By:  Barrientos                                       S.B. No. 1007
                                A BILL TO BE ENTITLED
 1-1                                   AN ACT
 1-2     relating to the exemption from ad valorem taxation of property
 1-3     owned by charitable organizations that provide child-care services.
 1-4           BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS:
 1-5           SECTION 1.  Subsection (d), Section 11.18, Tax Code, is
 1-6     amended to read as follows:
 1-7           (d)  A charitable organization must be organized exclusively
 1-8     to perform religious, charitable, scientific, literary, or
 1-9     educational purposes and, except as permitted by Subsections (h)
1-10     and (l) [of this section], engage exclusively in performing one or
1-11     more of the following charitable functions:
1-12                 (1)  providing medical care without regard to the
1-13     beneficiaries' ability to pay, which in the case of a nonprofit
1-14     hospital or hospital system means providing charity care and
1-15     community benefits as set forth in Paragraph (A), (B), (C), (D),
1-16     (E), (F), (G), or (H):
1-17                       (A)  charity care and government-sponsored
1-18     indigent health care are provided at a level which is reasonable in
1-19     relation to the community needs, as determined through the
1-20     community needs assessment, the available resources of the hospital
1-21     or hospital system, and the tax-exempt benefits received by the
1-22     hospital or hospital system;
1-23                       (B)  charity care and government-sponsored
1-24     indigent health care are provided in an amount equal to at least
1-25     four percent of the hospital's or hospital system's net patient
 2-1     revenue;
 2-2                       (C)  charity care and government-sponsored
 2-3     indigent health care are provided in an amount equal to at least
 2-4     100 percent of the hospital's or hospital system's tax-exempt
 2-5     benefits, excluding federal income tax;
 2-6                       (D)  a nonprofit hospital that has been
 2-7     designated as a disproportionate share hospital under the state
 2-8     Medicaid program in the current year or in either of the previous
 2-9     two fiscal years shall be considered to have provided a reasonable
2-10     amount of charity care and government-sponsored indigent health
2-11     care and shall be deemed in compliance with the standards in this
2-12     subsection;
2-13                       (E)  for tax years before 1996, charity care and
2-14     community benefits are provided in a combined amount equal to at
2-15     least five percent of the hospital's or hospital system's net
2-16     patient revenue, provided that charity care and
2-17     government-sponsored indigent health care are provided in an amount
2-18     equal to at least three percent of net patient revenue;
2-19                       (F)  beginning with the hospital's or hospital
2-20     system's tax year starting after 1995, charity care and community
2-21     benefits are provided in a combined amount equal to at least five
2-22     percent of the hospital's or hospital system's net patient revenue,
2-23     provided that charity care and government-sponsored indigent health
2-24     care are provided in an amount equal to at least four percent of
2-25     net patient revenue;
2-26                       (G)  a hospital operated on a nonprofit basis
 3-1     that is located in a county with a population of less than 50,000
 3-2     and in which the entire county or the population of the entire
 3-3     county has been designated as a health professionals shortage area
 3-4     is considered to be in compliance with the standards provided by
 3-5     this subsection; or
 3-6                       (H)  a hospital providing health care services to
 3-7     inpatients or outpatients without receiving any payment for
 3-8     providing those services from any source, including the patient or
 3-9     person legally obligated to support the patient, third-party
3-10     payors, Medicare, Medicaid, or any other state or local indigent
3-11     care program but excluding charitable donations, legacies,
3-12     bequests, or grants or payments for research, is considered to be
3-13     in compliance with the standards provided by this subsection;
3-14                 (2)  providing support or relief to orphans,
3-15     delinquent, dependent, or handicapped children in need of
3-16     residential care, abused or battered spouses or children in need of
3-17     temporary shelter, the impoverished, or victims of natural disaster
3-18     without regard to the beneficiaries' ability to pay;
3-19                 (3)  providing support to elderly persons, including
3-20     the provision of recreational or social activities and facilities
3-21     designed to address the special needs of elderly persons, or to the
3-22     handicapped, without regard to the beneficiaries' ability to pay;
3-23                 (4)  preserving a historical landmark or site;
