HB 1113 2003
   
1 A bill to be entitled
2          An act relating to Sarasota County; providing legislative
3    intent; amending, codifying, and reenacting all special
4    acts relating to the Sarasota County Public Hospital
5    District; providing District boundaries; providing for a
6    governing board; providing powers, functions, and duties
7    of the District and its governing board, including express
8    power to sell and exchange real estate; repealing chapters
9    26468 (1949), 27888 (1951), 31262 (1955), 57-1838, 59-
10    1839, 61-2807, 61-2855, 61-2868, 63-1893, 63-1895, 63-
11    1896, 63-1913, 65-2226, 65-2227, 65-2232, 67-2047, 69-
12    1583, 69-1593, 71-907, 83-525, 84-530, 85-501, 86-373, 87-
13    526, 88-534, 90-411, 90-422, 95-507, and 2000-400, Laws of
14    Florida, except for the provisions approved in referendum
15    on January 10, 1950, conferring ad valorem taxing
16    authority; ratifying actions of the District and the
17    governing board taken pursuant to chapter 69-1583, Laws of
18    Florida; providing severability; providing for
19    construction and effect; providing an effective date.
20         
21          Be It Enacted by the Legislature of the State of Florida:
22         
23          Section 1. Pursuant to section 189.429, Florida Statutes,
24    this act constitutes the codification of all special acts
25    relating to Sarasota County Public Hospital District. It is the
26    intent of the Legislature in enacting this law to provide a
27    single, comprehensive special act charter for the District
28    including all current legislative authority granted to the
29    District by its several legislative enactments, inclusive of
30    authority conferred in referenda of Sarasota County electors,
31    and any additional authority granted by this act. It is further
32    the intent of this act to preserve all District authority in
33    addition to any authority contained in general law as amended
34    from time to time.
35          Section 2. Chapters 26468 (1949), 27888 (1951), 31262
36    (1955), 57-1838, 59-1839, 61-2807, 61-2855, 61-2868, 63-1893,
37    63-1895, 63-1896, 63-1913, 65-2226, 65-2227, 65-2232, 67-2047,
38    69-1583, 69-1593, 71-907, 83-525, 84-530, 85-501, 86-373, 87-
39    526, 88-534, 90-411, 90-422, 95-507, and 2000-400, Laws of
40    Florida, are amended, codified, reenacted, and repealed as
41    herein provided.
42          Section 3. The Sarasota County Public Hospital District is
43    re-created, and the charter for such District is re-created and
44    reenacted to read:
45          Section seq level0 \h \r0 seq level1 \h \r0 seq level2 \h \r0 seq level3 \h \r0 seq level4 \h \r0 seq level5 \h \r0 seq level6 \h \r0 seq level7 \h \r0 1. (1) The Sarasota County Public Hospital
46    District (“District”), an independent special district, is hereby
47    established with jurisdiction extending territorially throughout
48    all of Sarasota County, which territory is hereby known as the
49    Sarasota County Public Hospital District, and which shall be
50    governed by the Sarasota County Public Hospital Board (“Hospital
51    Board”), as a body corporate.
52          (2) For purposes of election of Hospital Board members, the
53    Hospital Board shall create three hospital board districts within
54    the Sarasota County Public Hospital District, the boundaries of
55    which shall be within the boundaries of Sarasota County, which
56    shall be designated as northern, central, and southern districts,
57    and which shall be as nearly equal in population as practicable.
58    The Hospital Board by resolution adopted from time to time, at
59    intervals of no more than 10 years, shall fix the boundaries of
60    the districts along the lines of precincts as they exist at the
61    time such boundaries are fixed. A certified copy of the
62    resolution shall be furnished by the secretary of the Hospital
63    Board to the Sarasota County Supervisor of Elections at least 10
64    months prior to the next ensuing general election following
65    adoption of the resolution.
66          (3) The membership of the Hospital Board shall consist of
67    nine members, all of whom must be qualified electors of the
68    District. Commencing with the election of 1988, two such members
69    must reside in each of said hospital board districts. All
70    members shall be elected in a partisan election by the qualified
71    electors of the District. Two members who are residents of the
72    southern district shall be elected to district seats in 1986 and
73    every fourth year thereafter; two members who are residents of
74    the northern district shall be elected to district seats in 1986
75    and every fourth year thereafter; one member who is a resident of
76    the central district shall be elected to a district seat in 1986
77    and every fourth year thereafter; one member who is a resident of
78    the central district shall be elected to a district seat in 1988
79    and every fourth year thereafter; and three members shall be
80    elected to at-large seats in 1988 and every fourth year
81    thereafter. Candidates for the six district seats and the three
82    at-large seats shall be numerically or otherwise grouped for a
83    specific seat on primary or general election ballots as provided
84    in the Florida Election Code. Candidates for district seats
85    shall be placed in districts on primary and general election
86    ballots. In any year in which hospital board district seats are
87    to be filled, the hospital board district (northern, central, or
88    southern) shall be printed on the ballot beneath the name of the
89    office. The format of the ballot shall be in conformity with the
90    Florida Election Code. Four members who were elected for 4-year
91    terms in the election of November 1982 and one member who was
92    elected for a 2-year term in the election of November 1984 shall
93    serve until the expiration of their terms of office, and five
94    members shall be elected for 4-year terms in 1986 and each fourth
95    year thereafter. Four members who were elected for 4-year terms
96    in the election of November 1984 shall serve until the expiration
97    of their terms of office, and four members shall be elected for
98    4-year terms in 1988 and each fourth year thereafter.
99          (4) If a vacancy occurs on the Hospital Board due to a
100    member's death, resignation, removal from office for neglect of
101    duty, removal of residence from the territorial limits of the
102    county, or removal of residence from the territorial limits of
103    the district in the case of a district seat holder, the remainder
104    of the Hospital Board shall appoint a temporary member to fill
105    the vacancy until the next ensuing general election, at which
106    time a new member must be elected for the remainder of the term
107    of the member whose membership has been so vacated. To be
108    eligible for appointment to such Hospital Board, a person must be
109    a qualified elector of the territory covered by this act, and if
110    the vacancy occurs in a hospital board district seat, such person
111    must also be a resident of that district in which the vacancy
112    occurs.
113          (5) The term of office of a Hospital Board member begins on
114    the Tuesday 2 weeks following the day of general election in
115    which the member is elected. The term of office of a member's
116    immediate predecessor expires contemporaneously with the
117    commencement of the term of such newly elected member.
118          (6) Each Hospital Board member shall attend not less than
119    75 percent of the regular meetings of the Hospital Board during
120    each year of such board member's term. For purposes of this
121    subsection, the year of a board member's term commences on the
122    date, followed by the yearly anniversary of the date, upon which
123    the board member takes office. The failure of any Hospital Board
124    member to meet this attendance requirement without being excused
125    by the chair of the Hospital Board constitutes neglect of duty.
126    By resolution specifying facts sufficient to advise a Hospital
127    Board member as to the basis for his or her suspension or removal
128    and after providing the Hospital Board member with reasonable
129    notice and an informal opportunity for him or her to be heard,
130    the Hospital Board may suspend or remove from office any Hospital
131    Board member for neglect of duty. If a vacancy occurs on the
132    Hospital Board due to removal from office pursuant to this
133    subsection, the remainder of the Hospital Board shall fill the
134    vacancy in the manner set forth in subsection (4).
