(a) If a bond proposition under § 263.021 is approved by a majority of the qualified voters voting at the election, the commissioners court of the county shall establish or enlarge a hospital or medical or other health facility as provided in the proposition and maintain the hospital or facility.
(b) In establishing, enlarging, or maintaining a hospital or facility, the commissioners court may:
(1) purchase or lease real or personal property or acquire real property and easements to real property by condemnation;
(2) purchase or construct any necessary buildings;
(3) make necessary improvements, repairs, and alterations to an existing building;
(4) impose property taxes in the county for all necessary expenditures related to the hospital or facility, including maintenance expenses;
(5) issue county bonds to provide funds to establish, enlarge, and equip the hospital or facility or make any necessary permanent improvements in connection with the hospital or facility; and
(6) accept and hold a grant or devise of land or a gift or bequest of money or personal property in trust for the county and apply the principal or income, or both, for the benefit of the hospital or facility and in accordance with the terms of the gift.

(c) Subject to this chapter, the commissioners court may purchase or lease real or personal property, or both, in an adjacent county if the court considers the purchase or lease necessary for hospital purposes. The commissioners court may not acquire real property in an adjacent county by condemnation.