Tex. Health & Safety Code 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 or arrange for comprehensive health care services for residents of the district.

(2)

“Provider” means a physician or a provider as defined under Section 843.002 (Definitions), Insurance Code.

(3)

“Medical school” means a medical school governed by Chapter 110 (Texas Tech University Health Sciences Institutions), Education Code.

(b)

The El Paso County Hospital District and a medical school may establish and operate an integrated health care system.

(c)

To provide or arrange for comprehensive health care services, an integrated health care system created under this section may:

(1)

own, acquire, lease, or contract for all necessary assets;

(2)

enter into contracts with providers for the provision of health care services directly or indirectly through subcontract;

(3)

provide or enter into a contract with an individual or business entity under which the individual or entity provides necessary management or administrative services for the system and the system’s providers;

(4)

enter into a contract or other agreement with a business or governmental entity under which the system is paid to provide health care services; and

(5)

enter into a fee-for-service, capitated, or risk-sharing health care service arrangement.

(d)

An integrated health care system that recites in its articles of incorporation that it is created under this section is:

(1)

subject to:

(A)

Chapter 551 (Open Meetings), Government Code;

(B)

Chapter 552 (Public Information), Government Code;

(C)

Chapter 843 (Health Maintenance Organizations), Insurance Code;

(D)

Chapter 844 (Certification of Certain Nonprofit Health Corporations), Insurance Code; and

(E)

Chapter 262 (Purchasing and Contracting Authority of Counties), Local Government Code; and

(2)

a unit of local government for the purposes of Chapter 101 (Tort Claims), Civil Practice and Remedies Code.

(e)

Notwithstanding Subsection (d)(1)(A), an integrated health care system created under this section may hold a closed meeting to deliberate:

(1)

pricing or financial planning relating to a bid or negotiation for a contract to provide a service or product line, if an open meeting would have a detrimental effect on the position of the system in the bid or negotiation process; or

(2)

a proposed new service or product line, if the meeting is held before public announcement of the service or product line.

(f)

Notwithstanding Subsection (d)(1)(B), information relating to the following is confidential and not subject to disclosure:

(1)

pricing or financial planning relating to a bid or negotiation for a contract to provide a service or product line, if disclosure would have a detrimental effect on the position of the integrated health care system in the bid or negotiation process; or

(2)

a proposed new service or product line, if disclosure is requested before public announcement of the service or product line.

(g)

Subject to the requirements and limitations of the local health care market, an integrated health care system created under this section shall make reasonable efforts to include in its provider group community providers other than the medical school and a hospital of the El Paso County Hospital District.
Added by Acts 1997, 75th Leg., ch. 947, Sec. 1, eff. Sept. 1, 1997. Amended by Acts 2003, 78th Leg., ch. 1276, Sec. 10A.528, 10A.529, eff. Sept. 1, 2003.

Source: Section 281.0517 — Integrated Health Care System, https://statutes.­capitol.­texas.­gov/Docs/HS/htm/HS.­281.­htm#281.­0517 (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

§ 281.0517’s source at texas​.gov