By:  Sibley                                           S.B. No. 1824
                                A BILL TO BE ENTITLED
 1-1                                   AN ACT
 1-2     relating to the creation, administration, powers, duties,
 1-3     operation, and financing of a hospital district to be known as the
 1-4     West Medical District; authorizing a tax; granting the authority to
 1-5     issue and refund bonds; and granting the power of eminent domain.
 1-6           BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS:
 1-7                       ARTICLE 1.  GENERAL PROVISIONS
 1-8           SECTION 1.01.  DEFINITIONS.  In this Act:
 1-9                 (1)  "District" means the West Medical District.
1-10                 (2)  "Board" means the board of directors of the
1-11     district.
1-12                 (3)  "Director" means a member of the board.
1-13           SECTION 1.02.  DISTRICT AUTHORIZATION.  A hospital district
1-14     to be known as the West Medical District may be created and
1-15     established and, if created, must be maintained, operated, and
1-16     financed in the manner provided by Section 9, Article IX, Texas
1-17     Constitution, and by this Act.
1-18           SECTION 1.03.  BOUNDARIES.  The boundaries of the district
1-19     are coextensive with the boundaries of the West Independent School
1-20     District in McLennan County.
1-21           SECTION 1.04.  ELECTION CODE PROVISIONS.  Section 41.001(a),
1-22     Election Code, does not apply to an election ordered under this
1-23     Act.
 2-1                       ARTICLE 2.  TEMPORARY DIRECTORS
 2-2           SECTION 2.01.  TEMPORARY DIRECTORS.  On the effective date of
 2-3     this Act, the following persons become temporary directors of the
 2-4     district:
 2-5                 (1)  John Crowder;
 2-6                 (2)  Roby Urbanovsky;
 2-7                 (3)  Larry Sparks;
 2-8                 (4)  Jeanette Karlik;
 2-9                 (5)  Robby Payne;
2-10                 (6)  Tommy Muska; and
2-11                 (7)  Kirk Wines.
2-12           SECTION 2.02.  VACANCY IN OFFICE.  The directors remaining
2-13     after a vacancy in the office of a temporary director shall fill
2-14     the vacancy by appointment by majority vote.
2-15                      ARTICLE 3.  CREATION OF DISTRICT
2-16           SECTION 3.01.  CREATION ELECTION.  The district may be
2-17     created and a tax may be authorized only if the creation and the
2-18     tax are approved by a majority of the qualified voters of the
2-19     territory of the proposed district voting at an election called and
2-20     held for that purpose.
2-21           SECTION 3.02.  ORDERING ELECTION.  (a)  A majority of the
2-22     temporary directors of the district may order a creation election
2-23     to be held as prescribed by Subsection (c) of this section.
2-24           (b)  On presentation of a petition for a creation election
2-25     signed by at least 50 of the registered voters of the territory of
2-26     the proposed district, according to the most recent official list
 3-1     of registered voters, the temporary directors shall order an
 3-2     election to be held as prescribed by Subsection (c) of this
 3-3     section.  The election shall be called not later than the 60th day
 3-4     after the date the petition is presented to the district.
 3-5           (c)  The election order must call for an election to be held
 3-6     in the territory within the West Independent School District
 3-7     boundaries in McLennan County.
 3-8           SECTION 3.03.  ELECTION ORDER.  The order calling the
 3-9     election must state:
3-10                 (1)  the nature of the election, including the
3-11     proposition that is to appear on the ballot;
3-12                 (2)  the date of the election;
3-13                 (3)  the hours during which the polls will be open; and
3-14                 (4)  the location of the polling places.
3-15           SECTION 3.04.  NOTICE.  The temporary directors shall give
3-16     notice of the election by publishing a substantial copy of the
3-17     election order in a newspaper of general circulation in the
3-18     proposed district once a week for two consecutive weeks.  The first
3-19     publication must appear at least 35 days before the date set for
3-20     the election.
3-21           SECTION 3.05.  ELECTION DATE.  The election shall be held not
3-22     less than 45 days or more than 60 days after the date on which the
3-23     election is ordered.
3-24           SECTION 3.06.  BALLOT PROPOSITION.  The ballot for the
3-25     election shall be printed to permit voting for or against the
3-26     proposition:  "The creation of a hospital district to be known as
 4-1     the West Medical District and the levy of annual taxes for hospital
 4-2     purposes at a rate not to exceed 75 cents on each $100 valuation of
 4-3     all taxable property in the district."
 4-4           SECTION 3.07.  CANVASSING RETURNS.  (a)  The temporary
 4-5     directors shall meet and canvass the returns of the election.
 4-6           (b)  If a majority of the votes cast at the election favor
 4-7     creation of the district, the temporary directors shall declare the
 4-8     district created and shall enter the results in their minutes.
 4-9           (c)  If the creation of the district is defeated, the
4-10     temporary directors may call and hold another creation election,
4-11     but another creation election may not be called and held before the
4-12     first anniversary of the date of the most recent creation election.
4-13           SECTION 3.08.  EXPIRATION OF ACT.  If the creation of the
4-14     district is not approved at an election held before the fifth
4-15     anniversary of the effective date of this Act, this Act expires.
4-16                     ARTICLE 4.  DISTRICT ADMINISTRATION
4-17           SECTION 4.01.  BOARD OF DIRECTORS. (a)  The district is
4-18     governed by a board of seven directors.
