House Bill 0971

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    Florida House of Representatives - 1999                 HB 971

        By Representative Argenziano






  1                      A bill to be entitled

  2         An act relating to Citrus County; amending

  3         chapter 65-1371, Laws of Florida, as amended,

  4         the "Citrus County Hospital and Medical Nursing

  5         and Convalescent Home Act"; removing references

  6         to freeholders; deleting obsolete language;

  7         making technical revisions; providing an

  8         effective date.

  9

10  Be It Enacted by the Legislature of the State of Florida:

11

12         Section 1.  Chapter 65-1371, Laws of Florida, as

13  amended by chapters 69-944 and 70-1001, Laws of Florida, is

14  amended to read:

15         Section 1.  This act shall be known and may be cited as

16  the "Citrus County Hospital and Medical Nursing and

17  Convalescent Home Act."

18         Section 2.  As used in this act the words and terms

19  shall have the following meanings:

20         (a)  The term "Citrus County Hospital Board" or the

21  word "board" shall mean the Citrus County Hospital Board.

22         (b)  The word "County" shall mean the County of Citrus,

23  in the State of Florida.

24         (c)  The word "State" shall mean the State of Florida.

25         (d)  The word "property" as used herein shall mean the

26  real and personal property of every nature whatsoever.

27         (e)  The word "operate" shall include build, construct,

28  maintain, repair, alter, expand, equip, lease, finance and

29  operate.

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  1         (f)  The words "county hospital and medical nursing and

  2  convalescent homes" shall include hospitals, medical care

  3  facilities, clinics and other allied medical care units.

  4         Section 3.  (a)  There is hereby created the Citrus

  5  County Hospital Board, and by that name the board may sue and

  6  be sued, plead and be impleaded, contract and be contracted

  7  with, acquire and dispose of property or any interest therein,

  8  and have an official seal. The board is created as a public

  9  nonprofit corporation without stock and is composed of and

10  governed by the five (5) members herein provided for, to be

11  known as trustees.  The hospital board is hereby constituted

12  and declared to be an agency of the county and incorporated

13  for the purpose of operating hospitals, and medical nursing

14  homes, and convalescent homes in the county.  The hospital

15  board shall consist of five (5) trustees appointed by the

16  Governor and, upon this act law becoming a law effective, the

17  present members will automatically become trustees and shall

18  constitute the board.  Their respective terms of office shall

19  be the term terms each member is presently serving. All

20  subsequent appointments, upon the expiration of the present

21  terms, shall be for the term of four (4) years.  Upon the

22  expiration of the term of each trustee, the successor shall be

23  appointed by the Governor.  Likewise, any vacancy occurring

24  shall be filled by appointment by the Governor for the

25  unexpired term.  Each appointment by the Governor is subject

26  to approval and confirmation by the Florida Senate.

27         (b)  The trustees of said board shall elect from its

28  members a chair, a vice chair, chairman, vice-chairman and a

29  secretary-treasurer who shall each hold office for a period of

30  two (2) years.   Each trustee shall execute a bond in the

31  penal sum of five thousand dollars ($5,000) with two (2) good

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  1  and sufficient sureties of a surety company authorized under

  2  the laws of the state to become surety, payable to the Citrus

  3  County Hospital Board, conditioned upon the faithful

  4  performance of the duties of the officer, which bonds shall be

  5  approved by the remaining trustees of the board and which

  6  shall be filed with the Board of County Commissioners of

  7  Citrus County.  The premiums on said bonds shall be paid by

  8  the hospital board.

  9         (c)  The hospital board shall select and designate one

10  (1) or more depositories, located within Citrus County, for

11  the deposit depository of hospital funds.  In addition, the

12  board may select and designate one (1) or more depositories

13  outside of Citrus County for trust funds received from the

14  sale and/or for payment of bonds or revenue certificates when

15  permitted or required to do so by an order, decree, or

16  judgment from any state or federal court.  Any depository

17  selected must be:

18         (1)  A national or state bank insured by the Federal

19  Deposit Insurance Corporation; and

20         (2)  Qualified to act as a depository for the deposit

21  of funds of the state or funds for the office of the state

22  treasury.

23         (d)  Any and all funds so deposited shall be withdrawn

24  by a check or warrant signed by two (2) trustees of the

25  hospital board, of which one (1) shall be the chair, vice

26  chair, chairman, vice-chairman or secretary-treasurer.  No

27  check or warrant shall be delivered to the payee without

28  approval thereof shown in the minutes of the hospital board.

29         Section 4.  The trustees of the board shall receive no

30  compensation for their services.  Three trustees shall

31  constitute a quorum of the hospital board for the purpose of

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  1  conducting its business and exercising its powers and for all

  2  other purposes.  Action may be taken by the board only upon a

  3  vote in the affirmative of three trustees thereof.