135          Section 2. seq level1 \h \r0 seq level2 \h \r0 seq level3 \h \r0 seq level4 \h \r0 The members of said Hospital Board shall receive
136    no salary as board members but shall be reimbursed for the amount
137    of actual expenses incurred by them in the performance of their
138    duties. Reimbursement for mileage shall include mileage from
139    members' places of residence to Hospital Board facilities and
140    return and for vicinity mileage incurred in the performance of
141    their duties and shall be computed as provided in section
142    112.061, Florida Statutes. The travel expenses, subsistence, and
143    lodging expenses of a member may not exceed those prescribed by
144    section 112.061, Florida Statutes, unless actual reasonable
145    expenses in excess of those prescribed by section 112.061,
146    Florida Statutes, are specifically authorized prior to the
147    incurring of such expenses, by action of the Hospital Board taken
148    at a regular monthly meeting at which the question of such
149    expenses appears as a separate item on the agenda.
150          Section 3. The Hospital Board shall select a meeting place
151    and a place for its principal office, and the board meetings
152    shall be held at least once a month. The Hospital Board may
153    elect one of its members to serve as secretary, one to serve as
154    assistant secretary, one to serve as treasurer, and two to serve
155    as assistant treasurers; or it may appoint persons not members of
156    the Hospital Board to serve in those capacities. There shall be
157    a chair of the board, a first vice chair, and a second vice
158    chair. The Hospital Board is authorized to establish and
159    maintain a refund account in a commercial bank of its choosing
160    and may designate the president, executive vice president, vice
161    presidents, business office manager, or controller of the
162    Hospital Board, or any of them, as the sole authorized
163    signatories for such refund account. The president appointed by
164    the Hospital Board, the chair, the first vice chair, the second
165    vice chair, the treasurer, and the assistant treasurers shall be
166    empowered to issue, without a cosignature, warrants for payment
167    of salaries and wages of employees of the Hospital Board. All
168    other vouchers and warrants shall be issued by either the
169    treasurer or assistant treasurer and shall be signed by the
170    chair, and in the event of the absence of the chair, by the first
171    vice chair, and in the event of the absence of the chair and the
172    first vice chair, by the second vice chair. The Hospital Board
173    is authorized to issue its checks, warrants, and vouchers bearing
174    facsimile signatures which are affixed by check-signing machines
175    and devices of the officers and employees of the Hospital Board
176    who are authorized to sign on its behalf. Said treasurer and
177    assistant treasurers shall give bonds, in amounts to be
178    designated by a majority vote of said Hospital Board, of the
179    faithful performance of their duties, by some reputable bonding
180    company authorized to do business in the State of Florida. The
181    said Hospital Board is authorized to pay to the treasurer,
182    assistant treasurers, secretary, and assistant secretary a salary
183    and expenses commensurate with the work done and in keeping with
184    the salary paid for like work by other businesses in the
185    community from time to time.
186          Section 4. The said Sarasota County Public Hospital Board,
187    as the governing body of the District, is hereby declared to be a
188    body corporate and it shall adopt a common seal.
189          Section 5. The duties of the secretary duly elected by said
190    Hospital Board shall be to keep full and correct minutes of all
191    proceedings and minutes of the Hospital Board. The duties of the
192    treasurer duly elected by said Hospital Board shall be to keep a
193    separate account of all expenditures and disbursements by said
194    Hospital Board and an account of all receipts.
195          Section 6. The said Hospital Board shall make and adopt
196    such bylaws, rules, and regulations for its guidance and for the
197    governance of any hospitals that may be established, as may be
198    deemed expedient for the economic and equitable conduct thereof,
199    and shall have exclusive control of the expenditures of all
200    moneys collected or paid to the secretary of the Hospital Board,
201    and shall have power to purchase a site or sites, and to
202    construct any hospital building or buildings necessary, and shall
203    have full supervision, care, and custody of all properties
204    belonging to said Sarasota County Public Hospital Board, or
205    leased to it, or set apart to it for its purposes. Said Hospital
206    Board shall also have the right to buy at a reasonable price any
207    buildings or hospitals which may be now in use and suitable for
208    the purposes of said Board.
209          Section 7. All moneys and receipts for such hospital or
210    hospitals and other health care services, if any, shall be
211    deposited in a bank or banks designated by said Hospital Board
212    and placed to the credit of said Hospital Board. Such moneys may
213    be paid out in the same manner as provided in section 3, without
214    an order from said Hospital Board, for general operating expenses
215    including, but not limited to, such categories of expense as
216    drugs, food, fuel, linens, supplies, laundry, medicines,
217    salaries, wages, utilities, and items of equipment; for capital
218    expenses for land, buildings, and equipment; and for other valid
219    corporate purposes. The Hospital Board is empowered to adopt
220    resolutions or to adopt provisions in its bylaws from time to
221    time which establish a procedure which requires the approval and
222    order of the Hospital Board for the payment of any of the
223    foregoing designated categories of expense which exceed a dollar
224    amount or which meet any other expense criteria as established in
225    such Hospital Board resolutions or bylaws. When such items
226    requiring board approval have been approved by the Hospital Board
227    in regular session and a voucher issued, a warrant may be drawn
228    for same.
229          Section 8. A majority of said Hospital Board shall
230    constitute a quorum for the transaction of its business, and said
231    Hospital Board shall be and is hereby authorized and empowered:
232          (1) To appoint a suitable president, fix his or her
233    compensation, remove any such appointee, and authorize the
234    president to do all things reasonable and necessary to direct the
235    operations and activities of facilities owned or operated by the
236    Hospital Board.
237          (2) To acquire by purchase, gift, or otherwise real and
238    personal property necessary or useful for the construction,
239    operation, and maintenance of hospital buildings and other
240    buildings necessary, in the opinion of the Hospital Board, for
241    health care purposes; to sell or exchange real estate or any
242    interest in real estate; and to construct hospitals, health
243    facilities which may include outpatient health facilities and
244    medical offices, and buildings and accessories incidental thereto
245    on such real estate, and, if such construction occurs within the
246    Memorial Hospital Core as defined by the Comprehensive Plan of
247    the City of Sarasota, to do so without regard to municipal and
248    county zoning ordinances, laws, and regulations.
249          (3) To adopt from time to time resolutions requesting the
250    Board of County Commissioners of Sarasota County to call
251    elections in the District for the purpose of submitting to the
252    qualified electors in the District the question of issuing bonds
253    of the District for the purpose of acquiring a site or sites, the
254    construction thereon of a hospital or hospitals and buildings
255    incidental thereto, and to improve buildings or buildings and the
256    furnishings and equipping of any such hospital or hospitals and
257    buildings. Said Hospital Board may adopt such resolutions on its
258    own initiative and shall adopt such resolutions upon the filing
259    with it of a petition signed by not less than 5 percent of the
260    qualified electors of the District requesting the Hospital Board
261    to adopt such resolutions. Upon the adoption of such resolution
262    by the Hospital Board, it shall be the duty of the Board of
263    County Commissioners of Sarasota County to forthwith adopt a
264    resolution or resolutions which order an election to be held in
265    such county and provide for the date of such elections and the
266    publication of notices thereof, all in the form and manner
267    provided by law.
268          (4) To issue negotiable coupon bonds of the District, from
269    time to time, if approved by a majority of the votes cast in an
270    election by the qualified electors of the District, bearing
271    interest at such rate or rates not exceeding 6 percent per annum,
272    maturing at such time or times not exceeding 30 years from the
273    date thereof, and redeemable at such times and at such price or
274    prices, all as said Hospital Board may determine by resolution,
275    and to sell such bonds at public or private sale and for such
276    price, not less than 95 percent of the par value thereof, as said
277    county Hospital Board may by resolution determine.
278          (5) To supervise, operate, and maintain all properties
279    belonging to it.
