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  81R20570 TJS-F
 
  By: Seliger S.B. No. 2499
 
 
 
A BILL TO BE ENTITLED
 
AN ACT
  relating to the Martin County Hospital District.
         BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS:
         SECTION 1.  Section 3, Chapter 674, Acts of the 60th
  Legislature, Regular Session, 1967, is amended to read as follows:
         Sec. 3.  (a)  The Board of Hospital Managers consists of six
  managers appointed by the Martin County Commissioners Court.
  Managers serve staggered two-year terms, with three managers
  appointed each year. To be qualified to serve as a manager, a
  person must be a Hospital District resident and a registered voter.  
  An employee of the District may not serve as a manager.  [As soon as
  the Hospital District is created and authorized at the election
  hereinabove provided, the Commissioners Court shall appoint a Board
  of Hospital Managers, consisting of six (6) members, three of whom
  shall serve for a term of two (2) years and three of whom shall serve
  for a term of one (1) year; thereafter, three members shall be
  appointed each year to serve for a term of two (2) years.]  Failure
  of any member of the Board of Hospital Managers to attend three (3)
  consecutive regular meetings of the Board shall cause a vacancy in
  his office, unless such absence is excused by formal action of the
  Board.  In the event a vacancy occurs on the Board of Hospital
  Managers, the remaining members shall appoint a member to fill such
  vacancy for the remainder of the term of office so vacated.  The
  Board of Hospital Managers shall serve without compensation but may
  be reimbursed for their actual and necessary traveling and other
  expenses incurred in the performance of their duties as determined
  by the Board of Hospital Managers.  The duties of the Board of the
  Hospital Managers shall be to manage, control and administer the
  hospital or hospital system of the Hospital District.  The Board of
  Hospital Managers shall have the power and authority to sue and be
  sued and to promulgate rules and regulations for the operation of
  the hospital or hospital system, including the authority to adopt
  and amend bylaws governing the proceedings of the Board.
         (b)  The Board shall appoint a general manager, to be known
  as the Administrator of the Hospital District, and who shall
  receive such compensation as may be fixed by the Board.  The
  Administrator shall be subject to removal at any time by the Board.  
  The Administrator shall, before entering into the discharge of his
  duties, execute a bond payable to the District, in the amount of not
  less than Ten Thousand Dollars ($10,000.00), conditioned that he
  shall well and faithfully perform the duties required of him, and
  containing such other conditions as the Board may require.  The
  Board may pay for the bond with District money.  The Administrator
  shall perform all duties which may be required of him by the Board,
  and shall supervise all of the work and activities of the District,
  and have general direction of the affairs of the District, within
  such limitations as may be prescribed by the Board.  He shall be a
  person qualified by training and experience for the position of
  Administrator.
         (c)  The Board of Hospital Managers shall give the authority
  to the Administrator to employ such employees of every kind and
  character as may be deemed advisable for the efficient operation of
  the hospital or hospital system.
         (d)  The Board of Hospital Managers shall be authorized to
  contract with any county for care and treatment of the county's
  sick, diseased and injured persons, and with the state and agencies
  of the Federal Government for the care and treatment of such persons
  for whom the state and such agencies of the Federal Government are
  responsible.  Further, under the same conditions, the Board of
  Hospital Managers may enter into such contracts with the state and
  Federal Government as may be necessary to establish or continue a
  retirement program for the benefit of its employees.
         (e)  The Board of Hospital Managers may in addition to
  retirement programs authorized by this Act establish such other
  retirement program for the benefit of its employees as it deems
  necessary and advisable.
         (f)  A majority of the Board of Hospital Managers present
  shall constitute a quorum for the transaction of any business.  The
  Board shall elect a Chair and Vice Chair from among its members.
  The Board shall appoint a Secretary, who need not be a manager.  
