reglab/statecodes huggingface dataset:
2023 Texas Statutes › Health and Safety Code › Title 4 - Health Facilities › Subtitle D - Hospital Districts › Chapter 286 - Hospital Districts Created by Voter Approval › Subchapter E. Change in Boundaries or Dissolution of District › Section 286.105. Return of Surplus Property Tax Money

Sec. 286.105.  RETURN OF SURPLUS PROPERTY TAX MONEY.  (a)  When all outstanding debts and obligations of the district are paid, the board shall order the secretary to return the pro rata share of all unused property tax money to each district taxpayer.
(b)  A taxpayer may request that the taxpayer's share of surplus property tax money be credited to the taxpayer's county taxes.  If a taxpayer requests the credit, the board shall direct the secretary to transmit the funds to the county tax assessor-collector.
Added by Acts 1991, 72nd Leg., ch. 14, Sec. 121, eff. Sept. 1, 1991.  Amended by Acts 2001, 77th Leg., ch. 1290, Sec. 10, eff. Sept. 1, 2001.
2023 Texas Statutes › Health and Safety Code › Title 4 - Health Facilities › Subtitle D - Hospital Districts › Chapter 286 - Hospital Districts Created by Voter Approval › Subchapter E. Change in Boundaries or Dissolution of District › Section 286.106. Report; Dissolution Order

Sec. 286.106.  REPORT;  DISSOLUTION ORDER.  (a)  After the district has paid all its debts and has disposed of all its assets and funds as prescribed by Sections 286.104 and 286.105, the board shall file a written report with the commissioners court of each county in which the district is located setting forth a summary of the board's actions in dissolving the district.
(b)  Not later than the 10th day after the date it receives the report and determines that the requirements of this section have been fulfilled, the commissioners court of each county shall enter an order dissolving the district.
Added by Acts 1991, 72nd Leg., ch. 14, Sec. 121, eff. Sept. 1, 1991.
2023 Texas Statutes › Health and Safety Code › Title 4 - Health Facilities › Subtitle D - Hospital Districts › Chapter 286 - Hospital Districts Created by Voter Approval › Subchapter F. District Finances › Section 286.121. Fiscal Year

Sec. 286.121.  FISCAL YEAR.  (a)  The district operates on the fiscal year established by the board.
(b)  The fiscal year may not be changed if revenue bonds of the district are outstanding or more than once in a 24-month period.
Added by Acts 1991, 72nd Leg., ch. 14, Sec. 121, eff. Sept. 1, 1991.
2023 Texas Statutes › Health and Safety Code › Title 4 - Health Facilities › Subtitle D - Hospital Districts › Chapter 286 - Hospital Districts Created by Voter Approval › Subchapter F. District Finances › Section 286.122. Annual Audit

Sec. 286.122.  ANNUAL AUDIT.  The board annually shall have an audit made of the financial condition of the district.
Added by Acts 1991, 72nd Leg., ch. 14, Sec. 121, eff. Sept. 1, 1991.
2023 Texas Statutes › Health and Safety Code › Title 4 - Health Facilities › Subtitle D - Hospital Districts › Chapter 286 - Hospital Districts Created by Voter Approval › Subchapter F. District Finances › Section 286.123. District Audit and Records

Sec. 286.123.  DISTRICT AUDIT AND RECORDS.  The annual audit and other district records are open to inspection during regular business hours at the principal office of the district.
Added by Acts 1991, 72nd Leg., ch. 14, Sec. 121, eff. Sept. 1, 1991.
2023 Texas Statutes › Health and Safety Code › Title 4 - Health Facilities › Subtitle D - Hospital Districts › Chapter 286 - Hospital Districts Created by Voter Approval › Subchapter F. District Finances › Section 286.124. Annual Budget

Sec. 286.124.  ANNUAL BUDGET.  (a)  The administrator of the district shall prepare a proposed annual budget for the district.
(b)  The proposed budget must contain a complete financial statement, including a statement of:
(1)  the outstanding obligations of the district;
(2)  the amount of cash on hand to the credit of each fund of the district;
(3)  the amount of money received by the district from all sources during the previous year;
(4)  the amount of money available to the district from all sources during the ensuing year;
(5)  the amount of the balances expected at the end of the year in which the budget is being prepared;
(6)  the estimated amount of revenues and balances available to cover the proposed budget;  and
(7)  the estimated property tax rate that will be required, if the district imposes a property tax.
Added by Acts 1991, 72nd Leg., ch. 14, Sec. 121, eff. Sept. 1, 1991.  Amended by Acts 2001, 77th Leg., ch. 1290, Sec. 11, eff. Sept. 1, 2001.
2023 Texas Statutes › Health and Safety Code › Title 4 - Health Facilities › Subtitle D - Hospital Districts › Chapter 286 - Hospital Districts Created by Voter Approval › Subchapter F. District Finances › Section 286.125. Notice; Hearing; Adoption of Budget

Sec. 286.125.  NOTICE;  HEARING;  ADOPTION OF BUDGET.  (a)  The board shall hold a public hearing on the proposed annual budget.
(b)  The board shall publish notice of the hearing in a newspaper of general circulation in the district not later than the 10th day before the date of the hearing.
(c)  Any resident of the district is entitled to be present and participate at the hearing.
(d)  At the conclusion of the hearing, the board shall adopt a budget by acting on the budget proposed by the administrator.  The board may make any changes in the proposed budget that in its judgment the interests of the taxpayers demand.
(e)  The budget is effective only after adoption by the board.
Added by Acts 1991, 72nd Leg., ch. 14, Sec. 121, eff. Sept. 1, 1991.
Sec. 286.126.  AMENDING BUDGET.  After adoption, the annual budget may be amended on the board's approval.
Added by Acts 1991, 72nd Leg., ch. 14, Sec. 121, eff. Sept. 1, 1991.
2023 Texas Statutes › Health and Safety Code › Title 4 - Health Facilities › Subtitle D - Hospital Districts › Chapter 286 - Hospital Districts Created by Voter Approval › Subchapter F. District Finances › Section 286.127. Limitation of Expenditures