280          (6) To enter into contracts or leases with any individual,
281    corporation, public body, board of commissioners, the State of
282    Florida, Sarasota County, or any municipality, or agency or
283    instrumentality of said state, county, or municipality, with
284    respect to the use of any of the property belonging to the
285    Hospital Board by any thereof.
286          (7) To borrow money from any person, firm, association,
287    corporation, or governmental agency necessary for the purpose of
288    purchasing property, constructing buildings, equipping the
289    hospital or hospitals or other health facilities owned or
290    operated by the Hospital Board, and maintaining said hospital or
291    hospitals or other health facilities, from time to time as may be
292    necessary in properly carrying out the spirit and purpose of this
293    act, and as evidence thereof to make, execute, and deliver
294    promissory notes or other evidences of other indebtedness; and,
295    to the extent permitted by the Florida Constitution and general
296    laws, to secure the payment of same by mortgages, liens, and
297    other kinds of security upon any property owned or held by the
298    Hospital Board.
299          (8) To certify to the Board of County Commissioners of
300    Sarasota County the amount of the principal and interest upon
301    bonds issued by the Hospital Board and falling due in which any
302    such principal or interest may be payable and the amount
303    necessary to be raised in the District for the purposes of
304    providing a fund sufficient in the opinion of the Hospital Board
305    to pay the cost of operating and maintaining properties of the
306    Hospital Board in each year. In the event bonds shall be issued
307    under the provisions of this act, it shall be the duty of the
308    Hospital Board to certify such facts in writing to the Board of
309    County Commissioners within 30 days after the delivery of such
310    bonds and on or before the expiration of each 12-month period
311    thereafter, and it shall be the duty of the Board of County
312    Commissioners to levy upon all taxable property in the District
313    and collect a tax sufficient to provide funds for the payment of
314    the principal and the interest upon such bonds as such principal
315    and the interest upon such bonds fall due and a tax, not to
316    exceed 2 mills on assessed valuation of property in the District,
317    to provide funds for the operation, maintenance, and repair of
318    and for the making of alterations and additions to any hospitals
319    established by the Hospital Board under the provisions of this
320    act. The proceeds of all such taxes shall be paid over to the
321    secretary and treasurer of the District as such taxes are
322    received.
323          (9) To certify to the Board of County Commissioners of
324    Sarasota County, on or before the 15th day of each month
325    commencing with the month of November 1959, a list of all the
326    medically indigent persons who have been hospitalized in any of
327    the hospitals which are operated by the Hospital Board during the
328    preceding month, together with the itemized charges for the
329    hospital services and care for each of said medically indigent
330    persons which have been rendered in such preceding month by the
331    said hospital. The Board of County Commissioners of Sarasota
332    County shall, within 45 days after the receipt of such certified
333    list of medically indigent patients with the hospital charges,
334    make remittance to the treasurer of the Hospital Board of the sum
335    total of the amount shown on the certified list to be the amount
336    owing to the Hospital Board for the hospital services and care
337    rendered to the medically indigent persons during the month
338    embraced in said certification.
339          The Hospital Board shall give written notice to the Welfare
340    Department of Sarasota County of the proposed admission of each
341    medically indigent person to hospitals operated by said Hospital
342    Board, prior to the actual admission of each such medically
343    indigent person, provided, however, that notice to said Welfare
344    Department prior to the admission of a medically indigent person
345    shall not be required in emergency cases.
346          The said Board of County Commissioners shall in like manner
347    reimburse any other hospital in Sarasota County, approved by the
348    State Board of Health, for hospital services rendered to
349    medically indigent persons as herein defined, upon like
350    certification by such hospital and at such rates as shall not
351    exceed those prescribed for such patients by hospitals owned and
352    operated by said Hospital Board.
353          The term "medically indigent person," as used in this act,
354    shall be deemed to mean an inhabitant of Sarasota County who is
355    ill or injured and who requires treatment in a hospital as
356    prescribed and ordered by a physician and who is unable to
357    provide himself or herself with such necessary hospital services.
358          (10) To expend hospital funds and withhold employees' wages
359    in order to make payment (including any amount paid for insurance
360    and annuities, or into a fund, to provide for any such payment)
361    to or on behalf of an employee of the Hospital Board or any of
362    his or her dependents under any plan or system established by the
363    Hospital Board, when such payment is on account of (a)
364    retirement; (b) sickness or accident disability; (c) medical or
365    hospitalization expenses in connection with sickness or accident
366    disability; or (d) death.
367          (11) To expend funds and provide facilities and personnel
368    to conduct formal and informal courses of instruction,
369    demonstration, and education through hospitals under its
370    jurisdiction relating to hospital procedures, services, and care
371    and the operation and care of apparatus and equipment utilized in
372    connection with usual hospital functions, and to authorize the
373    participation in such courses with private or other governmental
374    agencies; and to award scholarship grants and make scholarship
375    loans to qualified students of nursing, X-ray technology, and
376    other hospital-related fields of study in consideration for the
377    promises of such students to enter the employment of said
378    Hospital Board and to meet other conditions and requirements to
379    be established by said Hospital Board from time to time.
380          (12) To provide hospital and other health care services
381    within the confines of facilities which are owned or operated by
382    the Board. Additionally, the Hospital Board is authorized to
383    provide hospital and other health care services within the
384    boundaries of the Hospital District but outside of facilities
385    which are owned or operated by the Board, provided that the
386    Hospital Board shall adopt a resolution or resolutions from time
387    to time defining the type and scope of hospital and other health
388    care services which the Hospital Board employees, agents, and
389    staff are authorized to render outside of the facilities of the
390    Board.
391          (13) To participate, to the extent permitted by the
392    constitution and laws of this state, as a shareholder in a
393    corporation, as a joint venturer in a joint venture, as a partner
394    in a limited partnership or a general partnership, or as a member
395    of any other lawful form of business organization which provides
396    health care or engages in activities related thereto; to make or
397    arrange for loans, contributions to capital, and other debt and
398    equity financing for the activities of such corporations, joint
399    ventures, partnerships, or other lawful forms of business
400    organization and to guarantee loans for such purposes; to elect
401    the boards of directors of its not-for-profit corporations; and
402    to utilize, for any lawful purpose, assets and resources of the
403    Hospital Board to the extent not needed for health care and
404    related activities.
405          (14) To establish a fund out of hospital revenues other
406    than those revenues derived from ad valorem taxation to promote
407    the activities of the facilities owned or operated by the
408    Hospital Board. The term "promote," as used in this subsection,
409    shall be defined in its broadest sense to include, but not be
410    limited to, advertising, the extension of hospitality or
411    entertainment, the use of news media, and the employment of
412    public relations methods. Expenditures from the fund shall be
413    limited to those determined by the Hospital Board to be
414    reasonable and necessary to encourage and develop support for the
415    facilities owned and operated by the Hospital Board. The
416    Hospital Board may adopt rules for the effective implementation
417    of this subsection.
418          (15) To compromise and settle any accounts receivable or
419    other claim for money due and owing to the hospital by persons
420    unable to pay on demand according to such terms and conditions as
421    the Hospital Board in its discretion may determine. The Hospital
422    Board is further authorized and empowered to sell, assign, or
423    convey to any person, financial institution, or organization the
424    right, title, and interest in any account receivable or judgment
425    owned by the Hospital Board by full or partial payment of such
426    account or judgments as the Hospital Board in its discretion may
427    determine.
428          (16) To establish, own, provide, or participate in health
429    maintenance organizations, in preferred provider organizations,
430    in food services, and in other health-care-related activities
431    using assets and resources of the Hospital Board to the extent
432    not needed for health care. Any of such activities may be
433    carried out by the Hospital Board through any of its forms of
434    organization authorized under this act.
