reglab/statecodes huggingface dataset:
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 287.078. District Contracts and Collaborations

Sec. 287.078.  DISTRICT CONTRACTS AND COLLABORATIONS.  (a)  The board may enter into operating or management contracts relating to health care facilities owned by the district or for which the district assumes responsibility for managing and operating under the terms of the contract with the counties and hospital districts that created the district.
(b)  The board may contract or collaborate with a local governmental entity, as defined by Section 534.002, Government Code, or any other public or private entity as necessary to provide or deliver health care services under a demonstration project established under Section 534.201 or 534.202, Government Code, in which the district participates.
Added by Acts 1999, 76th Leg., ch. 1293, Sec. 1, eff. Sept. 1, 1999.  Amended by Acts 2003, 78th Leg., ch. 1139, Sec. 3, eff. Sept. 1, 2003.
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 287.079. Payment for Health Care Services

Sec. 287.079.  PAYMENT FOR HEALTH CARE SERVICES.  (a)  The district without charge shall supply to a patient residing in the district the care and treatment that the patient or a relative of the patient who is legally responsible for the patient's support cannot pay.
(b)  Not later than the first day of each operating year, the district shall adopt an application procedure to determine eligibility for assistance that complies with Section 61.053.
(c)  The administrator of the district may have an inquiry made into the financial circumstances of:
(1)  a patient residing in the district and admitted to a district facility;  and
(2)  a relative of the patient who is legally responsible for the patient's support.
(d)  The board may adopt a sliding-fee scale for health care services provided to a patient who can pay for some, but not all, of the care and treatment provided by the district.
(e)  A county that created and contracted with the district may credit a district expenditure for the care and treatment of an eligible county resident to the same extent and in the same manner the county would be able to claim the expenditure under Chapter 61 if the county made the expenditure.
(f)  The board shall adopt rules regarding the collection of money that is owed to the district for health care services provided to a patient who is determined to be able to pay for all or any part of the services from a patient, a patient's estate, or a relative who is legally responsible for the patient's support.
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 287.080. Reimbursement for Services

Sec. 287.080.  REIMBURSEMENT FOR SERVICES.  (a)  The board shall require reimbursement from a county, municipality, or public hospital located outside the boundaries of the district for the district's care and treatment of a sick, diseased, or injured person of that county, municipality, or public hospital as provided by Chapter 61.
(b)  The board shall require reimbursement from the sheriff or police chief of a county or municipality for the district's care and treatment of a person confined in a jail facility of the county or municipality who is not a resident of the district, as determined in the same manner as the person's residence is determined under Chapter 61.
(c)  The board may contract with a state or federal agency or political subdivision of the state to provide health care 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 287.081. Service Contracts

Sec. 287.081.  SERVICE CONTRACTS.  The board may contract with a municipality, county, special district, or other political subdivision of the state or with a state or federal agency for the district to:
(1)  furnish a mobile emergency medical service;  or
(2)  provide for the investigatory or welfare needs of inhabitants 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 D. Powers and Duties › Section 287.082. Gifts and Endowments

Sec. 287.082.  GIFTS AND ENDOWMENTS.  On behalf of the district, the board may accept gifts and endowments to be held in trust for any purpose and under any direction, limitation, or provision prescribed in writing by the donor that is consistent with the proper management 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 D. Powers and Duties › Section 287.083. Authority to Sue and Be Sued

Sec. 287.083.  AUTHORITY TO SUE AND BE SUED.  The board may sue and be sued on behalf 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 E. Dissolution of District › Section 287.101. Dissolution

Sec. 287.101.  DISSOLUTION.  (a)  A district shall be dissolved if:
(1)  the contract with the counties and hospital districts that created the district expires and is not renewed;  or
(2)  the counties and hospital districts that created the district adopt concurrent orders to terminate the contract and dissolve the district and the concurrent orders:
(A)  are approved by the governing bodies of each county and hospital district;  and
(B)  contain identical provisions.
(b)  The governing body of a county or hospital district may adopt orders to terminate the contract with the district and end the county's or hospital district's participation in the district.  The county or hospital district must give written notice to the district at least one fiscal year, as established by the board under Section 287.121, before terminating the contract and ending participation in the district.  On termination of the contract with the district, the district shall transfer to the county or hospital district all unspent funds contributed by the county or hospital district to the district and the land, buildings, improvements, equipment, and other assets acquired by the district that are located in the county or hospital district.  The termination of the contract by a county or hospital district does not affect the operation of the district with respect to each other county or hospital district 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 E. Dissolution of District › Section 287.102. Transfer of Assets After Dissolution