Sec. 286.127.  LIMITATION OF EXPENDITURES.  Money may not be spent for an expense not included in the annual budget or an amendment to it.
Added by Acts 1991, 72nd Leg., ch. 14, Sec. 121, eff. Sept. 1, 1991.
2023 Texas Statutes › Health and Safety Code › Title 4 - Health Facilities › Subtitle D - Hospital Districts › Chapter 286 - Hospital Districts Created by Voter Approval › Subchapter F. District Finances › Section 286.128. Sworn Statement

Sec. 286.128.  SWORN STATEMENT.  As soon as practicable after the close of the fiscal year, the administrator shall prepare for the board a sworn statement of the amount of money that belongs to the district and an account of the disbursements of that money.
Added by Acts 1991, 72nd Leg., ch. 14, Sec. 121, eff. Sept. 1, 1991.
2023 Texas Statutes › Health and Safety Code › Title 4 - Health Facilities › Subtitle D - Hospital Districts › Chapter 286 - Hospital Districts Created by Voter Approval › Subchapter F. District Finances › Section 286.129. Spending and Investment Limitations

Sec. 286.129.  SPENDING AND INVESTMENT LIMITATIONS.  (a)  Except as provided by Sections 286.078(a), 286.141, 286.144, and 286.145, and Chapter 315, the district may not incur a debt payable from revenues of the district other than the revenues on hand or to be on hand in the current and immediately following fiscal year of the district.
(b)  The board may invest operating, depreciation, or building reserves only in investments authorized under Chapter 2256, Government Code.
Added by Acts 1991, 72nd Leg., ch. 14, Sec. 121, eff. Sept. 1, 1991.  Amended by Acts 2001, 77th Leg., ch. 1420, Sec. 8.101, eff. Sept. 1, 2001.
Amended by:
Acts 2023, 88th Leg., R.S., Ch. 848 (H.B. 3191), Sec. 14, eff. September 1, 2023.
2023 Texas Statutes › Health and Safety Code › Title 4 - Health Facilities › Subtitle D - Hospital Districts › Chapter 286 - Hospital Districts Created by Voter Approval › Subchapter F. District Finances › Section 286.130. Depository

Sec. 286.130.  DEPOSITORY.  (a)  The board shall name at least one bank to serve as depository for district funds.
(b)  District funds, other than those invested as provided by Section 286.129(b) and those transmitted to a bank of payment for bonds or obligations issued or assumed by the district, shall be deposited as received with the depository bank and must remain on deposit.  This subsection does not limit the power of the board to place a portion of district funds on time deposit or to purchase certificates of deposit.
(c)  Before the district deposits funds in a bank in an amount that exceeds the maximum amount secured by the Federal Deposit Insurance Corporation, the bank must execute a bond or other security in an amount sufficient to secure from loss the district funds that exceed the amount secured by the Federal Deposit Insurance Corporation.
Added by Acts 1991, 72nd Leg., ch. 14, Sec. 121, eff. Sept. 1, 1991.
2023 Texas Statutes › Health and Safety Code › Title 4 - Health Facilities › Subtitle D - Hospital Districts › Chapter 286 - Hospital Districts Created by Voter Approval › Subchapter G. Bonds › Section 286.141. General Obligation Bonds

Sec. 286.141.  GENERAL OBLIGATION BONDS.  The board may issue and sell bonds authorized by an election in the name and on the faith and credit of the hospital district to:
(1)  purchase, construct, acquire, repair, or renovate buildings or improvements;
(2)  equip buildings or improvements for hospital purposes;  or
(3)  acquire and operate a mobile emergency medical service.
Added by Acts 1991, 72nd Leg., ch. 14, Sec. 121, eff. Sept. 1, 1991.
2023 Texas Statutes › Health and Safety Code › Title 4 - Health Facilities › Subtitle D - Hospital Districts › Chapter 286 - Hospital Districts Created by Voter Approval › Subchapter G. Bonds › Section 286.142. Taxes to Pay Bonds

Sec. 286.142.  TAXES TO PAY BONDS.  (a)  At the time the bonds are issued by the district, the board shall levy a tax.
(b)  The tax must be sufficient to create an interest and sinking fund to pay the principal of and interest on the bonds as they mature.
(c)  In any year, the tax together with any other tax the district levies may not exceed the limit approved by the voters at the election authorizing the levy of taxes.
Added by Acts 1991, 72nd Leg., ch. 14, Sec. 121, eff. Sept. 1, 1991.
2023 Texas Statutes › Health and Safety Code › Title 4 - Health Facilities › Subtitle D - Hospital Districts › Chapter 286 - Hospital Districts Created by Voter Approval › Subchapter G. Bonds › Section 286.143. Bond Election

Sec. 286.143.  BOND ELECTION.  (a)  The district may issue general obligation bonds only if the bonds are authorized by a majority of the qualified voters of the district voting at an election called and held for that purpose under this section or under Subchapter B.
(b)  The board may order a bond election.  The order calling the election must state:
(1)  the nature and date of the election;
(2)  the hours during which the polls will be open;
(3)  the location of the polling places;
(4)  the amount of bonds to be authorized;  and
(5)  the maximum maturity of the bonds.
(c)  Notice of a bond election shall be given as provided by Section 1251.003, Government Code.
(d)  The board shall canvass the returns and declare the results of the election.
Added by Acts 1991, 72nd Leg., ch. 14, Sec. 121, eff. Sept. 1, 1991.  Amended by Acts 1991, 72nd Leg., ch. 648, Sec. 3, eff. Aug. 26, 1991;  Acts 2001, 77th Leg., ch. 1420, Sec. 8.264, eff. Sept. 1, 2001.
2023 Texas Statutes › Health and Safety Code › Title 4 - Health Facilities › Subtitle D - Hospital Districts › Chapter 286 - Hospital Districts Created by Voter Approval › Subchapter G. Bonds › Section 286.144. Revenue Bonds

