reglab/statecodes huggingface dataset:
2023 Texas Statutes › Health and Safety Code › Title 4 - Health Facilities › Subtitle D - Hospital Districts › Chapter 281 - Hospital Districts in Counties of at Least 190,000 › Subchapter A. Creation of District › Section 281.002. District Authorization

Sec. 281.002.  DISTRICT AUTHORIZATION.  (a)  A county with at least 190,000 inhabitants that does not own or operate a hospital system for indigent or needy persons may create a countywide hospital district and provide for the establishment of a hospital or hospital system to furnish medical aid and hospital care to indigent and needy persons residing in the district.
(b)  A county with at least 190,000 inhabitants that owns and operates a hospital or hospital system for indigent or needy persons, separately or jointly with a municipality, may create a countywide hospital district and take over the hospital or hospital system to furnish medical aid and hospital care to indigent and needy persons residing in the district.
(c)  A county with at least 190,000 inhabitants that has within its boundaries a municipality that owns a hospital or hospital system for indigent or needy persons that is operated by or on behalf of the municipality may create a countywide hospital district to assume ownership of the hospital or hospital system and to furnish medical aid and hospital care to indigent and needy persons residing in the district.
Acts 1989, 71st Leg., ch. 678, Sec. 1, eff. Sept. 1, 1989.  Amended by Acts 2003, 78th Leg., ch. 198, Sec. 2.208, eff. Sept. 1, 2003.
2023 Texas Statutes › Health and Safety Code › Title 4 - Health Facilities › Subtitle D - Hospital Districts › Chapter 281 - Hospital Districts in Counties of at Least 190,000 › Subchapter A. Creation of District › Section 281.003. Creation Election Required

Sec. 281.003.  CREATION ELECTION REQUIRED.  (a)  The district may be created only if the creation is approved by a majority of the qualified voters of the county in which the proposed district is to be located who vote at an election called and held for that purpose.
(b)  The commissioners court may order a creation election to be held on its own motion and shall order the election on the presentation of a petition for a creation election signed by at least 100 qualified property taxpaying voters of the county.
(c)  The election shall be held on the first authorized uniform election date prescribed by the Election Code that allows sufficient time to comply with other requirements of law.
Acts 1989, 71st Leg., ch. 678, Sec. 1, eff. Sept. 1, 1989.
2023 Texas Statutes › Health and Safety Code › Title 4 - Health Facilities › Subtitle D - Hospital Districts › Chapter 281 - Hospital Districts in Counties of at Least 190,000 › Subchapter A. Creation of District › Section 281.004. Ballot Propositions

Sec. 281.004.  BALLOT PROPOSITIONS.  (a)  Except as provided by Subsection (a-1) or (b), the ballot for an election under this chapter shall be printed to provide for voting for or against the proposition:  "The creation of a hospital district and the levy of a tax not to exceed 75 cents on each $100 of the taxable value of property taxable by the district."
(a-1)  The ballot for an election under this chapter held in a county with a population of more than 1.2 million that is not included in the boundaries of a hospital district before September 1, 2003, shall be printed to provide for voting for or against the proposition:  "The creation of a hospital district and the levy of a tax not to exceed 25 cents on each $100 of the taxable value of property taxable by the district."
(b)  If the county or a municipality in the county has any outstanding bonds issued for hospital purposes, the ballot for an election under this chapter shall contain the proposition prescribed by Subsection (a) or (a-1), as appropriate, followed by ", and the assumption by the district of all outstanding bonds previously issued for hospital purposes by __________ County and by any municipality in the county."
Acts 1989, 71st Leg., ch. 678, Sec. 1, eff. Sept. 1, 1989.  Amended by Acts 2003, 78th Leg., ch. 198, Sec. 2.209, eff. Sept. 1, 2003.
Amended by:
Acts 2023, 88th Leg., R.S., Ch. 644 (H.B. 4559), Sec. 72, eff. September 1, 2023.
2023 Texas Statutes › Health and Safety Code › Title 4 - Health Facilities › Subtitle D - Hospital Districts › Chapter 281 - Hospital Districts in Counties of at Least 190,000 › Subchapter B. District Administration › Section 281.021. Appointment of Board

Sec. 281.021.  APPOINTMENT OF BOARD.  (a)  The commissioners court of a county in which a district is created under this chapter shall appoint a board of hospital managers composed of not less than five or more than seven members.
(b)  The commissioners court of a county with a population of more than 2.1 million but less than 2.5 million in which a district is created under this chapter shall appoint a board composed of not less than five or more than 15 members.
(c)  The Harris County Commissioners Court shall appoint a board composed of not less than seven or more than nine members.
(d)  If a district is created under this chapter in a county with a population of more than 1.2 million that was not included in the boundaries of a hospital district before September 1, 2003, the district shall be governed by a nine-member board of hospital managers, appointed as follows:
(1)  the commissioners court of the county shall appoint four members;
(2)  the governing body of the municipality with the largest population in the county shall appoint four members; and
(3)  the commissioners court and the governing body of the municipality described by Subdivision (2) shall jointly appoint one member.
(e)  The El Paso County Commissioners Court shall appoint a board composed of seven members, and shall by order provide for the qualifications of appointees to the board.
Acts 1989, 71st Leg., ch. 678, Sec. 1, eff. Sept. 1, 1989.  Amended by Acts 1991, 72nd Leg., ch. 597, Sec. 72, eff. Sept. 1, 1991;  Acts 2001, 77th Leg., ch. 669, Sec. 36, eff. Sept. 1, 2001;  Acts 2003, 78th Leg., ch. 198, Sec. 2.210, eff. Sept. 1, 2003.
Amended by:
Acts 2009, 81st Leg., R.S., Ch. 206 (S.B. 534), Sec. 1, eff. September 1, 2009.
Acts 2011, 82nd Leg., R.S., Ch. 841 (H.B. 3462), Sec. 1, eff. June 17, 2011.
Acts 2011, 82nd Leg., R.S., Ch. 1163 (H.B. 2702), Sec. 35, eff. September 1, 2011.
Acts 2023, 88th Leg., R.S., Ch. 644 (H.B. 4559), Sec. 73, eff. September 1, 2023.
2023 Texas Statutes › Health and Safety Code › Title 4 - Health Facilities › Subtitle D - Hospital Districts › Chapter 281 - Hospital Districts in Counties of at Least 190,000 › Subchapter B. District Administration › Section 281.0211. Appointment of Dallas County Hospital District Board; Members' Terms