435          (17) To the extent permitted by the constitution and laws
436    of this state, to establish, operate, or support subsidiaries and
437    affiliates, either for profit or not for profit, to assist the
438    Hospital Board in fulfilling its declared public purpose of
439    provision for the health care needs of the people of the
440    District; to establish or support nonaffiliated, not-for-profit
441    corporations which operate primarily within the District and
442    which have as their purposes the furtherance of the Hospital
443    Board's provision for the health care needs of the people of the
444    District; and to accomplish such establishment, operation, or
445    support of any such subsidiary, affiliate, or nonaffiliated, not-
446    for-profit corporation by means of loans of funds either interest
447    free or at low interest, leases of real or personal property
448    either rent free or for low rental, gifts and grants of funds, or
449    guarantees of indebtedness of such subsidiaries, affiliates, and
450    nonaffiliated, not-for-profit corporations. The establishment,
451    operation, or support of a subsidiary or affiliate corporation or
452    nonaffiliated, not-for-profit corporation is hereby found and
453    declared to be a public purpose and necessary for the
454    preservation of the public health and for a public use and for
455    the welfare of the Hospital Board and inhabitants of the
456    District. It is the intent of the Legislature to authorize the
457    formation of the entities described in this section to further
458    the interests of the residents of Sarasota County in maintaining
459    the financial well-being of Memorial Hospital of Sarasota by
460    providing, directly or indirectly, for the delivery, financing,
461    and support of hospital and nonhospital health care services and
462    related activities to the extent consistent with the financial,
463    patient acquisition, and development needs of Memorial Hospital
464    of Sarasota.
465          (18) In addition to any investment authorized by general
466    law, and to the extent permitted by the constitution of this
467    state, to invest any funds in its control or possession in the
468    following:
469          (a) Bankers' acceptances which are drawn upon and accepted
470    by a commercial bank which is a member bank of the Federal
471    Reserve System maintaining capital accounts in excess of 7.5
472    percent of total assets, and which member bank or its holding
473    company carries a credit rating in one of the two highest
474    alphabetical categories from at least two nationally recognized
475    debt rating agencies.
476          (b) Commercial paper of prime quality rated by at least two
477    nationally recognized debt rating agencies in the highest letter
478    and numerical rating of each agency. If not so rated, such prime
479    quality commercial paper may be purchased if secured by a letter
480    of credit provided by a commercial bank, which bank or its
481    holding company carries a credit rating in one of the two highest
482    alphabetical categories from at least two nationally recognized
483    debt rating agencies.
484          (c) Interest-bearing bonds, debentures, and other such
485    evidence of indebtedness with a fixed maturity of any domestic
486    corporation within the United States which is listed on any one
487    or more of the recognized national stock exchanges in the United
488    States and conforms with the periodic reporting requirements
489    under the Securities Exchange Act of 1934. Such obligation shall
490    either carry ratings in one of the two highest classifications of
491    at least two nationally recognized debt rating agencies or be
492    secured by a letter of credit provided by a commercial bank,
493    which bank or its holding company carries a credit rating in one
494    of the two highest alphabetical categories from at least two
495    nationally recognized debt rating agencies.
496          (d) Negotiable direct obligations of, or obligations the
497    principal and interest of which are unconditionally guaranteed
498    by, the United States Government at the then prevailing market
499    price for such securities; and obligations of the Federal Farm
500    Credit Banks, Federal Home Loan Mortgage Corporation, or Federal
501    Home Loan Bank or its district banks, including Federal Home Loan
502    Mortgage Corporation participation certificates, or obligations
503    guaranteed by the Government National Mortgage Association, or
504    obligations of such Federal Agencies and Government Sponsored
505    Enterprises which are qualified for purchase under paragraph (f);
506    which are purchased and sold under repurchase agreements and
507    reverse repurchase agreements. Repurchase agreements and reverse
508    repurchase agreements may be entered into only with a member bank
509    of the Federal Reserve System or primary dealer in U.S.
510    Government Securities, which member bank or primary dealer must
511    have $100 million in capital. Securities purchased or
512    repurchased by the Hospital Board shall be delivered to the
513    Hospital Board or its agent versus payment.
514          (e) Purchase of options so as to engage in bona fide
515    hedging activities for the purpose of protecting the asset value
516    of the underlying portfolio, provided the instruments for such
517    purpose are traded on a securities exchange or board of trade
518    regulated by the Securities Exchange Commission or the Commodity
519    Futures Trading Commission.
520          (f) Negotiable direct obligations of Federal Agencies or
521    Government Sponsored Enterprises (GSE) which meet each of the
522    following criteria:
523          1. seq level4 \h \r0 seq level5 \h \r0 seq level6 \h \r0 An agency or GSE with at least $10 billion in
524    outstanding debt.
525          2. A rating of at least an AA by a nationally recognized
526    securities rating agency.
527          3. A selling group of at least three nationally recognized
528    securities dealers.
529          4. Chartered by or pursuant to an Act of Congress.
530          5. Bonds issued under authority of, or pursuant to, an Act
531    of Congress.
532          6. Accepted as security for fiduciary, trust, and public
533    funds under control of the United States Government.
534          7. Eligible as collateral for Federal Reserve Bank discount
535    window transactions.
536          8. Eligible as collateral for Treasury Tax and Loan
537    accounts.
538          9. Eligible for National Bank purchase without regard to
539    statutory limitations and restrictions generally applicable to
540    investment securities.
541          10. Authority to borrow from the United States Treasury.
542          (19) In addition to other power and authority conferred by
543    this act or by general law, the Hospital Board is vested with the
544    following powers for issuance of revenue bonds of the District:
545          (a) The Hospital Board is hereby authorized to provide by
546    resolution at one time or from time to time for the issuance of
547    revenue bonds of the District for the purpose of paying all or a
548    part of the cost of acquisition, construction, planning,
549    leasing, repairing, extensions to, additions, equipping, and
550    reconstruction of any hospital buildings and facilities of the
551    District. The bonds of each issue shall be dated, shall bear
552    interest at such rate or rates not exceeding 7 percent per
553    annum, shall mature at such time or times, not exceeding 40
554    years from their date or dates, as may be determined by the
555    Hospital Board, and may be made redeemable before maturity, at
556    the option of the Hospital Board, at such price or prices and
557    under such terms and conditions as may be fixed by the Hospital
558    Board prior to the issuance of the bonds. The Hospital Board
559    shall determine the form of the bonds, including any interest
560    coupons to be attached thereto, and the manner of execution of
561    the bonds and coupons, and shall fix the denominations of the
562    bonds and the place or places of payment of principal and
563    interest, which may be at any bank or trust company within or
564    without the state. In case any officer whose signature or a
565    facsimile of whose signature shall appear on any bonds or
566    coupons shall cease to be such officer before the delivery of
567    such bonds, such signature or such facsimile shall nevertheless
568    be valid and sufficient for all purposes the same as if he or
569    she had remained in office until such delivery. All bonds
570    issued under the provisions of this act shall have and are
571    hereby declared to have all the qualities and incidents of
572    negotiable instruments under the negotiable instruments laws of
573    the state. The bonds may be issued in coupon or in registered
574    form, or both, as the Hospital Board may determine, and
575    provisions may be made for the registration of any coupon bonds
576    as to the principal alone and also as to both principal and
577    interest, and for the reconversion into coupon bonds of any
578    bonds registered as to both principal and interest. The issuance
579    of such bonds shall not be subject to any limitations or
580    conditions contained in any other law, and the Hospital Board
581    may sell bonds in such manner at public or private sale and for
582    such price as it may determine to be for the best interest of
583    the Hospital Board, but no such sale shall be made at a price so
584    low as to require the payment of interest on the money received
585    therefor at more than 7 percent per annum, computed with
586    relation to the absolute maturity of the bonds in accordance
587    with standard tables of bond values, excluding, however, from
588    such computations the amount of any premium to be paid on
589    redemption of any bonds prior to maturity. Prior to the
590    preparation of definitive bonds, the Hospital Board may, under
591    like restrictions, issue interim receipts or temporary bonds
592    with or without coupons, exchangeable for definitive bonds when
593    such bonds have been executed and are available for delivery.