  Each officer of the Board serves a one-year term.  The Board shall
  fill a vacancy in a Board office for the remainder of the unexpired
  term. [From among its members, the Board shall choose a Chairman,
  who shall preside; or in his absence a Chairman Pro Tem shall
  preside; and the Administrator or any member of the Board may be
  appointed Secretary.]  The Board shall require the Secretary to
  keep suitable records of all proceedings of each meeting of the
  Board in accordance with Subchapter B, Chapter 551, Government
  Code.  [Such records shall be read and signed after each meeting by
  the Chairman or the member presiding, and attested by the
  Secretary.   The Board shall have a seal, on which shall be engraved
  the name of the Hospital District; and said seal shall be kept by
  the Secretary and used in authentication of all acts of the Board.]
         SECTION 2.  Chapter 674, Acts of the 60th Legislature,
  Regular Session, 1967, is amended by adding Section 3A to read as
  follows:
         Sec. 3A.  (a)  The Board of Hospital Managers may employ
  physicians or other health care providers as the Board considers
  necessary for the efficient operation of the District.
         (b)  This section may not be construed as authorizing the
  Board of Hospital Managers to supervise or control the practice of
  medicine, as prohibited by Subtitle B, Title 3, Occupations Code.
         SECTION 3.  Section 14, Chapter 674, Acts of the 60th
  Legislature, Regular Session, 1967, is amended to read as follows:
         Sec. 14.  (a)  The Board of Hospital Managers shall have the
  power and authority to issue and sell general obligation [, as the
  obligations of such Hospital District,] bonds for the purchase,
  construction, acquisition, repair or renovation of buildings and
  improvements and equipping same, for hospital purposes and for any
  or all of such purposes; provided that a sufficient tax shall be
  levied to create an interest and sinking fund to pay the interest
  and principal as same matures and that said tax, together with any
  other taxes levied for said District, shall not exceed Seventy-five
  Cents (75¢) on the One Hundred Dollars ($100.00) valuation of
  taxable property in any one year.  Such bonds shall be executed in
  the name of the Hospital District and on its behalf by the Chairman
  of the Board of Hospital Managers, and countersigned by the
  Secretary of the Board, and shall be subject to the same
  requirements in the manner of approval thereof by the Attorney
  General of the State of Texas and registration thereof by the
  Comptroller of Public Accounts of the State of Texas as are by law
  provided for such approval and registration of bonds of the county;
  and the approval of such bonds by the Attorney General shall have
  the same force and effect as is by law given to his approval of bonds
  of the county.
         (b)  The Hospital District may issue general obligation
  bonds only if the bonds are authorized by a majority of the voters
  of the District voting in an election held for that purpose. The
  Board of Hospital Managers, in ordering the election, shall provide
  for clerks as in county elections and shall specify the date of the
  election, the location of the polling places, the presiding and
  alternate election judges for each polling place, the amount of the
  bonds to be authorized, and the maximum maturity of the bonds. The
  Board shall give notice of the Board election in the manner provided
  by Section 1251.003, Government Code. Chapter 41, Election Code,
  does not apply to an election held under this section.  The Board
  shall declare the results of the election.  [No bonds shall be
  issued by such Hospital District (except refunding bonds) until
  authorized by a majority vote of the legally qualified property
  taxpaying voters residing in such Hospital District voting at an
  election called and held in accordance with the provisions of
  Chapter 1, Title 22, of the Revised Civil Statutes of the State of
  Texas (1925), as amended, relating to county bonds.   Such election
  shall be called by the Board of Hospital Managers, and such Board
  shall designate the places for holding said election and shall name
  the persons who shall conduct said election, in the manner provided
  by general law.   In the event the initial bonds are voted at an
  election called by the Commissioners Court at the time of the
  election for the creation of the District, such initial election
  shall be governed by the provisions of Section 2 hereof.]