Sec. 287.102.  TRANSFER OF ASSETS AFTER DISSOLUTION.  (a)  If the district is dissolved, the board shall:
(1)  transfer the land, buildings, improvements, equipment, and other assets acquired by the district to the county or hospital district in which the property is located;  or
(2)  administer the property, assets, and debts in accordance with Section 287.103.
(b)  If the district transfers its land, buildings, improvements, equipment, and other assets to a county or hospital district, the county or hospital district assumes all debts and obligations of the district related to the land, buildings, improvements, equipment, or assets at the time of the transfer, and the district is dissolved.
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 E. Dissolution of District › Section 287.103. Administration of Property, Debts, and Assets After Dissolution

Sec. 287.103.  ADMINISTRATION OF PROPERTY, DEBTS, AND ASSETS AFTER DISSOLUTION.  (a)  If the district does not transfer its land, buildings, improvements, equipment, and other assets to a county or hospital district in the district, the board shall continue to control and administer the property, debts, and assets of the district until all funds have been disposed of and all district debts have been paid or settled.
(b)  If, after administering the property and assets, the board determines that the district's property and assets are insufficient to pay the debts of the district, the district shall transfer the remaining debts to the counties and hospital districts that created the district in proportion to the funds contributed to the district by each county or hospital district.
(c)  If, after administering the property and assets, the board determines that unused funds remain, the board shall transfer the unused funds to the counties and hospital districts that created the district in proportion to the funds contributed to the district by each 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 E. Dissolution of District › Section 287.104. Accounting

Sec. 287.104.  ACCOUNTING.  After the district has paid all its debts and has disposed of all its assets and funds as prescribed by Sections 287.102 and 287.103, the board shall provide an accounting to each county and hospital district that created and contracted with the district.  The accounting must show the manner in which the assets and debts of the district were distributed.
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 F. District Finances › Section 287.121. Fiscal Year

Sec. 287.121.  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 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 F. District Finances › Section 287.122. Annual Audit

Sec. 287.122.  ANNUAL AUDIT.  (a)  The board annually shall have an independent audit made of the financial condition of the district.
(b)  A copy of the audit must be provided to:
(1)  each county and hospital district that created and contracted with the district;
(2)  each state and federal agency with which the district contracts;  and
(3)  each other entity that contributes substantial funds to 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 F. District Finances › Section 287.123. District Audit and Records

Sec. 287.123.  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 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 F. District Finances › Section 287.124. Annual Budget

Sec. 287.124.  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;  and
(6)  the estimated amount of revenues and balances available to cover the proposed budget.
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 F. District Finances › Section 287.125. Notice; Hearing; Adoption of Budget

Sec. 287.125.  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 residents of the district demand.
(e)  The budget is effective only after adoption by the board.
Added by Acts 1999, 76th Leg., ch. 1293, Sec. 1, eff. Sept. 1, 1999.
Sec. 287.126.  AMENDING BUDGET.  After adoption, the annual budget may be amended on the board's approval.
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 F. District Finances › Section 287.127. Limitation of Expenditures

Sec. 287.127.  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 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 F. District Finances › Section 287.128. Sworn Statement

Sec. 287.128.  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 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 F. District Finances › Section 287.129. Spending and Investment Limitations

Sec. 287.129.  SPENDING AND INVESTMENT LIMITATIONS.  (a)  Except for construction contracts under Section 287.077(a) or as provided by Sections 287.142 and 287.143, 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:
(1)  bonds of the United States;
(2)  certificates of indebtedness issued by the United States secretary of the treasury;
(3)  bonds of this state or a county, municipality, or school district of this state;  or
(4)  shares or share accounts of savings and loan associations organized under the laws of this state or federal savings and loan associations domiciled in this state, if the shares or share accounts are insured by the Federal Deposit Insurance Corporation.
Added by Acts 1999, 76th Leg., ch. 1293, Sec. 1, eff. Sept. 1, 1999.  Amended by Acts 2001, 77th Leg., ch. 1420, Sec. 8.102, 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 F. District Finances › Section 287.130. Depository

Sec. 287.130.  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 287.129(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 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 F. District Finances › Section 287.131. Ad Valorem Taxation