Sec. 281.0211.  APPOINTMENT OF DALLAS COUNTY HOSPITAL DISTRICT BOARD; MEMBERS' TERMS.  (a)  The Dallas County Hospital District is governed by a board composed of 11 members, appointed as follows:
(1)  the Dallas County Commissioners Court shall appoint one member;
(2)  each commissioner on the Dallas County Commissioners Court shall appoint two members; and
(3)  the county judge of Dallas County shall appoint two members.
(b)  Board members appointed under this section serve staggered three-year terms, with as near as possible to one-third of the members' terms expiring each year.
(c)  On or after September 1, 2030, the Dallas County Commissioners Court shall appoint members to the board in accordance with Sections 281.021(a) and 281.022(a).
(d)  Subsection (c) does not affect the entitlement of a member of the board of the Dallas County Hospital District appointed to the board under this section before September 1, 2030, to continue to carry out the member's functions for the remainder of the member's term.
(e)  On the expiration of the terms of the board members described by Subsection (d), the Dallas County Commissioners Court shall take appropriate action to ensure that, as soon as possible, the board of the Dallas County Hospital District complies with the requirements of Sections 281.021(a) and 281.022(a).
Added by Acts 2015, 84th Leg., R.S., Ch. 899 (S.B. 1461), Sec. 1, eff. June 18, 2015.
Amended by:
Acts 2021, 87th Leg., R.S., Ch. 385 (S.B. 1165), Sec. 1, eff. June 7, 2021.
2023 Texas Statutes › Health and Safety Code › Title 4 - Health Facilities › Subtitle D - Hospital Districts › Chapter 281 - Hospital Districts in Counties of at Least 190,000 › Subchapter B. District Administration › Section 281.022. Term

Sec. 281.022.  TERM.  (a)  A board member serves a two-year term, except that the commissioners court may make some initial appointments for one year in order to stagger terms.
(b)  The members of the board of hospital managers of the Nueces County Hospital District serve staggered three-year terms, with as near as possible to one-third of the members' terms expiring each year.
(c)  The members of a board of hospital managers appointed under Section 281.021(d) serve staggered four-year terms, with as near as possible to one-fourth of the members' terms expiring each year.  The terms of the members appointed under that section are as follows:
(1)  the members appointed solely by the governing body of the municipality with the largest population in the county shall draw lots to determine which member serves a one-year term, which member serves a two-year term, which member serves a three-year term, and which member serves a four-year term;
(2)  the members appointed solely by the commissioners court of the county shall draw lots to determine which member serves a one-year term, which member serves a two-year term, which member serves a three-year term, and which member serves a four-year term;  and
(3)  the member appointed jointly by the governing body of the municipality described by Subdivision (1) and the commissioners court serves a four-year term.
(d)  The members of the board of hospital managers of the El Paso County Hospital District serve staggered three-year terms, with as near as possible to one-third of the members' terms expiring each year.
Acts 1989, 71st Leg., ch. 678, Sec. 1, eff. Sept. 1, 1989.  Amended by Acts 1995, 74th Leg., ch. 212, Sec. 1, eff. Sept. 1, 1995;  Acts 2003, 78th Leg., ch. 198, Sec. 2.211, eff. Sept. 1, 2003.
Amended by:
Acts 2009, 81st Leg., R.S., Ch. 206 (S.B. 534), Sec. 2, eff. September 1, 2009.
2023 Texas Statutes › Health and Safety Code › Title 4 - Health Facilities › Subtitle D - Hospital Districts › Chapter 281 - Hospital Districts in Counties of at Least 190,000 › Subchapter B. District Administration › Section 281.0222. Qualifications for Office

Sec. 281.0222.  QUALIFICATIONS FOR OFFICE.  (a)  This section applies only to the El Paso County Hospital District.
(b)  The El Paso County Commissioners Court may not appoint a person to the board of hospital managers of the district if the person is:
(1)  an employee of El Paso County;
(2)  a district employee; or
(3)  related within the third degree of consanguinity or affinity, as determined under Subchapter B, Chapter 573, Government Code, to a member of the commissioners court or to a person described by Subdivision (1) or (2).
Added by Acts 2011, 82nd Leg., R.S., Ch. 841 (H.B. 3462), Sec. 2, eff. June 17, 2011.
2023 Texas Statutes › Health and Safety Code › Title 4 - Health Facilities › Subtitle D - Hospital Districts › Chapter 281 - Hospital Districts in Counties of at Least 190,000 › Subchapter B. District Administration › Section 281.023. Officers

Sec. 281.023.  OFFICERS.  (a)  The board shall elect from among its members:
(1)  a chairman;  and
(2)  a vice-chairman to preside in the chairman's absence.
(b)  The board shall appoint a board member or the administrator to serve as secretary.
Acts 1989, 71st Leg., ch. 678, Sec. 1, eff. Sept. 1, 1989.
2023 Texas Statutes › Health and Safety Code › Title 4 - Health Facilities › Subtitle D - Hospital Districts › Chapter 281 - Hospital Districts in Counties of at Least 190,000 › Subchapter B. District Administration › Section 281.024. Compensation