594    The Hospital Board may also provide for the replacement of any
595    bonds which shall be mutilated, destroyed, or lost.
596          (b) Bonds may be issued under the provisions of this act
597    without obtaining the consent of any commission, board, bureau,
598    or agency of the state or county and without any other
599    proceedings or the happening of any other condition or thing than
600    those proceedings, conditions, or things which are specifically
601    required by this act.
602          (c) No approval of the issuance of the revenue bonds herein
603    authorized at an election of the freeholders who are qualified
604    electors residing in the District shall be necessary unless such
605    election is required by the Constitution of the State of Florida;
606    then, and only in such event, such election shall be called,
607    noticed, and conducted and the results thereof determined and
608    declared as may be required by the general laws of the state.
609          (d) The proceeds of the bonds shall be used solely for the
610    payment of the cost of the hospital facilities for which such
611    bonds shall have been authorized and shall be disbursed in the
612    manner provided in the resolution or in the trust agreement
613    authorizing the issuance of such bonds. If the proceeds of the
614    bonds of any issue shall exceed the amount required for the
615    purpose for which the same shall have been issued, the surplus
616    shall be set aside and used only for the payment of the cost of
617    additional hospital facilities or shall be deposited in the
618    sinking fund for such bonds. In the event that the actual cost
619    of the hospital facilities exceeds the estimated cost, the
620    Hospital Board may issue additional bonds to cover the
621    deficiency, subject to the same restrictions as required for the
622    original issue.
623          (e) The Hospital Board is authorized and empowered to fix,
624    charge, and collect rates, fees, and charges for the use of and
625    for the services furnished or to be furnished by any hospital
626    facilities under the supervision, operation, and control of the
627    Hospital Board in amounts sufficient, with any other funds
628    legally available therefor, first to pay the principal of and the
629    interest on any revenue bonds issued under the provisions of this
630    act, including reserves therefor, and second to pay the cost of
631    operating and maintaining such hospital facilities.
632          (f) Revenue bonds issued under the provisions of this act
633    may be payable from the revenues derived from the operation of
634    any hospital facility or combination of hospital facilities of
635    the District under the supervision, operation, and control of the
636    Hospital Board and from any other funds legally available
637    therefor. The issuance of such revenue bonds shall not directly,
638    indirectly, or contingently obligate the state, Sarasota County,
639    the Hospital Board, or the District to levy any ad valorem taxes
640    or to make any appropriations for their payment or for the
641    operation and maintenance of the hospital facilities of the
642    District.
643          (g) The Hospital Board shall not convey or mortgage any
644    hospital facility or any part thereof as security for the payment
645    of the revenue bonds.
646          (h) In the discretion of the Hospital Board, each or any
647    issue of such revenue bonds may be secured by a trust agreement
648    by and between the Hospital Board and a corporate trustee, which
649    may be any trust company or bank having the powers of a trust
650    company within or without the state. Such trust agreement may
651    pledge or assign the revenues to be received by the Hospital
652    Board. The resolution providing for the issuance of revenue
653    bonds or such trust agreement may contain such provisions for
654    protecting and enforcing the rights and remedies of the
655    bondholders as may be reasonable, proper, and not in violation of
656    law, including covenants setting forth the duties of the Hospital
657    Board in relation to the acquisition, construction, improvement,
658    maintenance, operation, repair, equipping, and insurance of the
659    hospital facilities, and the custody, safeguarding, and
660    application of all moneys. It shall be lawful for any bank or
661    trust company incorporated under the laws of this state to act as
662    such depository and to furnish such indemnifying bonds or to
663    pledge such securities as may be required by the Hospital Board.
664    Such resolution or such trust agreement may restrict the
665    individual right of action by bondholders as is customary in
666    trust agreements securing similar securities. In addition to the
667    foregoing, such resolution or such trust agreement may contain
668    such other provisions as the Hospital Board may deem reasonable
669    and proper for the security of the bondholders. Except as in
670    this act otherwise provided, the Hospital Board may provide, by
671    resolution or by trust agreement, for the payment of the proceeds
672    of the sale of the revenue bonds and the revenues of the
673    facilities to such officer, board, or depository as it may
674    determine for the custody thereof, and for the method of
675    disbursement thereof, with such safeguards and restrictions as it
676    may determine. All expenses incurred in carrying out such trust
677    agreement may be treated as a part of the cost of operation of
678    the facilities affected by such trust agreement.
679          (i) The resolution or trust agreement providing for the
680    issuance of the revenue bonds may also contain such limitations
681    upon the issuance of additional revenue bonds as the Hospital
682    Board may deem proper, and such additional bonds shall be issued
683    under such restrictions or limitations as may be prescribed by
684    such resolution or trust agreement.
685          (j) The Hospital Board is hereby authorized to provide by
686    resolution for the issuance of refunding revenue bonds for the
687    purpose of refunding any revenue bonds, respectively, then
688    outstanding and issued under the provisions of this act. The
689    Hospital Board is further authorized to provide by resolution for
690    the issuance of revenue bonds for the combined purpose of paying
691    the cost of any acquisition, construction, planning, leasing,
692    extension to, addition, improving, equipping, or reconstruction
693    of a facility or facilities of the District and refunding revenue
694    bonds of the District which shall theretofore have been issued
695    under the provisions of this act and shall then be outstanding.
696    The issuance of such bonds, the maturities and other details
697    thereof, the right and remedies of the holders thereof, and the
698    rights, powers, privileges, duties, and obligations of the
699    District with respect to the same shall be governed by the
700    foregoing provisions of this act insofar as the same may be
701    applicable.
702          Section 9. seq level1 \h \r0 seq level2 \h \r0 seq level3 \h \r0 seq level4 \h \r0 If the Hospital Board and the owners of the
703    property desired by said Hospital Board for hospital purposes
704    cannot agree as to the price to be paid therefor, said Hospital
705    Board is empowered to bring condemnation proceedings against said
706    property for the purpose of condemning said property for public
707    hospital purposes, and said Hospital Board is hereby authorized
708    and empowered to employ an attorney or attorneys to prosecute
709    said condemnation proceedings. The said Hospital Board is hereby
710    given and granted the same powers as the counties of this state
711    so far as condemnation of property is concerned and the same
712    procedure shall be followed. The right of eminent domain hereby
713    granted shall be exercised in accordance with the provisions of
714    chapter 74, Florida Statutes, in the same manner as therein
715    provided for the acquiring of right-of-way for the state highway
716    system and to take title to lands in fee simple absolute or such
717    lesser estate as may be specified in the declaration of taking,
718    upon the deposit of such sum as the court shall determine will
719    fully secure and fully compensate the persons lawfully entitled
720    to compensation.
721          Section 10. Any hospital established under this act shall
722    be for the benefit of the inhabitants of said territory, but said
723    hospital may extend the privileges and use of said hospital for
724    persons residing outside of said District, upon such terms and
725    conditions as the Hospital Board may from time to time by its
726    rules and regulations prescribe. Every such person or inhabitant
727    who is not a pauper shall pay said Hospital Board a reasonable
728    compensation for occupancy, nursing, care, medicine, and
729    attendance according to the rules and regulations prescribed by
730    said Hospital Board. Each municipal corporation situated within
731    the District shall be liable to said Hospital Board for
732    occupancy, nursing, care, medicine, and attendance for prisoners
733    in the custody of any such municipal corporation who are admitted
734    to any hospital operated by said Hospital Board. Said hospital
735    always shall be subject to such rules as such Hospital Board may
736    adopt from time to time in order for said hospital to render the
737    greatest benefit to the greatest number, and said Hospital Board
738    may exclude from treatment and care any indigent or paying case
739    having a communicable or contagious disease when such disease may
740    be a detriment to the best interests of such hospital or a source
741    of contagion or infection to the patients in its care, unless a
742    separate building or ward has been established for the special
743    treatment and care of patients having communicable or contagious
744    diseases and it can properly and with safety to the other
745    patients retain such communicable cases in such separate building
746    or ward.