Sec. 287.131.  AD VALOREM TAXATION.  A district may not impose an ad valorem tax.
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 G. Bonds › Section 287.141. General Obligation Bonds

Sec. 287.141.  GENERAL OBLIGATION BONDS.  A district may not issue general obligation bonds.
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 G. Bonds › Section 287.142. Revenue Bonds

Sec. 287.142.  REVENUE BONDS.  (a)  The board may issue revenue bonds to:
(1)  purchase, construct, acquire, repair, equip, or renovate buildings or improvements for district purposes;
(2)  acquire sites to be used for district purposes;  or
(3)  acquire and operate a mobile emergency medical service to assist the district in carrying out its 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.  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.
(d)  Revenue derived from the operation of the district and pledged to the repayment of revenue bonds issued by the district must be used to repay the principal and interest owed on the bonds before being used to repay any other obligation of the district, including money owed to physicians who are employed by or who contract with 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 G. Bonds › Section 287.143. Refunding Bonds

Sec. 287.143.  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 1999, 76th Leg., ch. 1293, Sec. 1, eff. Sept. 1, 1999.  Amended by Acts 2001, 77th Leg., ch. 1420, Sec. 8.267, 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 G. Bonds › Section 287.144. Interest and Maturity

Sec. 287.144.  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 1999, 76th Leg., ch. 1293, Sec. 1, eff. Sept. 1, 1999.  Amended by Acts 2001, 77th Leg., ch. 1420, Sec. 8.268, 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 G. Bonds › Section 287.145. Execution of Bonds

Sec. 287.145.  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 1999, 76th Leg., ch. 1293, Sec. 1, eff. Sept. 1, 1999.  Amended by Acts 2001, 77th Leg., ch. 1420, Sec. 8.268, 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 G. Bonds › Section 287.146. Approval and Registration of Bonds

Sec. 287.146.  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 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 G. Bonds › Section 287.147. Bonds as Investments

Sec. 287.147.  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 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 G. Bonds › Section 287.148. Bonds as Security for Deposits

Sec. 287.148.  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 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 G. Bonds › Section 287.149. Tax Status of Bonds

Sec. 287.149.  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 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 288 - Health Care Funding Districts in Certain Counties Located on Texas-Mexico Border › Subchapter A. General Provisions › Section 288.001. Definitions

Sec. 288.001.  DEFINITIONS.  In this chapter:
(1)  "Commission" means the commission of a district created under this chapter.
(2)  "District" means a county health care funding district created under this chapter.
(3)  "Paying hospital" means an institutional health care provider required to make a mandatory payment under this chapter.
(4)  "Institutional health care provider" means a nonpublic hospital that provides inpatient hospital services.
Added by Acts 2005, 79th Leg., Ch. 1367 (H.B. 2463), Sec. 1, eff. June 18, 2005.
Amended by:
Acts 2013, 83rd Leg., R.S., Ch. 1369 (S.B. 1623), Sec. 2, eff. June 14, 2013.
Acts 2015, 84th Leg., R.S., Ch. 231 (H.B. 2476), Sec. 1, eff. May 29, 2015.
2023 Texas Statutes › Health and Safety Code › Title 4 - Health Facilities › Subtitle D - Hospital Districts › Chapter 288 - Health Care Funding Districts in Certain Counties Located on Texas-Mexico Border › Subchapter A. General Provisions › Section 288.002. Creation of District

Sec. 288.002.  CREATION OF DISTRICT.  A district may be created by order of the commissioners court of each county located on the Texas-Mexico border that has a population of:
(1)  500,000 or more and is adjacent to two or more counties each of which has a population of 50,000 or more;
(2)  350,000 or more and is adjacent to a county described by Subdivision (1); or
(3)  less than 300,000 and contains one or more municipalities with a population of 200,000 or more.
Added by Acts 2005, 79th Leg., Ch. 1367 (H.B. 2463), Sec. 1, eff. June 18, 2005.
Amended by:
Acts 2013, 83rd Leg., R.S., Ch. 1369 (S.B. 1623), Sec. 3, eff. June 14, 2013.
2023 Texas Statutes › Health and Safety Code › Title 4 - Health Facilities › Subtitle D - Hospital Districts › Chapter 288 - Health Care Funding Districts in Certain Counties Located on Texas-Mexico Border › Subchapter A. General Provisions › Section 288.0031. Dissolution

