    SPECIAL DISTRICT LOCAL LAWS CODE
    TITLE 3. HEALTH
    SUBTITLE A. HOSPITAL DISTRICTS
    CHAPTER 1007.  BIG BEND REGIONAL HOSPITAL DISTRICT
    SUBCHAPTER A.  GENERAL PROVISIONS
    Sec. 1007.001.  DEFINITIONS.  In this chapter:(1)  "Board" means the board of directors of the district.(2)  "Director" means a member of the board.(3)  "District" means the Big Bend Regional Hospital District.
    Added by Acts 2007, 80th Leg., R.S., Ch. 920 (H.B. 3166), Sec. 1.02, eff. April 1, 2009.

    Sec. 1007.002.  AUTHORITY FOR CREATION.  The district is created under Section 9, Article IX, Texas Constitution.
    Added by Acts 2007, 80th Leg., R.S., Ch. 920 (H.B. 3166), Sec. 1.02, eff. April 1, 2009.

    Sec. 1007.003.  DISTRICT TERRITORY.  The boundaries of the district are coextensive with the boundaries of:(1)  Presidio County, including all "cut over" or "banco" land on the north side of the Rio Grande; and(2)  Brewster County.
    Added by Acts 2007, 80th Leg., R.S., Ch. 920 (H.B. 3166), Sec. 1.02, eff. April 1, 2009.

    Sec. 1007.004.  DISTRICT SUPPORT AND MAINTENANCE NOT STATE OBLIGATION.  The support and maintenance of the district's hospital system and any indebtedness incurred by the district under this chapter may not become a charge against or obligation of this state.
    Added by Acts 2007, 80th Leg., R.S., Ch. 920 (H.B. 3166), Sec. 1.02, eff. April 1, 2009.

    Sec. 1007.005.  RESTRICTION ON STATE FINANCIAL ASSISTANCE.  The legislature may not make a direct appropriation for the construction, maintenance, or improvement of a district facility.
    Added by Acts 2007, 80th Leg., R.S., Ch. 920 (H.B. 3166), Sec. 1.02, eff. April 1, 2009.

    SUBCHAPTER B.  DISTRICT ADMINISTRATION
    Sec. 1007.051.  BOARD ELECTION; TERM.  (a)  The board consists of five directors elected from single-member voting subdistricts established by the board.(b)  The board shall revise each single-member subdistrict after each federal decennial census to reflect population changes.  At the first election after the subdistricts are revised, a new director shall be elected from each subdistrict.  The directors shall draw lots to determine which two directors shall serve two-year terms and which three directors shall serve four-year terms.(c)  Directors serve staggered four-year terms.(d)  An election shall be held on the uniform election date in May of each even-numbered year to elect the appropriate number of directors.
    Added by Acts 2007, 80th Leg., R.S., Ch. 920 (H.B. 3166), Sec. 1.02, eff. April 1, 2009.

    Sec. 1007.052.  NOTICE OF ELECTION.  At least 35 days before the date of an election of directors, notice of the election must be published one time in a newspaper with general circulation in the district.
    Added by Acts 2007, 80th Leg., R.S., Ch. 920 (H.B. 3166), Sec. 1.02, eff. April 1, 2009.

    Sec. 1007.053.  QUALIFICATIONS FOR OFFICE.  (a)  A person may not be a candidate for or serve as a director unless the person is:(1)  a district resident; and(2)  a qualified voter.(b)  A person is not eligible to serve as a director if the person is:(1)  a district employee;(2)  a party to a contract with the district to perform services for compensation; or(3)  a physician who has staff privileges at a district facility.(c)  A person who is elected from a single-member subdistrict or who is appointed to fill a vacancy for a single-member subdistrict must reside in that subdistrict.
    Added by Acts 2007, 80th Leg., R.S., Ch. 920 (H.B. 3166), Sec. 1.02, eff. April 1, 2009.

    Sec. 1007.054.  BOND; RECORD OF BOND AND OATH OR AFFIRMATION OF OFFICE.  (a)  Each director shall qualify for office by executing a good and sufficient commercial bond for $1,000 that is:(1)  payable to the district; and(2)  conditioned on the faithful performance of the director's duties.(b)  The district shall pay for the directors' bonds.(c)  Each director's bond and constitutional oath or affirmation of office shall be deposited in the district depository for safekeeping.
    Added by Acts 2007, 80th Leg., R.S., Ch. 920 (H.B. 3166), Sec. 1.02, eff. April 1, 2009.

