4 | 6 | | AN ACT |
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5 | 7 | | relating to an initiative to increase the capacity of local mental |
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6 | 8 | | health authorities to provide access to mental health services in |
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7 | 9 | | certain counties. |
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8 | 10 | | BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS: |
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9 | 11 | | SECTION 1. Subchapter B, Chapter 531, Government Code, is |
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10 | 12 | | amended by adding Section 531.0221 to read as follows: |
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11 | 13 | | Sec. 531.0221. INITIATIVE TO INCREASE MENTAL HEALTH |
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12 | 14 | | SERVICES CAPACITY IN RURAL AREAS. (a) In this section, "local |
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13 | 15 | | mental health authority group" means a group of local mental health |
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14 | 16 | | authorities established under Subsection (b)(2). |
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15 | 17 | | (b) Not later than January 1, 2020, the commission, using |
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16 | 18 | | existing resources, shall: |
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17 | 19 | | (1) identify each local mental health authority that |
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18 | 20 | | is located in a county with a population of 250,000 or less or that |
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19 | 21 | | the commission determines provides services predominantly in a |
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20 | 22 | | county with a population of 250,000 or less; |
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21 | 23 | | (2) in a manner that the commission determines will |
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22 | 24 | | best achieve the reductions described by Subsection (d), assign the |
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23 | 25 | | authorities identified under Subdivision (1) to regional groups of |
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24 | 26 | | at least two authorities; and |
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25 | 27 | | (3) notify each authority identified under |
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26 | 28 | | Subdivision (1): |
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27 | 29 | | (A) that the commission has identified the |
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28 | 30 | | authority under that subdivision; and |
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29 | 31 | | (B) which local mental health authority group the |
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30 | 32 | | commission assigned the authority to under Subdivision (2). |
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31 | 33 | | (c) The commission, using existing resources, shall develop |
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32 | 34 | | a mental health services development plan for each local mental |
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33 | 35 | | health authority group that will increase the capacity of the |
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34 | 36 | | authorities in the group to provide access to needed services. |
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35 | 37 | | (d) In developing a plan under Subsection (c), the |
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36 | 38 | | commission shall focus on reducing: |
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37 | 39 | | (1) the cost to local governments of providing |
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38 | 40 | | services to persons experiencing a mental health crisis; |
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39 | 41 | | (2) the transportation of persons served by an |
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40 | 42 | | authority in the local mental health authority group to mental |
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41 | 43 | | health facilities; |
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42 | 44 | | (3) the incarceration of persons with mental illness |
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43 | 45 | | in county jails that are located in an area served by an authority |
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44 | 46 | | in the local mental health authority group; and |
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45 | 47 | | (4) the number of hospital emergency room visits by |
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46 | 48 | | persons with mental illness at hospitals located in an area served |
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47 | 49 | | by an authority in the local mental health authority group. |
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48 | 50 | | (e) In developing a plan under Subsection (c): |
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49 | 51 | | (1) the commission shall assess the capacity of the |
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50 | 52 | | authorities in the local mental health authority group to provide |
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51 | 53 | | access to needed services; and |
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52 | 54 | | (2) the commission and the local mental health |
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53 | 55 | | authority group shall evaluate: |
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54 | 56 | | (A) whether and to what degree increasing the |
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55 | 57 | | capacity of the authorities in the local mental health authority |
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56 | 58 | | group to provide access to needed services would offset the cost to |
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57 | 59 | | state or local governmental entities of: |
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58 | 60 | | (i) the transportation of persons for |
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59 | 61 | | mental health services to facilities that are not local providers; |
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60 | 62 | | (ii) admissions to and inpatient |
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61 | 63 | | hospitalizations at state hospitals or other treatment facilities; |
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62 | 64 | | (iii) the provision of services by hospital |
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63 | 65 | | emergency rooms to persons with mental illness who are served by or |