         (c)  In the manner hereinabove provided, the bonds of such
  Hospital District may, without the necessity of any election
  therefor, be issued for the purpose of refunding or paying off any
  bonded indebtedness theretofore assumed by the Hospital District
  and any bonds theretofore issued by the Hospital District; such
  refunding bonds may be sold and the proceeds thereof applied to the
  payment of any such outstanding bonds or may be exchanged in whole
  or in part for not less than a like amount of said outstanding bonds
  and interest matured thereon, but unpaid; provided the average
  interest cost per annum on the refunding bonds, computed in
  accordance with the recognized standard bond interest cost tables,
  shall not exceed the average interest cost per annum so computed
  upon the bonds to be discharged out of the proceeds of the refunding
  bonds, unless the total interest cost on the refunding bonds,
  computed to their respective maturity dates, is less than the total
  interest cost so computed on the bonds to be discharged out of such
  proceeds.  In the foregoing computations, any premium or premiums
  required to be paid upon the bonds to be refunded as a condition to
  the payment in advance of their stated maturity dates shall be taken
  into account as an addition to the net interest cost to the Hospital
  District of the refunding bonds.
         (d)  The Board of Hospital Managers may issue revenue bonds
  to purchase, construct, acquire, repair, renovate, or equip
  buildings or improvements for hospital purposes, or acquire sites
  to be used for hospital purposes. The bonds must be payable from
  and secured by a pledge of all or part of the revenue derived from
  the operation of the Hospital District's hospitals. The bonds may
  be additionally secured by a mortgage or deed of trust lien on all
  or part of District property.  The bonds must be issued in the
  manner and in accordance with the procedures and requirements
  prescribed by Sections 264.042, 264.043, 264.046, 264.047,
  264.048, and 264.049, Health and Safety Code, for issuance of
  revenue bonds by county hospital authorities.
         SECTION 4.  Chapter 674, Acts of the 60th Legislature,
  Regular Session, 1967, is amended by adding Sections 14A and 14B to
  read as follows:
         Sec. 14A.  In addition to the authority to issue general
  obligation bonds and revenue bonds under this Act, the Board of
  Hospital Managers may provide for the security and payment of
  Hospital District bonds from a pledge of a combination of ad valorem
  taxes as authorized by Section 14(a) of this Act and revenue and
  other sources authorized by Section 14(d) of this Act.
         Sec. 14B.  The Hospital District may use the proceeds of
  bonds issued under this Act to pay:
               (1)  any expense the Board of Hospital Managers
  determines is reasonable and necessary to issue, sell, and deliver
  the bonds;
               (2)  interest payments on the bonds during a period of
  acquisition or construction of a project or facility to be provided
  through the bonds, not to exceed five years;
               (3)  costs related to the operation and maintenance of
  a project or facility to be provided through the bonds:
                     (A)  during an estimated period of acquisition or
  construction, not to exceed five years; and
                     (B)  for one year after the project or facility is
  acquired or constructed;
               (4)  costs related to the financing of the bond funds,
  including debt service reserve and contingency funds;
               (5)  costs related to the bond issuance;
               (6)  costs related to the acquisition of land or
  interests in land for a project or facility to be provided through
  the bonds; and
               (7)  costs of construction of a project or facility to
  be provided through the bonds, including the payment of related
  professional services and expenses.
         SECTION 5.  Chapter 674, Acts of the 60th Legislature,
  Regular Session, 1967, is amended by adding Section 17A to read as
  follows:
         Sec. 17A.  (a)  The Hospital District may be dissolved only
  on approval of a majority of the voters of the District voting in an
  election held for that purpose.
         (b)  The Board of Hospital Managers may order an election on
  the question of dissolving the Hospital District and disposing of
  the District's assets and obligations.
         (c)  The Board of Hospital Managers shall order an election
  if the Board receives a petition requesting an election that is
  signed by at least 15 percent of the registered voters in the
  Hospital District.
         (d)  The order calling the election must state:
               (1)  the nature of the election, including the
  proposition to appear on the ballot;
               (2)  the date of the election;
               (3)  the hours during which the polls will be open; and
               (4)  the location of the polling places.