4-19           (b)  From the time the creation of the district is approved
4-20     until the elected directors take office, the temporary directors
4-21     serve as directors of the district.
4-22           SECTION 4.02.  INITIAL DIRECTORS ELECTION.  (a)  Directors
4-23     shall be elected at an election to be held on the first Saturday in
4-24     May following the creation of the district.
4-25           (b)  At the initial election of directors following creation
4-26     of the district, members of the board of directors shall be elected
 5-1     at large on a single ballot, with the seven candidates receiving
 5-2     the highest number of votes being elected as directors.  The
 5-3     directors elected at the initial election shall draw lots to
 5-4     determine which two directors shall serve one-year terms, which two
 5-5     directors shall serve two-year terms, and which three directors
 5-6     shall serve three-year terms.
 5-7           SECTION 4.03.  METHOD OF ELECTION; STAGGERED TERMS; TERM OF
 5-8     OFFICE; ELECTION DATE.  (a)  After the initial election of
 5-9     directors following creation of the district, an election shall be
5-10     held on the first Saturday in May each year to elect the
5-11     appropriate number of successor directors.
5-12           (b)  The directors shall be elected at large.
5-13           (c)  Except as provided by Subsection (b), Section 4.02 of
5-14     this Act, each director is elected for a three-year term.
5-15           SECTION 4.04.  NOTICE OF ELECTION.  Notice of each election
5-16     of directors shall be published in a newspaper of general
5-17     circulation in the district in accordance with Chapter 4, Election
5-18     Code.
5-19           SECTION 4.05.  APPLICATION.  A person who wishes to have the
5-20     person's name printed on the ballot as a candidate for director
5-21     must file an application with the secretary of the board of
5-22     directors in accordance with Chapter 144, Election Code.
5-23           SECTION 4.06.  QUALIFICATIONS FOR OFFICE.  (a)  To be
5-24     eligible to be a candidate for or to serve as a director, a person
5-25     must be:
5-26                 (1)  a resident of the district; and
 6-1                 (2)  a qualified voter.
 6-2           (b)  An employee of the district may not serve as a director.
 6-3           SECTION 4.07.  BOND.  (a)  Before assuming the duties of the
 6-4     office, each director must execute a bond for $5,000 payable to the
 6-5     district, conditioned on the faithful performance of the person's
 6-6     duties as director.
 6-7           (b)  The bond shall be kept in the permanent records of the
 6-8     district.
 6-9           (c)  The board may pay for the director's bond with district
6-10     funds.
6-11           SECTION 4.08.  BOARD VACANCY.  A vacancy in the office of
6-12     director shall be filled for the unexpired term by appointment by
6-13     the remaining directors.
6-14           SECTION 4.09.  OFFICERS; OFFICERS' TERMS; VACANCY.  (a)  The
6-15     board shall elect from among its members a president and a vice
6-16     president.
6-17           (b)  The board shall appoint a secretary, who need not be a
6-18     director.
6-19           (c)  Each officer of the board serves for a term of one year.
6-20           (d)  The board shall fill a vacancy in a board office for the
6-21     unexpired term.
6-22           SECTION 4.10.  COMPENSATION.  (a)  Directors and officers
6-23     serve without compensation but may be reimbursed for actual
6-24     expenses incurred in the performance of official duties.
6-25           (b)  Expenses reimbursed under this section must be:
6-26                 (1)  reported in the district's minute book or other
 7-1     district records; and
 7-2                 (2)  approved by the board.
 7-3           SECTION 4.11.  QUORUM; VOTING REQUIREMENT.  (a)  A majority
 7-4     of the membership of the board constitutes a quorum for the
 7-5     transaction of business.
 7-6           (b)  When a quorum is present, a majority of the members of
 7-7     the board voting must concur in a matter relating to the business
 7-8     of the district.
 7-9           SECTION 4.12.  ADMINISTRATOR AND ASSISTANT ADMINISTRATOR.
7-10     (a)  The board may appoint a qualified person as administrator of
7-11     the district and may in its discretion appoint an assistant to the
7-12     administrator.
7-13           (b)  The administrator and assistant administrator, if any,
7-14     serve at the will of the board.
7-15           (c)  The administrator and assistant administrator, if any,
7-16     are entitled to compensation as determined by the board.
7-17           (d)  The administrator shall supervise all the work and
7-18     activities of the district and shall have general direction of the
7-19     affairs of the district, subject to any limitations the board may
7-20     prescribe.
7-21           (e)  Before assuming the duties of administrator, the
7-22     administrator shall execute a bond payable to the district in an
7-23     amount not less than $5,000 as determined by the board, conditioned
7-24     on the administrator's performing the administrator's duties
7-25     required under this Act.  The board may pay for the bond with
7-26     district funds.
 8-1           (f)  The board may delegate to the administrator the
 8-2     authority to employ or contract with persons for the district.
 8-3           SECTION 4.13.  APPOINTMENTS TO STAFF.  The board may:
 8-4                 (1)  appoint to the staff any doctors the board
 8-5     considers necessary for the efficient operation of the district;
 8-6     and
 8-7                 (2)  make temporary appointments the board considers
 8-8     necessary.
 8-9           SECTION 4.14.  TECHNICIANS, NURSES, AND OTHER DISTRICT
8-10     EMPLOYEES.  The district may employ or contract with technicians,
8-11     nurses, fiscal agents, accountants, architects, attorneys, and
8-12     other necessary employees.
