Missouri 2025 Regular Session

Missouri House Bill HB271 Latest Draft

Bill / Introduced Version Filed 12/02/2024

                            FIRSTREGULARSESSION
HOUSEBILLNO.271
103RDGENERALASSEMBLY
INTRODUCEDBYREPRESENTATIVEKALBERLOH.
0764H.01I	DANARADEMANMILLER,ChiefClerk
ANACT
Torepealsections96.192,96.196,and206.110,RSMo,andtoenactinlieuthereoffournew
sectionsrelatingtohospitals.
BeitenactedbytheGeneralAssemblyofthestateofMissouri,asfollows:
SectionA.Sections96.192,96.196,and206.110,RSMo,arerepealedandfournew
2sectionsenactedinlieuthereof,tobeknownassections96.192,96.196,206.110,and
3206.158,toreadasfollows:
96.192.1.Theboardoftrusteesofanyhospitalauthorizedundersubsection2ofthis
2section,andestablishedandorganizedundertheprovisionsofsections96.150to96.229[,]:
3 (1)Mayinvestupto[twenty-five] fiftypercentofthehospital's"availablefunds",
4definedinthissectionasfundsnotrequiredforimmediatedisbursementinobligationsorfor
5theoperationofthehospital[inanyUnitedStatesinvestmentgradefixedincomefundsorany
6diversifiedstockfunds,orboth.],into:
7 (a)Anymutualfundsthatinvestinstocks,bonds,orrealestate,orany
8combinationthereof;
9 (b)Bondsthathave:
10 a.Oneofthefivehighestlong-termratingsorthehighestshort-termrating
11issuedbyanationallyrecognizedratingagency;and
12 b.Afinalmaturityoftenyearsorless;
13 (c)Moneymarketinvestments;or
14 (d)Anycombinationofinvestmentsdescribedinparagraphs(a)to(c)ofthis
15subdivision;and
EXPLANATION—Matterenclosedinbold-facedbrackets[thus] intheabovebillisnotenactedandis
intendedtobeomittedfromthelaw.Matterinbold-facetypeintheabovebillisproposedlanguage. 16 (2)Shallinvesttheremainingpercentageofanyavailablefundsnotinvestedas
17allowedundersubdivision(1)ofthissubsectionintoanyinvestmentinwhichthestate
18treasurerisallowedtoinvest.
19 2.Theprovisionsofthissectionshallonlyapplyifthehospital:
20 (1)Receiveslessthan[one]threepercentofitsannualrevenuesfrommunicipal,
21county,orstatetaxes;and
22 (2)Receiveslessthan[one]threepercentofitsannualrevenuefromappropriated
23fundsfromthemunicipalityinwhichsuchhospitalislocated.
96.196.1.Ahospitalorganizedunderthischaptermaypurchase,operateorlease,as
2lessororlessee,relatedfacilitiesorengageinhealthcareactivities,exceptincountiesofthe
3thirdorfourthclassification(otherthanthecountyinwhichthehospitalislocated)where
4therealreadyexistsahospitalorganizedpursuanttothischapter[andchapter205or206];
5provided,however,thatthisexceptionshallnotprohibitthecontinuationofexistingactivities
6otherwiseallowedbylaw.
7 2.Ifahospitalorganizedpursuanttothischapteracceptsappropriatedfundsfromthe
8cityduringthetwelvemonthsimmediatelyprecedingthedatethatthehospitalpurchases,
9operatesorleasesitsfirstrelatedfacilityoutsidethecityboundariesorengagesinitsfirst
10healthcareactivityoutsidethecityboundaries,thegoverningbodyofthecityshallapprove
11thehospital'splanforsuchpurchase,operationorleasepriortoimplementationoftheplan.
206.110.1.Ahospitaldistrict,bothwithinandoutsidesuchdistrict,exceptin
2countiesofthethirdorfourthclassification(otherthanwithinthedistrictboundaries)where
3therealreadyexistsahospitalorganizedpursuantto[chapters96,205or]thischapter;
4provided,however,thatthisexceptionshallnotprohibitthecontinuationorexpansionof
5existingactivitiesotherwiseallowedbylaw,shallhaveandexercisethefollowing
6governmentalpowers,andallotherpowersincidental,necessary,convenientordesirable
7tocarryoutandeffectuatetheexpresspowers:
8 (1)Toestablishandmaintainahospitalorhospitalsandhospitalfacilities,andto
9construct,acquire,develop,expand,extendandimproveanysuchhospitalorhospitalfacility
10includingmedicalofficebuildingstoprovideofficesforrentaltophysiciansanddentistson
11thedistricthospital'smedicalordentalstaff,andtheprovidingofsitestherefor,including
12offstreetparkingspaceformotorvehicles;
13 (2)Toacquirelandinfeesimple,rightsinlandandeasementsupon,overoracross
14landandleaseholdinterestinlandandtangibleandintangiblepersonalpropertyusedor
15usefulforthelocation,establishment,maintenance,development,expansion,extensionor
16improvementofanyhospitalorhospitalfacility.Theacquisitionmaybebydedication,
17purchase,gift,agreement,lease,useoradversepossessionorbycondemnation;
HB271	2 18 (3)Tooperate,maintainandmanageahospitalandhospitalfacilities,andtomake
19andenterintocontracts,fortheuse,operationormanagementofahospitalorhospital