  4         Section 5.  The Citrus County Hospital Board as hereby

  5  created shall be for the purpose of operating, in the County

  6  of Citrus, public hospitals, and medical nursing homes, and

  7  convalescent homes, primarily and chiefly for the benefit of

  8  the citizens and residents of Citrus County.  Authority is

  9  hereby given to said board to build, erect, expand, equip,

10  maintain, operate, alter, change, lease, and repair public

11  hospitals, and medical nursing homes, and convalescent homes

12  in Citrus County.  The corporation is authorized, when rooms

13  and services are available, without detriment or deprivation

14  to the citizens and residents of Citrus County, to extend the

15  hospitalization and medical nursing home and convalescent home

16  services provided by said hospitals, medical nursing homes,

17  and convalescent homes, to patients from adjoining and other

18  counties of Florida and from other states, upon the payment of

19  the cost of such hospitalization, medical nursing home

20  services, and convalescent home services as may be determined

21  by the trustees of the hospital board.  The board shall have

22  the power and authority to operate an ambulance system and

23  ambulance services.  The board shall have the authority to

24  charge all patients for all services rendered in any facility

25  owned or operated by the hospital board, including the

26  ambulance facility.  The board may charge patients interest on

27  the patient's account; may sell, discount, or assign said

28  account to a bank, finance company, collection agency, or

29  other type of collection facility; may accept promissory notes

30  or other types of debt obligations from a patient;, may assign

31  or discount said accounts receivable, notes, or other

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  1  obligations; may require a patient to guarantee the payment of

  2  an existing account or note;, may require a guarantee of

  3  payment before admitting a patient; and may receive and assign

  4  any assignment of all types of insurance proceeds.

  5         Section 6.  It shall be the duty of the Board of County

  6  Commissioners of Citrus County, Florida and/or their

  7  successors to levy or cause to be levied each year beginning

  8  with the fiscal year commencing July 1, 1965, the millage

  9  certified to said board of county commissioners by the

10  trustees of the Citrus County Hospital Board, upon all taxable

11  real and personal property in said Citrus County, not

12  including, however, homestead property that is exempt from

13  general taxation by the Constitution of the State of Florida,

14  for the purpose of erecting, building, equipping, maintaining,

15  changing, altering, repairing, leasing, and operating the

16  public hospital herein provided for, such tax to be known as

17  the hospital tax, and it is hereby made the duty of the tax

18  assessor of said county to make such assessments, and duty of

19  the tax collector to collect such assessments when made, and

20  the money collected shall be paid over monthly to the said

21  Citrus County Hospital Board.  It is provided, However, that

22  in no event shall the annual tax herein authorized and

23  required exceed three mills on the dollar.

24         Section 7.  From and after the effective date of this

25  act, in each year, (beginning with the year 1965), it shall be

26  the duty of the hospital board, not later than July 15th, to

27  determine the amount required during the ensuing fiscal year

28  for the purpose of erecting, building, expanding, equipping,

29  maintaining, operating, altering, changing, leasing,

30  financing, and repairing said county hospitals, medical

31  nursing homes, and convalescent homes, or for any one or more

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  1  of said purposes.  Such determination shall be by resolution

  2  of the hospital board, and it shall be the duty of the chair

  3  Chairman and secretary of said board to certify to the board

  4  of county commissioners the amount required as aforesaid,

  5  which shall be provided in a tax levied by the board of county

  6  commissioners for the ensuing fiscal year for the "hospital

  7  fund."  The board of county commissioners, upon being

  8  furnished a certified copy of the resolution of the hospital

  9  board last mentioned shall levy the necessary millage to raise

10  such amount, provided, however, such millage shall not exceed

11  three mills per calendar year on the dollar, upon the taxable

12  real and personal property situate in Citrus County, Florida,

13  less all such property exempt from taxation by the Florida

14  Constitution.  The resolution of the county hospital board

15  above referred to shall be adopted and a certified copy

16  thereof filed with the Board of County Commissioners of said

17  Citrus County, Florida, not less than ten days prior to the

18  time fixed by law for the levy of general county taxes.

19         Section 8.  The hospital board is hereby authorized and

20  empowered to own and acquire property by purchase, lease,

21  gift, grant, or transfer from the county, the state, or the

22  Federal Government, or any subdivision or agency thereof, any

23  municipality, person, partnership, or corporation, and to

24  acquire, construct, maintain, operate, expand, alter, repair,

25  change, lease, finance, and equip hospitals, medical nursing

26  homes, convalescent homes, medical care facilities, and

27  clinics in the county.