3-24                 (5)  promoting or operating a museum, zoo, library,
3-25     theater of the dramatic or performing arts, or symphony orchestra
3-26     or choir;
 4-1                 (6)  promoting or providing humane treatment of
 4-2     animals;
 4-3                 (7)  acquiring, storing, transporting, selling, or
 4-4     distributing water for public use;
 4-5                 (8)  answering fire alarms and extinguishing fires with
 4-6     no compensation or only nominal compensation to the members of the
 4-7     organization;
 4-8                 (9)  promoting the athletic development of boys or
 4-9     girls under the age of 18 years;
4-10                 (10)  preserving or conserving wildlife;
4-11                 (11)  promoting educational development through loans
4-12     or scholarships to students;
4-13                 (12)  providing halfway house services pursuant to a
4-14     certification as a halfway house by the Board of Pardons and
4-15     Paroles;
4-16                 (13)  providing permanent housing and related social,
4-17     health care, and educational facilities for persons who are 62
4-18     years of age or older without regard to the residents' ability to
4-19     pay;
4-20                 (14)  promoting or operating an art gallery, museum, or
4-21     collection, in a permanent location or on tour, that is open to the
4-22     public;
4-23                 (15)  providing for the organized solicitation and
4-24     collection for distributions through gifts, grants, and agreements
4-25     to nonprofit charitable, education, religious, and youth
4-26     organizations that provide direct human, health, and welfare
 5-1     services;
 5-2                 (16)  performing biomedical or scientific research or
 5-3     biomedical or scientific education for the benefit of the public;
 5-4                 (17)  operating a television station that produces or
 5-5     broadcasts educational, cultural, or other public interest
 5-6     programming and that receives grants from the Corporation for
 5-7     Public Broadcasting under 47 U.S.C. Section 396, as amended [and
 5-8     its subsequent amendments];
 5-9                 (18)  providing housing for low-income and
5-10     moderate-income families, for unmarried individuals 62 years of age
5-11     or older, for handicapped individuals, and for families displaced
5-12     by urban renewal, through the use of trust assets that are
5-13     irrevocably and, pursuant to a contract entered into before
5-14     December 31, 1972, contractually dedicated on the sale or
5-15     disposition of the housing to a charitable organization that
5-16     performs charitable functions described by Subdivision (9);
5-17                 (19)  providing housing and related services to persons
5-18     who are 62 years of age or older in a retirement community, if the
5-19     retirement community provides independent living services, assisted
5-20     living services, and nursing services to its residents on a single
5-21     campus:
5-22                       (A)  without regard to the residents' ability to
5-23     pay; or
5-24                       (B)  in which at least four percent of the
5-25     retirement community's combined net resident revenue is provided in
5-26     charitable care to its residents; [or]
 6-1                 (20)  providing housing on a cooperative basis to
 6-2     students of an institution of higher education if:
 6-3                       (A)  the organization is exempt from federal
 6-4     income taxation under Section 501(a), [of the] Internal Revenue
 6-5     Code of 1986, as amended [and its subsequent amendments], by being
 6-6     listed as an exempt entity under Section 501(c)(3) of that code;
 6-7                       (B)  membership in the organization is open to
 6-8     all students enrolled in the institution and is not limited to
 6-9     those chosen by current members of the organization;
6-10                       (C)  the organization is governed by its members;
6-11     and
6-12                       (D)  the members of the organization share the
6-13     responsibility for managing the housing; or
6-14                 (21)  providing child care for all or part of the day,
6-15     directly by the organization in a child-care facility licensed by
6-16     the Department of Protective and Regulatory Services, through a
6-17     contract with a child-care facility licensed by that department, or
6-18     in association with a provider of a Head Start program, as defined
6-19     by Section 72.001, Human Resources Code, that provides educational
6-20     services to children in a child-care facility licensed by that
6-21     department, if the organization provides the child care using:
6-22                       (A)  donated funds, state funds, federal funds,
6-23     or a combination of those funds, without regard to the
6-24     beneficiaries' ability to pay; or
6-25                       (B)  money derived from fees paid for the child
6-26     care on a sliding scale based on the beneficiaries' ability to pay.
