Texas 2011 - 82nd Regular

Texas Senate Bill SB310 Compare Versions

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11 By: Seliger S.B. No. 310
22 (Smithee)
33
44
55 A BILL TO BE ENTITLED
66 AN ACT
77 relating to the Dallam-Hartley Counties Hospital District.
88 BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS:
99 SECTION 1. Section 1018.061, Special District Local Laws
1010 Code, is amended by amending Subsection (c) and adding Subsection
1111 (d) to read as follows:
1212 (c) Except as provided by Section 1018.0615, the [The] board
1313 may delegate to the district administrator the authority to hire
1414 district employees, including technicians and nurses.
1515 (d) The board may employ physicians, but only as provided by
1616 Section 1018.0615. The board may employ other health care
1717 providers as the board considers necessary for the efficient
1818 operation of the district.
1919 SECTION 2. Subchapter B, Chapter 1018, Special District
2020 Local Laws Code, is amended by adding Section 1018.0615 to read as
2121 follows:
2222 Sec. 1018.0615. EMPLOYMENT OF PHYSICIANS. (a) The board
2323 may employ a physician and retain all or part of the professional
2424 income generated by the physician for medical services provided at
2525 a hospital or other health care facility owned or operated by the
2626 district if the board satisfies the requirements of this section.
2727 (b) The board shall:
2828 (1) appoint a chief medical officer for the district;
2929 and
3030 (2) adopt, maintain, and enforce policies to ensure
3131 that a physician employed by the district exercises the physician's
3232 independent medical judgment in providing care to patients.
3333 (c) The policies adopted under this section must include:
3434 (1) policies relating to:
3535 (A) credentialing;
3636 (B) quality assurance;
3737 (C) utilization review;
3838 (D) peer review; and
3939 (E) medical decision-making; and
4040 (2) the implementation of a complaint mechanism to
4141 process and resolve complaints regarding interference or attempted
4242 interference with a physician's independent medical judgment.
4343 (d) The policies adopted under this section:
4444 (1) must be approved by the chief medical officer of
4545 the district; and
4646 (2) shall prevail over a conflicting policy of the
4747 district.
4848 (e) For all matters relating to the practice of medicine,
4949 each physician employed by the board shall ultimately report to the
5050 chief medical officer of the district.
5151 (f) The chief medical officer will report immediately to the
5252 Texas Medical Board any action or event that the chief medical
5353 officer reasonably and in good faith believes constitutes a
5454 compromise of the independent medical judgment of a physician in
5555 caring for a patient.
5656 (g) The board may not delegate to the district administrator
5757 the authority to hire a physician.
5858 (h) This section may not be construed as authorizing the
5959 board to supervise or control the practice of medicine as
6060 prohibited under Subtitle B, Title 3, Occupations Code.
6161 SECTION 3. Section 1018.161, Special District Local Laws
6262 Code, is amended to read as follows:
6363 Sec. 1018.161. GENERAL AUTHORITY TO BORROW MONEY; SECURITY.
6464 (a) The board may borrow money at a rate [for district operating
6565 expenses in an amount] not to exceed the maximum annual percentage
6666 rate allowed by law for district obligations at the time the loan is
6767 made [amount of tax or other revenue the district expects to receive
6868 during the fiscal year in which the money is borrowed].
6969 (b) To secure a loan, the board may pledge:
7070 (1) district revenue that is not pledged to pay the
7171 district's bonded indebtedness;
7272 (2) a district tax to be imposed by the district during
7373 the 12-month period following the date of the pledge that is not
7474 pledged to pay the principal of or interest on district bonds; or
7575 (3) district bonds that have been authorized but not
7676 sold.
7777 (c) A loan for which taxes or bonds are pledged must mature
7878 not later than the first anniversary of the date the loan is made. A
7979 loan for which district revenue is pledged must mature not later
8080 than the fifth anniversary of the date the loan is made [To repay
8181 the debt, the district may pledge all or part of the tax or other
8282 revenue received during the fiscal year in which the board borrows
8383 money under this section].
8484 SECTION 4. Subchapter E, Chapter 1018, Special District
8585 Local Laws Code, is amended by adding Sections 1018.209 and
8686 1018.210 to read as follows:
8787 Sec. 1018.209. ADDITIONAL MEANS OF SECURING REPAYMENT OF
8888 BONDS. In addition to the authority to issue general obligation
8989 bonds and revenue bonds under this subchapter, the board may
9090 provide for the security and payment of district bonds from a pledge
9191 of a combination of ad valorem taxes as authorized by Section
9292 1018.202 and revenue and other sources authorized by Section
9393 1018.206.
9494 Sec. 1018.210. USE OF BOND PROCEEDS. The district may use
9595 the proceeds of bonds issued under this subchapter to pay:
9696 (1) any expense the board determines is reasonable and
9797 necessary to issue, sell, and deliver the bonds;
9898 (2) interest payments on the bonds during a period of
9999 acquisition or construction of a project or facility to be provided
100100 through the bonds, not to exceed five years;
101101 (3) costs related to the operation and maintenance of
102102 a project or facility to be provided through the bonds:
103103 (A) during an estimated period of acquisition or
104104 construction, not to exceed five years; and
105105 (B) for one year after the project or facility is
106106 acquired or constructed;
107107 (4) costs related to the financing of the bond funds,
108108 including debt service reserve and contingency funds;
109109 (5) costs related to the bond issuance;
110110 (6) costs related to the acquisition of land or
111111 interests in land for a project or facility to be provided through
112112 the bonds; and
113113 (7) costs of construction of a project or facility to
114114 be provided through the bonds, including the payment of related
115115 professional services and expenses.