    Sec. 1007.055.  OFFICERS.  The board shall elect from among its members a president, secretary, and treasurer at the first meeting of the board after each directors' election.
    Added by Acts 2007, 80th Leg., R.S., Ch. 920 (H.B. 3166), Sec. 1.02, eff. April 1, 2009.

    Sec. 1007.056.  COMPENSATION; EXPENSES.  A director serves without compensation but is entitled to reimbursement for necessary expenses incurred in the performance of official duties.
    Added by Acts 2007, 80th Leg., R.S., Ch. 920 (H.B. 3166), Sec. 1.02, eff. April 1, 2009.

    Sec. 1007.057.  DISTRICT ADMINISTRATOR.  (a)  The board may employ a district administrator to manage the operations of the hospital system.(b)  The district administrator may employ necessary personnel to perform the services provided by the system.
    Added by Acts 2007, 80th Leg., R.S., Ch. 920 (H.B. 3166), Sec. 1.02, eff. April 1, 2009.

    Sec. 1007.058.  EMPLOYEES.The board may employ an attorney, general manager, bookkeeper, architect, and other employees necessary for the efficient operation of the district.
    Added by Acts 2007, 80th Leg., R.S., Ch. 920 (H.B. 3166), Sec. 1.02, eff. April 1, 2009.

    Sec. 1007.059.  RETIREMENT BENEFITS.  The board may enter into any contract or agreement with this state or the federal government that is required to establish or continue a retirement program for the benefit of the district's employees.
    Added by Acts 2007, 80th Leg., R.S., Ch. 920 (H.B. 3166), Sec. 1.02, eff. April 1, 2009.

    Sec. 1007.060.  MAINTENANCE OF RECORDS; PUBLIC INSPECTION.  The board shall:(1)  maintain all district records, including books, accounts, notices, minutes, and other matters of the district and its operation, at the district office; and(2)  make those records available for public inspection at reasonable times.
    Added by Acts 2007, 80th Leg., R.S., Ch. 920 (H.B. 3166), Sec. 1.02, eff. April 1, 2009.

    SUBCHAPTER C.  POWERS AND DUTIES
    Sec. 1007.101.  DISTRICT RESPONSIBILITY.  The district shall provide all necessary hospital and medical care for the district's needy inhabitants.
    Added by Acts 2007, 80th Leg., R.S., Ch. 920 (H.B. 3166), Sec. 1.02, eff. April 1, 2009.

    Sec. 1007.102.  RESTRICTION ON POLITICAL SUBDIVISION TAXATION AND DEBT.  A political subdivision of this state, other than the district, may not impose a tax or issue bonds or other obligations to provide hospital service or medical care in the district.
    Added by Acts 2007, 80th Leg., R.S., Ch. 920 (H.B. 3166), Sec. 1.02, eff. April 1, 2009.

    Sec. 1007.103.  MEDICAL SERVICES FOR PRESIDIO COUNTY.  (a)  The board shall periodically review the feasibility and desirability of operating a hospital in Presidio County.(b)  The district shall operate a facility that provides medical services in Presidio County.  At a minimum, the facility must provide outpatient medical services to the district's residents.(c)  The board may contract or otherwise cooperate with another entity to provide the services required by Subsection (b).
    Added by Acts 2007, 80th Leg., R.S., Ch. 920 (H.B. 3166), Sec. 1.02, eff. April 1, 2009.

    Sec. 1007.104.  MANAGEMENT AND CONTROL OF DISTRICT.  The management and control of the district is vested in the board, and the board has full power to manage and control the district.
    Added by Acts 2007, 80th Leg., R.S., Ch. 920 (H.B. 3166), Sec. 1.02, eff. April 1, 2009.

    Sec. 1007.105.  HOSPITAL SYSTEM.  The district has the responsibility to establish a hospital or hospital system within its boundaries to provide hospital and medical care to the district's residents.
    Added by Acts 2007, 80th Leg., R.S., Ch. 920 (H.B. 3166), Sec. 1.02, eff. April 1, 2009.

    Sec. 1007.1055.  MOBILE EMERGENCY MEDICAL SERVICES.  The district may provide mobile emergency medical services within the district's boundaries.
    Added by Acts 2023, 88th Leg., R.S., Ch. 1163 (S.B. 1526), Sec. 1, eff. September 1, 2023.

    Sec. 1007.106.  RULES.  (a)  The board shall adopt rules for the efficient operation of the district, including district facilities.(b)  The board shall:(1)  publish the rules in book form; and(2)  provide copies to interested persons on request at district expense.
    Added by Acts 2007, 80th Leg., R.S., Ch. 920 (H.B. 3166), Sec. 1.02, eff. April 1, 2009.