Sec. 286.144.  REVENUE BONDS.  (a)  The board may issue revenue bonds to:
(1)  purchase, construct, acquire, repair, equip, or renovate buildings or improvements for hospital purposes;
(2)  acquire sites to be used for hospital purposes;  or
(3)  acquire and operate a mobile emergency medical service to assist the district in carrying out its hospital purposes.
(b)  The bonds must be payable from and secured by a pledge of all or part of the revenues derived from the operation of the district's hospital system.  The bonds may be additionally secured by a mortgage or deed of trust lien on all or part of district property.
(c)  The bonds must be issued in the manner provided by Sections 264.042, 264.043, 264.046, 264.047, 264.048, and 264.049 for issuance of revenue bonds by county hospital authorities.
Added by Acts 1991, 72nd Leg., ch. 14, Sec. 121, eff. Sept. 1, 1991.
2023 Texas Statutes › Health and Safety Code › Title 4 - Health Facilities › Subtitle D - Hospital Districts › Chapter 286 - Hospital Districts Created by Voter Approval › Subchapter G. Bonds › Section 286.145. Refunding Bonds

Sec. 286.145.  REFUNDING BONDS.  (a)  Refunding bonds of the district may be issued to refund an outstanding indebtedness the district has issued or assumed.
(b)  The bonds must be issued in the manner provided by Subchapter D, Chapter 1207, Government Code.
(c)  The refunding bonds may be sold and the proceeds applied to the payment of outstanding indebtedness or may be exchanged in whole or in part for not less than a similar principal amount of outstanding indebtedness.  If the refunding bonds are to be sold and the proceeds applied to the payment of outstanding indebtedness, the refunding bonds must be issued and payments made in the manner provided by Subchapters A-C, Chapter 1207, Government Code.
Added by Acts 1991, 72nd Leg., ch. 14, Sec. 121, eff. Sept. 1, 1991.  Amended by Acts 2001, 77th Leg., ch. 1420, Sec. 8.265, eff. Sept. 1, 2001.
2023 Texas Statutes › Health and Safety Code › Title 4 - Health Facilities › Subtitle D - Hospital Districts › Chapter 286 - Hospital Districts Created by Voter Approval › Subchapter G. Bonds › Section 286.146. Interest and Maturity

Sec. 286.146.  INTEREST AND MATURITY.  District bonds must mature not later than the 50th anniversary of the date of their issuance and must bear interest at a rate not to exceed that provided by Chapter 1204, Government Code.
Added by Acts 1991, 72nd Leg., ch. 14, Sec. 121, eff. Sept. 1, 1991.  Amended by Acts 2001, 77th Leg., ch. 1420, Sec. 8.266, eff. Sept. 1, 2001.
2023 Texas Statutes › Health and Safety Code › Title 4 - Health Facilities › Subtitle D - Hospital Districts › Chapter 286 - Hospital Districts Created by Voter Approval › Subchapter G. Bonds › Section 286.147. Execution of Bonds

Sec. 286.147.  EXECUTION OF BONDS.  The president of the board shall execute the bonds in the name of the district, and the secretary of the board shall countersign the bonds in the manner provided by Chapter 618, Government Code.
Added by Acts 1991, 72nd Leg., ch. 14, Sec. 121, eff. Sept. 1, 1991.  Amended by Acts 2001, 77th Leg., ch. 1420, Sec. 8.266, eff. Sept. 1, 2001.
2023 Texas Statutes › Health and Safety Code › Title 4 - Health Facilities › Subtitle D - Hospital Districts › Chapter 286 - Hospital Districts Created by Voter Approval › Subchapter G. Bonds › Section 286.148. Approval and Registration of Bonds

Sec. 286.148.  APPROVAL AND REGISTRATION OF BONDS.  (a)  District bonds are subject to the same requirements with regard to approval by the attorney general and registration by the comptroller as the law provides for approval and registration of bonds issued by counties.
(b)  On approval by the attorney general and registration by the comptroller, the bonds are incontestable for any cause.
Added by Acts 1991, 72nd Leg., ch. 14, Sec. 121, eff. Sept. 1, 1991.
2023 Texas Statutes › Health and Safety Code › Title 4 - Health Facilities › Subtitle D - Hospital Districts › Chapter 286 - Hospital Districts Created by Voter Approval › Subchapter G. Bonds › Section 286.149. Bonds as Investments

Sec. 286.149.  BONDS AS INVESTMENTS.  District bonds and indebtedness assumed by the district are legal and authorized investments for:
(1)  banks;
(2)  savings banks;
(3)  trust companies;
(4)  savings and loan associations;
(5)  insurance companies;
(6)  fiduciaries;
(7)  trustees;
(8)  guardians;  and
(9)  sinking funds of municipalities, counties, school districts, and other political subdivisions of the state and other public funds of the state and its agencies, including the permanent school fund.
Added by Acts 1991, 72nd Leg., ch. 14, Sec. 121, eff. Sept. 1, 1991.
2023 Texas Statutes › Health and Safety Code › Title 4 - Health Facilities › Subtitle D - Hospital Districts › Chapter 286 - Hospital Districts Created by Voter Approval › Subchapter G. Bonds › Section 286.150. Bonds as Security for Deposits

Sec. 286.150.  BONDS AS SECURITY FOR DEPOSITS.  District bonds are eligible to secure deposits of public funds of the state and of municipalities, counties, school districts, and other political subdivisions of the state.  The bonds are lawful and sufficient security for deposits to the extent of their value if accompanied by all unmatured coupons.
Added by Acts 1991, 72nd Leg., ch. 14, Sec. 121, eff. Sept. 1, 1991.
2023 Texas Statutes › Health and Safety Code › Title 4 - Health Facilities › Subtitle D - Hospital Districts › Chapter 286 - Hospital Districts Created by Voter Approval › Subchapter G. Bonds › Section 286.151. Tax Status of Bonds