Sec. 288.0031.  DISSOLUTION.  A district created under this chapter may be dissolved in the manner provided for the dissolution of a hospital district under Subchapter E, Chapter 286.
Added by Acts 2013, 83rd Leg., R.S., Ch. 1369 (S.B. 1623), Sec. 4, eff. June 14, 2013.
2023 Texas Statutes › Health and Safety Code › Title 4 - Health Facilities › Subtitle D - Hospital Districts › Chapter 288 - Health Care Funding Districts in Certain Counties Located on Texas-Mexico Border › Subchapter A. General Provisions › Section 288.005. District Territory

Sec. 288.005.  DISTRICT TERRITORY.  The boundaries of each district are coextensive with the boundaries of the county in which the district is created.
Added by Acts 2005, 79th Leg., Ch. 1367 (H.B. 2463), Sec. 1, eff. June 18, 2005.
2023 Texas Statutes › Health and Safety Code › Title 4 - Health Facilities › Subtitle D - Hospital Districts › Chapter 288 - Health Care Funding Districts in Certain Counties Located on Texas-Mexico Border › Subchapter B. District Administration › Section 288.051. Commission; District Governance

Sec. 288.051.  COMMISSION; DISTRICT GOVERNANCE.  (a)  Each district created under Section 288.002 is governed by a commission consisting of the commissioners court of the county in which the district is created.
(b)  Repealed by Acts 2013, 83rd Leg., R.S., Ch. 1369, Sec. 19, eff. June 14, 2013.
(c)  Service on the commission by a county commissioner or county judge is an additional duty of that person's office.
(d)  A district is a component of county government and is not a separate political subdivision of this state.
Added by Acts 2005, 79th Leg., Ch. 1367 (H.B. 2463), Sec. 1, eff. June 18, 2005.
Amended by:
Acts 2013, 83rd Leg., R.S., Ch. 1369 (S.B. 1623), Sec. 5, eff. June 14, 2013.
Acts 2013, 83rd Leg., R.S., Ch. 1369 (S.B. 1623), Sec. 6, eff. June 14, 2013.
Acts 2013, 83rd Leg., R.S., Ch. 1369 (S.B. 1623), Sec. 19, eff. June 14, 2013.
2023 Texas Statutes › Health and Safety Code › Title 4 - Health Facilities › Subtitle D - Hospital Districts › Chapter 288 - Health Care Funding Districts in Certain Counties Located on Texas-Mexico Border › Subchapter C. Powers and Duties › Section 288.101. Limitation on Authority to Require Mandatory Payment

Sec. 288.101.  LIMITATION ON AUTHORITY TO REQUIRE MANDATORY PAYMENT.  Each district may require a mandatory payment only in the manner provided by this chapter.
Added by Acts 2005, 79th Leg., Ch. 1367 (H.B. 2463), Sec. 1, eff. June 18, 2005.
Amended by:
Acts 2013, 83rd Leg., R.S., Ch. 1369 (S.B. 1623), Sec. 7, eff. June 14, 2013.
2023 Texas Statutes › Health and Safety Code › Title 4 - Health Facilities › Subtitle D - Hospital Districts › Chapter 288 - Health Care Funding Districts in Certain Counties Located on Texas-Mexico Border › Subchapter C. Powers and Duties › Section 288.102. Majority Vote Required

Sec. 288.102.  MAJORITY VOTE REQUIRED.  (a)  A district may not require any mandatory payment authorized by this chapter, spend any money, including for the administrative expenses of the district, or conduct any other business of the commission without an affirmative vote of a majority of the members of the commission.
(b)  Before requiring a mandatory payment under this chapter in any one year, the commission must obtain the affirmative vote required by Subsection (a).
Added by Acts 2005, 79th Leg., Ch. 1367 (H.B. 2463), Sec. 1, eff. June 18, 2005.
Amended by:
Acts 2013, 83rd Leg., R.S., Ch. 1369 (S.B. 1623), Sec. 8, eff. June 14, 2013.
2023 Texas Statutes › Health and Safety Code › Title 4 - Health Facilities › Subtitle D - Hospital Districts › Chapter 288 - Health Care Funding Districts in Certain Counties Located on Texas-Mexico Border › Subchapter C. Powers and Duties › Section 288.104. Rules and Procedures

