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          A BILL TO BE ENTITLED
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          AN ACT
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        relating to certain hospital districts and to certain corporations  | 
      
      
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        or organizations formed by those districts. | 
      
      
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               BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS: | 
      
      
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               SECTION 1.  Section 281.0518, Health and Safety Code, is  | 
      
      
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        amended by adding Subsection (a-1) to read as follows: | 
      
      
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               (a-1)  For purposes of Subsection (a)(3): | 
      
      
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                     (1)  a public or private entity may be a for-profit or a  | 
      
      
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        nonprofit entity; and | 
      
      
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                     (2)  a nonprofit corporation formed by the district may  | 
      
      
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        hold an ownership interest in a public or private entity described  | 
      
      
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        by Subsection (a)(3). | 
      
      
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               SECTION 2.  Section 281.0565, Health and Safety Code, is  | 
      
      
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        amended by amending Subsections (c) and (d) and adding Subsections  | 
      
      
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        (e) and (f) to read as follows: | 
      
      
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               (c)  A charitable organization created by a district under  | 
      
      
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        this section is a unit of local government only for purposes of  | 
      
      
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        Chapter 101, Civil Practice and Remedies Code. | 
      
      
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               (d)  A district [created in a county with a population of 
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          more than 800,000 that was not included in the boundaries of a 
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          hospital district before September 1, 2003,] may make a capital or  | 
      
      
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        other financial contribution to a charitable organization created  | 
      
      
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        by the district to provide regional administration and delivery of  | 
      
      
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        health care services to or for the district. | 
      
      
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               (e)  A charitable organization created by a district under  | 
      
      
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        this section may contract, collaborate, or enter into a joint  | 
      
      
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        venture or other agreement with a public or private entity, without  | 
      
      
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        regard to that entity's for-profit or nonprofit status, and may  | 
      
      
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        hold an ownership interest in such an entity. | 
      
      
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               (f)  A charitable organization created by a district under  | 
      
      
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        this section remains subject to the laws of this state and the  | 
      
      
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        United States that govern charitable organizations.  Nothing in  | 
      
      
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        this section may be construed as abrogating or modifying any other  | 
      
      
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        provision of law governing charitable organizations. | 
      
      
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               SECTION 3.  Subchapter C, Chapter 281, Health and Safety  | 
      
      
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        Code, is amended by adding Section 281.058 to read as follows: | 
      
      
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               Sec. 281.058.  AUTHORITY TO FORM CAPTIVE INSURANCE OR  | 
      
      
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        CAPTIVE MANAGEMENT COMPANY.  (a)  In this section, "captive  | 
      
      
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        insurance company" and "captive management company" have the  | 
      
      
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        meanings assigned to those terms by Section 964.001, Insurance  | 
      
      
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        Code. | 
      
      
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               (b)  A district, a combination of districts, or a nonprofit  | 
      
      
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        corporation formed by a district or a combination of districts to  | 
      
      
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        further the purposes of the district or districts, as appropriate,  | 
      
      
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        may form a captive insurance company or a captive management  | 
      
      
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        company in accordance with the provisions of Chapter 964, Insurance  | 
      
      
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        Code, for the purpose of engaging in the business of insurance under  | 
      
      
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        that chapter. | 
      
      
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               SECTION 4.  This Act takes effect immediately if it receives  | 
      
      
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        a vote of two-thirds of all the members elected to each house, as  | 
      
      
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        provided by Section 39, Article III, Texas Constitution.  If this  | 
      
      
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        Act does not receive the vote necessary for immediate effect, this  | 
      
      
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        Act takes effect September 1, 2015. | 
      
      
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        * * * * * |