747          Section 11. When such hospital or hospitals are
748    established, the physicians, nurses, attendants, the persons sick
749    therein, and all other persons approaching or coming within the
750    limits of same, and all furniture or other articles used or
751    brought there, shall be subject to such rules and regulations as
752    said Hospital Board may prescribe.
753          Section 12. The Hospital Board shall organize a staff of
754    physicians and dentists, and the Hospital Board is authorized to
755    give, grant, or revoke staff membership and privileges of the
756    medical staff members for practice in the hospital or hospitals
757    maintained under this act so that the welfare and health of
758    patients and the best interests of the hospital may, at all
759    times, be best served. Membership on the medical staff of the
760    hospital or hospitals owned by the Hospital Board shall be
761    restricted to persons with the following qualifications:
762          (1) Graduates of:
763          (a) Recognized medical schools approved and accredited by
764    the American Medical Association;
765          (b) Recognized dental schools approved and accredited by
766    the American Dental Association;
767          (c) An accredited college of osteopathy who have
768    successfully completed an internship or residency for at least 1
769    academic year of supervised clinical training in a hospital
770    affiliated with a medical school approved by the Council of
771    Medical Education of the American Medical Association, or who
772    have successfully completed any equivalent program established by
773    or relating to the American Osteopathic Association; or
774          (d) A foreign medical school who meet the qualifications
775    for licensure prescribed by section 458.311 or section 458.313,
776    Florida Statutes; and
777          (2) seq level5 \h \r0 Who are legally licensed to practice medicine,
778    osteopathy, or dentistry in the State of Florida and who are
779    qualified for membership in the Sarasota County Medical Society
780    or the Sarasota County Dental Society, and who are regularly
781    practicing physicians or dentists in the territory in which that
782    hospital or hospitals are located, and who are competent to
783    perform the work required of physicians or dentists with similar
784    privileges on the hospital staff.
785          The term "physician," as used herein, includes only
786    physicians licensed to practice medicine under the Florida
787    Medical Practice Act, chapter 458, Florida Statutes, and
788    physicians licensed to practice osteopathic medicine under
789    chapter 459, Florida Statutes.
790          Medical staff membership or professional privileges shall
791    not be denied to any applicant solely because the applicant is
792    licensed as a doctor of medicine under chapter 458, Florida
793    Statutes, as a doctor of osteopathy under chapter 459, Florida
794    Statutes, nor shall professional privileges be denied to an
795    applicant solely because the applicant is licensed as a doctor of
796    podiatry under chapter 461, Florida Statutes.
797          Any patient shall have the right to employ at his or her
798    expense his or her own physician or dentist, provided such
799    physician or dentist shall have been accorded privileges in the
800    hospital. A physician or dentist, when employed by the patient,
801    shall have exclusive charge of the care and treatment of such
802    patient, subject always to such general rules and regulations as
803    shall be established by the Hospital Board under the provisions
804    of this act. It shall be the duty of the medical staff to
805    organize in the manner prescribed by the said Hospital Board.
806          The Hospital Board is further authorized and empowered to
807    set up rules and regulations for the control of all professional
808    and nonprofessional employees of the hospital, which terms shall
809    include nurses on general duty or on private duty attending
810    patients, and all parties in the hospital, either as employees or
811    in any manner in attendance of patients.
812          Section 13. seq level1 \h \r0 seq level2 \h \r0 seq level3 \h \r0 seq level4 \h \r0 The millage necessary for the maintenance of
813    said Hospital District shall not exceed a maximum of 2 mills per
814    annum. The millage necessary to pay the interest and provide a
815    sinking fund on bonded indebtedness shall be levied separately
816    from the millage necessary for maintenance of the hospital or
817    hospitals to be constructed or purchased under the provisions of
818    this act, and the Board of County Commissioners of Sarasota
819    County shall make said levy pursuant to the provisions of section
820    14 of this act.
821          Section 14. (1) The County Property Appraiser of Sarasota
822    County, immediately after said Hospital Board shall have been
823    appointed, shall report in writing to said Hospital Board the
824    assessed valuation on all taxable property within the limits of
825    said District as assessed valuation for taxation by said Hospital
826    Board, and said report shall be made by said Property Appraiser
827    each year thereafter immediately after the tax assessment of said
828    District for that year shall have been reviewed and equalized by
829    the Board of County Commissioners of Sarasota County. Said
830    Hospital Board shall present each year, determined by resolution,
831    the total amount to be raised by taxation upon said taxable
832    property located within said hospital district for such year.
833    The amount necessary to pay the interest for sinking fund or
834    bonded or other secured indebtedness, and the amount necessary
835    for the operation, maintenance, repair, alteration, and addition,
836    shall be stated separately. Said Hospital Board shall thereupon
837    determine the rate of taxation which, when levied upon the
838    assessed valuations of all taxable property within said District,
839    will raise the sums of money theretofore determined by
840    resolutions, as the total amount to be raised for such year by
841    taxation, and shall by resolution levy and fix the rate of
842    taxation on all property in said District, the rate to be levied
843    for operation, maintenance, repair, alteration, and addition to
844    be fixed separately, and the rate for such operation,
845    maintenance, repair, alteration, and addition not to exceed 2
846    mills per annum.
847          A certified copy of said Tax Resolution, executed by the
848    chair of said Hospital Board and attested by the secretary of
849    said Hospital Board, under its corporate seal, shall be made and
850    delivered to the Board of County Commissioners of Sarasota County
851    on or before August 1 of each year, or within 15 days after
852    receipt of the tax assessment roll from the County Property
853    Appraiser. It shall be the mandatory duty of said Board of
854    County Commissioners of Sarasota County to order and direct the
855    County Property Appraiser of Sarasota County to assess and levy,
856    and to order and direct the County Tax Collector of said county
857    to collect, the tax at the rate fixed and determined by said
858    resolution of the said Hospital Board, upon all taxable property
859    located within said District, and the said levies and assessments
860    shall be included in the tax roll and warrant of said Property
861    Appraiser of said county for each fiscal year thereafter. The
862    said Tax Collector shall collect said taxes in the same manner
863    and at the same time as state and county taxes are collected and
864    shall pay and remit the same upon the collection thereof to the
865    said Hospital Board.
866          (2) In the event the millage authorized herein be reduced
867    in the year of a revaluation as provided in section 193.03,
868    Florida Statutes, 1965, then in each and every year thereafter
869    the millage to be levied may be increased (a) by not more than 10
870    percent of what it was in the preceding year, or (b) by no more
871    than that which is required for a 10-percent increase in the
872    amount which was yielded by millage levied for such Hospital
873    District in the year immediately preceding such revaluation,
874    whichever is greater, provided that nothing herein shall be
875    construed to alter the 2-mill limitation imposed by section 13
876    hereof.
877          Section 15. The Hospital Board shall have power to
878    determine whether or not persons presented to said public
879    hospital for treatment are subject to charity and shall fix
880    charges for occupancy, nursing, care, medicine, and attendance,
881    other than medical or surgical attendance, for these persons able
882    to pay for same, as the Hospital Board may deem just and proper,
883    and all receipts therefor shall be deposited to the credit of the
884    Hospital Board.
885          Section 16. Any person or persons, firms, organizations,
886    corporations, or societies desiring to make donations of money,
887    personal property, or real estate for the benefit of any hospital
888    or hospitals erected under this act shall have the right to vest
889    title of the money, personal property, or real estate so donated
890    in said Hospital Board, to be controlled when accepted by said
891    Hospital Board, according to the terms of the bequests, devises,
892    or gifts pertaining to such property.