8-13                        ARTICLE 5.  POWERS AND DUTIES
8-14           SECTION 5.01.  RESPONSIBILITY OF GOVERNMENTAL ENTITY.
8-15     (a)  On creation of the district, the West Hospital Authority may,
8-16     in the authority's sole discretion, convey or transfer to the
8-17     district:
8-18                 (1)  title to any land, buildings, improvements, or
8-19     equipment related to the hospital system that is owned by the West
8-20     Hospital Authority;
8-21                 (2)  operating funds and reserves for operating
8-22     expenses and funds that have been budgeted by the West Hospital
8-23     Authority to provide medical care for residents of the district for
8-24     the remainder of the fiscal year in which the district is
8-25     established; and
8-26                 (3)  accounts receivable of the West Hospital Authority
 9-1     for medical care provided for residents of the district.
 9-2           (b)  The West Hospital Authority shall convey or transfer to
 9-3     the district funds established for payment of indebtedness assumed
 9-4     by the district.
 9-5           (c)  Except as provided by Subsection (b) of this section,
 9-6     nothing in this Act requires the West Hospital Authority to convey
 9-7     or transfer any funds or interest in property to the district.
 9-8           (d)  On creation of the district, McLennan County may
 9-9     transfer to the district:
9-10                 (1)  any taxes levied by McLennan County for hospital
9-11     purposes for residents of the district for the year in which the
9-12     district is created; or
9-13                 (2)  any accounts receivable of McLennan County for
9-14     medical care provided for residents of the district.
9-15           SECTION 5.02.  LIMITATION ON GOVERNMENTAL ENTITY.  On or
9-16     after creation of the district, another governmental entity,
9-17     including a county or municipality, in which the district is
9-18     located may not levy taxes or issue bonds or other obligations for
9-19     hospital purposes or for providing medical care for the residents
9-20     of the district.
9-21           SECTION 5.03.  DISTRICT RESPONSIBILITIES.  (a)  On creation
9-22     of the district, the district:
9-23                 (1)  assumes full responsibility for operating hospital
9-24     facilities and for furnishing medical and hospital care for the
9-25     district's needy inhabitants;
9-26                 (2)  assumes any outstanding indebtedness incurred by a
 10-1    county, municipality, or other governmental entity in which all or
 10-2    part of the district is located in providing hospital care for
 10-3    residents of the territory of the district before the district's
 10-4    creation; and
 10-5                (3)  may operate or provide for the operation of a
 10-6    mobile emergency medical service.
 10-7          (b)  If part of a county, municipality, or other governmental
 10-8    entity is included in the district and part is not included in the
 10-9    district, the amount of indebtedness the district assumes under
10-10    Subdivision (2), Subsection (a) of this section, is the portion of
10-11    the total outstanding indebtedness of the county, municipality, or
10-12    other entity for hospital care for all residents of the county,
10-13    municipality, or other entity that the value of taxable property in
10-14    the district bears to the total value of taxable property in the
10-15    county, municipality, or other entity according to the last
10-16    preceding approved assessment rolls of the county, municipality, or
10-17    other entity before the district is confirmed.
10-18          SECTION 5.04.  MANAGEMENT, CONTROL, AND ADMINISTRATION.  The
10-19    board shall manage, control, and administer the hospital system and
10-20    the funds and resources of the district.
10-21          SECTION 5.05.  DISTRICT RULES.  The board may adopt rules
10-22    governing the operations of the hospital and hospital system and
10-23    the duties, functions, and responsibilities of district staff and
10-24    employees.
10-25          SECTION 5.06.  METHODS AND PROCEDURES.  The board may
10-26    prescribe:
 11-1                (1)  the method of making purchases and expenditures by
 11-2    and for the district; and
 11-3                (2)  accounting and control procedures for the
 11-4    district.
 11-5          SECTION 5.07.  HOSPITAL PROPERTY, FACILITIES, EQUIPMENT, AND
 11-6    SERVICES.  (a)  The board shall determine the type, number, and
 11-7    location of buildings required to establish and maintain an
 11-8    adequate hospital system and the type of equipment necessary for
 11-9    hospital care.
11-10          (b)  The board has complete discretion as to the type and
11-11    extent of services the district will offer.  The district may
11-12    provide any services or facilities the board finds necessary for
11-13    hospital or medical care, including:
11-14                (1)  emergency medical services;
11-15                (2)  primary care clinics;
11-16                (3)  outpatient clinics;
11-17                (4)  home health agencies;
11-18                (5)  pharmacies;
11-19                (6)  nursing facilities;
11-20                (7)  assisted living facilities;
11-21                (8)  blood banks;
11-22                (9)  community mental health centers;
11-23                (10)  alcohol or chemical dependency centers;
11-24                (11)  minor emergency centers;
11-25                (12)  research centers; or
11-26                (13)  laboratories.
 12-1          (c)  The board may:
 12-2                (1)  acquire property, facilities, and equipment for
 12-3    the district for use in the hospital system;
 12-4                (2)  mortgage or pledge the property, facilities, or
 12-5    equipment acquired as security for the payment of the purchase
 12-6    price;
 12-7                (3)  transfer by lease to physicians, individuals,
 12-8    companies, corporations, or other legal entities or acquire by
 12-9    lease district hospital facilities; and
12-10                (4)  sell or otherwise dispose of property, facilities,
12-11    or equipment.