Sec. 288.104.  RULES AND PROCEDURES.  (a)  The commission may adopt rules governing the operation of the district, including rules relating to the administration of a mandatory payment authorized by this chapter.
(b)  Repealed by Acts 2013, 83rd Leg., R.S., Ch. 1369, Sec. 19, eff. June 14, 2013.
Added by Acts 2005, 79th Leg., Ch. 1367 (H.B. 2463), Sec. 1, eff. June 18, 2005.
Amended by:
Acts 2013, 83rd Leg., R.S., Ch. 1369 (S.B. 1623), Sec. 9, eff. June 14, 2013.
Acts 2013, 83rd Leg., R.S., Ch. 1369 (S.B. 1623), Sec. 19, eff. June 14, 2013.
2023 Texas Statutes › Health and Safety Code › Title 4 - Health Facilities › Subtitle D - Hospital Districts › Chapter 288 - Health Care Funding Districts in Certain Counties Located on Texas-Mexico Border › Subchapter C. Powers and Duties › Section 288.106. Institutional Health Care Provider Reporting; Inspection of Records

Sec. 288.106.  INSTITUTIONAL HEALTH CARE PROVIDER REPORTING; INSPECTION OF RECORDS.  (a)  A district shall require an institutional health care provider to submit to the district a copy of any financial and utilization data required by and reported to the Department of State Health Services under Sections 311.032 and 311.033 and any rules adopted by the department to implement those sections.
(b)  A district may inspect the records of an institutional health care provider to the extent necessary to ensure that the provider has submitted all required data under this section.
Added by Acts 2005, 79th Leg., Ch. 1367 (H.B. 2463), Sec. 1, eff. June 18, 2005.
2023 Texas Statutes › Health and Safety Code › Title 4 - Health Facilities › Subtitle D - Hospital Districts › Chapter 288 - Health Care Funding Districts in Certain Counties Located on Texas-Mexico Border › Subchapter D. General Financial Provisions › Section 288.151. Hearing

Sec. 288.151.  HEARING.  (a)  Each year, the commission of a district shall hold a public hearing on  the amounts of any mandatory payments that the commission intends to require during the year and how the revenue derived from those payments is to be spent.
(b)  Not later than the fifth day before the date of the hearing, the commission shall publish at least once notice of the hearing in a newspaper of general circulation in the county in which the district is located.
(c)  A representative of a paying hospital is entitled to appear at the time and place designated in the public notice and to be heard regarding any matter related to the mandatory payments required by the district under this chapter.
Added by Acts 2005, 79th Leg., Ch. 1367 (H.B. 2463), Sec. 1, eff. June 18, 2005.
Amended by:
Acts 2013, 83rd Leg., R.S., Ch. 1369 (S.B. 1623), Sec. 10, eff. June 14, 2013.
Acts 2017, 85th Leg., R.S., Ch. 457 (S.B. 1462), Sec. 1, eff. June 12, 2017.
2023 Texas Statutes › Health and Safety Code › Title 4 - Health Facilities › Subtitle D - Hospital Districts › Chapter 288 - Health Care Funding Districts in Certain Counties Located on Texas-Mexico Border › Subchapter D. General Financial Provisions › Section 288.152. Fiscal Year

Sec. 288.152.  FISCAL YEAR.  Each district's fiscal year begins on September 1 and ends on August 31 of each year.
Added by Acts 2005, 79th Leg., Ch. 1367 (H.B. 2463), Sec. 1, eff. June 18, 2005.
2023 Texas Statutes › Health and Safety Code › Title 4 - Health Facilities › Subtitle D - Hospital Districts › Chapter 288 - Health Care Funding Districts in Certain Counties Located on Texas-Mexico Border › Subchapter D. General Financial Provisions › Section 288.154. Depository

Sec. 288.154.  DEPOSITORY.  (a)  Each commission by resolution shall designate one or more banks located in the district as the depository for the district.  A bank designated as depository serves for two years or until a successor is designated.
(b)  All income received by a district, including the revenue from mandatory payments remaining after discounts and fees for assessing and collecting the payments are deducted, shall be deposited with the district depository as provided by Section 288.203 and may be withdrawn only as provided by this chapter.
(c)  All district funds shall be secured in the manner provided for securing county funds.
Added by Acts 2005, 79th Leg., Ch. 1367 (H.B. 2463), Sec. 1, eff. June 18, 2005.
Amended by:
Acts 2013, 83rd Leg., R.S., Ch. 1369 (S.B. 1623), Sec. 11, eff. June 14, 2013.
2023 Texas Statutes › Health and Safety Code › Title 4 - Health Facilities › Subtitle D - Hospital Districts › Chapter 288 - Health Care Funding Districts in Certain Counties Located on Texas-Mexico Border › Subchapter D. General Financial Provisions › Section 288.155. Local Provider Participation Fund; Authorized Uses of Money