Sec. 286.151.  TAX STATUS OF BONDS.  Because the district created under this chapter is a public entity performing an essential public function, bonds issued by the district, any transaction relating to the bonds, and profits made in the sale of the bonds are free from taxation by the state or by any municipality, county, special district, or other political subdivision of the state.
Added by Acts 1991, 72nd Leg., ch. 14, Sec. 121, eff. Sept. 1, 1991.
2023 Texas Statutes › Health and Safety Code › Title 4 - Health Facilities › Subtitle D - Hospital Districts › Chapter 286 - Hospital Districts Created by Voter Approval › Subchapter H. Property Taxes › Section 286.161. Tax Authorized

Sec. 286.161.  TAX AUTHORIZED.  (a)  A majority of voters in a district or proposed district may, at the creation election under Subchapter B or in conjunction with any other district election, authorize the district to impose a property tax.
(b)  The board annually may impose property taxes in an amount not to exceed the limit approved by the voters at the election authorizing the levy of taxes.
(c)  The tax rate for all purposes may not exceed 75 cents on each $100 valuation of all taxable property in the district.
(d)  The taxes may be used to pay:
(1)  the indebtedness issued or assumed by the district;  and
(2)  the maintenance and operating expenses of the district.
(e)  The district may not impose taxes to pay the principal of or interest on revenue bonds issued under this chapter.
Added by Acts 1991, 72nd Leg., ch. 14, Sec. 121, eff. Sept. 1, 1991.  Amended by Acts 2001, 77th Leg., ch. 1290, Sec. 13, eff. Sept. 1, 2001.
2023 Texas Statutes › Health and Safety Code › Title 4 - Health Facilities › Subtitle D - Hospital Districts › Chapter 286 - Hospital Districts Created by Voter Approval › Subchapter H. Property Taxes › Section 286.162. Board Authority

Sec. 286.162.  BOARD AUTHORITY.  The board may impose taxes for the entire year in which the district is created.
Added by Acts 1991, 72nd Leg., ch. 14, Sec. 121, eff. Sept. 1, 1991.
2023 Texas Statutes › Health and Safety Code › Title 4 - Health Facilities › Subtitle D - Hospital Districts › Chapter 286 - Hospital Districts Created by Voter Approval › Subchapter H. Property Taxes › Section 286.163. Adopting Tax Rate

Sec. 286.163.  ADOPTING TAX RATE.  In adopting the tax rate, the board shall consider the income of the district from sources other than taxation.
Added by Acts 1991, 72nd Leg., ch. 14, Sec. 121, eff. Sept. 1, 1991.
2023 Texas Statutes › Health and Safety Code › Title 4 - Health Facilities › Subtitle D - Hospital Districts › Chapter 286 - Hospital Districts Created by Voter Approval › Subchapter H. Property Taxes › Section 286.164. Tax Assessment and Collection

Sec. 286.164.  TAX ASSESSMENT AND COLLECTION.  (a)  The Tax Code governs the appraisal, assessment, and collection of district taxes.
(b)  The board may provide for the appointment of a tax assessor-collector for the district or may contract for the assessment and collection of taxes as provided by the Tax Code.
Added by Acts 1991, 72nd Leg., ch. 14, Sec. 121, eff. Sept. 1, 1991.
2023 Texas Statutes › Health and Safety Code › Title 4 - Health Facilities › Subtitle D - Hospital Districts › Chapter 286 - Hospital Districts Created by Voter Approval › Subchapter I. Sales and Use Taxes for Districts in Small Counties › Section 286.171. Tax Authorized

Sec. 286.171.  TAX AUTHORIZED.  (a)  A majority of voters in a proposed district of which all or a majority of the territory is located in a county or counties each with a population of 75,000 or less may impose a sales and use tax if the imposition is authorized at the creation election under Subchapter B.
(b)  An election to authorize the imposition of a sales and use tax under this subchapter may be held only in conjunction with a creation election under Subchapter B.
Added by Acts 2001, 77th Leg., ch. 1290, Sec. 14, eff. Sept. 1, 2001.
2023 Texas Statutes › Health and Safety Code › Title 4 - Health Facilities › Subtitle D - Hospital Districts › Chapter 286 - Hospital Districts Created by Voter Approval › Subchapter I. Sales and Use Taxes for Districts in Small Counties › Section 286.172. Limitation on Combined Tax Rate; Effect on Elections

Sec. 286.172.  LIMITATION ON COMBINED TAX RATE;  EFFECT ON ELECTIONS.  An election to create a hospital district and to authorize the imposition of a sales and use tax under this subchapter, or an election to change the tax rate under Section 286.174, has no effect if as a result of the adoption of the sales and use tax or the change in the rate the combined rate of all sales and use taxes imposed by the district and other political subdivisions of this state having territory in the district would exceed two percent at any location in the district.
Added by Acts 2001, 77th Leg., ch. 1290, Sec. 14, eff. Sept. 1, 2001.
2023 Texas Statutes › Health and Safety Code › Title 4 - Health Facilities › Subtitle D - Hospital Districts › Chapter 286 - Hospital Districts Created by Voter Approval › Subchapter I. Sales and Use Taxes for Districts in Small Counties › Section 286.173. Election in Other Taxing Authority