12-12          SECTION 5.08.  CONSTRUCTION CONTRACTS.  (a)  The board may
12-13    enter into construction contracts on behalf of the district.
12-14          (b)  A contract for construction in excess of the amount
12-15    provided by Section 271.024, Local Government Code, may be made
12-16    only after competitive bidding as provided by Subchapter B, Chapter
12-17    271, Local Government Code.
12-18          (c)  Chapter 2253, Government Code, as it relates to
12-19    performance and payment bonds, applies to construction contracts
12-20    let by the district.
12-21          SECTION 5.09.  DISTRICT OPERATING AND MANAGEMENT CONTRACTS.
12-22    The board may enter into operating or management contracts relating
12-23    to hospital facilities on behalf of the district.
12-24          SECTION 5.10.  EMINENT DOMAIN.  (a)  The district may
12-25    exercise the power of eminent domain to acquire a fee simple or
12-26    other interest in property located in the territory of the district
 13-1    if the property interest is necessary to the exercise of the rights
 13-2    or authority conferred by this Act.
 13-3          (b)  The district must exercise the power of eminent domain
 13-4    in the manner provided by Chapter 21, Property Code,  but the
 13-5    district is not required to deposit in the trial court money or
 13-6    bond as provided by Section 21.021(a), Property Code.
 13-7          (c)  In a condemnation proceeding brought by the district,
 13-8    the district is not required to:
 13-9                (1)  pay in advance or give bond or other security for
13-10    costs in the trial court;
13-11                (2)  give bond for the issuance of a temporary
13-12    restraining order or a temporary injunction; or
13-13                (3)  give bond for costs or supersedeas on an appeal or
13-14    writ of error.
13-15          SECTION 5.11.  EXPENSES FOR MOVING FACILITIES OF RAILROADS
13-16    AND UTILITIES.  If, in exercising the power of eminent domain, the
13-17    board requires relocating, raising, lowering, rerouting, changing
13-18    the grade, or altering the construction of any railroad, highway,
13-19    pipeline, or electric transmission and electric distribution,
13-20    telegraph, or telephone lines, conduits, poles, or facilities, the
13-21    district must bear the actual cost of relocating, raising,
13-22    lowering, rerouting, changing the grade, or altering the
13-23    construction to provide comparable replacement without enhancement
13-24    of a facility, after deducting the net salvage value derived from
13-25    the old facility.
13-26          SECTION 5.12.  INDIGENT CARE.  (a)  The district shall supply
 14-1    care and treatment without charge to a patient who resides in the
 14-2    district if the patient or relative who is legally responsible for
 14-3    the patient's support cannot pay for the care and treatment.
 14-4          (b)  The board shall determine the health care services to be
 14-5    provided to residents eligible for assistance under this section to
 14-6    fulfill the district's obligations under Section 9, Article IX,
 14-7    Texas Constitution, and Section 61.055, Health and Safety Code.
 14-8    The board may enter into a contract with another entity to fulfill
 14-9    its obligations under this Act, Section 9, Article IX, Texas
14-10    Constitution, and Section 61.055, Health and Safety Code.
14-11          (c)  Not later than the first day of each operating year, the
14-12    district shall adopt an application procedure to determine
14-13    eligibility for assistance, as provided by Section 61.053, Health
14-14    and Safety Code.
14-15          (d)  The administrator of the district may have an inquiry
14-16    made into the financial circumstances of:
14-17                (1)  a patient residing in the district and admitted to
14-18    a district facility; and
14-19                (2)  a relative of the patient who is legally
14-20    responsible for the patient's support.
14-21          (e)  On finding that the patient or a relative of the patient
14-22    legally responsible for the patient's support can pay for all or
14-23    any part of the care and treatment provided by the district, the
14-24    administrator shall report that finding to the board, and the board
14-25    shall issue an order directing the patient or the relative to pay
14-26    the district each week a specified amount that the individual is
 15-1    able to pay.
 15-2          (f)  The administrator may collect money owed to the district
 15-3    from the estate of the patient or from that of a relative who was
 15-4    legally responsible for the patient's support in the manner
 15-5    provided by law for collection of expenses in the last illness of a
 15-6    deceased person.
 15-7          (g)  If there is a dispute relating to an individual's
 15-8    ability to pay or if the administrator has any doubt concerning the
 15-9    individual's ability to pay, the board shall call witnesses, hear
15-10    and resolve the question, and issue a final order.  An appeal from
15-11    a final order of the board must be made to a district court in the
15-12    county in which the district is located, and the substantial
15-13    evidence rule applies.
15-14          SECTION 5.13.  REIMBURSEMENT FOR SERVICES.  (a)  The board
15-15    shall require reimbursement from a county, municipality, or public
15-16    hospital located outside the boundaries of the district for the
15-17    district's care and treatment of a sick, diseased, or injured
15-18    person of that county, municipality, or public hospital as provided
15-19    by Chapter 61, Health and Safety Code.
15-20          (b)  The board shall require reimbursement from the sheriff
15-21    or police chief of a county or municipality for the district's care
15-22    and treatment of a person confined in a jail facility of the county
15-23    or municipality who is not a resident of the district.
15-24          (c)  The board may contract with the state or federal
15-25    government for the state or federal government to reimburse the
15-26    district for treatment of a sick, diseased, or injured person.