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64 | 66 | | reside in an area served by an authority in the local mental health |
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65 | 67 | | authority group; and |
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66 | 68 | | (iv) the incarceration in county jails of |
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67 | 69 | | persons with mental illness who are served by or reside in an area |
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68 | 70 | | served by an authority in the local mental health authority group; |
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69 | 71 | | (B) whether available state funds or grant |
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70 | 72 | | funding sources could be used to fund the plan; and |
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71 | 73 | | (C) what measures would be necessary to ensure |
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72 | 74 | | that the plan aligns with the statewide behavioral health strategic |
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73 | 75 | | plan and the comprehensive inpatient mental health plan. |
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74 | 76 | | (f) In each mental health services development plan |
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75 | 77 | | produced under this section, the commission, in collaboration with |
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76 | 78 | | the local mental health authority group, shall determine a method |
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77 | 79 | | of increasing the capacity of the authorities in the local mental |
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78 | 80 | | health authority group to provide access to needed services. |
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79 | 81 | | (g) The commission shall compile and evaluate each mental |
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80 | 82 | | health services development plan produced under this section and |
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81 | 83 | | determine: |
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82 | 84 | | (1) the cost-effectiveness of each plan; and |
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83 | 85 | | (2) how each plan would improve the delivery of mental |
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84 | 86 | | health treatment and care to residents in the service areas of the |
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85 | 87 | | authorities in the local mental health authority group. |
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86 | 88 | | (h) Not later than December 1, 2020, the commission, using |
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87 | 89 | | existing resources, shall produce and publish on its Internet |
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88 | 90 | | website a report containing: |
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89 | 91 | | (1) the commission's evaluation of each plan under |
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90 | 92 | | Subsection (g); |
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91 | 93 | | (2) each mental health services development plan |
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92 | 94 | | evaluated by the commission under Subsection (g); and |
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93 | 95 | | (3) a comprehensive statewide analysis of mental |
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94 | 96 | | health services in counties with a population of 250,000 or less, |
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95 | 97 | | including recommendations to the legislature for implementing the |
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96 | 98 | | plans developed under this section. |
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97 | 99 | | (i) The commission and the authorities in each local mental |
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98 | 100 | | health authority group may implement a mental health services |
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99 | 101 | | development plan evaluated by the commission under this section if |
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100 | 102 | | the commission and the local mental health authority group to which |
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101 | 103 | | the plan applies identify a method of funding that implementation. |
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102 | 104 | | (j) This section expires September 1, 2021. |
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103 | 105 | | SECTION 2. The Health and Human Services Commission is |
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104 | 106 | | required to implement a provision of this Act only if the |
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105 | 107 | | legislature appropriates money specifically for that purpose. If |
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106 | 108 | | the legislature does not appropriate money specifically for that |
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107 | 109 | | purpose, the Health and Human Services Commission may, but is not |
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108 | 110 | | required to, implement a provision of this Act using other |
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109 | 111 | | appropriations available for that purpose. |
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110 | 112 | | SECTION 3. This Act takes effect immediately if it receives |
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111 | 113 | | a vote of two-thirds of all the members elected to each house, as |
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112 | 114 | | provided by Section 39, Article III, Texas Constitution. If this |
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113 | 115 | | Act does not receive the vote necessary for immediate effect, this |
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114 | 116 | | Act takes effect September 1, 2019. |
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115 | | - | ______________________________ ______________________________ |
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116 | | - | President of the Senate Speaker of the House |
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117 | | - | I hereby certify that S.B. No. 633 passed the Senate on |
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118 | | - | April 10, 2019, by the following vote: Yeas 30, Nays 0. |
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119 | | - | ______________________________ |
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120 | | - | Secretary of the Senate |
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121 | | - | I hereby certify that S.B. No. 633 passed the House on |