Sec. 286.173.  ELECTION IN OTHER TAXING AUTHORITY.  (a)  In this section, "taxing authority" means any entity authorized to impose a local sales and use tax.
(b)  If a district or proposed district is included within the boundaries of another taxing authority and the adoption or increase of the tax under this subchapter would result in a combined tax rate by the district and other political subdivisions of this state of more than two percent at any location in the district, an election to approve or increase the tax under this subchapter has no effect unless:
(1)  one or more of the other taxing authorities holds an election in accordance with the law governing that authority on the same date as the election under this chapter to reduce the tax rate of that authority to a rate that will result in a combined tax rate by the district and other political subdivisions of not more than two percent at any location in the district;  and
(2)  the combined tax rate is reduced to not more than two percent as a result of that election.
(c)  This section does not permit a taxing authority to impose taxes at differential tax rates within the territory of the authority.
Added by Acts 2001, 77th Leg., ch. 1290, Sec. 14, eff. Sept. 1, 2001.
2023 Texas Statutes › Health and Safety Code › Title 4 - Health Facilities › Subtitle D - Hospital Districts › Chapter 286 - Hospital Districts Created by Voter Approval › Subchapter I. Sales and Use Taxes for Districts in Small Counties › Section 286.174. Tax Rate; Change in Rate

Sec. 286.174.  TAX RATE;  CHANGE IN RATE.  (a)  A district may impose the tax in increments of one-eighth of one percent, with a minimum rate of one-eighth of one percent and a maximum rate of two percent.
(b)  Subject to Section 286.172, a district may increase the rate of the tax to a maximum of two percent or decrease the rate of the tax to a minimum of one-eighth of one percent if the change is approved by a majority of the voters of the district at an election called for that purpose.
Added by Acts 2001, 77th Leg., ch. 1290, Sec. 14, eff. Sept. 1, 2001.
2023 Texas Statutes › Health and Safety Code › Title 4 - Health Facilities › Subtitle D - Hospital Districts › Chapter 286 - Hospital Districts Created by Voter Approval › Subchapter I. Sales and Use Taxes for Districts in Small Counties › Section 286.175. Use of Tax

Sec. 286.175.  USE OF TAX.  The taxes imposed may be used to pay:
(1)  the indebtedness issued or assumed by the district;  and
(2)  the maintenance and operating expenses of the district.
Added by Acts 2001, 77th Leg., ch. 1290, Sec. 14, eff. Sept. 1, 2001.
2023 Texas Statutes › Health and Safety Code › Title 4 - Health Facilities › Subtitle D - Hospital Districts › Chapter 286 - Hospital Districts Created by Voter Approval › Subchapter I. Sales and Use Taxes for Districts in Small Counties › Section 286.176. Effective Date

Sec. 286.176.  EFFECTIVE DATE.  (a)  The adoption or abolition of the tax or a change in the rate of the tax takes effect on the first day of the first calendar quarter occurring after the expiration of the first complete calendar quarter occurring after the date the comptroller receives a notice of the results of the election.
(b)  If the comptroller determines that an effective date provided by Subsection (a) will occur before the comptroller can reasonably take the action required to begin collecting the tax or to implement the abolition of the tax or the change in the rate of the tax, the effective date may be extended by the comptroller until the first day of the next calendar quarter.
Added by Acts 2001, 77th Leg., ch. 1290, Sec. 14, eff. Sept. 1, 2001.
2023 Texas Statutes › Health and Safety Code › Title 4 - Health Facilities › Subtitle D - Hospital Districts › Chapter 286 - Hospital Districts Created by Voter Approval › Subchapter I. Sales and Use Taxes for Districts in Small Counties › Section 286.177. County Sales and Use Tax Act Applicable

Sec. 286.177.  COUNTY SALES AND USE TAX ACT APPLICABLE.  Except to the extent that a provision of this chapter applies, Chapter 323, Tax Code, applies to the tax authorized by this chapter in the same manner as that chapter applies to the tax authorized by that chapter.
Added by Acts 2001, 77th Leg., ch. 1290, Sec. 14, eff. Sept. 1, 2001.
2023 Texas Statutes › Health and Safety Code › Title 4 - Health Facilities › Subtitle D - Hospital Districts › Chapter 286 - Hospital Districts Created by Voter Approval › Subchapter X. Miscellaneous › Section 286.951. Limitation on State Assistance

Sec. 286.951.  LIMITATION ON STATE ASSISTANCE.  The state may not become obligated for the support or maintenance of a hospital district created under this chapter, and the legislature may not make a direct appropriation for the construction, maintenance, or improvement of a facility of the district.
Added by Acts 1991, 72nd Leg., ch. 14, Sec. 121, eff. Sept. 1, 1991.  Renumbered from Sec. 286.181 by Acts 2001, 77th Leg., ch. 1290, Sec. 14, eff. Sept. 1, 2001.
2023 Texas Statutes › Health and Safety Code › Title 4 - Health Facilities › Subtitle D - Hospital Districts › Chapter 287 - Health Services Districts › Subchapter A. General Provisions › Section 287.001. Definitions

Sec. 287.001.  DEFINITIONS.  In this chapter:
(1)  "Board" means the board of directors of a district.
(2)  "District" means a health services district created under this chapter.
(3)  "Director" means a member of the board.
Added by Acts 1999, 76th Leg., ch. 1293, Sec. 1, eff. Sept. 1, 1999.
2023 Texas Statutes › Health and Safety Code › Title 4 - Health Facilities › Subtitle D - Hospital Districts › Chapter 287 - Health Services Districts › Subchapter A. General Provisions › Section 287.002. District Authorization

Sec. 287.002.  DISTRICT AUTHORIZATION.  A health services district may be created and established and, if created, must be maintained, operated, and financed in the manner provided by this chapter.
Added by Acts 1999, 76th Leg., ch. 1293, Sec. 1, eff. Sept. 1, 1999.
2023 Texas Statutes › Health and Safety Code › Title 4 - Health Facilities › Subtitle D - Hospital Districts › Chapter 287 - Health Services Districts › Subchapter B. Creation of District › Section 287.021. Creation by Concurrent Orders