 16-1          SECTION 5.14.  SERVICE CONTRACTS.  The board may contract
 16-2    with a municipality, county, special district, or other political
 16-3    subdivision of the state or with a state or federal agency for the
 16-4    district to:
 16-5                (1)  furnish a mobile emergency medical service; or
 16-6                (2)  provide for the investigatory or welfare needs of
 16-7    inhabitants of the district.
 16-8          SECTION 5.15.  GIFTS AND ENDOWMENTS.  On behalf of the
 16-9    district, the board may accept gifts and endowments to be held in
16-10    trust for any purpose and under any direction, limitation, or
16-11    provision prescribed in writing by the donor that is consistent
16-12    with the proper management of the district.
16-13          SECTION 5.16.  AUTHORITY TO SUE AND BE SUED.  The board may
16-14    sue and be sued on behalf of the district.
16-15          SECTION 5.17.  RETIREMENT BENEFITS.  The board may provide
16-16    retirement benefits for the employees of the district by
16-17    establishing or administering a retirement program or electing to
16-18    participate in any statewide retirement system in which the
16-19    district is eligible to participate.
16-20          SECTION 5.18.  RECRUITMENT OF STAFF AND EMPLOYEES.  The board
16-21    may spend district funds, enter into agreements, and take other
16-22    necessary action to recruit physicians, nurses, and other persons
16-23    to serve as medical staff members or employees of the district,
16-24    including:
16-25                (1)  advertising and marketing;
16-26                (2)  paying travel, recruitment, and relocation
 17-1    expenses;
 17-2                (3)  providing a loan or scholarship to a physician or
 17-3    a person currently enrolled in health care education courses at an
 17-4    institution of higher education who contractually agrees to become
 17-5    a district employee or medical staff member; or
 17-6                (4)  contracting with one or more full-time medical
 17-7    students or other students in a health occupation, each of whom
 17-8    shall be enrolled in and in good standing at an accredited medical
 17-9    school, college, or university, to pay the student's tuition or
17-10    other expenses in consideration of the student's agreement to serve
17-11    as an employee or independent contractor for the district.
17-12          SECTION 5.19.  NONPROFIT CORPORATION.  The district may
17-13    sponsor and create a nonprofit corporation under the Texas
17-14    Non-Profit Corporation Act (Article 1396-1.01 et seq., Vernon's
17-15    Texas Civil Statutes), and may contribute funds to or solicit funds
17-16    for the corporation.  The corporation may use district funds only
17-17    to provide health care or other services the district is authorized
17-18    to provide under this Act.  The board shall establish adequate
17-19    controls to ensure that the corporation uses its funds as required
17-20    by law.  The corporation may invest corporation funds in any manner
17-21    in which the district may invest funds, including investing funds
17-22    as authorized by Chapter 2256, Government Code.
17-23                       ARTICLE 6.  DISTRICT FINANCES
17-24          SECTION 6.01.  FISCAL YEAR.  (a)  The district operates on
17-25    the fiscal year established by the board.
17-26          (b)  The fiscal year may not be changed if revenue bonds of
 18-1    the district are outstanding or more than once in a 24-month
 18-2    period.
 18-3          SECTION 6.02.  ANNUAL AUDIT.  The board annually shall have
 18-4    an audit made of the financial condition of the district.
 18-5          SECTION 6.03.  DISTRICT AUDIT AND RECORDS.  The annual audit
 18-6    and other district records are open to inspection during regular
 18-7    business hours at the principal office of the district.
 18-8          SECTION 6.04.  ANNUAL BUDGET.  (a)  The administrator of the
 18-9    district shall prepare a proposed annual budget for the district.
18-10          (b)  The proposed budget must contain a complete financial
18-11    statement, including a statement of:
18-12                (1)  the outstanding obligations of the district;
18-13                (2)  the amount of cash on hand to the credit of each
18-14    fund of the district;
18-15                (3)  the amount of money received by the district from
18-16    all sources during the previous year;
18-17                (4)  the amount of money available to the district from
18-18    all sources during the ensuing year;
18-19                (5)  the amount of the balances expected at the end of
18-20    the year in which the budget is being prepared;
18-21                (6)  the estimated amount of revenues and balances
18-22    available to cover the proposed budget; and
18-23                (7)  the estimated tax rate that will be required.
18-24          SECTION 6.05.  NOTICE; HEARING; ADOPTION OF BUDGET.  (a)  The
18-25    board shall hold a public hearing on the proposed annual budget.
18-26          (b)  The board shall publish notice of the hearing in a
 19-1    newspaper of general circulation in the district not later than the
 19-2    10th day before the date of the hearing.
 19-3          (c)  Any resident of the district is entitled to be present
 19-4    and participate at the hearing.
 19-5          (d)  At the conclusion of the hearing, the board shall adopt
 19-6    a budget by acting on the budget proposed by the administrator.
 19-7    The board may make any changes in the proposed budget that in its
 19-8    judgment the interests of the taxpayers demand.
 19-9          (e)  The budget is effective only after adoption by the
19-10    board.
19-11          SECTION 6.06.  AMENDING BUDGET.  After adoption, the annual
19-12    budget may be amended on the board's approval.
19-13          SECTION 6.07.  LIMITATION ON EXPENDITURES.  Money may not be
19-14    spent for an expense not included in the annual budget or an
19-15    amendment to it.