Sec. 281.024.  COMPENSATION.  A board member serves without compensation.
Acts 1989, 71st Leg., ch. 678, Sec. 1, eff. Sept. 1, 1989.
2023 Texas Statutes › Health and Safety Code › Title 4 - Health Facilities › Subtitle D - Hospital Districts › Chapter 281 - Hospital Districts in Counties of at Least 190,000 › Subchapter B. District Administration › Section 281.025. Record of Board Meeting

Sec. 281.025.  RECORD OF BOARD MEETING.  (a)  The board shall require the secretary to keep a suitable record of each board meeting.
(b)  The presiding member shall read and sign the record after the meeting, and the secretary shall attest to the record.
Acts 1989, 71st Leg., ch. 678, Sec. 1, eff. Sept. 1, 1989.
2023 Texas Statutes › Health and Safety Code › Title 4 - Health Facilities › Subtitle D - Hospital Districts › Chapter 281 - Hospital Districts in Counties of at Least 190,000 › Subchapter B. District Administration › Section 281.026. Administrator; Duties

Sec. 281.026.  ADMINISTRATOR;  DUTIES.  (a)  The board shall appoint a person qualified by training and experience as the administrator for the district.
(b)  The administrator serves at the will of the board and for terms of not more than four years.
(c)  The administrator is entitled to compensation as determined by the board.
(d)  Before assuming duties, the administrator shall execute a bond payable to the district in the amount of not less than $10,000, conditioned on the faithful performance of the administrator's duties and any other requirements determined by the board.
(e)  Subject to the limitations prescribed by the board, the administrator shall:
(1)  perform duties required by the board;
(2)  supervise the work and activities of the district;  and
(3)  generally direct the affairs of the district.
Acts 1989, 71st Leg., ch. 678, Sec. 1, eff. Sept. 1, 1989.
Amended by:
Acts 2005, 79th Leg., Ch. 424 (S.B. 1769), Sec. 1, eff. June 17, 2005.
2023 Texas Statutes › Health and Safety Code › Title 4 - Health Facilities › Subtitle D - Hospital Districts › Chapter 281 - Hospital Districts in Counties of at Least 190,000 › Subchapter B. District Administration › Section 281.027. Assistant Administrator

Sec. 281.027.  ASSISTANT ADMINISTRATOR.  (a)  If the administrator is incapacitated, absent, or unable to perform the administrator's duties, the board may designate an assistant administrator to perform any of the administrator's powers or duties, subject to limitations prescribed by board order.
(b)  The assistant administrator or other persons shall execute a bond as required by board order.
Acts 1989, 71st Leg., ch. 678, Sec. 1, eff. Sept. 1, 1989.
2023 Texas Statutes › Health and Safety Code › Title 4 - Health Facilities › Subtitle D - Hospital Districts › Chapter 281 - Hospital Districts in Counties of at Least 190,000 › Subchapter B. District Administration › Section 281.028. Staff

Sec. 281.028.  STAFF.  (a)  The board may appoint doctors to the district's staff and hire technicians, nurses, and other employees the board considers advisable for the district's efficient operation.
(b)  An employment contract of a person appointed or hired under this section may not exceed four years.
Acts 1989, 71st Leg., ch. 678, Sec. 1, eff. Sept. 1, 1989.  Amended by Acts 1991, 72nd Leg., ch. 110, Sec. 1, eff. Aug. 26, 1991.
2023 Texas Statutes › Health and Safety Code › Title 4 - Health Facilities › Subtitle D - Hospital Districts › Chapter 281 - Hospital Districts in Counties of at Least 190,000 › Subchapter B. District Administration › Section 281.0281. Employment of Health Care Providers

Sec. 281.0281.  EMPLOYMENT OF HEALTH CARE PROVIDERS.  (a)  This section applies only to a district created in a county with a population of more than 1.2 million that was not included in the boundaries of a hospital district before September 1, 2003.
(b)  The board, as it considers necessary for the efficient operation of the district, may employ:
(1)  physicians as provided in this section and Sections 162.001(c-4) and (c-5), Occupations Code; and
(2)  dentists or other health care providers.
(c)  The board may employ a licensed physician as a medical director if the physician:
(1)  provides only policy, administrative, and managerial services; and
(2)  does not provide direct patient care or otherwise practice medicine, as defined by Section 151.002, Occupations Code, at or for the district.
(d)  This section does not authorize the board to supervise or control the practice of medicine or permit the unauthorized practice of medicine, as prohibited by Subtitle B, Title 3, Occupations Code.
Added by Acts 2007, 80th Leg., R.S., Ch. 164 (S.B. 1107), Sec. 4, eff. September 1, 2007.
Amended by:
Acts 2023, 88th Leg., R.S., Ch. 644 (H.B. 4559), Sec. 74, eff. September 1, 2023.
2023 Texas Statutes › Health and Safety Code › Title 4 - Health Facilities › Subtitle D - Hospital Districts › Chapter 281 - Hospital Districts in Counties of at Least 190,000 › Subchapter B. District Administration › Section 281.0284. Bexar County Hospital District; Employment of Physicians