    Sec. 1007.107.  PURCHASING AND ACCOUNTING PROCEDURES.  The board may prescribe the method of making purchases and expenditures and the manner of accounting and control used by the district.
    Added by Acts 2007, 80th Leg., R.S., Ch. 920 (H.B. 3166), Sec. 1.02, eff. April 1, 2009.

    Sec. 1007.108.  DISTRICT PROPERTY, FACILITIES, AND EQUIPMENT.  The board may sell, lease, or otherwise dispose of property, including facilities or equipment, for the district.  The sale or other disposal must be at a public sale and at a price and on terms the board determines are most advantageous to the district.
    Added by Acts 2007, 80th Leg., R.S., Ch. 920 (H.B. 3166), Sec. 1.02, eff. April 1, 2009.

    Sec. 1007.109.  SURPLUS PROPERTY.  The board may donate to another governmental entity or to a charitable organization any surplus personal property or equipment if the donation serves a public purpose and is accompanied by adequate consideration.
    Added by Acts 2007, 80th Leg., R.S., Ch. 920 (H.B. 3166), Sec. 1.02, eff. April 1, 2009.

    Sec. 1007.110.  EMINENT DOMAIN.  (a)  The district may exercise the power of eminent domain to acquire a fee simple or other interest in any real, personal, or mixed property located in district territory if the interest is necessary or convenient for the district to exercise a power or duty 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, except the district is not required to deposit in the trial court money or a bond as provided by Section 21.021(a), Property Code.(c)  In a condemnation proceeding, the district is not required to:(1)  pay in advance or provide a bond or other security for costs in the trial court;  or(2)  provide a bond for costs or a supersedeas bond on an appeal or writ of error.
    Added by Acts 2007, 80th Leg., R.S., Ch. 920 (H.B. 3166), Sec. 1.02, eff. April 1, 2009.

    Sec. 1007.111.  GIFTS AND ENDOWMENTS.  The board may accept for the district a gift or endowment to be held in trust and administered by the board under the directions, limitations, or other provisions prescribed in writing by the donor that are not inconsistent with the proper management of the district.
    Added by Acts 2007, 80th Leg., R.S., Ch. 920 (H.B. 3166), Sec. 1.02, eff. April 1, 2009.

    Sec. 1007.112.  CONTRACTS WITH POLITICAL SUBDIVISIONS FOR HOSPITAL AND MEDICAL CARE.  The board may contract with another political subdivision to provide hospital and medical care for needy persons who reside outside the district.
    Added by Acts 2007, 80th Leg., R.S., Ch. 920 (H.B. 3166), Sec. 1.02, eff. April 1, 2009.

    Sec. 1007.113.  PAYMENT FOR TREATMENT;  PROCEDURE.  (a)  A person who resides in the district is entitled to receive necessary medical and hospital care regardless of whether the person has the ability to pay for the care.(b)  The board by rule shall adopt a procedure for determining:(1)  the ability of a patient to pay for the patient's medical and hospital care; and(2)  the amount each patient is required to pay.
    Added by Acts 2007, 80th Leg., R.S., Ch. 920 (H.B. 3166), Sec. 1.02, eff. April 1, 2009.

    SUBCHAPTER D.  GENERAL FINANCIAL PROVISIONS
    Sec. 1007.151.  BUDGET.  The board shall prepare a budget that includes:(1)  proposed expenditures and disbursements;(2)  estimated receipts and collections for the next fiscal year; and(3)  the amount of taxes required to be imposed to meet the proposed budget.
    Added by Acts 2007, 80th Leg., R.S., Ch. 920 (H.B. 3166), Sec. 1.02, eff. April 1, 2009.

    Sec. 1007.152.  PROPOSED BUDGET:  NOTICE AND HEARING.  (a)  The board shall hold a public hearing on the proposed budget.(b)  Notice of the hearing must be published at least once in a newspaper of general circulation in the district not later than the 10th day before the date of the hearing.(c)  Any person who owns taxable property in the district and has rendered that property for taxation is entitled to:(1)  appear at the hearing; and(2)  be heard regarding any item in the proposed budget.
    Added by Acts 2007, 80th Leg., R.S., Ch. 920 (H.B. 3166), Sec. 1.02, eff. April 1, 2009.

    Sec. 1007.153.  FISCAL YEAR.  The district's fiscal year is from October 1 to September 30.
    Added by Acts 2007, 80th Leg., R.S., Ch. 920 (H.B. 3166), Sec. 1.02, eff. April 1, 2009.