20facilities;toengageinhealthcareactivities;andtomakeandenterintoleasesofequipment
21andrealproperty,ahospitalorhospitalfacilities,aslessororlessee,regardlessoftheduration
22ofsuchlease;andtoproviderulesandregulationsfortheoperation,managementoruseofa
23hospitalorhospitalfacilities.Anyagreemententeredintopursuanttothissubsection
24pertainingtotheleaseofthehospitalshallhaveadefiniteterminationdateasnegotiatedby
25theparties,butthisshallnotprecludethetrusteesfromenteringintoarenewalofthe
26agreementwiththesameorotherpartiespertainingtothesameorothersubjectsuponsuch
27termsandconditionsasthepartiesmayagree;
28 (4)Tofix,chargeandcollectreasonablefeesandcompensationfortheuseor
29occupancyofthehospitaloranypartthereof,oranyhospitalfacility,andfornursingcare,
30medicine,attendance,orotherservicesfurnishedbythehospitalorhospitalfacilities,
31accordingtotherulesandregulationsprescribedbytheboardfromtimetotime;
32 (5)Toborrowmoneyandtoissuebonds,notes,certificates,orotherevidencesof
33indebtednessforthepurposeofaccomplishinganyofitscorporatepurposes,subjectto
34compliancewithanyconditionorlimitationsetforthinthischapterorotherwiseprovidedby
35theConstitutionofthestateofMissouri;
36 (6)Toemployorenterintocontractsfortheemploymentofanyperson,firm,or
37corporation,andforprofessionalservices,necessaryordesirablefortheaccomplishmentof
38thecorporateobjectsofthedistrictortheproperadministration,management,protectionor
39controlofitsproperty;
40 (7)Tomaintainthehospitalforthebenefitoftheinhabitantsoftheareacomprising
41thedistrictwhoaresick,injured,ormaimedregardlessofrace,creedorcolor,andtoadopt
42suchreasonablerulesandregulationsasmaybenecessarytorendertheuseofthehospitalof
43thegreatestbenefittothegreatestnumber;toexcludefromtheuseofthehospitalallpersons
44whowillfullydisregardanyoftherulesandregulationssoestablished;toextendthe
45privilegesanduseofthehospitaltopersonsresidingoutsidetheareaofthedistrictuponsuch
46termsandconditionsastheboardofdirectorsprescribesbyitsrulesandregulations;
47 (8)Topoliceitspropertyandtoexercisepolicepowersinrespecttheretoorinrespect
48totheenforcementofanyruleorregulationprovidedbytheordinancesofthedistrictandto
49employandcommissionpoliceofficersandotherqualifiedpersonstoenforcethesame;
50 (9)Toleasetoorallowforanyinstitutionofhighereducationtouseoroccupythe
51hospital,anyrealestateorfacilityownedorleasedbythedistrictoranypartthereofforthe
52purposeofhealthcare-relatedandgeneraleducationortraining.
HB271	3 53 2.Theuseofanyhospitalorhospitalfacilityofadistrictshallbesubjecttothe
54reasonableregulationandcontrolofthedistrictanduponsuchreasonabletermsand
55conditionsasshallbeestablishedbyitsboardofdirectors.
56 3.Aregulatoryordinanceofadistrictadoptedunderanyprovisionofthissection
57mayprovideforasuspensionorrevocationofanyrightsorprivilegeswithinthecontrolof
58thedistrictforaviolationofanysuchregulatoryordinance.
59 4.Nothinginthissectionorinotherprovisionsofthischaptershallbeconstruedto
60authorizethedistrictorboardtoestablishorenforceanyregulationorruleinrespectto
61hospitalizationortheoperationormaintenanceofsuchhospitaloranyhospitalfacilities
62withinitsjurisdictionwhichisinconflictwithanyfederalorstatelaworregulation
63applicabletothesamesubjectmatter.
206.158.1.Theboardofdirectorsofanyhospitaldistrictauthorizedunder
2subsection2ofthissection,andestablishedandorganizedundertheprovisionsofthis
3chapter:
4 (1)Mayinvestuptofiftypercentofits"availablefunds",definedinthissection
5asfundsnotrequiredforimmediatedisbursementinobligationsorfortheoperationof
6thehospitaldistrict,into:
7 (a)Anymutualfundsthatinvestinstocks,bonds,orrealestate,orany
8combinationthereof;
9 (b)Bondsthathave:
10 a.Oneofthefivehighestlong-termratingsorthehighestshort-termrating
11issuedbyanationallyrecognizedratingagency;and
12 b.Afinalmaturityoftenyearsorless;
13 (c)Moneymarketinvestments;or
14 (d)Anycombinationofinvestmentsdescribedinparagraphs(a)to(c)ofthis
15subdivision;and
16 (2)Shallinvesttheremainingpercentageofanyavailablefundsnotinvestedas
17allowedundersubdivision(1)ofthissubsectionintoanyinvestmentinwhichthestate
18treasurerisallowedtoinvest.
19 2.Theprovisionsofthissectionshallapplyonlyifthehospitaldistrictreceives
20lessthanthreepercentofitsannualrevenuesfromhospitaldistrictorstatetaxes.
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HB271	4