Sec. 281.0284.  BEXAR COUNTY HOSPITAL DISTRICT; EMPLOYMENT OF PHYSICIANS. (a) The board of the Bexar County Hospital District may employ physicians as the board considers necessary for the efficient operation of the district.
(b)  A physician employed by the Bexar County Hospital District under this section must practice with a nonprofit health organization certified by the Texas Medical Board and created by the Bexar County Hospital District.
(c)  The term of an employment contract entered into under this section may not exceed four years.
(d)  This section may not be construed as authorizing the board of the Bexar County Hospital District to supervise or control the practice of medicine, as prohibited by Subtitle B, Title 3, Occupations Code.
Added by Acts 2011, 82nd Leg., R.S., Ch. 524 (H.B. 2351), Sec. 1, eff. June 17, 2011.
Redesignated from Health and Safety Code, Section 281.0283 by Acts 2013, 83rd Leg., R.S., Ch. 161 (S.B. 1093), Sec. 22.001(26), eff. September 1, 2013.
2023 Texas Statutes › Health and Safety Code › Title 4 - Health Facilities › Subtitle D - Hospital Districts › Chapter 281 - Hospital Districts in Counties of at Least 190,000 › Subchapter B. District Administration › Section 281.029. Retirement Programs

Sec. 281.029.  RETIREMENT PROGRAMS.  (a)  With the approval of the commissioners court, the board may contract with the state or the federal government as necessary to establish or continue a retirement program for the benefit of district employees.
(b)  In addition to the retirement programs authorized by Subsection (a), the board may establish a retirement program the board considers necessary and advisable for the benefit of district employees.
Acts 1989, 71st Leg., ch. 678, Sec. 1, eff. Sept. 1, 1989.
2023 Texas Statutes › Health and Safety Code › Title 4 - Health Facilities › Subtitle D - Hospital Districts › Chapter 281 - Hospital Districts in Counties of at Least 190,000 › Subchapter B. District Administration › Section 281.030. Seal

Sec. 281.030.  SEAL.  The board shall have a seal engraved with the district's name.  The seal shall be kept by the secretary and used to authenticate the board's acts.
Acts 1989, 71st Leg., ch. 678, Sec. 1, eff. Sept. 1, 1989.
2023 Texas Statutes › Health and Safety Code › Title 4 - Health Facilities › Subtitle D - Hospital Districts › Chapter 281 - Hospital Districts in Counties of at Least 190,000 › Subchapter B. District Administration › Section 281.031. Removal of Board Member

Sec. 281.031.  REMOVAL OF BOARD MEMBER.  (a)  A member of the board of hospital managers of the El Paso County Hospital District is considered to have resigned the member's position if the member:
(1)  is absent from all the regularly scheduled board and committee meetings that the member is eligible to attend during a 90-day period;
(2)  is absent from more than half of the regularly scheduled board and committee meetings that the member is eligible to attend during a 12-month period;
(3)  fails to pay a local tax, including an ad valorem tax, when due; or
(4)  would be ineligible to serve on the board as provided by Section 281.0222.
(b)  A resignation under Subsection (a) is effective immediately on the date the absence, disqualifying conduct, or ineligibility specified by Subsection (a) occurs or exists.
Added by Acts 2009, 81st Leg., R.S., Ch. 206 (S.B. 534), Sec. 3, eff. September 1, 2009.
Amended by:
Acts 2011, 82nd Leg., R.S., Ch. 841 (H.B. 3462), Sec. 3, eff. June 17, 2011.
2023 Texas Statutes › Health and Safety Code › Title 4 - Health Facilities › Subtitle D - Hospital Districts › Chapter 281 - Hospital Districts in Counties of at Least 190,000 › Subchapter C. General Powers and Duties › Section 281.042. Return of Transferred Property to County or Municipality

Sec. 281.042.  RETURN OF TRANSFERRED PROPERTY TO COUNTY OR MUNICIPALITY.  (a)  The board by deed may transfer to the county or a municipality any property that:
(1)  was transferred to the district by that county or municipality under Section 281.041;  and
(2)  the board considers is not and will not be useful for the purposes for which the property was originally transferred to the district.
(b)  The transfer may be made on terms determined suitable by the board and the commissioners court.
Acts 1989, 71st Leg., ch. 678, Sec. 1, eff. Sept. 1, 1989.
2023 Texas Statutes › Health and Safety Code › Title 4 - Health Facilities › Subtitle D - Hospital Districts › Chapter 281 - Hospital Districts in Counties of at Least 190,000 › Subchapter C. General Powers and Duties › Section 281.043. Assumption of Contract Obligations

Sec. 281.043.  ASSUMPTION OF CONTRACT OBLIGATIONS.  On the creation of the district, the district assumes, without prejudice to the rights of third parties, any outstanding contract obligations legally incurred by the county or municipality, or both, for the construction, support, maintenance, or operation of hospital facilities and the provision of health care services or hospital care, including mental health care, to indigent residents of the county or municipality before the creation of the district.
Acts 1989, 71st Leg., ch. 678, Sec. 1, eff. Sept. 1, 1989.  Amended by Acts 2003, 78th Leg., ch. 198, Sec. 2.213, eff. Sept. 1, 2003.
2023 Texas Statutes › Health and Safety Code › Title 4 - Health Facilities › Subtitle D - Hospital Districts › Chapter 281 - Hospital Districts in Counties of at Least 190,000 › Subchapter C. General Powers and Duties › Section 281.044. Assumption of Bonded Indebtedness; Cancellation of Unsold Municipal or County Bonds