Sec. 287.021.  CREATION BY CONCURRENT ORDERS.  (a)  Except as provided by Subsection (b), a county or hospital district and one or more other counties or hospital districts may create a health services district by adopting concurrent orders.
(b)  A county or portion of a county that is in the boundaries of a hospital district may not be a party to the creation of a health services district or to a contract with a health services district.  The hospital district that serves the county or portion of the county may create and contract with the health services district for the boundaries of the hospital district.
(c)  A concurrent order to create a health services district must:
(1)  be approved by the governing body of each creating county and hospital district;
(2)  contain identical provisions;  and
(3)  define the boundaries of the district to be coextensive with the combined boundaries of each creating county and hospital district.
(d)  A concurrent order to create a health services district adopted by a hospital district for which the tax rate is set by the commissioners court of the county in which the hospital district operates must be approved by the commissioners court of that county.
Added by Acts 1999, 76th Leg., ch. 1293, Sec. 1, eff. Sept. 1, 1999.
2023 Texas Statutes › Health and Safety Code › Title 4 - Health Facilities › Subtitle D - Hospital Districts › Chapter 287 - Health Services Districts › Subchapter B. Creation of District › Section 287.022. Contract Terms

Sec. 287.022.  CONTRACT TERMS.  (a)  A county or hospital district that creates a district under this chapter shall contract with the district to provide, at a minimum, the health care services the county or hospital district is required to provide by law or under the constitution.  A contract with a county or hospital district that created the health services district under this chapter must:
(1)  state the term of the contract, not to exceed six years;
(2)  specify the purpose, terms, rights, and duties of the district, as authorized by this chapter;
(3)  specify the financial contributions to be made by each party to the contract to fund the district, as described by Section 287.024;  and
(4)  specify the land, buildings, improvements, equipment, and other assets owned by a party to the contract that the district will be required to manage and operate.
(b)  Chapter 791, Government Code, does not apply to a contract made under this chapter.
Added by Acts 1999, 76th Leg., ch. 1293, Sec. 1, eff. Sept. 1, 1999.
2023 Texas Statutes › Health and Safety Code › Title 4 - Health Facilities › Subtitle D - Hospital Districts › Chapter 287 - Health Services Districts › Subchapter B. Creation of District › Section 287.023. Purpose and Duties

Sec. 287.023.  PURPOSE AND DUTIES.  (a)  A health services district shall:
(1)  provide health care services to indigent residents of the district;
(2)  manage the funds contributed to the district by each county or hospital district that contracts with the district;  and
(3)  plan and coordinate with public and private health care providers and entities for the long-term provision of health care services to residents of the district.
(b)  A health services district may:
(1)  provide health care services on a sliding-fee scale to residents of the district who do not meet the basic income and resources requirements established under Sections 61.006 and 61.008 to be eligible for assistance under Chapter 61 but who are unable to pay for the full cost of health care services;  and
(2)  assume responsibility for management and operation of the land, buildings, improvements, equipment, and other assets that are acquired by the district or for which the district agrees to assume responsibility under the terms of the contract.
(c)  A health services district may not:
(1)  establish, conduct, or maintain an institution as defined by Section 242.002;  or
(2)  establish or operate a personal care facility as defined by Section 247.002.
Added by Acts 1999, 76th Leg., ch. 1293, Sec. 1, eff. Sept. 1, 1999.
2023 Texas Statutes › Health and Safety Code › Title 4 - Health Facilities › Subtitle D - Hospital Districts › Chapter 287 - Health Services Districts › Subchapter B. Creation of District › Section 287.024. Funding

Sec. 287.024.  FUNDING.  (a)  Each county or hospital district that contracts with the district shall contribute to the district for its operation:
(1)  a specified dollar amount from or a percentage of the contracting entity's operating budget and reserves if the contracting entity is a hospital district;
(2)  a specified percentage, not less than the percentage required under Section 61.037 for state assistance, of the contracting entity's general revenue levy for each state fiscal year for the term of the contract, if the contracting entity is a county;
(3)  state assistance received under Chapter 61;
(4)  federal matching funds received by a hospital district under the Medicaid disproportionate share program;  and
(5)  any funds that are:
(A)  received under the Agreement Regarding Disposition of Settlement Proceeds dated July 18, 1998, or July 24, 1998, and filed in the United States District Court, Eastern District of Texas, in the case styled The State of Texas v. The American Tobacco Company, et al., No. 5-96CV-91;  and
(B)  received on or after the date on which the district is created and before the district is dissolved.
(b)  The district shall maintain an accounting of the funds received from each county or hospital district that contracts with the district.
(c)  The district may administer the financial contributions of all parties to the contract for district purposes.
Added by Acts 1999, 76th Leg., ch. 1293, Sec. 1, eff. Sept. 1, 1999.
2023 Texas Statutes › Health and Safety Code › Title 4 - Health Facilities › Subtitle D - Hospital Districts › Chapter 287 - Health Services Districts › Subchapter C. District Administration › Section 287.041. Board of Directors

Sec. 287.041.  BOARD OF DIRECTORS.  (a)  A county or hospital district that creates the district and has a population of 125,000 or more shall appoint one director to the board for every 125,000 persons in the population of the county or hospital district, rounded to the nearest 125,000.
(b)  A county or hospital district that creates the district and has a population of less than 125,000 may appoint one director to the board.
(c)  The county judges of a county that creates the district shall appoint the directors to the board on behalf of the county.  The board of directors of a hospital district that creates the district shall appoint the directors to the board on behalf of the hospital district.
(d)  Directors serve staggered two-year terms, with as near as possible to one-half of the directors' terms expiring each year.
(e)  The number of directors appointed to the board by each county or hospital district that creates the district is determined at the time of the initial appointment of directors under this section and does not vary with subsequent variations in the population of the county or hospital district.
Added by Acts 1999, 76th Leg., ch. 1293, Sec. 1, eff. Sept. 1, 1999.
2023 Texas Statutes › Health and Safety Code › Title 4 - Health Facilities › Subtitle D - Hospital Districts › Chapter 287 - Health Services Districts › Subchapter C. District Administration › Section 287.042. Qualifications for Office