19-16          SECTION 6.08.  SWORN STATEMENT.  As soon as practicable after
19-17    the close of the fiscal year, the administrator shall prepare for
19-18    the board a sworn statement of the amount of money that belongs to
19-19    the district and an account of the disbursements of that money.
19-20          SECTION 6.09.  BORROWING MONEY.  (a)  The district may borrow
19-21    money at a rate not to exceed the minimum annual percentage rate
19-22    allowed by law for district obligations at the time of the loan.
19-23          (b)  To secure a loan, the board may pledge:
19-24                (1)  the revenues of the district that are not pledged
19-25    to pay the bonded indebtedness of the district;
19-26                (2)  district taxes to be levied by the district during
 20-1    the 12-month period following the date of the pledge that are not
 20-2    pledged to pay the principal of or interest on district bonds; or
 20-3                (3)  district bonds that have been authorized but not
 20-4    sold.
 20-5          (c)  A loan for which taxes or bonds are pledged shall mature
 20-6    not later than the first anniversary of the date on which the loan
 20-7    is made.  A loan for which district revenues are pledged shall
 20-8    mature not later than the fifth anniversary of the date on which
 20-9    the loan is made.
20-10          SECTION 6.10.  DEPOSITORY.  (a)  The board shall name at
20-11    least one bank to serve as depository for district funds.
20-12          (b)  District funds, other than those transmitted to a bank
20-13    for payment of bonds or obligations issued or assumed by the
20-14    district, shall be deposited as received with the depository bank
20-15    and must remain on deposit.  This subsection does not limit the
20-16    power of the board to place a portion of district funds on time
20-17    deposit or to purchase certificates of deposit.
20-18          (c)  Before the district deposits funds in a bank in an
20-19    amount that exceeds the maximum amount secured by the Federal
20-20    Deposit Insurance Corporation, the bank must execute a bond or
20-21    other security in an amount sufficient to secure from loss the
20-22    district funds that exceed the amount secured by the Federal
20-23    Deposit Insurance Corporation.
20-24                             ARTICLE 7.  BONDS
20-25          SECTION 7.01.  GENERAL OBLIGATION BONDS.  The board may issue
20-26    and sell bonds authorized by an election in the name and on the
 21-1    faith and credit of the district to:
 21-2                (1)  purchase, construct, acquire, repair, or renovate
 21-3    buildings or improvements;
 21-4                (2)  equip buildings or improvements for hospital
 21-5    purposes; or
 21-6                (3)  acquire and operate a mobile emergency medical
 21-7    service.
 21-8          SECTION 7.02.  TAXES TO PAY BONDS.  (a)  At the time the
 21-9    bonds are issued by the district, the board shall levy a tax.
21-10          (b)  The tax must be sufficient to create an interest and
21-11    sinking fund to pay the principal of and interest on the bonds as
21-12    the bonds mature.
21-13          (c)  In any year, the tax together with any other tax the
21-14    district levies may not exceed the limit approved by the voters at
21-15    the election authorizing the levy of taxes.
21-16          SECTION 7.03.  BOND ELECTION.  (a)  The district may issue
21-17    general obligation bonds only if the bonds are authorized by a
21-18    majority of the qualified voters of the district voting at an
21-19    election called and held for that purpose under this section.
21-20          (b)  The board may order a bond election.  The order calling
21-21    the election must state:
21-22                (1)  the nature and date of the election;
21-23                (2)  the hours during which the polls will be open;
21-24                (3)  the location of the polling places;
21-25                (4)  the amounts of bonds to be authorized; and
21-26                (5)  the maximum maturity of the bonds.
 22-1          (c)  Notice of a bond election shall be given as provided by
 22-2    Chapter 1251, Government Code.
 22-3          (d)  The board shall canvass the returns and declare the
 22-4    results of the election.
 22-5          SECTION 7.04.  REVENUE BONDS.  (a)  The board may issue bonds
 22-6    to:
 22-7                (1)  purchase, construct, acquire, repair, equip, or
 22-8    renovate buildings or improvements for hospital purposes;
 22-9                (2)  acquire sites to be used for hospital purposes; or
22-10                (3)  acquire and operate a mobile emergency medical
22-11    service to assist the district in carrying out the district's
22-12    hospital purpose.
22-13          (b)  The bonds must be payable from and secured by a pledge
22-14    of all or part of the revenues derived from the operation of the
22-15    district's hospital system.  The bonds may be additionally secured
22-16    by a mortgage or deed of trust lien on all or part of district
22-17    property.
22-18          (c)  The bonds must be issued in the manner provided by
22-19    Sections 264.042, 264.043, 264.046, 264.047, 264.048, and 264.049,
22-20    Health and Safety Code, for issuance of revenue bonds by county
22-21    hospital authorities.
22-22          SECTION 7.05.  REFUNDING BONDS.  (a)  Refunding bonds of the
22-23    district may be issued to refund and pay off any outstanding
22-24    indebtedness the district has issued or assumed.
22-25          (b)  The bonds must be issued in the manner provided by
22-26    Chapter 1207, Government Code.
 23-1          SECTION 7.06.  INTEREST AND MATURITY.  District bonds must
 23-2    mature not later than the 50th anniversary of the date of their
 23-3    issuance and must bear interest at a rate not to exceed that
 23-4    provided by Chapter 1204, Government Code.