Sec. 281.044.  ASSUMPTION OF BONDED INDEBTEDNESS;  CANCELLATION OF UNSOLD MUNICIPAL OR COUNTY BONDS.  (a)  On the creation of the district, the district assumes:
(1)  any outstanding bonded indebtedness incurred by the county or municipality, or both, in the acquisition of land, buildings, and equipment transferred to the district or in the construction and equipping of hospital facilities;  and
(2)  any other outstanding bonds issued by the county or municipality for hospital purposes, the proceeds of which are in whole or in part unexpended.
(b)  On the creation of the district, the county or a municipality in the district that issued bonds for hospital purposes is no longer liable for the payment of the bonds or for providing interest and sinking fund requirements on those bonds.
(c)  This section does not limit or affect the rights of a bondholder against the county or municipality if there is a default in payment of the principal or interest on the bonds in accordance with their terms.
(d)  If the issuance of bonds by the county or municipality, or both, to provide hospital facilities was approved at a bond election but the bonds have not been sold on the date on which the hospital district is created under this chapter, the bond authority is canceled and the county or municipality, or both, may not sell the bonds.
Acts 1989, 71st Leg., ch. 678, Sec. 1, eff. Sept. 1, 1989.
2023 Texas Statutes › Health and Safety Code › Title 4 - Health Facilities › Subtitle D - Hospital Districts › Chapter 281 - Hospital Districts in Counties of at Least 190,000 › Subchapter C. General Powers and Duties › Section 281.045. Limitation on Taxing Power by Governmental Entity; Disposition of Delinquent Taxes

Sec. 281.045.  LIMITATION ON TAXING POWER BY GOVERNMENTAL ENTITY;  DISPOSITION OF DELINQUENT TAXES.  (a)  On or after the creation of the district, the county or a municipality located in the district may not levy taxes for hospital purposes.
(b)  The county or a municipality located in the district that collects delinquent taxes owed to the county or municipality on levies for county and municipal hospital systems under Chapter 265 shall pay the amount of the collected delinquent taxes to the district, and the district shall apply that money to the purposes for which the taxes were originally levied.
Acts 1989, 71st Leg., ch. 678, Sec. 1, eff. Sept. 1, 1989.
2023 Texas Statutes › Health and Safety Code › Title 4 - Health Facilities › Subtitle D - Hospital Districts › Chapter 281 - Hospital Districts in Counties of at Least 190,000 › Subchapter C. General Powers and Duties › Section 281.046. District Responsibility for Medical Aid and Hospital Care

Sec. 281.046.  DISTRICT RESPONSIBILITY FOR MEDICAL AID AND HOSPITAL CARE.  Beginning on the date on which taxes are collected for the district, the district assumes full responsibility for furnishing medical and hospital care for indigent and needy persons residing in the district.
Acts 1989, 71st Leg., ch. 678, Sec. 1, eff. Sept. 1, 1989.
2023 Texas Statutes › Health and Safety Code › Title 4 - Health Facilities › Subtitle D - Hospital Districts › Chapter 281 - Hospital Districts in Counties of at Least 190,000 › Subchapter C. General Powers and Duties › Section 281.0465. Nursing Services for School Districts

Sec. 281.0465.  NURSING SERVICES FOR SCHOOL DISTRICTS.  A hospital district may contract with a school district included in the hospital district to provide nursing services and assistance to employees or students of the school district.
Added by Acts 1995, 74th Leg., ch. 260, Sec. 38, eff. May 30, 1995.
2023 Texas Statutes › Health and Safety Code › Title 4 - Health Facilities › Subtitle D - Hospital Districts › Chapter 281 - Hospital Districts in Counties of at Least 190,000 › Subchapter C. General Powers and Duties › Section 281.047. Management, Control, and Administration

Sec. 281.047.  MANAGEMENT, CONTROL, AND ADMINISTRATION.  The board shall manage, control, and administer the hospital or hospital system of the district.
Acts 1989, 71st Leg., ch. 678, Sec. 1, eff. Sept. 1, 1989.
2023 Texas Statutes › Health and Safety Code › Title 4 - Health Facilities › Subtitle D - Hospital Districts › Chapter 281 - Hospital Districts in Counties of at Least 190,000 › Subchapter C. General Powers and Duties › Section 281.0475. Renaming District

Sec. 281.0475.  RENAMING DISTRICT.  (a)  This section applies only to a district created in a county with a population of more than 1.2 million that was not included in the boundaries of a hospital district before September 1, 2003.
(b)  With the approval of the commissioners court, the board may rename the district.
Added by Acts 2005, 79th Leg., Ch. 1094 (H.B. 2120), Sec. 10, eff. September 1, 2005.
Amended by:
Acts 2023, 88th Leg., R.S., Ch. 644 (H.B. 4559), Sec. 76, eff. September 1, 2023.
2023 Texas Statutes › Health and Safety Code › Title 4 - Health Facilities › Subtitle D - Hospital Districts › Chapter 281 - Hospital Districts in Counties of at Least 190,000 › Subchapter C. General Powers and Duties › Section 281.048. District Rules

Sec. 281.048.  DISTRICT RULES.  The board may adopt rules governing the operation of the hospital or hospital system.
Acts 1989, 71st Leg., ch. 678, Sec. 1, eff. Sept. 1, 1989.
2023 Texas Statutes › Health and Safety Code › Title 4 - Health Facilities › Subtitle D - Hospital Districts › Chapter 281 - Hospital Districts in Counties of at Least 190,000 › Subchapter C. General Powers and Duties › Section 281.049. Purchasing and Accounting Methods and Procedures

