Missouri 2025 Regular Session

Missouri Senate Bill SB244 Compare Versions

Only one version of the bill is available at this time.

Old	New	Differences
1	1
2	2	EXPLANATION-Matter enclosed in bold-faced brackets [thus] in this bill is not enacted
3	3	and is intended to be omitted in the law.
4	4	FIRST REGULAR SESSION
5	5	SENATE BILL NO. 244
6	6	103RD GENERAL ASSEMBLY
7	7	INTRODUCED BY SENATOR CRAWFORD.
8	8	0790S.02I KRISTINA MARTIN, Secretary
9	9	AN ACT
10	10	To repeal sections 96.192, 96.196, and 206.110, RSMo, and to enact in lieu thereof four new
11	11	sections relating to hospitals.
12	12
13	13	Be it enacted by the General Assembly of the State of Missouri, as follows:
14	14	Section A. Sections 96.192, 96.196, and 206.110, RSMo, 1
15	15	are repealed and four new sections enacted in lieu thereof, to 2
16	16	be known as sections 96.192, 96.196, 206.110, a nd 206.158, to 3
17	17	read as follows:4
18	18	96.192. 1. The board of trustees of any hospital 1
19	19	authorized under subsection 2 of this section, and 2
20	20	established and organized under the provisions of sections 3
21	21	96.150 to 96.229, may invest up to [twenty-five] fifty 4
22	22	percent of [the hospital's] its funds not required for 5
23	23	immediate disbursement in obligations or for the operation 6
24	24	of the hospital [in any United States investment grade fixed 7
25	25	income funds or any diversified stock funds, or both ] into: 8
26	26	(1) Any mutual funds that invest in stocks, bonds, or 9
27	27	real estate, or any combination thereof; 10
28	28	(2) Bonds that have: 11
29	29	(a) One of the five highest long -term ratings or the 12
30	30	highest short-term rating issued by a nationally recognized 13
31	31	rating agency; and 14
32	32	(b) A final maturity of ten years or less; 15
33	33	(3) Money-market investments; or 16 SB 244 2
34	34	(4) Any combination of investments described in 17
35	35	subdivisions (1) to (3) of this subsection. 18
36	36	The board shall invest the remaining percentage of funds not 19
37	37	required for immediate disbursement into any investment in 20
38	38	which the state treasurer is allowed to invest . 21
39	39	2. The provisions of this section shall only apply if 22
40	40	the hospital: 23
41	41	(1) Receives less than [one] three percent of its 24
42	42	annual revenues from munic ipal, county, or state taxes; and 25
43	43	(2) Receives less than [one] three percent of its 26
44	44	annual revenue from appropriated funds from the municipality 27
45	45	in which such hospital is located. 28
46	46	96.196. 1. A hospital organized under this chap ter 1
47	47	may purchase, operate or lease, as lessor or lessee, related 2
48	48	facilities or engage in health care activities, except in 3
49	49	counties of the third or fourth classification (other than 4
50	50	the county in which the hospital is located) where there 5
51	51	already exists a hospital organized pursuant to this chapter 6
52	52	[and chapter 205 or 206 ]; provided, however, that this 7
53	53	exception shall not prohibit the continuation of existing 8
54	54	activities otherwise allowed by law. 9
55	55	2. If a hospital organized pursuant to this chap ter 10
56	56	accepts appropriated funds from the city during the twelve 11
57	57	months immediately preceding the date that the hospital 12
58	58	purchases, operates or leases its first related facility 13
59	59	outside the city boundaries or engages in its first health 14
60	60	care activity outside the city boundaries, the governing 15
61	61	body of the city shall approve the hospital's plan for such 16
62	62	purchase, operation or lease prior to implementation of the 17
63	63	plan. 18 SB 244 3
64	64	206.110. 1. A hospital district, both within and 1
65	65	outside such district, except in counties of the third or 2
66	66	fourth classification (other than within the district 3
67	67	boundaries) where there already exists a hospital organized 4
68	68	pursuant to [chapters 96, 205 or] this chapter; provided, 5
69	69	however, that this exception shall no t prohibit the 6
70	70	continuation or expansion of existing activities otherwise 7
71	71	allowed by law, shall have and exercise the following 8
72	72	governmental powers, and all other powers incidental, 9
73	73	necessary, convenient or desirable to carry out and 10
74	74	effectuate the express powers: 11
75	75	(1) To establish and maintain a hospital or hospitals 12
76	76	and hospital facilities, and to construct, acquire, develop, 13
77	77	expand, extend and improve any such hospital or hospital 14
78	78	facility including medical office buildings to provide 15
79	79	offices for rental to physicians and dentists on the 16
80	80	district hospital's medical or dental staff, and the 17
81	81	providing of sites therefor, including offstreet parking 18
82	82	space for motor vehicles; 19
83	83	(2) To acquire land in fee simple, rights in land and 20
84	84	easements upon, over or across land and leasehold interest 21
85	85	in land and tangible and intangible personal property used 22
86	86	or useful for the location, establishment, maintenance, 23
87	87	development, expansion, extension or improvement of any 24
88	88	hospital or hospital facility. The acquisition may be by 25
89	89	dedication, purchase, gift, agreement, lease, use or adverse 26
90	90	possession or by condemnation; 27
91	91	(3) To operate, maintain and manage a hospital and 28
92	92	hospital facilities, and to make and enter into contracts, 29
93	93	for the use, operation or management of a hospital or 30
94	94	hospital facilities; to engage in health care activities; 31
95	95	and to make and enter into leases of equipment and real 32 SB 244 4
