11 (c) If the executive director of the Center for Rural Health 4-12 Initiatives has knowledge that a potential ground for removal 4-13 exists, the executive director shall notify the presiding officer 4-14 of the board of directors of the Rural Health Foundation of the 4-15 potential ground. The presiding officer shall then notify the 4-16 governor and the attorney general that a potential ground for 4-17 removal exists. If the potential ground for removal involves the 4-18 presiding officer, the executive director shall notify the next 4-19 highest ranking officer of the board of directors, who shall then 4-20 notify the governor and the attorney general that a potential 4-21 ground for removal exists. 4-22 Sec. 110.006. VACANCY. A vacancy on the board of directors 4-23 of the Rural Health Foundation shall be filled for the remainder of 4-24 the unexpired term in the same manner as the original appointment. 4-25 Sec. 110.007. OFFICERS. The board of directors of the Rural 4-26 Health Foundation shall elect from among its members a presiding 5-1 officer, an assistant presiding officer, and other officers the 5-2 board considers necessary. The presiding officer and assistant 5-3 presiding officer serve for a period of one year and may be 5-4 reelected. 5-5 Sec. 110.008. MEETINGS. The board of directors of the Rural 5-6 Health Foundation may meet as often as necessary, but shall meet at 5-7 least twice a year. 5-8 Sec. 110.009. TAX EXEMPTION. All income, property, and 5-9 other assets of the Rural Health Foundation are exempt from 5-10 taxation by the state and political subdivisions of the state. 5-11 Sec. 110.010. MEMORANDUM OF UNDERSTANDING. The Rural Health 5-12 Foundation and the Center for Rural Health Initiatives shall enter 5-13 into a memorandum of understanding that: 5-14 (1) requires the board of directors and staff of the 5-15 foundation to report to the executive director and executive 5-16 committee of the Center for Rural Health Initiatives; 5-17 (2) allows the Center for Rural Health Initiatives to 5-18 provide staff functions to the foundation; 5-19 (3) allows the Center for Rural Health Initiatives to 5-20 expend funds on the foundation; and 5-21 (4) outlines the financial contributions to be made to 5-22 the foundation from funds obtained from grants and other sources. 5-23 Sec. 110.011. RECORDS. (a) The Rural Health Foundation 5-24 shall maintain financial records and reports independently from 5-25 those of the Center for Rural Health Initiatives. 5-26 (b) The Rural Health Foundation shall comply with all filing 6-1 requirements of the secretary of state and the Internal Revenue 6-2 Service. 6-3 Sec. 110.012. REPORT TO CENTER FOR RURAL HEALTH INITIATIVES. 6-4 Not later than the 60th day after the last day of the fiscal year, 6-5 the Rural Health Foundation shall submit to the Center for Rural 6-6 Health Initiatives a report itemizing all income and expenditures 6-7 and describing all activities of the foundation during the 6-8 preceding fiscal year. 6-9 SECTION 2. Section 106.026, Health and Safety Code, is 6-10 amended to read as follows: 6-11 Sec. 106.026. REPORT TO LEGISLATURE. No later than January 6-12 1 of each odd-numbered year, the center shall submit a biennial 6-13 report to the legislature regarding the activities of the center, 6-14 the activities of the Rural Health Foundation, and any findings and 6-15 recommendations relating to rural issues. 6-16 SECTION 3. (a) The Center for Rural Health Initiatives 6-17 shall create the Rural Health Foundation not later than June 1, 6-18 2002. 6-19 (b) In making the initial appointments to the board of 6-20 directors of the Rural Health Foundation, the executive committee 6-21 of the Center for Rural Health Initiatives shall designate two 6-22 members for terms expiring February 1, 2003, two members for terms 6-23 expiring February 1, 2005, and one member for a term expiring 6-24 February 1, 2007. 6-25 SECTION 4. This Act takes effect September 1, 2001. 6-26 COMMITTEE AMENDMENT NO. 1 7-1 Amend S.B. No. 115 as follows: 7-2 (1) In SECTION 2 of the bill, in amended Section 106.026, 7-3 Health and Safety Code, (page 6, line 11, engrossed version), 7-4 between "LEGISLATURE." and "No" insert "(a)". 7-5 (2) In SECTION 2 of the bill, in amended Section 106.026, 7-6 Health and Safety Code, (page 6, between lines 15 and 16, engrossed 7-7 version), insert the following subsection: 7-8 (b) The center shall obtain information from each state 7-9 agency, university, medical school, rural community, or any other 7-10 rural health care provider that has expended public funds to 7-11 perform a study, conduct a demonstration project or grant, or 7-12 develop programs relating to rural health care during the biennium. 7-13 The center shall include the information obtained under this 7-14 subsection in the center's report to the legislature. 7-15 Uresti