893          Section 17. The Hospital Board shall have the right to
894    operate or participate in a nonprofit hospital service plan
895    whereby hospital care may be furnished by the said corporation or
896    by any hospital or hospitals established by said Hospital Board,
897    and said Hospital Board may agree with the subscribers to certain
898    hospital care, and said Hospital Board and those persons with
899    whom it deals on the nonprofit hospital service plan shall be
900    exempt from provisions of the insurance laws of the State of
901    Florida pertaining to insurance which may in any way conflict
902    with the hospital service plan of said Hospital Board. When a
903    contract for hospital service has been executed, the Hospital
904    Board shall be required to render the service set forth in said
905    contract and the other party to the contract shall be required to
906    fully comply with his or her parts of said agreement.
907          Section 18. The purposes for which any hospital created
908    under the provisions of this act shall be used are hereby
909    declared to be for public purposes.
910          Section 19. When this act has been adopted by the
911    Legislature and approved by the Governor, or passed without the
912    approval in accordance with the Constitution of the State of
913    Florida, it shall be the duty of the County Commissioners of
914    Sarasota County within 6 months from the date of the passage of
915    this act to call an election in the territory affected by the
916    terms of this act in Sarasota County of all the qualified
917    electors to determine whether or not the people wish to accept
918    the terms and conditions of this act. Notice of such election
919    shall be given by publishing a notice of the same in a newspaper
920    of general circulation in Sarasota County once a week for 4
921    consecutive weeks prior to said election, and such notice shall
922    set out the proposed act verbatim. The ballot submitted to the
923    qualified electors participating in said election shall state
924    this proposed act verbatim and shall provide a space and under
925    this shall state "For the Sarasota County Public Hospital Board
926    Act" and a space for a cross; following and below "Against the
927    Sarasota County Public Hospital Board Act" and a space for a
928    cross. If a majority of those participating in said election
929    shall approve the act, then the provisions hereof shall be and
930    become of full force and effect at noon on the 3rd day after such
931    election is held; otherwise this act shall be null and void. The
932    electors participating in said election shall vote in the
933    precinct in which they reside according to the registration books
934    of the Supervisor of Registration of Sarasota County.
935          Section 20. The term "mill," as used in subsection (8) of
936    section 8 of this act and as used in sections 13 and 14 of
937    chapter 26468 (1949), Laws of Florida, as amended, shall be
938    deemed to mean 1/10th part of a cent, and that the application of
939    the rate of 1 mill to each $1,000 of assessed valuation of
940    property shall yield $1.
941          Section 21. The Hospital Board shall be empowered to
942    destroy any of its records together with any of the records of
943    the hospital or hospitals owned and operated by the Hospital
944    Board, provided that such records are photographed or microfilmed
945    prior to their destruction.
946          Section 22. Sarasota County Public Hospital Board is
947    authorized to construct, maintain, operate, and lease parking
948    facilities for hospital agents, employees, patients, staff
949    members, patient guests, business invitees, and the visiting
950    public in conjunction with hospitals which are under the
951    jurisdiction of the Hospital Board upon real property which is
952    presently owned or which may be subsequently acquired by the
953    Hospital Board. The Hospital Board may enter into lease or
954    franchise agreements with private persons or corporations as
955    tenants or operators of such facilities upon such terms and for
956    such periods of time as the Board may deem appropriate. The
957    Hospital Board shall hold a public hearing, after the publication
958    of a notice of such meeting in a newspaper of general circulation
959    in Sarasota County at least one time no less than 10 nor more
960    than 25 days prior to such hearing: (1) to consider the
961    establishment of rates or fees, if any, which shall be charged to
962    motorists who utilize any such hospital parking facility and (2)
963    to consider any subsequent revisions therein which increase the
964    rates or fees which shall be charged to motorists who utilize the
965    hospital parking facility. The Hospital Board is authorized to
966    pledge the income and revenues derived from such leases and
967    franchise agreements as security for the repayment of loans
968    extended to the Hospital Board as the Hospital Board may deem
969    necessary or desirable from time to time. All real property used
970    for such hospital purposes, either by the Hospital Board or by
971    its licensees and franchisees, shall be exempt from ad valorem
972    taxes of Sarasota County and of any municipality in which such
973    real estate may be located.
974          Section seq level0 \h \r0 seq level1 \h \r0 seq level2 \h \r0 seq level3 \h \r0 seq level4 \h \r0 seq level5 \h \r0 seq level6 \h \r0 seq level7 \h \r0 23. The Tax Collector of Sarasota County shall
975    issue a special beverage license authorizing the Hospital Board
976    to sell intoxicating beverages for medicinal purposes only in
977    quantities not in excess of 2 ounces per sale, provided such
978    sales are made only to inpatients of any hospital operated by the
979    Hospital Board and only upon the prescription of a duly licensed
980    physician. The special license shall authorize the Hospital
981    Board to purchase alcoholic beverages from any duly licensed
982    manufacturer or distributor of alcoholic beverages as defined in
983    chapter 561, Florida Statutes, and all such manufacturers and
984    distributors have authority to sell alcoholic beverages to the
985    Hospital Board for resale within the limitations of its special
986    license. The Hospital shall be exempt from the payment of a fee
987    for the special license, which shall be renewed annually by
988    filing with the Tax Collector a resolution by the Hospital Board
989    requesting the renewal of the license.
990          Section seq level0 \h \r0 seq level1 \h \r0 seq level2 \h \r0 seq level3 \h \r0 seq level4 \h \r0 seq level5 \h \r0 seq level6 \h \r0 seq level7 \h \r0 24. Every individual, partnership, firm,
991    association, corporation, institution, governmental district, or
992    other governmental unit, and every combination of any of the
993    foregoing, operating a hospital or hospitals in the County of
994    Sarasota shall be entitled to and is hereby given a lien as
995    herein provided for all reasonable charges for hospital care,
996    treatment, and maintenance of ill or injured persons and the
997    charges for test, laboratory work, X rays, drugs, and other items
998    incident to such care and treatment supplied by or charged to the
999    hospital for the benefit of such ill or injured persons, the
1000    total or unpaid part of which is hereafter called hospital bill,
1001    which lien shall be and is hereby declared upon all causes of
1002    action, suits, claims, counterclaims, and demands accruing to the
1003    person or persons to or for whom such care, treatment, or
1004    maintenance is furnished, or accruing to the legal
1005    representatives of such persons or to the person or persons
1006    incurring or liable for the hospital bill, and such lien is also
1007    hereby given upon the amounts due or payable under
1008    hospitalization insurance, hospital or medical expenses due and
1009    payable under public liability policies, or other indemnity, and
1010    upon all judgments, settlements, and settlement agreements and
1011    the sums payable thereunder rendered or entered into by virtue
1012    thereof, on account of illness or injuries giving rise to such
1013    causes of action, suits, claims, counterclaims, demands,
1014    judgments, settlements, or settlement agreements and which
1015    necessitated or shall have necessitated or have directly
1016    contributed to the necessity for such hospital care, treatment,
1017    and maintenance, and upon proceeds of such insurance or indemnity
1018    agreements as above specified, whether the illness or injury be
1019    the result of tort or otherwise. The term "hospital care," as
1020    used in this section, shall be broadly construed to include all
1021    hospital and nonhospital health care services and related
1022    activities which are rendered through any hospital or other
1023    health care facility owned or operated by the Hospital Board or
1024    its subsidiaries or affiliates or nonaffiliated, not-for-profit
1025    corporations.