Sec. 281.049.  PURCHASING AND ACCOUNTING METHODS AND PROCEDURES.  (a)  The commissioners court may prescribe:
(1)  the method of making purchases and expenditures by and for the district;  and
(2)  accounting and control procedures for the district.
(b)  The commissioners court by resolution or order may delegate its powers under Subsection (a) to the board.
(c)  A county officer, employee, or agent shall perform any function or service required by the commissioners court under this section.
(d)  The district shall pay salaries and expenses necessarily incurred by the county or by a county officer or agent in performing a duty prescribed or required under this section.
Acts 1989, 71st Leg., ch. 678, Sec. 1, eff. Sept. 1, 1989.
2023 Texas Statutes › Health and Safety Code › Title 4 - Health Facilities › Subtitle D - Hospital Districts › Chapter 281 - Hospital Districts in Counties of at Least 190,000 › Subchapter C. General Powers and Duties › Section 281.050. Powers Relating to District Property, Facilities, and Equipment

Sec. 281.050.  POWERS RELATING TO DISTRICT PROPERTY, FACILITIES, AND EQUIPMENT.  (a)  With the approval of the commissioners court, the board may construct, condemn, acquire, lease, add to, maintain, operate, develop, regulate, sell, exchange, and convey any property, property right, equipment, hospital facility, or system to maintain a hospital, building, or other facility or to provide a service required by the district.  Approval of the commissioners court shall be required for the sale or lease of a hospital facility regardless of the provisions of Section 285.051.
(b)  Notwithstanding any other law, the board may, with the approval of the commissioners court, enter into a lease, including a lease with an option to purchase, an installment purchase agreement, an installment sale agreement, or any other type of agreement that relates to real property considered appropriate by the board to provide for the development, improvement, acquisition, or management of developed or undeveloped real property designed to generate revenue for the financial benefit of the district.  The board, directly or through a nonprofit corporation, may contract or enter into a joint venture with a public or private entity as necessary to enter into an agreement under this subsection.
Acts 1989, 71st Leg., ch. 678, Sec. 1, eff. Sept. 1, 1989.  Amended by Acts 1997, 75th Leg., ch. 137, Sec. 1, eff. Sept. 1, 1997.
Amended by:
Acts 2009, 81st Leg., R.S., Ch. 535 (S.B. 1478), Sec. 1, eff. June 19, 2009.
Acts 2015, 84th Leg., R.S., Ch. 104 (H.B. 2559), Sec. 1, eff. May 23, 2015.
2023 Texas Statutes › Health and Safety Code › Title 4 - Health Facilities › Subtitle D - Hospital Districts › Chapter 281 - Hospital Districts in Counties of at Least 190,000 › Subchapter C. General Powers and Duties › Section 281.051. Contracting Authority

Sec. 281.051.  CONTRACTING AUTHORITY.  (a)  With the approval of the commissioners court, the board may, in performing its powers under Section 281.050, contract or cooperate with:
(1)  the federal government;
(2)  this state;
(3)  another governmental entity;  or
(4)  a privately owned or operated hospital.
(b)  With the approval of the commissioners court, the board may contract with:
(1)  a county for care and treatment of the county's sick, diseased, or injured persons;  and
(2)  this state or the federal government for care and treatment of sick, diseased, or injured persons for whom the state or federal government is responsible.
(c)  The board shall encourage and promote participation by all sectors of the business community, including small businesses and businesses owned by members of a minority group or by women, in the process by which the district enters into contracts.  The board shall develop a plan for the district to identify and remove barriers that do not have a definite or objective relationship to quality or competence and that unfairly discriminate against small businesses and businesses owned by members of a minority or by women.  These barriers may include contracting procedures and contract specifications or conditions.
Acts 1989, 71st Leg., ch. 678, Sec. 1, eff. Sept. 1, 1989.  Amended by Acts 1993, 73rd Leg., ch. 996, Sec. 1, eff. Aug. 30, 1993;  Acts 1997, 75th Leg., ch. 137, Sec. 2, eff. Sept. 1, 1997.
2023 Texas Statutes › Health and Safety Code › Title 4 - Health Facilities › Subtitle D - Hospital Districts › Chapter 281 - Hospital Districts in Counties of at Least 190,000 › Subchapter C. General Powers and Duties › Section 281.0511. Contracting Authority of Certain Districts; Lease of Property or Hospital Facilities

Sec. 281.0511.  CONTRACTING AUTHORITY OF CERTAIN DISTRICTS; LEASE OF PROPERTY OR HOSPITAL FACILITIES.  (a)  This section applies only to a district created in a county with a population of more than 1.2 million that was not included in the boundaries of a hospital district before September 1, 2003.
(b)  Notwithstanding Sections 281.050 and 281.051, the board may contract with any person, including a private or public entity or a political subdivision of this state, to provide or assist in the provision of services.
(c)  Notwithstanding Section 281.050, the board may lease any property or hospital facility without the approval of the commissioners court.  The board may enter into a lease under this subsection only after an open meeting in accordance with Chapter 551, Government Code, including Section 551.072, Government Code.
(d)  Notwithstanding any other law, the board may, with the approval of the commissioners court at a meeting subject to Chapter 551, Government Code, lease undeveloped or vacant real property for not more than 99 years to provide for the development and construction of facilities designed to generate revenue for the financial benefit of the district.  The board, directly or through a nonprofit corporation, may contract or enter into a joint venture with a public or private entity as necessary to enter into a lease under this subsection.
Added by Acts 2007, 80th Leg., R.S., Ch. 164 (S.B. 1107), Sec. 5, eff. September 1, 2007.
Amended by:
Acts 2011, 82nd Leg., R.S., Ch. 917 (S.B. 1352), Sec. 1, eff. June 17, 2011.
Acts 2011, 82nd Leg., R.S., Ch. 917 (S.B. 1352), Sec. 2, eff. June 17, 2011.
Acts 2015, 84th Leg., R.S., Ch. 104 (H.B. 2559), Sec. 2, eff. May 23, 2015.
Acts 2023, 88th Leg., R.S., Ch. 644 (H.B. 4559), Sec. 77, eff. September 1, 2023.
2023 Texas Statutes › Health and Safety Code › Title 4 - Health Facilities › Subtitle D - Hospital Districts › Chapter 281 - Hospital Districts in Counties of at Least 190,000 › Subchapter C. General Powers and Duties › Section 281.0512. Contract to Provide Administrative Functions and Services

