(a) This section applies only to an authority created in a county with a population of at least 350,000 in which a hospital district is not located.
(b) A municipality may lease to an authority subject to this section all or part of a hospital and any other health facilities owned by the municipality. The lease may provide that the municipality may retain during the term of the lease specified rights relating to the operation of the authority and the facilities leased from the municipality. The lease may provide that:
(1) the municipality may retain the power to appoint all directors of the authority, notwithstanding § 262.012;
(2) the authority is required to perform specified health care services on behalf of the municipality;
(3) the municipality may agree to fund specified health care services;
(4) the authority is prohibited from eliminating or curtailing specified health care services offered at the facilities leased from the municipality without prior consultation with or the approval of the municipality;
(5) the authority is prohibited from subletting the facilities leased from the municipality or assigning its rights under the lease for a total term of more than five years, or entering into a management contract for the operation of the facilities leased from the municipality as a whole, or pledging the authority’s revenues derived from the operation of the facilities leased from the municipality, without prior consultation with or the approval of the municipality;
(6) the board may be subject to any ethics or conflict of interest ordinance applicable to other sovereign city boards and commissions adopted by the municipality and any goals for hiring and contracting with minorities or women adopted by and for the municipality;
(7) the authority will comply with Chapter 252, Local Government Code, relating to purchasing and contracts;
(8) the municipality may issue general obligation bonds for the use and benefit of the authority;
(9) an authority and its employees may participate in the municipality’s employee retirement plan, employee health plans, and other employee benefit plans; and
(10) the lease may contain other terms and conditions that the municipality and authority agree on and which are not prohibited by law or by the constitution.

Terms Used In Texas Health and Safety Code 262.035

  • Contract: A legal written agreement that becomes binding when signed.
  • Lease: A contract transferring the use of property or occupancy of land, space, structures, or equipment in consideration of a payment (e.g., rent). Source: OCC
  • Obligation: An order placed, contract awarded, service received, or similar transaction during a given period that will require payments during the same or a future period.
  • Population: means the population shown by the most recent federal decennial census. See Texas Government Code 311.005
  • Written: includes any representation of words, letters, symbols, or figures. See Texas Government Code 311.005

(c) If the municipality retains in the lease the right to appoint all members of the board, the municipality may remove the entire board or any member of the board at any time with cause. The municipality may remove the board or a member of the board under this subsection only after reasonable written notice to the board or board members and on the affirmative vote of a majority of the members of the governing body of the municipality.
(d) For purposes of Chapters 101 and 102, Civil Practice and Remedies Code, a municipal hospital authority subject to this section is a unit of local government and not a municipality.
(e) An authority subject to this section is subject to Chapter 551, Government Code, and Chapter 552, Government Code.

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