 7-1           For purposes of satisfying Paragraph (F) of Subdivision (1),
 7-2     a hospital or hospital system may not change its existing fiscal
 7-3     year unless the hospital or hospital system changes its ownership
 7-4     or corporate structure as a result of a sale or merger.
 7-5           For purposes of this subsection, a hospital that satisfies
 7-6     Paragraph (A), (D), (G), or (H) of Subdivision (1) shall be
 7-7     excluded in determining a hospital system's compliance with the
 7-8     standards provided by Paragraph (B), (C), (E), or (F) of
 7-9     Subdivision (1).
7-10           For purposes of this subsection, the terms "charity care,"
7-11     "government-sponsored indigent health care," "health care
7-12     organization," "hospital system," "net patient revenue," "nonprofit
7-13     hospital," and "tax-exempt benefits" have the meanings set forth in
7-14     Sections 311.031 and 311.042, Health and Safety Code.  A
7-15     determination of the amount of community benefits and charity care
7-16     and government-sponsored indigent health care provided by a
7-17     hospital or hospital system and the hospital's or hospital system's
7-18     compliance with the requirements of Section 311.045, Health and
7-19     Safety Code, shall be based on the most recently completed and
7-20     audited prior fiscal year of the hospital or hospital system.
7-21           The providing of charity care and government-sponsored
7-22     indigent health care in accordance with Paragraph (A) of
7-23     Subdivision (1) shall be guided by the prudent business judgment of
7-24     the hospital which will ultimately determine the appropriate level
7-25     of charity care and government-sponsored indigent health care based
7-26     on the community needs, the available resources of the hospital,
 8-1     the tax-exempt benefits received by the hospital, and other factors
 8-2     that may be unique to the hospital, such as the hospital's volume
 8-3     of Medicare and Medicaid patients.  These criteria shall not be
 8-4     determinative factors, but shall be guidelines contributing to the
 8-5     hospital's decision along with other factors which may be unique to
 8-6     the hospital.  The formulas contained in Paragraphs (B), (C), (E),
 8-7     and (F) of Subdivision (1) shall also not be considered
 8-8     determinative of a reasonable amount of charity care and
 8-9     government-sponsored indigent health care.
8-10           The requirements of this subsection shall not apply to the
8-11     extent a hospital or hospital system demonstrates that reductions
8-12     in the amount of community benefits, charity care, and
8-13     government-sponsored indigent health care are necessary to maintain
8-14     financial reserves at a level required by a bond covenant, are
8-15     necessary to prevent the hospital or hospital system from
8-16     endangering its ability to continue operations, or if the hospital
8-17     or hospital system, as a result of a natural or other disaster, is
8-18     required substantially to curtail its operations.
8-19           In any fiscal year that a hospital or hospital system,
8-20     through unintended miscalculation, fails to meet any of the
8-21     standards in Subdivision (1), the hospital or hospital system shall
8-22     not lose its tax-exempt status without the opportunity to cure the
8-23     miscalculation in the fiscal year following the fiscal year the
8-24     failure is discovered by both meeting one of the standards and
8-25     providing an additional amount of charity care and
8-26     government-sponsored indigent health care that is equal to the
 9-1     shortfall from the previous fiscal year.  A hospital or hospital
 9-2     system may apply this provision only once every five years.
 9-3           SECTION 2.  This Act takes effect January 1, 2002, and
 9-4     applies only to an ad valorem tax year that begins on or after that
 9-5     date.