Sec. 288.155.  LOCAL PROVIDER PARTICIPATION FUND; AUTHORIZED USES OF MONEY.  (a)  Each district shall create a local provider participation fund.
(b)  The local provider participation fund consists of:
(1)  all revenue from the mandatory payment required by this chapter, including any penalties and interest attributable to delinquent payments;
(2)  money received from the Health and Human Services Commission as a refund of an intergovernmental transfer from the district to the state for the purpose of providing the nonfederal share of Medicaid supplemental payment program payments, provided that the intergovernmental transfer does not receive a federal matching payment; and
(3)  the earnings of the fund.
(c)  Money deposited to the local provider participation fund may be used only to:
(1)  fund intergovernmental transfers from the district to the state to provide:
(A)  the nonfederal share of a Medicaid supplemental payment program authorized under the state Medicaid plan, the Texas Healthcare Transformation and Quality Improvement Program waiver issued under Section 1115 of the federal Social Security Act (42 U.S.C. Section 1315), or a successor waiver program authorizing similar Medicaid supplemental payment programs; or
(B)  payments to Medicaid managed care organizations that are dedicated for payment to hospitals;
(2)  subsidize indigent programs;
(3)  pay the administrative expenses of the district;
(4)  refund a portion of a mandatory payment collected in error from a paying hospital;
(5)  refund to paying hospitals the proportionate share of the money received by the district from the Health and Human Services Commission that is not used to fund the nonfederal share of Medicaid supplemental payment program payments; and
(6)  refund to paying hospitals the proportionate share of money that the district determines cannot be used to fund the nonfederal share of Medicaid supplemental payment program payments.
(d)  Money in the local provider participation fund may not be commingled with other county funds.
(e)  An intergovernmental transfer of funds described by Subsection (c)(1) and any funds received by the district as a result of an intergovernmental transfer described by that subdivision may not be used by the district, the county in which the district is located, or any other entity to expand Medicaid eligibility under the Patient Protection and Affordable Care Act (Pub. L. No. 111-148) as amended by the Health Care and Education Reconciliation Act of 2010 (Pub. L. No. 111-152).
Added by Acts 2013, 83rd Leg., R.S., Ch. 1369 (S.B. 1623), Sec. 12, eff. June 14, 2013.
Amended by:
Acts 2017, 85th Leg., R.S., Ch. 457 (S.B. 1462), Sec. 2, eff. June 12, 2017.
2023 Texas Statutes › Health and Safety Code › Title 4 - Health Facilities › Subtitle D - Hospital Districts › Chapter 288 - Health Care Funding Districts in Certain Counties Located on Texas-Mexico Border › Subchapter D. General Financial Provisions › Section 288.156. Allocation of Certain Funds

Sec. 288.156.  ALLOCATION OF CERTAIN FUNDS.  Not later than the 15th day after the date the district receives a payment described by Section 288.155(c)(5), the district shall transfer to each paying hospital an amount equal to the proportionate share of those funds to which the hospital is entitled.
Added by Acts 2013, 83rd Leg., R.S., Ch. 1369 (S.B. 1623), Sec. 12, eff. June 14, 2013.
2023 Texas Statutes › Health and Safety Code › Title 4 - Health Facilities › Subtitle D - Hospital Districts › Chapter 288 - Health Care Funding Districts in Certain Counties Located on Texas-Mexico Border › Subchapter E. Mandatory Payments › Section 288.201. Mandatory Payment Based on Hospital Net Patient Revenue

