Tex. Health & Safety Code 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 of the district.

(b)

The term of an employment contract entered into under this section may not exceed four years.

(c)

This section may not be construed as authorizing the board of the Harris County Hospital District to supervise or control the practice of medicine, as prohibited by Subtitle B, Title 3, Occupations Code.

(d)

The authority granted to the board of the Harris County Hospital District under Subsection (a) to employ physicians shall apply as necessary for the district to fulfill the district’s statutory mandate to provide medical care for the indigent and needy residents of the district as provided by Section 281.046 (District Responsibility for Medical Aid and Hospital Care).

(e)

The medical executive board of the Harris County Hospital District shall adopt, maintain, and enforce policies to ensure that a physician employed by the district exercises the physician’s independent medical judgment in providing care to patients.

(f)

The policies adopted by the medical executive board under this section must include:

(1)

policies relating to:

(A)

governance of the medical executive board;

(B)

credentialing;

(C)

quality assurance;

(D)

utilization review;

(E)

peer review;

(F)

medical decision-making; and

(G)

due process; and

(2)

rules requiring the disclosure of financial conflicts of interest by a member of the medical executive board.

(g)

The medical executive board and the board of the Harris County Hospital District shall jointly develop and implement a conflict management process to resolve any conflict between a policy adopted by the medical executive board under this section and a policy of the Harris County Hospital District.

(h)

A member of the medical executive board who is a physician shall provide biennially to the chair of the medical executive board a signed, verified statement indicating that the board member:

(1)

is licensed by the Texas Medical Board;

(2)

will exercise independent medical judgment in all medical executive board matters, including matters relating to:

(A)

credentialing;

(B)

quality assurance;

(C)

utilization review;

(D)

peer review;

(E)

medical decision-making; and

(F)

due process;

(3)

will exercise the board member’s best efforts to ensure compliance with the policies that are adopted or established by the medical executive board; and

(4)

will report immediately to the Texas Medical Board any action or event that the board member reasonably and in good faith believes constitutes a compromise of the independent medical judgment of a physician in caring for a patient.

(i)

For all matters relating to the practice of medicine, each physician employed by the Harris County Hospital District shall ultimately report to the chair of the medical executive board for the district.
Added by Acts 2011, 82nd Leg., R.S., Ch. 975 (H.B. 1568), Sec. 1, eff. June 17, 2011.

Source: Section 281.0283 — Harris County Hospital District; Employment of Physicians, https://statutes.­capitol.­texas.­gov/Docs/HS/htm/HS.­281.­htm#281.­0283 (accessed May 4, 2024).

281.001
Definitions
281.002
District Authorization
281.003
Creation Election Required
281.004
Ballot Propositions
281.021
Appointment of Board
281.022
Term
281.023
Officers
281.024
Compensation
281.025
Record of Board Meeting
281.026
Administrator
281.027
Assistant Administrator
281.028
Staff
281.029
Retirement Programs
281.030
Seal
281.031
Removal of Board Member
281.041
Transfer of County and Municipal Hospital Property and Funds
281.042
Return of Transferred Property to County or Municipality
281.043
Assumption of Contract Obligations
281.044
Assumption of Bonded Indebtedness
281.045
Limitation on Taxing Power by Governmental Entity
281.046
District Responsibility for Medical Aid and Hospital Care
281.047
Management, Control, and Administration
281.048
District Rules
281.049
Purchasing and Accounting Methods and Procedures
281.050
Powers Relating to District Property, Facilities, and Equipment
281.051
Contracting Authority
281.052
County Authority to Sell, Lease, and Purchase Facilities for District Purposes
281.053
District Inspections
281.054
Eminent Domain
281.055
Gifts and Endowments
281.056
Authority to Sue and Be Sued
281.057
Employment of District Peace Officers
281.058
Authority to Form Captive Insurance or Captive Management Company
281.059
Dallas County Hospital District
281.060
El Paso County Hospital District
281.061
Nueces County Hospital District
281.071
Payment and Support
281.072
Reimbursement for Services
281.073
Disposition of District Records
281.091
Budget
281.092
Administrator’s Report
281.093
Depository
281.094
Use of Certain Funds by the Nueces County Hospital District
281.095
Prohibition Against Participation in Tax Increment Financing by Certain Hospital Districts
281.096
Authority to Take Actions Relating to Ad Valorem Taxes
281.101
General Obligation Bonds
281.102
Bond Election
281.103
Refunding Bonds
281.104
Execution of Bonds
281.105
Approval and Registration of Bonds
281.106
Authority to Issue Certificates of Obligation
281.107
Alternative Financing and Election Procedures
281.121
Taxes to Pay Bonds and Certificates of Obligation
281.122
Reduction in Ad Valorem Tax Rate by Governmental Entity
281.124
Election to Approve Tax Rate in Excess of Voter-approval Tax Rate
281.0211
Appointment of Dallas County Hospital District Board
281.0222
Qualifications for Office
281.0281
Employment of Health Care Providers
281.0282
Dallas County Hospital District
281.0283
Harris County Hospital District
281.0284
Bexar County Hospital District
281.0285
El Paso County Hospital District
281.0286
Tarrant County Hospital District
281.0465
Nursing Services for School Districts
281.0475
Renaming District
281.0511
Contracting Authority of Certain Districts
281.0512
Contract to Provide Administrative Functions and Services
281.0514
Harris County Hospital District
281.0515
Procedures for Health Maintenance Organization
281.0517
Integrated Health Care System
281.0518
Dallas County Hospital District
281.0519
Tarrant County Hospital District
281.0565
Charitable Organizations
281.02815
Employment of Physicians by Certain Hospital Districts

Accessed:
May 4, 2024

§ 281.0283’s source at texas​.gov