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122 | | - | May 21, 2019, by the following vote: Yeas 141, Nays 6, one |
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123 | | - | present not voting. |
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124 | | - | ______________________________ |
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125 | | - | Chief Clerk of the House |
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126 | | - | Approved: |
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127 | | - | ______________________________ |
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128 | | - | Date |
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129 | | - | ______________________________ |
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130 | | - | Governor |
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| 117 | + | COMMITTEE AMENDMENT NO. 1 |
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| 118 | + | Amend S.B. No. 633 by adding the following appropriately |
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| 119 | + | numbered SECTIONS to the bill and renumbering subsequent SECTIONS |
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| 120 | + | of the bill accordingly: |
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| 121 | + | SECTION ____. Chapter 1061, Special District Local Laws |
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| 122 | + | Code, is amended by adding Subchapter G to read as follows: |
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| 123 | + | SUBCHAPTER G. SALES AND USE TAX |
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| 124 | + | Sec. 1061.301. TAX AUTHORIZED. (a) The district may adopt, |
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| 125 | + | change the rate of, or abolish a sales and use tax at an election |
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| 126 | + | held in the district. |
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| 127 | + | (b) The district may not adopt a tax under this subchapter |
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| 128 | + | or increase the rate of the tax if as a result of the adoption of the |
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| 129 | + | tax or the tax increase the combined rate of all sales and use taxes |
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| 130 | + | imposed by the district and all other political subdivisions of |
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| 131 | + | this state having territory in the district would exceed two |
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| 132 | + | percent in any location in the district. |
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| 133 | + | Sec. 1061.302. APPLICABILITY OF OTHER LAW. Except to the |
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| 134 | + | extent that a provision of this subchapter applies, Chapter 323, |
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| 135 | + | Tax Code, applies to a tax authorized by this subchapter in the same |
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| 136 | + | manner as that chapter applies to the tax authorized by that |
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| 137 | + | chapter. |
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| 138 | + | Sec. 1061.303. TAX RATE; CHANGE IN RATE. (a) The district |
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| 139 | + | may impose a tax authorized by this subchapter in increments of |
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| 140 | + | one-eighth of one percent, with a minimum rate of one-eighth of one |
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| 141 | + | percent and a maximum rate of two percent. |
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| 142 | + | (b) The district may increase the rate of a tax authorized |
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| 143 | + | by this subchapter to a maximum of two percent or decrease the rate |
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| 144 | + | of the tax to a minimum of one-eighth of one percent if the change is |
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| 145 | + | approved by a majority of the voters of the district at an election |
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| 146 | + | called for that purpose. |
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| 147 | + | Sec. 1061.304. ELECTION PROCEDURE. An election to adopt, |
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| 148 | + | change the rate of, or abolish a tax authorized by this subchapter |
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| 149 | + | is called by the adoption of an order of the board. The board may |
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| 150 | + | call an election on its own motion and shall call an election if a |
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| 151 | + | number of qualified voters in the district equal to at least five |
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| 152 | + | percent of the number of registered voters in the district |
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| 153 | + | petitions the board to call the election. |
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| 154 | + | Sec. 1061.305. ELECTION IN OTHER TAXING AUTHORITY. (a) In |
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| 155 | + | this section, "taxing authority" means any entity authorized to |
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| 156 | + | impose a local sales and use tax. |
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| 157 | + | (b) If the district is included within the boundaries of |
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| 158 | + | another taxing authority and the adoption or increase in the rate of |
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| 159 | + | a tax under this subchapter would result in a combined tax rate by |
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| 160 | + | the district and other political subdivisions of this state of more |
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| 161 | + | than two percent at any location in the district, an election to |
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| 162 | + | approve or increase the rate of the tax has no effect unless: |
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| 163 | + | (1) one or more of the other taxing authorities holds |
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| 164 | + | an election in accordance with the law governing that authority on |
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| 165 | + | the same date as the election under this subchapter to reduce the |
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| 166 | + | tax rate of that authority to a rate that will result in a combined |