         (e)  Section 41.001(a), Election Code, does not apply to an
  election ordered under this section.
         (f)  The Board of Hospital Managers shall give notice of an
  election under this section by publishing once a week for two
  consecutive weeks a substantial copy of the election order in a
  newspaper with general circulation in the Hospital District.  The
  first publication of the notice must appear not later than the 35th
  day before the date of the election.
         (g)  The ballot for an election under this section must be
  printed to permit voting for or against the proposition: "The
  dissolution of the Martin County Hospital District."
         (h)  If a majority of the votes in an election under this
  section favor dissolution, the Board of Hospital Managers shall
  find that the Hospital District is dissolved.
         (i)  If a majority of the votes in the election do not favor
  dissolution, the Board of Hospital Managers shall continue to
  administer the Hospital District and another election on the
  question of dissolution may not be held before the first
  anniversary of the date of the most recent election on the question
  of dissolution.
         (j)  If a majority of the votes in the election held under
  this section favor dissolution, the Board of Hospital Managers
  shall:
               (1)  transfer the land, buildings, improvements,
  equipment, and other assets that belong to the Hospital District to
  Martin County or another governmental entity in Martin County; or
               (2)  administer the property, assets, and debts until
  all money has been disposed of and all Hospital District debts have
  been paid or settled.
         (k)  If the Hospital District makes the transfer under
  Subsection (j)(1), the county or entity assumes all debts and
  obligations of the District at the time of the transfer, and the
  District is dissolved.
         (l)  If Subsection (j)(1) does not apply and the Board
  administers the property, assets, and debts of the Hospital
  District under Subsection (j)(2), the District is dissolved when
  all money has been disposed of and all District debts have been paid
  or settled.
         (m)  After the Board of Hospital Managers finds that the
  Hospital District is dissolved, the Board shall:
               (1)  determine the debt owed by the District; and
               (2)  impose on the property included in the District's
  tax rolls a tax that is in proportion of the debt to the property
  value.
         (n)  On the payment of all outstanding debts and obligations
  of the Hospital District, the Board of Hospital Managers shall
  order the Secretary to return to each District taxpayer the
  taxpayer's pro rata share of all unused tax money.
         (o)  A taxpayer may request that the taxpayer's share of
  surplus tax money be credited to the taxpayer's county taxes.  If a
  taxpayer requests the credit, the Board of Hospital Managers shall
  direct the Secretary to transmit the money to the county tax
  assessor-collector.
         (p)  After the Hospital District has paid all its debts and
  has disposed of all its money and other assets as prescribed by this
  section, the Board of Hospital Managers shall file a written report
  with the Commissioners Court of Martin County summarizing the
  Board's actions in dissolving the District.
         (q)  Not later than the 10th day after the date the
  Commissioners Court of Martin County receives the report and
  determines that the requirements of this section have been
  fulfilled, the commissioners court shall enter an order dissolving
  the Hospital District and releasing the Board of Hospital Managers
  from any further duty or obligation.
         SECTION 6.  The changes in law made by this Act to the
  qualifications of and the prohibitions applying to members of the
  Board of Hospital Managers of the Martin County Hospital District
  do not affect the entitlement of a member serving on the Board
  immediately before the effective date of this Act to continue to
  carry out the functions of the Board for the remainder of the
  member's term.  The changes in law apply only to a member appointed
  on or after the effective date of this Act.  This Act does not
  prohibit a person who is a member of the Board on the effective date
  of this Act from being reappointed to the Board if the person has
  the qualifications required for membership under Section 3, Chapter
  674, Acts of the 60th Legislature, Regular Session, 1967, as
  amended by this Act.
         SECTION 7.  This Act takes effect immediately if it receives
  a vote of two-thirds of all the members elected to each house, as
  provided by Section 39, Article III, Texas Constitution.  If this
  Act does not receive the vote necessary for immediate effect, this
  Act takes effect September 1, 2009.