Sec. 288.201.  MANDATORY PAYMENT BASED ON HOSPITAL NET PATIENT REVENUE.  (a)  Except as provided by Subsection (e), the commission of a district may require an annual mandatory payment to be assessed quarterly on the net patient revenue of an institutional health care provider located in the district.  In the first year in which the mandatory payment is required, the mandatory payment is assessed on the net patient revenue of an institutional health care provider as determined by the data reported to the Department of State Health Services under Sections 311.032 and 311.033 in the fiscal year ending in 2010.  The district shall update the amount of the mandatory payment on a biennial basis.
(b)  The amount of a mandatory payment required under this chapter must be uniformly proportionate with the amount of net patient revenue generated by each paying hospital in the district.   A mandatory payment required under this section may not hold harmless any institutional health care provider, as required under 42 U.S.C. Section 1396b(w).
(c)  The commission of a district shall set the amount of the mandatory payment required under this section.  The amount of the mandatory payment required of each paying hospital may not exceed an amount that, when added to the amount of the mandatory payments required from all other paying hospitals in the district, equals an amount of revenue that exceeds six percent of the aggregate net patient revenue of all paying hospitals in the district.
(d)  Subject to the maximum amount prescribed by Subsection (c), the commission shall set the mandatory payments in amounts that in the aggregate will generate sufficient revenue to cover the administrative expenses of the district, to fund the nonfederal share of a Medicaid supplemental payment program, and to pay for indigent programs, except that the amount of revenue from mandatory payments used for administrative expenses of the district in a year may not exceed the lesser of four percent of the total revenue generated from the mandatory payment or $20,000.
(e)  An institutional health care provider may not add a mandatory payment required under this section as a surcharge to a patient.
Added by Acts 2005, 79th Leg., Ch. 1367 (H.B. 2463), Sec. 1, eff. June 18, 2005.
Amended by:
Acts 2013, 83rd Leg., R.S., Ch. 1369 (S.B. 1623), Sec. 14, eff. June 14, 2013.
2023 Texas Statutes › Health and Safety Code › Title 4 - Health Facilities › Subtitle D - Hospital Districts › Chapter 288 - Health Care Funding Districts in Certain Counties Located on Texas-Mexico Border › Subchapter E. Mandatory Payments › Section 288.202. Assessment and Collection of Mandatory Payments

Sec. 288.202.  ASSESSMENT AND COLLECTION OF MANDATORY PAYMENTS.  The district may collect or, using a competitive bidding process, contract for the assessment and collection of mandatory payments required under this chapter.
Added by Acts 2005, 79th Leg., Ch. 1367 (H.B. 2463), Sec. 1, eff. June 18, 2005.
Amended by:
Acts 2013, 83rd Leg., R.S., Ch. 1369 (S.B. 1623), Sec. 15, eff. June 14, 2013.
Acts 2017, 85th Leg., R.S., Ch. 457 (S.B. 1462), Sec. 3, eff. June 12, 2017.
2023 Texas Statutes › Health and Safety Code › Title 4 - Health Facilities › Subtitle D - Hospital Districts › Chapter 288 - Health Care Funding Districts in Certain Counties Located on Texas-Mexico Border › Subchapter E. Mandatory Payments › Section 288.203. Deposit of Revenue From Mandatory Payments

Sec. 288.203.  DEPOSIT OF REVENUE FROM MANDATORY PAYMENTS.  Revenue from the mandatory payment required by this chapter shall be deposited in the district's local provider participation fund.
Added by Acts 2005, 79th Leg., Ch. 1367 (H.B. 2463), Sec. 1, eff. June 18, 2005.
Amended by:
Acts 2013, 83rd Leg., R.S., Ch. 1369 (S.B. 1623), Sec. 16, eff. June 14, 2013.
2023 Texas Statutes › Health and Safety Code › Title 4 - Health Facilities › Subtitle D - Hospital Districts › Chapter 288 - Health Care Funding Districts in Certain Counties Located on Texas-Mexico Border › Subchapter E. Mandatory Payments › Section 288.204. Interest, Penalties, and Discounts

Sec. 288.204.  INTEREST, PENALTIES, AND DISCOUNTS.  Interest, penalties, and discounts on mandatory payments required under this subchapter are governed by the law applicable to county ad valorem taxes.
Added by Acts 2005, 79th Leg., Ch. 1367 (H.B. 2463), Sec. 1, eff. June 18, 2005.
Amended by:
Acts 2013, 83rd Leg., R.S., Ch. 1369 (S.B. 1623), Sec. 17, eff. June 14, 2013.
2023 Texas Statutes › Health and Safety Code › Title 4 - Health Facilities › Subtitle D - Hospital Districts › Chapter 288 - Health Care Funding Districts in Certain Counties Located on Texas-Mexico Border › Subchapter E. Mandatory Payments › Section 288.205. Purpose; Correction of Invalid Provision or Procedure