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| 167 | + | tax rate by the district and other political subdivisions of not |
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| 168 | + | more than two percent at any location in the district; and |
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| 169 | + | (2) the combined tax rate is reduced to not more than |
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| 170 | + | two percent as a result of that election. |
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| 171 | + | (c) This section does not permit a taxing authority to |
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| 172 | + | impose taxes at differential tax rates within the territory of the |
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| 173 | + | authority. |
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| 174 | + | Sec. 1061.306. TAX EFFECTIVE DATE. (a) The adoption, |
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| 175 | + | change in the rate of, or abolition of a tax under this subchapter |
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| 176 | + | takes effect on the first day of the first calendar quarter |
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| 177 | + | occurring after the expiration of the first complete calendar |
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| 178 | + | quarter occurring after the date on which the comptroller receives |
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| 179 | + | notice of the results of an election to adopt, change the rate of, |
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| 180 | + | or abolish the tax. |
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| 181 | + | (b) If the comptroller determines that an effective date |
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| 182 | + | provided by Subsection (a) will occur before the comptroller can |
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| 183 | + | reasonably take the action required to begin collecting the tax or |
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| 184 | + | to implement the change in the rate of the tax or the abolition of |
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| 185 | + | the tax, the effective date may be extended by the comptroller until |
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| 186 | + | the first day of the next calendar quarter. |
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| 187 | + | Sec. 1061.307. USE OF TAX REVENUE. Revenue from a tax |
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| 188 | + | imposed under this subchapter may be used by the district for any |
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| 189 | + | purpose of the district authorized by law. |
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| 190 | + | SECTION ____. Section 1061.151(b), Special District Local |
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| 191 | + | Laws Code, is amended to read as follows: |
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| 192 | + | (b) The proposed budget must contain a complete financial |
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| 193 | + | statement of: |
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| 194 | + | (1) the outstanding obligations of the district; |
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| 195 | + | (2) the cash on hand in each district fund; |
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| 196 | + | (3) the money received by the district from all |
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| 197 | + | sources during the previous year; |
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| 198 | + | (4) the money available to the district from all |
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| 199 | + | sources during the ensuing year; |
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| 200 | + | (5) the balances expected at the end of the year in |
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| 201 | + | which the budget is being prepared; |
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| 202 | + | (6) the estimated revenue and balances available to |
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| 203 | + | cover the proposed budget; |
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| 204 | + | (7) the estimated ad valorem tax rate required; and |
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| 205 | + | (8) the proposed expenditures and disbursements and |
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| 206 | + | the estimated receipts and collections for the following fiscal |
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| 207 | + | year. |
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| 208 | + | SECTION ____. The heading to Subchapter F, Chapter 1061, |
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| 209 | + | Special District Local Laws Code, is amended to read as follows: |
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| 210 | + | SUBCHAPTER F. AD VALOREM TAXES |
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| 211 | + | SECTION ____. Section 26.012(1), Tax Code, is amended to |
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| 212 | + | read as follows: |
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| 213 | + | (1) "Additional sales and use tax" means an additional |
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| 214 | + | sales and use tax imposed by: |
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| 215 | + | (A) a city under Section 321.101(b); |
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| 216 | + | (B) a county under Chapter 323; or |
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| 217 | + | (C) a hospital district, other than a hospital |
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| 218 | + | district: |
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| 219 | + | (i) created on or after September 1, 2001, |
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| 220 | + | that: |
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| 221 | + | (a) [(i)] imposes the sales and use |
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| 222 | + | tax under Subchapter I, Chapter 286, Health and Safety Code; or |
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| 223 | + | (b) [(ii)] imposes the sales and use |
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| 224 | + | tax under Subchapter L, Chapter 285, Health and Safety Code; or |
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| 225 | + | (ii) that imposes the sales and use tax |
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| 226 | + | under Subchapter G, Chapter 1061, Special District Local Laws Code. |
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| 227 | + | Price |
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