116116 SECTION 5. Chapter 1018, Special District Local Laws Code,
117117 is amended by adding Subchapter G to read as follows:
118118 SUBCHAPTER G. DISSOLUTION
119119 Sec. 1018.301. DISSOLUTION; ELECTION. (a) The district
120120 may be dissolved only on approval of a majority of the district
121121 voters voting in an election held for that purpose.
122122 (b) The board may order an election on the question of
123123 dissolving the district and disposing of the district's assets and
124124 obligations.
125125 (c) The board shall order an election if the board receives
126126 a petition requesting an election that is signed by at least 15
127127 percent of the registered voters in the district.
128128 (d) The order calling the election must state:
129129 (1) the nature of the election, including the
130130 proposition to appear on the ballot;
131131 (2) the date of the election;
132132 (3) the hours during which the polls will be open; and
133133 (4) the location of the polling places.
134134 (e) Section 41.001(a), Election Code, does not apply to an
135135 election ordered under this section.
136136 Sec. 1018.302. NOTICE OF ELECTION. (a) The board shall
137137 give notice of an election under this subchapter by publishing once
138138 a week for two consecutive weeks a substantial copy of the election
139139 order in a newspaper with general circulation in the district.
140140 (b) The first publication of the notice must appear not
141141 later than the 35th day before the date set for the election.
142142 Sec. 1018.303. BALLOT. The ballot for an election under
143143 this subchapter must be printed to permit voting for or against the
144144 proposition: "The dissolution of the Dallam-Hartley Counties
145145 Hospital District."
146146 Sec. 1018.304. ELECTION RESULTS. (a) If a majority of the
147147 votes in an election under this subchapter favor dissolution, the
148148 board shall find that the district is dissolved.
149149 (b) If a majority of the votes in the election do not favor
150150 dissolution, the board shall continue to administer the district
151151 and another election on the question of dissolution may not be held
152152 before the first anniversary of the date of the most recent election
153153 on the question of dissolution.
154154 Sec. 1018.305. TRANSFER OF ADMINISTRATION OF ASSETS.
155155 (a) If a majority of the votes in the election held under this
156156 subchapter favor dissolution, the board shall:
157157 (1) transfer the land, buildings, improvements,
158158 equipment, and other assets that belong to the district to Dallam
159159 County or Hartley County or another governmental entity in Dallam
160160 County or Hartley County; or
161161 (2) administer the property, assets, and debts until
162162 all money has been disposed of and all district debts have been paid
163163 or settled.
164164 (b) If the district makes the transfer under Subsection
165165 (a)(1), the county or entity assumes all debts and obligations of
166166 the district at the time of the transfer, and the district is
167167 dissolved.
168168 (c) If Subsection (a)(1) does not apply and the board
169169 administers the property, assets, and debts of the district under
170170 Subsection (a)(2), the district is dissolved when all money has
171171 been disposed of and all district debts have been paid or settled.
172172 Sec. 1018.306. IMPOSITION OF TAX AND RETURN OF SURPLUS
173173 TAXES. (a) After the board finds that the district is dissolved,
174174 the board shall:
175175 (1) determine the debt owed by the district; and
176176 (2) impose on the property included in the district's
177177 tax rolls a tax that is in proportion of the debt to the property
178178 value.
179179 (b) On the payment of all outstanding debts and obligations
180180 of the district, the board shall order the secretary to return to
181181 each district taxpayer the taxpayer's pro rata share of all unused
182182 tax money.
183183 (c) A taxpayer may request that the taxpayer's share of
184184 surplus tax money be credited to the taxpayer's county taxes. If a
185185 taxpayer requests the credit, the board shall direct the secretary
186186 to transmit the money to the appropriate county tax
187187 assessor-collector.
188188 Sec. 1018.307. REPORT; DISSOLUTION ORDER. (a) After the
189189 district has paid all district debts and has disposed of all
190190 district money and other assets as prescribed by this subchapter,
191191 the board shall file a written report with the Commissioners Courts
192192 of Dallam and Hartley Counties summarizing the board's actions in
193193 dissolving the district.
194194 (b) Not later than the 10th day after the date the
195195 Commissioners Court of Dallam County receives the report and
196196 determines that the requirements of this subchapter have been
197197 fulfilled, the commissioners court shall enter an order approving
198198 dissolution of the district and releasing the board from any
199199 further duty or obligation as to Dallam County.
200200 (c) Not later than the 10th day after the date the
201201 Commissioners Court of Hartley County receives the report and
202202 determines that the requirements of this subchapter have been
203203 fulfilled, the commissioners court shall enter an order approving
204204 dissolution of the district and releasing the board from any
205205 further duty or obligation as to Hartley County.
206206 (d) Dissolution under this section is complete on entry of
207207 the later of the two orders described by Subsections (b) and (c).
208208 SECTION 6. This Act takes effect immediately if it receives
209209 a vote of two-thirds of all the members elected to each house, as
210210 provided by Section 39, Article III, Texas Constitution. If this
211211 Act does not receive the vote necessary for immediate effect, this
212212 Act takes effect September 1, 2011.