Sec. 287.042.  QUALIFICATIONS FOR OFFICE.  (a)  To be eligible to serve as a director, a person must be a resident of the county or hospital district that appoints the person under Section 287.041.
(b)  An employee of the district may not serve as a director.
Added by Acts 1999, 76th Leg., ch. 1293, Sec. 1, eff. Sept. 1, 1999.
2023 Texas Statutes › Health and Safety Code › Title 4 - Health Facilities › Subtitle D - Hospital Districts › Chapter 287 - Health Services Districts › Subchapter C. District Administration › Section 287.043. Bond

Sec. 287.043.  BOND.  (a)  Before assuming the duties of the office, each director must execute a bond for $5,000 payable to the district, conditioned on the faithful performance of the person's duties as director.
(b)  The bond shall be kept in the permanent records of the district.
(c)  The board may pay for directors' bonds with district funds.
Added by Acts 1999, 76th Leg., ch. 1293, Sec. 1, eff. Sept. 1, 1999.
2023 Texas Statutes › Health and Safety Code › Title 4 - Health Facilities › Subtitle D - Hospital Districts › Chapter 287 - Health Services Districts › Subchapter C. District Administration › Section 287.044. Board Vacancy

Sec. 287.044.  BOARD VACANCY.  A vacancy in the office of director shall be filled for the unexpired term in the same manner as the original appointment.
Added by Acts 1999, 76th Leg., ch. 1293, Sec. 1, eff. Sept. 1, 1999.
2023 Texas Statutes › Health and Safety Code › Title 4 - Health Facilities › Subtitle D - Hospital Districts › Chapter 287 - Health Services Districts › Subchapter C. District Administration › Section 287.045. Officers

Sec. 287.045.  OFFICERS.  (a)  The board shall elect from among its members a president and a vice president.
(b)  The board shall appoint a secretary, who need not be a director.
Added by Acts 1999, 76th Leg., ch. 1293, Sec. 1, eff. Sept. 1, 1999.
2023 Texas Statutes › Health and Safety Code › Title 4 - Health Facilities › Subtitle D - Hospital Districts › Chapter 287 - Health Services Districts › Subchapter C. District Administration › Section 287.046. Officers' Terms; Vacancy

Sec. 287.046.  OFFICERS' TERMS;  VACANCY.  (a)  Each officer of the board serves for a term of one year.
(b)  The board shall fill a vacancy in a board office for the unexpired term.
Added by Acts 1999, 76th Leg., ch. 1293, Sec. 1, eff. Sept. 1, 1999.
2023 Texas Statutes › Health and Safety Code › Title 4 - Health Facilities › Subtitle D - Hospital Districts › Chapter 287 - Health Services Districts › Subchapter C. District Administration › Section 287.047. Compensation

Sec. 287.047.  COMPENSATION.  (a)  Directors and officers serve without compensation but may be reimbursed for actual expenses incurred in the performance of official duties.
(b)  Expenses reimbursed under this section must be:
(1)  reported in the district's minute book or other district records;  and
(2)  approved by the board.
Added by Acts 1999, 76th Leg., ch. 1293, Sec. 1, eff. Sept. 1, 1999.
2023 Texas Statutes › Health and Safety Code › Title 4 - Health Facilities › Subtitle D - Hospital Districts › Chapter 287 - Health Services Districts › Subchapter C. District Administration › Section 287.048. Voting Requirement

Sec. 287.048.  VOTING REQUIREMENT.  A majority of the members of the board voting must concur in a matter relating to the business of the district.
Added by Acts 1999, 76th Leg., ch. 1293, Sec. 1, eff. Sept. 1, 1999.
2023 Texas Statutes › Health and Safety Code › Title 4 - Health Facilities › Subtitle D - Hospital Districts › Chapter 287 - Health Services Districts › Subchapter C. District Administration › Section 287.049. Administrator and Additional Staff

Sec. 287.049.  ADMINISTRATOR AND ADDITIONAL STAFF.  (a)  The board may appoint qualified persons as administrator of the district and as additional administrative staff members as the board considers necessary for the efficient operation of the district.
(b)  The administrator and other administrative staff members serve at the will of the board.
(c)  The administrator and other administrative staff members are entitled to compensation as determined by the board.
(d)  Before assuming the administrator's duties, the administrator shall execute a bond payable to the health services district in an amount not less than $5,000 as determined by the board, conditioned on the faithful performance of the administrator's duties under this chapter.  The board may pay for the bond with district funds.
Added by Acts 1999, 76th Leg., ch. 1293, Sec. 1, eff. Sept. 1, 1999.
2023 Texas Statutes › Health and Safety Code › Title 4 - Health Facilities › Subtitle D - Hospital Districts › Chapter 287 - Health Services Districts › Subchapter C. District Administration › Section 287.050. Appointments to Staff

Sec. 287.050.  APPOINTMENTS TO STAFF.  The board may:
(1)  appoint to the staff any doctors the board considers necessary for the efficient operation of the district;  and
(2)  make temporary appointments the board considers necessary.
Added by Acts 1999, 76th Leg., ch. 1293, Sec. 1, eff. Sept. 1, 1999.
2023 Texas Statutes › Health and Safety Code › Title 4 - Health Facilities › Subtitle D - Hospital Districts › Chapter 287 - Health Services Districts › Subchapter C. District Administration › Section 287.051. Technicians, Nurses, and Other District Employees

Sec. 287.051.  TECHNICIANS, NURSES, AND OTHER DISTRICT EMPLOYEES.  (a)  The district may employ technicians, nurses, fiscal agents, accountants, architects, additional attorneys, and other necessary employees.
(b)  The board may delegate to the administrator the authority to employ persons for the district.
Added by Acts 1999, 76th Leg., ch. 1293, Sec. 1, eff. Sept. 1, 1999.
2023 Texas Statutes › Health and Safety Code › Title 4 - Health Facilities › Subtitle D - Hospital Districts › Chapter 287 - Health Services Districts › Subchapter C. District Administration › Section 287.052. General Duties of Administrator