Sec. 288.205.  PURPOSE; CORRECTION OF INVALID PROVISION OR PROCEDURE.  (a)  The purpose of this chapter is to generate revenue from a mandatory payment required by the district to provide the nonfederal share of a Medicaid supplemental payment program.
(b)  To the extent any provision or procedure under this chapter causes a mandatory payment under this chapter to be ineligible for federal matching funds, the district may provide by rule for an alternative provision or procedure that conforms to the requirements of the federal Centers for Medicare and Medicaid Services.
Added by Acts 2005, 79th Leg., Ch. 1367 (H.B. 2463), Sec. 1, eff. June 18, 2005.
Amended by:
Acts 2013, 83rd Leg., R.S., Ch. 1369 (S.B. 1623), Sec. 18, eff. June 14, 2013.
2023 Texas Statutes › Health and Safety Code › Title 4 - Health Facilities › Subtitle D - Hospital Districts › Chapter 289 - County Health Care Funding Districts in Certain Counties Located on Texas-Mexico Border That Have Population of Less Than 300,000 › Subchapter A. General Provisions › Section 289.001. Definitions

Sec. 289.001.  DEFINITIONS.  In this chapter:
(1)  "Commission" means the commission of a district created under this chapter.
(2)  "District" means a county health care funding district created by this chapter.
(3)  "District taxpayer" means a person or entity who has paid a tax imposed under this chapter.
(4)  "Institutional health care provider" means a nonpublic hospital licensed under Chapter 241.
Added by Acts 2005, 79th Leg., Ch. 1367 (H.B. 2463), Sec. 1, eff. June 18, 2005.
2023 Texas Statutes › Health and Safety Code › Title 4 - Health Facilities › Subtitle D - Hospital Districts › Chapter 289 - County Health Care Funding Districts in Certain Counties Located on Texas-Mexico Border That Have Population of Less Than 300,000 › Subchapter A. General Provisions › Section 289.002. Creation of District

Sec. 289.002.  CREATION OF DISTRICT.  A district is created in each county located on the Texas-Mexico border that has a population of less than 300,000 and contains one or more municipalities with a population of 200,000 or more.
Added by Acts 2005, 79th Leg., Ch. 1367 (H.B. 2463), Sec. 1, eff. June 18, 2005.
Amended by:
Acts 2011, 82nd Leg., R.S., Ch. 1163 (H.B. 2702), Sec. 40, eff. September 1, 2011.
2023 Texas Statutes › Health and Safety Code › Title 4 - Health Facilities › Subtitle D - Hospital Districts › Chapter 289 - County Health Care Funding Districts in Certain Counties Located on Texas-Mexico Border That Have Population of Less Than 300,000 › Subchapter A. General Provisions › Section 289.003. Duration of District

Sec. 289.003.  DURATION OF DISTRICT.  (a)  Unless continued in existence by the legislature, a district created by this chapter is abolished September 1, 2007.
(b)  Any money held by a district at the time the district is abolished shall be used to pay any outstanding administrative expenses of the district, and the commission shall direct the secretary of the commission to return the pro rata share of any remaining district money to each district taxpayer.
Added by Acts 2005, 79th Leg., Ch. 1367 (H.B. 2463), Sec. 1, eff. June 18, 2005.
2023 Texas Statutes › Health and Safety Code › Title 4 - Health Facilities › Subtitle D - Hospital Districts › Chapter 289 - County Health Care Funding Districts in Certain Counties Located on Texas-Mexico Border That Have Population of Less Than 300,000 › Subchapter A. General Provisions › Section 289.004. Political Subdivision

Sec. 289.004.  POLITICAL SUBDIVISION.  A district created by this chapter is a political subdivision of this state.
Added by Acts 2005, 79th Leg., Ch. 1367 (H.B. 2463), Sec. 1, eff. June 18, 2005.
2023 Texas Statutes › Health and Safety Code › Title 4 - Health Facilities › Subtitle D - Hospital Districts › Chapter 289 - County Health Care Funding Districts in Certain Counties Located on Texas-Mexico Border That Have Population of Less Than 300,000 › Subchapter A. General Provisions › Section 289.005. District Territory

Sec. 289.005.  DISTRICT TERRITORY.  The boundaries of each district are coextensive with the boundaries of the county in which the district is created.
Added by Acts 2005, 79th Leg., Ch. 1367 (H.B. 2463), Sec. 1, eff. June 18, 2005.