28         Section 9.  The hospital board is authorized and

29  empowered to enter into contracts with individuals,

30  partnerships, corporations, municipalities, the county, the

31  state or any subdivision or agency thereof, and the United

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  1  States of America or any subdivision or agency thereof, to

  2  carry out the purposes of this act.

  3         Section 10.  The Said hospital board is empowered to

  4  and shall adopt all necessary rules and regulations and bylaws

  5  for the operation of said hospitals, medical nursing homes,

  6  and convalescent homes; to provide for the admission thereto

  7  and treatment of such charity patients who are citizens of

  8  Florida and residents of Citrus County for the last two

  9  preceding proceeding years; to set the fees and charges to be

10  made for the admission and treatment therein of all patients;

11  and to establish the qualifications for members of the medical

12  profession to be entitled to practice therein.

13         Section 11.  The Said hospital board shall have the

14  power to purchase any and all equipment that may be needed for

15  the operation of said hospitals, medical nursing homes, and

16  convalescent homes, and shall have the power to appoint and

17  hire such agent or agents, technical experts, attorneys, and

18  all other employees as are necessary for carrying out the

19  purposes of this act, and to prescribe their salaries and

20  duties.  The Said board shall have the power to discharge all

21  employees or agents when it shall be deemed by the board

22  necessary for the carrying out of the purposes of this act.

23         Section 12.  For the fiscal year ending September 30,

24  1965, and at the end of each fiscal year thereafter, the

25  Citrus County Hospital Board shall within thirty days

26  thereafter file with the Clerk of the Circuit Court of Citrus

27  County, Florida, a full, complete, and detailed accounting of

28  the preceding year and at the same time shall file a certified

29  copy of said financial report with the Board of County

30  Commissioners of Citrus County, Florida, which said report

31  shall be recorded in the minutes of the board of county

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  1  commissioners. The Said board of county commissioners at its

  2  discretion and at the expense of the county may publish and

  3  report an accounting in a newspaper of general circulation in

  4  Citrus County, Florida.

  5         Section 13.  In addition to all other implied and

  6  express powers contained herein, the board shall have the

  7  express authority to negotiate loans to borrow money from the

  8  Surgeon General's office, or some other agency of the United

  9  States Government or from an agency of the State of Florida,

10  for the purpose or purposes of constructing, maintaining,

11  repairing, altering, expanding, equipping, leasing, and

12  operating county hospitals, medical nursing homes, and

13  convalescent homes, medical care facilities, clinics, and all

14  other types of allied medical care units.  Said loan or loans,

15  as provided in this specific section, must be directly related

16  and tied in with a grant-in-aid to said hospital, such as a

17  Hill-Burton grant under the National Hospital Act.  The amount

18  of said loan, such as a Surgeon General's loan, shall not

19  exceed the amount of the grant such as a Hill-Burton grant.

20         Section 14.  In addition to all other implied and

21  express powers contained herein, the board shall have the

22  express authority to borrow money, with or without issuing

23  notes, therefor, for the purpose or purposes of constructing,

24  maintaining, repairing, altering, expanding, equipping,

25  leasing, and operating county hospitals, medical nursing

26  homes, and convalescent homes, medical care facilities,

27  clinics, and all other types of allied medical care units.

28  The board's authority to borrow money, with or without issuing

29  notes, shall be subject to the conditions of this act,

30  applying to the board's right to issue revenue certificates.

31  Provided, However, the board shall not be required to have any

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  1  type of validation suit or court approval to borrow money when

  2  (1) the amount of the loan or loans does do not exceed an

  3  amount equal to two times the annual hospital tax, assuming

  4  said tax is based upon the yearly millage of three (3) mills,

  5  and (2) the term of the loan does not exceed five (5) years.

  6         Section 15.  Said board shall have express authority to

  7  issue bonds, subject to approval by a referendum of the voters

  8  Free Holders of said county, and to issue Revenue

  9  Certificates, without a referendum of the voters Free Holders

10  of said county, the proceeds of which shall be used for

11  erecting, equipping, building, expanding, altering, changing,

12  maintaining, operating, leasing, and repairing said hospitals,

13  medical nursing homes, and convalescent homes.

14         Section 16.  (a)  Said bonds, federal or state hospital

15  loans, notes, or revenue certificates shall mature within

16  twenty (20) years from the year in which they are issued or

17  made, and shall mature in equal amounts each year including

18  the interest.  The aggregate amount of all bonds, revenue

19  certificates, and federal or state hospital loans issued and

20  outstanding at any one (1) time shall not exceed an amount

21  equal to five (5) times the annual hospital tax at the date of

22  issue, assuming said tax is based upon the yearly millage of

23  three (3) mills.  Said bonds and interest thereon shall be

24  payable solely from a millage not to exceed one and one half

25  (1 1/2) mills per year.  Said millage is included in the

26  maximum millage of three (3) mills per year.  The loans, notes

27  and revenue certificates, together with the interest, shall be

28  payable from the gross receipts of the hospital and/or medical

29  nursing home.