Sec. 287.052.  GENERAL DUTIES OF ADMINISTRATOR.  The administrator shall:
(1)  supervise the work and activities of the district;  and
(2)  direct the general affairs of the district, subject to the limitations prescribed by the board.
Added by Acts 1999, 76th Leg., ch. 1293, Sec. 1, eff. Sept. 1, 1999.
2023 Texas Statutes › Health and Safety Code › Title 4 - Health Facilities › Subtitle D - Hospital Districts › Chapter 287 - Health Services Districts › Subchapter C. District Administration › Section 287.053. Retirement Benefits

Sec. 287.053.  RETIREMENT BENEFITS.  The board may provide retirement benefits for employees of the district by:
(1)  establishing or administering a retirement program;  or
(2)  electing to participate in the Texas County and District Retirement System or in any other statewide retirement system in which the district is eligible to participate.
Added by Acts 1999, 76th Leg., ch. 1293, Sec. 1, eff. Sept. 1, 1999.
2023 Texas Statutes › Health and Safety Code › Title 4 - Health Facilities › Subtitle D - Hospital Districts › Chapter 287 - Health Services Districts › Subchapter D. Powers and Duties › Section 287.071. Responsibility of Governmental Entity

Sec. 287.071.  RESPONSIBILITY OF GOVERNMENTAL ENTITY.  On creation of a district, a county or hospital district that creates the district may transfer to the district:
(1)  management and operation of any land, buildings, improvements, and equipment related to the health care system located wholly in the district that are owned by the county or hospital district in which the district is located, as specified in the contract with the counties and hospital districts that created the district;  and
(2)  operating funds and reserves for operating expenses and funds that have been budgeted by the county or hospital district in which the district is located to provide medical care for residents of the district, as specified in the contract with the counties and hospital districts that created the district.
Added by Acts 1999, 76th Leg., ch. 1293, Sec. 1, eff. Sept. 1, 1999.
2023 Texas Statutes › Health and Safety Code › Title 4 - Health Facilities › Subtitle D - Hospital Districts › Chapter 287 - Health Services Districts › Subchapter D. Powers and Duties › Section 287.072. District Responsibilities

Sec. 287.072.  DISTRICT RESPONSIBILITIES.  On creation of a district, the district assumes the duties required under Section 287.023 and any additional duties specified in the contract with the counties and hospital districts that created the district.
Added by Acts 1999, 76th Leg., ch. 1293, Sec. 1, eff. Sept. 1, 1999.
2023 Texas Statutes › Health and Safety Code › Title 4 - Health Facilities › Subtitle D - Hospital Districts › Chapter 287 - Health Services Districts › Subchapter D. Powers and Duties › Section 287.073. Management, Control, and Administration

Sec. 287.073.  MANAGEMENT, CONTROL, AND ADMINISTRATION.  The board shall manage, control, and administer the health care system and the funds and resources of the district that are transferred under Section 287.071.
Added by Acts 1999, 76th Leg., ch. 1293, Sec. 1, eff. Sept. 1, 1999.
2023 Texas Statutes › Health and Safety Code › Title 4 - Health Facilities › Subtitle D - Hospital Districts › Chapter 287 - Health Services Districts › Subchapter D. Powers and Duties › Section 287.074. District Rules

Sec. 287.074.  DISTRICT RULES.  The board may adopt rules governing the operation of the district and the duties, functions, and responsibilities of district staff and employees.
Added by Acts 1999, 76th Leg., ch. 1293, Sec. 1, eff. Sept. 1, 1999.
2023 Texas Statutes › Health and Safety Code › Title 4 - Health Facilities › Subtitle D - Hospital Districts › Chapter 287 - Health Services Districts › Subchapter D. Powers and Duties › Section 287.075. Methods and Procedures

Sec. 287.075.  METHODS AND PROCEDURES.  The board may prescribe:
(1)  the method of making purchases and expenditures by and for the district;  and
(2)  accounting and control procedures for the district.
Added by Acts 1999, 76th Leg., ch. 1293, Sec. 1, eff. Sept. 1, 1999.
2023 Texas Statutes › Health and Safety Code › Title 4 - Health Facilities › Subtitle D - Hospital Districts › Chapter 287 - Health Services Districts › Subchapter D. Powers and Duties › Section 287.076. Health Care Property, Facilities, and Equipment

Sec. 287.076.  HEALTH CARE PROPERTY, FACILITIES, AND EQUIPMENT.  (a)  The board shall determine:
(1)  the type, number, and location of buildings required to establish and maintain an adequate health care system;  and
(2)  the type of equipment necessary for health care.
(b)  The board may:
(1)  acquire property, facilities, and equipment for the district for use in the health care system;
(2)  mortgage or pledge the property, facilities, or equipment acquired as security for the payment of the purchase price;
(3)  transfer by lease to physicians, individuals, companies, corporations, or other legal entities or acquire by lease district health care facilities;
(4)  sell or otherwise dispose of property, facilities, or equipment acquired by the district;  and
(5)  contract with a state agency or other qualified provider to provide services.
Added by Acts 1999, 76th Leg., ch. 1293, Sec. 1, eff. Sept. 1, 1999.
2023 Texas Statutes › Health and Safety Code › Title 4 - Health Facilities › Subtitle D - Hospital Districts › Chapter 287 - Health Services Districts › Subchapter D. Powers and Duties › Section 287.077. Construction Contracts

Sec. 287.077.  CONSTRUCTION CONTRACTS.  (a)  The board may enter into construction contracts for the district.
(b)  The board may enter into construction contracts that involve spending more than $10,000 only after competitive bidding as provided by Subchapter B, Chapter 271, Local Government Code.
(c)  Chapter 2253, Government Code, as it relates to performance and payment bonds, applies to construction contracts let by the district.
Added by Acts 1999, 76th Leg., ch. 1293, Sec. 1, eff. Sept. 1, 1999.