 23-5          SECTION 7.07.  EXECUTION OF BONDS.  The president of the
 23-6    board shall execute the bonds in the name of the district, and the
 23-7    secretary of the board shall countersign the bonds in the manner
 23-8    provided by Chapter 618, Government Code.
 23-9          SECTION 7.08.  APPROVAL AND REGISTRATION OF BONDS.
23-10    (a)  District bonds are subject to the same requirements with
23-11    regard to approval by the attorney general and registration by the
23-12    comptroller as the law provides for approval and registration of
23-13    bonds issued by counties.
23-14          (b)  On approval by the attorney general and registration by
23-15    the comptroller, the bonds are incontestable for any cause.
23-16          SECTION 7.09.  BONDS AS INVESTMENTS.  District bonds and
23-17    indebtedness assumed by the district are legal and authorized
23-18    investments for:
23-19                (1)  banks;
23-20                (2)  savings banks;
23-21                (3)  trust companies;
23-22                (4)  savings and loan associations;
23-23                (5)  insurance companies;
23-24                (6)  fiduciaries;
23-25                (7)  trustees;
23-26                (8)  guardians; and
 24-1                (9)  sinking funds of municipalities, counties, school
 24-2    districts, and other political subdivisions of the state and other
 24-3    public funds of the state and its agencies, including the permanent
 24-4    school fund.
 24-5          SECTION 7.10.  BONDS AS SECURITY FOR DEPOSITS.  District
 24-6    bonds are eligible to secure deposits of public funds of the state
 24-7    and of municipalities, counties, school districts, and other
 24-8    political subdivisions of the state.  The bonds are lawful and
 24-9    sufficient security for deposits to the extent of their value if
24-10    accompanied by all unmatured coupons.
24-11          SECTION 7.11.  TAX STATUS OF BONDS.  Because the district
24-12    created under this Act is a public entity performing an essential
24-13    public function, bonds issued by the district, any transaction
24-14    relating to the bonds, and profits made in the sale of the bonds
24-15    are free from taxation by the state or by any municipality, county,
24-16    special district, or other political subdivision of the state.
24-17                             ARTICLE 8.  TAXES
24-18          SECTION 8.01.  LEVY OF TAXES.  (a)  The board annually may
24-19    impose property taxes in an amount not to exceed the limit approved
24-20    by the voters at the election authorizing the levy of taxes.
24-21          (b)  The tax rate for all purposes may not exceed 75 cents on
24-22    each $100 valuation of all taxable property in the district.
24-23          (c)  The taxes may be used to pay:
24-24                (1)  the indebtedness issued or assumed by the
24-25    district; and
24-26                (2)  the maintenance and operating expenses of the
 25-1    district.
 25-2          (d)  The district may not impose taxes to pay the principal
 25-3    of or interest on revenue bonds issued under this Act.
 25-4          SECTION 8.02.  BOARD AUTHORITY.  The board may impose taxes
 25-5    for the entire year in which the district is created.
 25-6          SECTION 8.03.  ADOPTING TAX RATE.  In adopting the tax rate,
 25-7    the board shall consider the income of the district from sources
 25-8    other than taxation.
 25-9          SECTION 8.04.  TAX ASSESSMENT AND COLLECTION.  (a)  The Tax
25-10    Code governs the appraisal, assessment, and collection of district
25-11    taxes.
25-12          (b)  The board may provide for the appointment of a tax
25-13    assessor-collector for the district or may contract for the
25-14    assessment and collection of taxes as provided by the Tax Code.
25-15                    ARTICLE 9.  DISSOLUTION OF DISTRICT
25-16          SECTION 9.01.  DISSOLUTION ELECTION. The district may be
25-17    dissolved only if the dissolution is approved by a majority of the
25-18    qualified voters of the district voting in an election called and
25-19    held for that purpose.
25-20          SECTION 9.02.  ORDERING ELECTION.  (a)  The board may order
25-21    an election on the question of dissolving the district and
25-22    disposing of the district's assets and obligations.
25-23          (b)  The board shall order an election on the question of
25-24    dissolving the district and disposing of the district's assets and
25-25    obligations if the board receives a petition requesting an election
25-26    that is signed by a number of registered voters of the district
 26-1    equal to at least 15 percent of the registered voters in the
 26-2    district.
 26-3          SECTION 9.03.  ELECTION ORDER.  The order calling the
 26-4    election must state:
 26-5                (1)  the nature of the election, including the
 26-6    proposition that is to appear on the ballot;
 26-7                (2)  the date of the election;
 26-8                (3)  the hours during which the polls will be open; and
 26-9                (4)  the location of the polling places.
26-10          SECTION 9.04.  NOTICE.  The board shall give notice of the
26-11    election by publishing a substantial copy of the election order in
26-12    a newspaper with general circulation in the district once a week
26-13    for two consecutive weeks.  The first publication must appear at
26-14    least 35 days before the date set for the election.
26-15          SECTION 9.05.  ELECTION DATE.  (a)  The election shall be
26-16    held not later than the 60th day after the date the election is
26-17    ordered.
26-18          (b)  Section 41.001, Election Code, does not apply to an
26-19    election ordered under this section.
26-20          SECTION 9.06.  BALLOT PROPOSITION.  The ballot for an
26-21    election at which the dissolution of the district is proposed shall
26-22    be printed to permit voting for or against the proposition: "The
26-23    dissolution of the West Medical District."
