Tex. Health & Safety Code 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 operating under this chapter, and has previously held an election at which the voters approved the levy and assessment of an ad valorem tax at a rate not greater than 75 cents per $100 of assessed valuation of taxable property within the district.

(b)

The commissioners court may, in the district’s name, call, order, and hold an election and submit thereat the proposition and ballot prescribed in Subsections (c) and (d) if the district’s board of managers:

(1)

finds that capital funds are needed to acquire, construct, equip, and improve the district’s hospital system;

(2)

finds that financing such improvements through the issuance of combination tax and revenue bonds or other obligations is the best available method to provide the capital funds that are needed to furnish the highest quality of medical treatment and hospital care to persons residing in the district; and

(3)

requests that the commissioners court call and hold an election under the alternative procedures authorized by this section.

(c)

The official proposition submitted to the voters at an election held under this section shall include, at a minimum, the information included in the election order as prescribed by Subsection (e).

(d)

The ballot shall be arranged in a manner that will permit the voters to vote for or against the following summary of the proposition:
“Authorizing (insert name of district) to (insert description of proposed district improvement) and to pledge (insert amount of combination tax and revenue bonds or other obligations) for the purpose of financing the proposed hospital district improvement project.”

(e)

The election order shall include:

(1)

a statement of the maximum aggregate principal amount of bonds and obligations having maturities longer than five years that will be secured by the hospital system and tax revenues authorized by this section if approved by the voters at the election unless another election is held and the voters approve an increased amount; and

(2)

a general description of the district’s proposed financing and improvement plans, including:

(A)

the expected uses of the proposed improvements to the hospital system according to the proposed plans;

(B)

estimates of the costs of the proposed improvements, estimates of the amount of the expected revenues that will be received from the operation of the proposed improvements, and estimates of the amount of revenues, including tax revenues, that will be required to pay the long-term combination tax and revenue bonds and other obligations when due, based on the interest rate and other assumptions stated in the order; and

(C)

any other matter deemed by the board of managers to be appropriate to inform the voters of the details of the proposed improvements to the district’s hospital system and the financing plans.

(f)

An election conducted pursuant to this section shall be conducted in accordance with the procedures provided in Section 281.102 (Bond Election).

(g)

If a majority of the votes received at the election favor the proposition submitted at the election, the commissioners court is authorized to issue and execute, on behalf and in the name of the district, combination tax and revenue bonds and other short-term and long-term obligations in the amounts and upon the terms recommended and at the times requested by the board of managers. If requested by the board of managers, the commissioners court may also, by order, extend or confirm the pledge to previously issued bonds and other obligations of the district.

(h)

Bonds and other short-term or long-term obligations that are secured in the manner authorized by this section shall be payable from and secured by the revenues of the district’s hospital system and from the ad valorem tax revenues of the district to the extent prescribed and agreed in the orders, resolutions, indentures, contracts, or other documents authorizing their issuance or execution. The district, through the commissioners court, shall annually levy, assess, and collect ad valorem taxes on taxable property in the district, within the limited tax rate previously authorized by the voters, when and as required by the proceedings authorizing the bonds and other obligations.

(i)

Each district that utilizes the alternative procedures permitted by this section is authorized to enter into, execute, and deliver any of the credit agreements permitted by Chapter 1371 (Obligations for Certain Public Improvements), Government Code, and to secure them by pledging revenues and taxes to the same extent they are pledged to bonds or other short-term or long-term obligations in accordance with this section.

(j)

The portion of the rate of ad valorem tax that is to be levied and assessed each year by or for the district that is allocated by the district to the payment of the principal of and the interest on bonds and other obligations or the maintenance of reserves therefor in accordance with this section shall be applied as a payment on current debt in calculating the current debt rate under the applicable voter-approval tax rate provisions of Chapter 26 (Assessment), Tax Code.

(k)

The procedures authorized by this section are alternative to the provisions of Chapter 284 (Special Provisions Relating to Hospital District Bonds) and the other sections of this chapter and are cumulative of and in addition to any powers granted to any district under those or any other laws.
Added by Acts 2003, 78th Leg., ch. 55, Sec. 1, eff. May 15, 2003.
Renumbered from Health and Safety Code, Section 281.106 (Authority to Issue Certificates of Obligation) by Acts 2005, 79th Leg., Ch. 728 (H.B. 2018), Sec. 23.001(48), eff. September 1, 2005.
Amended by:
Acts 2009, 81st Leg., R.S., Ch. 371 (H.B. 1366), Sec. 1, eff. June 19, 2009.
Acts 2019, 86th Leg., R.S., Ch. 944 (S.B. 2), Sec. 76, eff. January 1, 2020.

Source: Section 281.107 — Alternative Financing and Election Procedures, https://statutes.­capitol.­texas.­gov/Docs/HS/htm/HS.­281.­htm#281.­107 (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

§ 281.107’s source at texas​.gov