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. ✔ HB271 4