26-24          SECTION 9.07.  CANVASSING RETURNS.  (a)  The board shall
26-25    canvass the returns of the election.
26-26          (b)  If a majority of the votes in the election favor
 27-1    dissolution, the board shall find that the district is dissolved.
 27-2          (c)  If a majority of the votes in the election do not favor
 27-3    dissolution, the board shall continue to administer the district,
 27-4    and another election on the question of dissolution may not be held
 27-5    before the first anniversary of the date of the most recent
 27-6    election to dissolve the district.
 27-7          SECTION 9.08.  DISSOLUTION PROCEDURES.  (a)  If a majority of
 27-8    the votes in the election favor dissolution, the board shall:
 27-9                (1)  transfer the land, buildings, improvements,
27-10    equipment, and other assets that belong to the district to a county
27-11    or another governmental entity in the county in which the district
27-12    is located;
27-13                (2)  sell the assets and liabilities to another person
27-14    or entity; or
27-15                (3)  administer the property, assets, and debts until
27-16    all funds have been disposed of and all district debts have been
27-17    paid or settled.
27-18          (b)  If the district transfers the land, buildings,
27-19    improvements, equipment, and other assets to a county or other
27-20    governmental entity, the county or entity assumes all debts and
27-21    obligations of the district at the time of the transfer, at which
27-22    time the district is dissolved.  If the district does not transfer
27-23    the land, buildings, improvements, equipment, and other assets to a
27-24    county or other governmental entity, or sell those assets and the
27-25    liabilities to another person, the board shall administer the
27-26    property, assets, and debts of the district until all funds have
 28-1    been disposed of and all district debts have been paid or settled,
 28-2    at which time the district is dissolved.
 28-3          (c)  After the board finds that the district is dissolved,
 28-4    the board shall:
 28-5                (1)  determine the debt owed by the district; and
 28-6                (2)  impose on the property included in the district's
 28-7    tax rolls a tax that is in proportion of the debt to the property
 28-8    value.
 28-9          (d)  When all outstanding debts and obligations of the
28-10    district are paid, the board shall order the secretary to return
28-11    the pro rata share of all unused tax money to each district
28-12    taxpayer.
28-13          (e)  A taxpayer may request that the taxpayer's share of
28-14    surplus tax money be credited to the taxpayer's county taxes.  If a
28-15    taxpayer requests the credit, the board shall direct the secretary
28-16    to transmit the funds to the county tax assessor-collector.
28-17          (f)  After the district has paid all of the district's debts
28-18    and has disposed of all of the district's assets and funds as
28-19    prescribed by this section, the board shall file a written report
28-20    with the Commissioners Court of McLennan County setting forth a
28-21    summary of the board's actions in dissolving the district.
28-22          (g)  Not later than the 10th day after the date it receives
28-23    the report and determines that the requirements of this section
28-24    have been fulfilled, the Commissioners Court of McLennan County
28-25    shall enter an order dissolving the district and releasing the
28-26    board from any further duty or obligation.
 29-1          SECTION 9.09.  SALE OR TRANSFER OF ASSETS.  (a)  The district
 29-2    may provide for the sale or transfer of the district's assets and
 29-3    liabilities to another entity or person and the district's
 29-4    subsequent dissolution.  The dissolution of the district and the
 29-5    sale or transfer of the district's assets and liabilities to
 29-6    another person or entity may not contravene a trust indenture or
 29-7    bond resolution relating to the outstanding bonds of the district.
 29-8    The dissolution and sale or transfer does not diminish or impair
 29-9    the rights of a holder of an outstanding bond, warrant, or other
29-10    obligation of the district.
29-11          (b)  The sale or transfer of the district's assets and
29-12    liabilities must satisfy the debt and bond obligations of the
29-13    district in a manner that protects the interests of the residents
29-14    of the district, including the residents' collective property
29-15    rights in the district's assets.  Any grant from federal funds is
29-16    considered an obligation to be repaid in satisfaction.  The
29-17    district may not transfer or dispose of the district's assets
29-18    except for due compensation unless the transfer is made to another
29-19    governmental agency that serves the district and the transferred
29-20    assets are to be used for the benefit of residents of the district.
29-21                        ARTICLE 10.  MISCELLANEOUS
29-22          SECTION 10.01.  LIMITATION ON STATE ASSISTANCE.  The state
29-23    may not become obligated for the support or maintenance of a
29-24    hospital district created under this Act, nor may the legislature
29-25    make a direct appropriation for the construction, maintenance, or
29-26    improvement of a facility of the district.
 30-1          SECTION 10.02.  REQUIRED PUBLICATION.  Proof of publication
 30-2    of the notice required in the enactment of this Act under the
 30-3    provisions of Section 9, Article IX, Texas Constitution, has been
 30-4    made in the manner and form provided by law pertaining to the
 30-5    enactment of local and special laws, and the notice is found and
 30-6    declared proper and sufficient to satisfy the requirement.
 30-7          SECTION 10.03.  EFFECTIVE DATE.  This Act takes effect
 30-8    immediately if it receives a vote of two-thirds of all the members
 30-9    elected to each house, as provided by Section 39, Article III,
30-10    Texas Constitution.  If this Act does not receive the vote
30-11    necessary for immediate effect, this Act takes effect September 1,
30-12    2001.