30         (b)  The full faith and credit of Citrus County shall

31  be pledged for the payment of the bonds and interest, but the

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  1  full faith and credit of Citrus County shall not be pledged

  2  for the payment of the loans, notes, or revenue certificates

  3  and interest unless voted upon and approved by the voters

  4  freeholders of said county.

  5         (c)  Whenever this board shall pass a resolution

  6  approving the issuance of said bonds, the board of county

  7  commissioners shall immediately thereafter pass a resolution

  8  approving the bond issue and calling an a freeholders'

  9  election and, subject to said election, permitting the

10  repayment of the bonds out of the annual levy of three (3)

11  mills per year. The bonds or revenue certificates shall not be

12  issued until after the same have been approved in a validation

13  suit.

14         (d)  Said loans, notes, bonds, or revenue certificates

15  shall not bear interest in excess of six percent (6%) per year

16  and such lesser amounts that may be available in the open

17  market.  The interest rate may can be increased as provided in

18  subsection under provision of such section (h).

19         (e)  The board shall determine the form of the loans,

20  notes, bonds, and revenue certificates, including any interest

21  coupons to be attached thereto, and the manner of executing

22  it, shall fix the denomination or denominations thereof and

23  the place or places of payment of principal and interest which

24  may be at any bank or trust company within or without the

25  state.  In case an officer whose signature or a facsimile of

26  whose signature shall appear on any loan, note, bond, or

27  revenue certificate, or coupon shall cease to be such officer

28  before the delivery thereof, such signature or facsimile shall

29  nevertheless be valid and sufficient for all purposes the same

30  as if the officer he had remained in office until such

31  delivery. All loan agreements, notes, bonds, and revenue

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  1  certificates issued hereunder shall have and are hereby

  2  declared to have all the qualities and incidents of negotiable

  3  instruments under the negotiable instruments law of the state.

  4         (f)  The board may sell bonds or revenue certificates

  5  in such manner, either at public or private sale, and for such

  6  price as it may determine to be for the best interest of the

  7  hospital board, but no such sale shall be made at a price so

  8  low as to require the payment of interest on the money

  9  received therefor, of more than six percent (6%) per annum.

10  The interest rate may can be increased as provided in

11  subsection under provision of section (h).

12         (g)  The board of county commissioners during said

13  period shall, in addition to the a maximum of one and one half

14  (1 1/2) mills mill levy above authorized for the repayment of

15  the bonds and interest, levy annually the remainder of the

16  hospital tax in the amount up to one and one half (1 1/2)

17  mills on the dollar for the purpose of maintaining and

18  operating the county hospitals, medical nursing homes, and

19  convalescent homes.

20         (h)  In the event the maturity date of the debt is more

21  than two (2) years after the date the debt is created, the

22  maximum interest rate that can be applied to said debt or debt

23  paper obligation shall not exceed six percent (6%) or one

24  percent (1%) less than the "prime interest rate," as

25  established by the Chase Manhattan Bank, National Association,

26  whichever is the higher, on the date the agreement to create

27  the debt is executed by the board and the lender.  This shall

28  apply only to debts, created or incurred, subsequent to the

29  effective date of this amendment.  The term debt paper

30  obligation shall include notes, bonds, and revenue bonds and

31  certificates.

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  1         Section 17.  The total amount outstanding indebtedness

  2  of said hospital at any one time shall not exceed an amount

  3  equal to six (6) times the annual hospital tax, assuming said

  4  tax is based upon the yearly millage of three mills.

  5         Section 18.  Heretofore, the Legislature of the State

  6  of Florida authorized said previously existing hospital board

  7  to issue bonds in the amount not to exceed one hundred fifty

  8  thousand ($150,000.00) dollars of said bonds. Said Board,

  9  however, has issued only Seventy-Five Thousand ($75,000.00)

10  Dollars of said Bonds.  This act shall not preclude said

11  previously existing hospital board or its successors from

12  issuing said Seventy-Five Thousand ($75,000.00) Dollars in

13  previously authorized and validated hospital bonds.

14         Section 19.  If any part, section, paragraph, or

15  provision of this the act shall be held unconstitutional by a

16  court of competent jurisdiction, it shall nevertheless not

17  effect the constitutionality or effectiveness of the remainder

18  of this act.

19         Section 2.  This act shall take effect upon becoming a

20  law.

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