Texas Health And Safety Code Title 4, Chapter 281 - Hospital Districts In Counties Of At Least 190,000

SUBCHAPTER A CREATION OF DISTRICT

• Texas Section 281.001 - Definitions
  In this chapter: (1) "Board" means the board of hospital managers of a district. (2) "District" means a hospital district created under this chapter. (3)...
• Texas Section 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...
• Texas Section 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...

SUBCHAPTER B DISTRICT ADMINISTRATION

• Texas Section 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...
• Texas Section 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...
• Texas Section 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...
• Texas Section 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...
• Texas Section 281.0221 - Term Limit
  A member of the board of hospital managers of the El Paso County Hospital District may not serve more than two consecutive three-year terms and...
• Texas Section 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...
• Texas Section 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...
• Texas Section 281.024 - Compensation
  A board member serves without compensation. Acts 1989, 71st Leg., ch. 678, Sec. 1, eff. Sept. 1, 1989.
• Texas Section 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...
• Texas Section 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...
• Texas Section 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...
• Texas Section 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...
• Texas Section 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 800,000 that was not included in the...
• Texas Section 281.0282 - Dallas County Hospital District; Employment Of Health Care Providers And Physicians
  (a) The board of the Dallas County Hospital District may appoint, contract for, or employ physicians, dentists, and other health care providers as the board...
• Texas Section 281.0283 - Harris County Hospital District; Employment Of Physicians
  (a) The board of the Harris County Hospital District may appoint, contract for, or employ physicians as the board considers necessary for the efficient operation...
• Texas Section 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)...
• Texas Section 281.0285 - El Paso County Hospital District; Employment Of Physicians, Dentists, And Other Health Care Providers
  (a) The board of the El Paso County Hospital District may appoint, contract for, or employ physicians, dentists, and other health care providers as the...
• Texas Section 281.0286 - Tarrant County Hospital District; Employment Of Physicians
  (a) The board of the Tarrant County Hospital District may appoint, contract for, or employ physicians as the board considers necessary for the efficient operation...
• Texas Section 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...
• Texas Section 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...

SUBCHAPTER C GENERAL POWERS AND DUTIES

• Texas Section 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...
• Texas Section 281.041 - Transfer Of County And Municipal Hospital Property And Funds
  (a) Except as provided by Subsection (e), on the creation of a district under this chapter and the appointment and qualification of the district board,...
• Texas Section 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...
• Texas Section 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...
• Texas Section 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...
• Texas Section 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....
• Texas Section 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...
• Texas Section 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...
• Texas Section 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....
• Texas Section 281.0475 - Renaming District
  (a) This section applies only to a district created in a county with a population of more than 800,000 that was not included in the...
• Texas Section 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,
• Texas Section 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...
• Texas Section 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...
• Texas Section 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...
• Texas Section 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 800,000 that was not included in the...
• Texas Section 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...
• Texas Section 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;...
• Texas Section 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...
• Texas Section 281.0517 - Integrated Health Care System
  (a) In this section: (1) "Integrated health care system" means a nonprofit corporation established and operated by a district and a medical school to provide...
• Texas Section 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...
• Texas Section 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...
• Texas Section 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:...
• Texas Section 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...
• Texas Section 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...
• Texas Section 281.056 - Authority To Sue And Be Sued; Legal Representation
  (a) The board may sue and be sued. A health care liability claim, as defined by Section 74.001, Civil Practice and Remedies Code, may be...
• Texas Section 281.0565 - Charitable Organizations
  (a) In this section, "charitable organization" means an organization that is exempt from federal income tax under Section 501(a) of the Internal Revenue Code of...
• Texas Section 281.057 - Employment Of District Peace Officers
  (a) The board of the Dallas County Hospital District, the Tarrant County Hospital District, the Bexar County Hospital District, or the El Paso County Hospital...

SUBCHAPTER D MEDICAL TREATMENT AND CARE

• Texas Section 281.058 - Authority To Form Captive Insurance Or Captive Management Company
  (a) In this section, "captive insurance company" and "captive management company" have the meanings assigned to those terms by Section 964.001, Insurance Code. (b) A...
• Texas Section 281.071 - Payment And Support
  (a) The administrator shall inquire into a patient's circumstances and the circumstances of the patient's relatives legally responsible for the patient's support if the patient...
• Texas Section 281.072 - Reimbursement For Services
  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...

SUBCHAPTER E DISTRICT FINANCES

• Texas Section 281.073 - Disposition Of District Records
  (a) The preservation, microfilming, destruction, or other disposition of the records of a district is subject to Subtitle C, Title 6, Local Government Code. (b)...
• Texas Section 281.091 - Budget
  (a) The administrator shall prepare an annual budget under the board's direction. (b) The budget and budget revisions must be approved by the board and...
• Texas Section 281.092 - Administrator's Report
  (a) As soon as practicable after the close of the fiscal year, the administrator shall make a report to the board, commissioners court, executive commissioner,...
• Texas Section 281.093 - Depository
  (a) Not later than the 30th day after the appointment of the board, the board shall: (1) select a depository for district funds in the...
• Texas Section 281.094 - Use Of Certain Funds By The Nueces County Hospital District
  (a) With the approval of the Nueces County Commissioners Court, the board of the Nueces County Hospital District may use funds made available to the...
• Texas Section 281.095 - Prohibition Against Participation In Tax Increment Financing By Certain Hospital Districts
  (a) In this section, "district" means Bexar County Hospital District, Nueces County Hospital District, El Paso County Hospital District, or Harris County Hospital District. (b)...

SUBCHAPTER F DISTRICT BONDS AND CERTIFICATES OF OBLIGATION

• Texas Section 281.096 - Authority To Take Actions Relating To Ad Valorem Taxes
  (a) With respect to the imposition or collection of an ad valorem tax imposed for the benefit of a hospital district, the commissioners court of...
• Texas Section 281.101 - General Obligation Bonds
  The commissioners court, in the district's name and on the district's faith and credit, may issue and sell bonds to acquire, construct, equip, or enlarge...
• Texas Section 281.102 - Bond Election
  (a) The district may not issue bonds, excluding refunding bonds, unless the bonds are authorized by a majority of the qualified voters of the district...
• Texas Section 281.103 - Refunding Bonds
  (a) Refunding bonds of the district may be issued to refund and pay any outstanding bonded indebtedness of the district, including assumed bonded indebtedness. (b)...
• Texas Section 281.104 - Execution Of Bonds
  The county judge of the county in which the district is created shall execute the bonds in the name of the district, and the county...
• Texas Section 281.105 - 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...
• Texas Section 281.106 - Authority To Issue Certificates Of Obligation
  With the approval of the commissioners court, the board may issue certificates of obligation in accordance with Subchapter C, Chapter 271, Local Government Code, for...

SUBCHAPTER G TAXES

• Texas Section 281.107 - Alternative Financing And Election Procedures
  (a) This section is applicable to any hospital district that was created pursuant to the authority granted by Section 4, Article IX, Texas Constitution, is...
• Texas Section 281.121 - Taxes To Pay Bonds And Certificates Of Obligation; Tax Assessment And Collection
  (a) When the district issues bonds or certificates of obligation payable from and secured by taxes under this chapter, the commissioners court shall impose a...
• Texas Section 281.122 - Reduction In Ad Valorem Tax Rate By Governmental Entity
  (a) This section applies only to a district created in a county with a population of more than 800,000 that was not included in the...
• Texas Section 281.124 - Election To Approve Tax Rate In Excess Of Rollback Tax Rate
  (a) This section applies only to a district created in a county with a population of more than 800,000 that was not included in the...

Last modified: September 28, 2016