    Sec. 1007.154.  ANNUAL AUDIT.  (a)  The board annually shall require an independent audit of the district's books and records.(b)  Not later than December 1 each year, the board shall file a copy of the audit with:(1)  the comptroller; and(2)  the district.
    Added by Acts 2007, 80th Leg., R.S., Ch. 920 (H.B. 3166), Sec. 1.02, eff. April 1, 2009.

    Sec. 1007.155.  DEPOSITORY.  (a)  The board by resolution shall designate a bank in Brewster or Presidio County as the district's depository.  The designated bank serves for two years and until a successor is designated.(b)  All district money shall be deposited in the depository and secured in the manner provided for securing county funds.
    Added by Acts 2007, 80th Leg., R.S., Ch. 920 (H.B. 3166), Sec. 1.02, eff. April 1, 2009.

    SUBCHAPTER E.  BONDS
    Sec. 1007.201.  BONDS.  The district may issue bonds to:(1)  purchase, construct, acquire, repair, or renovate buildings or improvements; and(2)  equip buildings for hospital purposes.
    Added by Acts 2007, 80th Leg., R.S., Ch. 920 (H.B. 3166), Sec. 1.02, eff. April 1, 2009.

    Sec. 1007.202.  TAX TO PAY BONDS.  The board may issue bonds under Section 1007.201 only if the board imposes an ad valorem tax at a rate sufficient to create an interest and sinking fund to pay the principal of and interest on the bonds as the bonds mature.
    Added by Acts 2007, 80th Leg., R.S., Ch. 920 (H.B. 3166), Sec. 1.02, eff. April 1, 2009.

    Sec. 1007.203.  BOND ELECTION.  (a)  The board may issue bonds under Section 1007.201 only if the bonds are authorized by a majority of the district voters voting in an election held for that purpose.  The total face value of the bonds may not exceed the amount specified in the election order.(b)  The board may order a bond election at any time.(c)  The order calling an election must include:(1)  the time of the election;(2)  the location of the polling places;(3)  the form of the ballots;(4)  the presiding judge for each polling place;(5)  the purpose of the bond issuance;(6)  the amount of the proposed bond issuance;(7)  the maximum interest rate of the bonds; and(8)  the maximum maturity of the bonds.(d)  A substantial copy of the election order shall be published in a newspaper of general circulation in the district once a week for two consecutive weeks before the date of the election.  The first notice must be published not later than the 14th day immediately preceding the day of the election.(e)  A copy of the election results must be filed with the county clerk and become a public record.
    Added by Acts 2007, 80th Leg., R.S., Ch. 920 (H.B. 3166), Sec. 1.02, eff. April 1, 2009.

    Sec. 1007.204.  MATURITY OF BONDS.  District bonds must mature not later than 40 years after the date of issuance.
    Added by Acts 2007, 80th Leg., R.S., Ch. 920 (H.B. 3166), Sec. 1.02, eff. April 1, 2009.

    Sec. 1007.205.  EXECUTION OF BONDS.  (a)  The board president shall execute the bonds in the district's name.(b)  The board secretary shall countersign the bonds.
    Added by Acts 2007, 80th Leg., R.S., Ch. 920 (H.B. 3166), Sec. 1.02, eff. April 1, 2009.

    SUBCHAPTER F.  TAXES
    Sec. 1007.251.  IMPOSITION OF AD VALOREM TAX.  (a)  The board shall impose a tax on all property in the district subject to district taxation.(b)  The tax may be used only to:(1)  pay the interest on and create a sinking fund for bonds issued under this chapter;(2)  provide for the operation and maintenance of the district and hospital system;(3)  make improvements and additions to the hospital system; and(4)  acquire sites for additions to the hospital system.
    Added by Acts 2007, 80th Leg., R.S., Ch. 920 (H.B. 3166), Sec. 1.02, eff. April 1, 2009.

    Sec. 1007.252.  TAX RATE.  The board may impose the tax at a rate not to exceed 75 cents on each $100 valuation of all taxable property in the district.
    Added by Acts 2007, 80th Leg., R.S., Ch. 920 (H.B. 3166), Sec. 1.02, eff. April 1, 2009.

    Sec. 1007.253.  TAX ASSESSOR-COLLECTOR.  The tax assessor-collector for Brewster or Presidio County shall collect taxes for the district.
    Added by Acts 2007, 80th Leg., R.S., Ch. 920 (H.B. 3166), Sec. 1.02, eff. April 1, 2009.