Sec. 281.0512.  CONTRACT TO PROVIDE ADMINISTRATIVE FUNCTIONS AND SERVICES.  (a)  This section applies only to a federally qualified health center as defined by 42 U.S.C. Section 1396d(l)(2)(B) or a federally qualified health center look-alike organized and operated under the authority of and in compliance with 42 U.S.C. Section 254b that is substantially devoted to providing services to socially and economically disadvantaged individuals in the geographical area of the district.
(b)  The board may contract with a federally qualified health center or a federally qualified health center look-alike to perform for the center administrative functions and services that the district and the center may perform independently.
Added by Acts 2011, 82nd Leg., R.S., Ch. 633 (S.B. 847), Sec. 1, eff. June 17, 2011.
2023 Texas Statutes › Health and Safety Code › Title 4 - Health Facilities › Subtitle D - Hospital Districts › Chapter 281 - Hospital Districts in Counties of at Least 190,000 › Subchapter C. General Powers and Duties › Section 281.0514. Harris County Hospital District; Contract With Certain Hospitals

Sec. 281.0514.  HARRIS COUNTY HOSPITAL DISTRICT;  CONTRACT WITH CERTAIN HOSPITALS.  (a)  The Harris County Hospital District may contract for indigent health care services with at least one hospital that is:
(1)  located in the district;
(2)  exempt from federal income tax under Section 501(a), Internal Revenue Code of 1986, and its subsequent amendments, by being listed as an exempt entity under any subdivision of Section 501(c) of that code;  and
(3)  substantially devoted to providing hospital services to socially and economically disadvantaged individuals in the geographical area of the district.
(b)  A contract under this section is subject to Section 281.051(a).
Added by Acts 1999, 76th Leg., ch. 1377, Sec. 1.24, eff. Sept. 1, 1999.
2023 Texas Statutes › Health and Safety Code › Title 4 - Health Facilities › Subtitle D - Hospital Districts › Chapter 281 - Hospital Districts in Counties of at Least 190,000 › Subchapter C. General Powers and Duties › Section 281.0515. Procedures for Health Maintenance Organization

Sec. 281.0515.  PROCEDURES FOR HEALTH MAINTENANCE ORGANIZATION.  A district may establish a health maintenance organization in accordance with Chapter 843, Insurance Code, to provide or arrange for health care services for the residents of the district.
Added by Acts 1993, 73rd Leg., ch. 908, Sec. 2, eff. Aug. 30, 1993.
Amended by:
Acts 2015, 84th Leg., R.S., Ch. 1 (S.B. 219), Sec. 3.0829, eff. April 2, 2015.
2023 Texas Statutes › Health and Safety Code › Title 4 - Health Facilities › Subtitle D - Hospital Districts › Chapter 281 - Hospital Districts in Counties of at Least 190,000 › Subchapter C. General Powers and Duties › Section 281.0518. Dallas County Hospital District; Authority to Sell or License Intellectual Property

Sec. 281.0518.  DALLAS COUNTY HOSPITAL DISTRICT; AUTHORITY TO SELL OR LICENSE INTELLECTUAL PROPERTY.  (a)  The Dallas County Hospital District or a nonprofit corporation formed by the district may:
(1)  sell or license technology or intellectual property that is owned by or licensed to the district or a nonprofit corporation formed by the district;
(2)  enter into a contract to provide services related to technology or intellectual property sold or licensed under Subdivision (1);
(3)  contract, collaborate, or enter into a joint venture or other agreement with a public or private entity to engage in an activity authorized under Subdivision (1) or (2); or
(4)  take any other action necessary to protect or benefit from the exclusivity of technology and intellectual property owned by or licensed to the district or a nonprofit corporation formed by the district, including applying for, acquiring, registering, securing, holding, protecting, and renewing under applicable provisions of state, federal, or international law:
(A)  a patent;
(B)  a copyright;
(C)  a trademark, service mark, collective mark, or certification mark; or
(D)  any other form of protection of intellectual property provided by law.
(a-1)  For purposes of Subsection (a)(3):
(1)  a public or private entity may be a for-profit or a nonprofit entity; and
(2)  a nonprofit corporation formed by the district may hold an ownership interest in a public or private entity described by Subsection (a)(3).
(b)  Information prepared or compiled by or for the Dallas County Hospital District or a nonprofit corporation formed by the district relating to the development of technology or intellectual property to which this section applies is exempt from public disclosure under Chapter 552, Government Code.
Added by Acts 2013, 83rd Leg., R.S., Ch. 1375 (S.B. 1916), Sec. 1, eff. June 14, 2013.
Amended by:
Acts 2015, 84th Leg., R.S., Ch. 363 (H.B. 2557), Sec. 1, eff. June 9, 2015.
2023 Texas Statutes › Health and Safety Code › Title 4 - Health Facilities › Subtitle D - Hospital Districts › Chapter 281 - Hospital Districts in Counties of at Least 190,000 › Subchapter C. General Powers and Duties › Section 281.0519. Tarrant County Hospital District; Authority to Sell or License Intellectual Property