96	96	property, a hospital or hospital facilities, as lessor or 33
97	97	lessee, regardless of the duration of such lease; and to 34
98	98	provide rules and regulations for the operation, management 35
99	99	or use of a hospital or hospital facilities. Any agreement 36
100	100	entered into pursuant to this subsection pertaining to the 37
101	101	lease of the hospital shall have a definite termination da te 38
102	102	as negotiated by the parties, but this shall not preclude 39
103	103	the trustees from entering into a renewal of the agreement 40
104	104	with the same or other parties pertaining to the same or 41
105	105	other subjects upon such terms and conditions as the parties 42
106	106	may agree; 43
107	107	(4) To fix, charge and collect reasonable fees and 44
108	108	compensation for the use or occupancy of the hospital or any 45
109	109	part thereof, or any hospital facility, and for nursing 46
110	110	care, medicine, attendance, or other services furnished by 47
111	111	the hospital or hospi tal facilities, according to the rules 48
112	112	and regulations prescribed by the board from time to time; 49
113	113	(5) To borrow money and to issue bonds, notes, 50
114	114	certificates, or other evidences of indebtedness for the 51
115	115	purpose of accomplishing any of its corporate purposes, 52
116	116	subject to compliance with any condition or limitation set 53
117	117	forth in this chapter or otherwise provided by the 54
118	118	Constitution of the state of Missouri; 55
119	119	(6) To employ or enter into contracts for the 56
120	120	employment of any person, firm, or corpo ration, and for 57
121	121	professional services, necessary or desirable for the 58
122	122	accomplishment of the corporate objects of the district or 59
123	123	the proper administration, management, protection or control 60
124	124	of its property; 61
125	125	(7) To maintain the hospital for the be nefit of the 62
126	126	inhabitants of the area comprising the district who are 63
127	127	sick, injured, or maimed regardless of race, creed or color, 64 SB 244 5
128	128	and to adopt such reasonable rules and regulations as may be 65
129	129	necessary to render the use of the hospital of the greatest 66
130	130	benefit to the greatest number; to exclude from the use of 67
131	131	the hospital all persons who willfully disregard any of the 68
132	132	rules and regulations so established; to extend the 69
133	133	privileges and use of the hospital to persons residing 70
134	134	outside the area of the di strict upon such terms and 71
135	135	conditions as the board of directors prescribes by its rules 72
136	136	and regulations; 73
137	137	(8) To police its property and to exercise police 74
138	138	powers in respect thereto or in respect to the enforcement 75
139	139	of any rule or regulation provid ed by the ordinances of the 76
140	140	district and to employ and commission police officers and 77
141	141	other qualified persons to enforce the same; 78
142	142	(9) To lease to or allow for any institution of higher 79
143	143	education to use or occupy the hospital, any real estate or 80
144	144	facility owned or leased by the district or any part thereof 81
145	145	for the purpose of health care -related and general education 82
146	146	or training. 83
147	147	2. The use of any hospital or hospital facility of a 84
148	148	district shall be subject to the reasonable regulation and 85
149	149	control of the district and upon such reasonable terms and 86
150	150	conditions as shall be established by its board of directors. 87
151	151	3. A regulatory ordinance of a district adopted under 88
152	152	any provision of this section may provide for a suspension 89
153	153	or revocation of any rights or privileges within the control 90
154	154	of the district for a violation of any such regulatory 91
155	155	ordinance. 92
156	156	4. Nothing in this section or in other provisions of 93
157	157	this chapter shall be construed to authorize the district or 94
158	158	board to establish or enforce any regulation or rule in 95
159	159	respect to hospitalization or the operation or maintenance 96 SB 244 6
160	160	of such hospital or any hospital facilities within its 97
161	161	jurisdiction which is in conflict with any federal or state 98
162	162	law or regulation applicable to the sam e subject matter. 99
163	163	206.158. 1. The board of trustees of any hospital 1
164	164	authorized under subsection 2 of this section, and 2
165	165	established and organized under the provisions of sections 3
166	166	206.010 to 206.160, may invest up to fifty percent of its 4
167	167	funds not required for immediate disbursement in obligations 5
168	168	or for the operation of the hospital into: 6
169	169	(1) Any mutual funds that invest in stocks, bonds, or 7
170	170	real estate, or any combination thereof; 8
171	171	(2) Bonds that have: 9
172	172	(a) One of the five highest long -term ratings or the 10
173	173	highest short-term rating issued by a nationally recognized 11
174	174	rating agency; and 12
175	175	(b) A final maturity of ten years or less; 13
176	176	(3) Money-market investments; or 14
177	177	(4) Any combination of investments desc ribed in 15
178	178	subdivisions (1) to (3) of this subsection; 16
179	179	The board shall invest the remaining percentage of funds not 17
180	180	required for immediate disbursement into any investment in 18
181	181	which the state treasurer is allowed to invest. 19
182	182	2. The provisions of this section shall only apply if 20
183	183	the hospital district receives less than three percent of 21
184	184	its annual revenues from hospital district or state taxes. 22
185	185	