Sec. 281.0519.  TARRANT COUNTY HOSPITAL DISTRICT; AUTHORITY TO SELL OR LICENSE INTELLECTUAL PROPERTY.  (a)  The Tarrant County Hospital District or a nonprofit corporation formed by the district may:
(1)  sell or license technology or intellectual property that is owned by or licensed to the district or a nonprofit corporation formed by the district;
(2)  enter into a contract to provide services related to technology or intellectual property sold or licensed under Subdivision (1);
(3)  contract, collaborate, or enter into a joint venture or other agreement with a public or private entity to engage in an activity authorized under Subdivision (1) or (2); or
(4)  take any other action necessary to protect or benefit from the exclusivity of technology and intellectual property owned by or licensed to the district or a nonprofit corporation formed by the district, including applying for, acquiring, registering, securing, holding, protecting, and renewing under applicable provisions of state, federal, or international law:
(A)  a patent;
(B)  a copyright;
(C)  a trademark, service mark, collective mark, or certification mark; or
(D)  any other form of protection of intellectual property provided by law.
(b)  For purposes of Subsection (a)(3):
(1)  a public or private entity may be a for-profit or a nonprofit entity; and
(2)  a nonprofit corporation formed by the district may hold an ownership interest in a public or private entity described by Subsection (a)(3).
(c)  Information prepared or compiled by or for the Tarrant County Hospital District or a nonprofit corporation formed by the district relating to the development of technology or intellectual property to which this section applies is exempt from public disclosure under Chapter 552, Government Code.
Added by Acts 2021, 87th Leg., R.S., Ch. 351 (H.B. 2847), Sec. 1, eff. June 7, 2021.
2023 Texas Statutes › Health and Safety Code › Title 4 - Health Facilities › Subtitle D - Hospital Districts › Chapter 281 - Hospital Districts in Counties of at Least 190,000 › Subchapter C. General Powers and Duties › Section 281.052. County Authority to Sell, Lease, and Purchase Facilities for District Purposes

Sec. 281.052.  COUNTY AUTHORITY TO SELL, LEASE, AND PURCHASE FACILITIES FOR DISTRICT PURPOSES.  (a)  The commissioners court of a county in which a district is created under this chapter may sell real or personal property in order to enter into a contract to:
(1)  lease or rent buildings, land, facilities, equipment, or services from others for district purposes;
(2)  construct, repair, renovate, improve, or enlarge buildings, land, facilities, or equipment for district purposes;  and
(3)  pay regular monthly utility bills, including electricity, gas, and water bills, for the leased or rented buildings, land, facilities, equipment, or services.
(b)  The commissioners court may pay for the facilities, equipment, and services and for the regular monthly utility bills for those facilities, equipment, and services from the county's general fund if a majority of the commissioners court considers the facilities, equipment, and services essential to the proper administration of the county.
(c)  A construction project under this section shall be let by contract.  The contract must contain the prevailing wage for mechanics, laborers, and other persons employed in the project.  The Tarrant County Commissioners Court shall set the prevailing wage in the amount set by the commissioners court for all construction projects involving the expenditure of county funds.
(d)  On or before the expiration of the lease or rental contract, the county may purchase the facilities with county general funds if a majority of the commissioners court considers the purchase price reasonable.
Acts 1989, 71st Leg., ch. 678, Sec. 1, eff. Sept. 1, 1989.
2023 Texas Statutes › Health and Safety Code › Title 4 - Health Facilities › Subtitle D - Hospital Districts › Chapter 281 - Hospital Districts in Counties of at Least 190,000 › Subchapter C. General Powers and Duties › Section 281.053. District Inspections

Sec. 281.053.  DISTRICT INSPECTIONS.  (a)  The district may be inspected by a representative of the commissioners court or the Department of State Health Services.
(b)  A district officer shall:
(1)  admit an inspector into the district facilities;  and
(2)  on demand give the inspector access to records, reports, books, papers, and accounts related to the district.
Acts 1989, 71st Leg., ch. 678, Sec. 1, eff. Sept. 1, 1989.
Amended by:
Acts 2015, 84th Leg., R.S., Ch. 1 (S.B. 219), Sec. 3.0830, eff. April 2, 2015.
2023 Texas Statutes › Health and Safety Code › Title 4 - Health Facilities › Subtitle D - Hospital Districts › Chapter 281 - Hospital Districts in Counties of at Least 190,000 › Subchapter C. General Powers and Duties › Section 281.054. Eminent Domain

Sec. 281.054.  EMINENT DOMAIN.  (a)  The district has the power of eminent domain to acquire any interest in real, personal, or mixed property located in the district if the property interest is necessary or convenient for the exercise of the rights or authority conferred on the district by this chapter.
(b)  The district must exercise the power of eminent domain in the manner provided by Chapter 21, Property Code, but the district is not required to deposit with the trial court money or a bond as provided by Section 21.021(a), Property Code.
(c)  In a condemnation proceeding brought by the district, the district is not required to:
(1)  pay in advance or give bond or other security for costs in the trial court;
(2)  give bond for the issuance of a temporary restraining order or a temporary injunction;  or
(3)  give bond for costs or supersedeas on an appeal or writ of error.
Acts 1989, 71st Leg., ch. 678, Sec. 1, eff. Sept. 1, 1989.
2023 Texas Statutes › Health and Safety Code › Title 4 - Health Facilities › Subtitle D - Hospital Districts › Chapter 281 - Hospital Districts in Counties of at Least 190,000 › Subchapter C. General Powers and Duties › Section 281.055. Gifts and Endowments

Sec. 281.055.  GIFTS AND ENDOWMENTS.  On behalf of the district, the board may accept gifts and endowments to be held in trust and administered by the board for the purposes and under the directions, limitations, or provisions prescribed in writing by the donor that are consistent with the proper management of the district.
Acts 1989, 71st Leg., ch. 678, Sec. 1, eff. Sept. 1, 1989.