1026          (1) In order to perfect such lien, an executive officer,
1027    controller, or agent of a hospital, before or within 30 days
1028    after such person shall have been discharged from such hospital,
1029    shall file in the office of the Clerk of the Circuit Court of
1030    Sarasota County a verified claim in writing setting forth the
1031    following: (a) the name and address of such patient, as it shall
1032    appear on the records of such hospital, and if the patient is a
1033    minor, it shall contain the name of the parents or guardian of
1034    such minor patient, (b) the name and location of such hospital,
1035    (c) the dates of admission to and discharge of such patient
1036    therefrom, (d) the amount claimed to be due for such hospital
1037    care, treatment, and maintenance, and (e) to the best knowledge
1038    of the person signing such claim, the names and addresses, if the
1039    same be known, of all persons, firms, or corporations claimed by
1040    such ill or injured person or his or her legal representative to
1041    be liable on hospital or other indemnity insurance if known to
1042    claimant; such claimant shall also, within 1 day after the filing
1043    of such claim of lien, mail a copy thereof by registered or
1044    certified mail with return receipt requested, postage prepaid, to
1045    each person, firm, or corporation so claimed to be liable on
1046    account of such illness or injuries at the address so given in
1047    such statement filed by the hospital claimant. The filing of
1048    such claim shall constitute notice thereof to all persons, firms,
1049    or corporations who may be liable on account of such illness or
1050    injuries, whether or not they are named in such claim, and
1051    whether or not a copy of such claim shall have been received by
1052    them. Such statement shall not constitute a lien upon anything
1053    other than causes of action, suits, claims, counterclaims,
1054    demands, and insurance and indemnity proceeds specified in this
1055    section, and this is not a general lien upon the property of the
1056    persons named in such statement.
1057          (2) The clerk of the circuit court shall endorse on each
1058    such claim the date and hour of filing in the official records of
1059    Sarasota County or may provide a hospital lien book with proper
1060    index in which he or she shall record such claims, and shall show
1061    therein the date and hour of such filing. The clerk shall be
1062    paid by the claimant, as his or her fee for filing and recording
1063    of each claim, the same amount he or she is authorized to charge
1064    for recording mortgages.
1065          (3) The clerk shall record any satisfaction which is
1066    executed and acknowledged under oath by the lien claimant, or its
1067    executive officer, comptroller, or agent, in the official records
1068    of Sarasota County at the same filing fees which are required by
1069    the clerk for recording satisfactions of mortgages. It shall be
1070    the duty of the hospital lien claimant to furnish the patient
1071    with a properly executed satisfaction upon payment or discharge
1072    of the lien.
1073          (4) No release or satisfaction of any action, suit, claim,
1074    counterclaim, demand, judgment, settlement, or settlement
1075    agreement shall be valid or effectual as against such lien unless
1076    such lienholder shall join therein or execute a release of such
1077    lien.
1078          (5) Any acceptance of a release or satisfaction of any such
1079    cause of action, suit, claim, counterclaim, demand, or judgment
1080    and any settlement of any of the foregoing in the absence of a
1081    release or satisfaction of the lien referred to in this act shall
1082    prima facie constitute an impairment of such lien, and the
1083    lienholder shall be entitled to an action at law for damages on
1084    account of such impairment, and in such action may recover from
1085    the one accepting such release or satisfaction or making such
1086    settlement the reasonable cost of such hospital care, treatment,
1087    and maintenance. Satisfaction of any judgment rendered in favor
1088    of the lienholder in any such action shall operate as a
1089    satisfaction of the lien. Any action by the lienholder shall be
1090    brought in the court having jurisdiction of the amount of the
1091    lienholder's claim. If the lienholder shall prevail in such
1092    action, the lienholder shall be entitled to recover from the
1093    defendant all costs allowed by law, together with reasonable
1094    attorney's fees to the lienholder's attorney for handling the
1095    action. If the plaintiff or counterclaimant shall have employed
1096    an attorney for the collection of the claims or damages,
1097    including the hospital expenses, on account of or resulting from
1098    the illness or injury of said plaintiff or counterclaimant or on
1099    account of or resulting from the illness, injury, or death of a
1100    deceased patient, the court costs shall first be paid and the
1101    attorney representing such plaintiff or counterclaimant shall
1102    receive his or her fees or compensation out of the judgment or
1103    settlement proceeds and the hospital lien provided for in this
1104    act shall next be fully paid to the hospital, and the balance of
1105    the proceeds of any such settlement or judgment, if any, shall
1106    then be paid to the plaintiff or counterclaimant.
1107          (6) Upon suit being filed by the patient or on the
1108    patient's behalf, the owner or operator of the hospital, as the
1109    case may be, may also file in the suit a notice of nonpayment of
1110    hospital bill, which said notice shall be recorded and the same
1111    shall constitute a lien upon any judgment recovered or settlement
1112    made to the extent that the court may determine the hospital's
1113    pro rata share for unpaid hospital bill, based upon such
1114    equitable distribution of the amount recovered as the court may
1115    determine, less its pro rata share of all court costs expended by
1116    the plaintiff in the prosecution of the suit and less the
1117    reasonable attorney's fees for the plaintiff's attorney, such
1118    proration to be made by the judge of the trial court upon
1119    application therefor and notice to the adverse party. Such
1120    notice shall be served upon all parties to the suit, and their
1121    attorneys of record, by registered or certified mail.
1122          (7) If the hospital has given such written notice of its
1123    lien and rights against an alleged tortfeasor, a party to said
1124    suit, and thereafter settlement of any such claim or action at
1125    law is made either before or after suit is filed and the parties
1126    fail to agree on the proportion to be paid to each, the court in
1127    which the action is pending shall determine the amount to be paid
1128    to the hospital in accordance with the provisions of this law.
1129          (8) The provisions of this act shall not be applicable to
1130    accidents or injuries within the purview of the Workers'
1131    Compensation Act of this state.
1132          (9) No hospital lien provided by this act shall continue
1133    for a longer period than 5 years after the claim of lien provided
1134    for under subsections (2) and (3) has been filed, unless within
1135    that time an action has been commenced in a court of competent
1136    jurisdiction by or on behalf of the person to whom the hospital
1137    care, treatment, or maintenance was rendered to collect on
1138    account or for the illness or injuries necessitating such
1139    hospitalization; and in the event that any such action has been
1140    commenced within such 5-year period, then such hospital lien
1141    shall continue, unless otherwise satisfied, for the duration of
1142    any judgment entered in favor of the party claiming damages for
1143    the hospital care, treatment, or maintenance, and shall attach to
1144    any settlement proceeds made pendente lite and shall continue for
1145    3 years after the date of any such settlement pendente lite.
1146          (10) The acceptance of hospital care shall be deemed and
1147    construed as a determination that hospitalization insurance was
1148    taken out for the benefit of the hospital and as an equitable
1149    assignment of the proceeds to the hospital. Unless the policy or
1150    policies are endorsed or assigned to the hospital, the hospital
1151    may write or stamp upon every statement rendered that it claims a
1152    lien upon the proceeds of all hospitalization insurance, and such
1153    legend shall be notice to any corporation into whose possession
1154    the statement comes that the hospital has a lien. In this event,
1155    payment to policyholder without settlement direct to the hospital
1156    by the insurance company will make the insurance company liable
1157    to the hospital for the amount of the bill or so much thereof as
1158    the policy indemnifies.
1159          Section 25. Notwithstanding any other provisions of law,
1160    all operations of the hospital established under the provisions
1161    of chapter 26468 (1949), Laws of Florida, shall remain under the
1162    direct control and administration of the Hospital Board
1163    established by referendum pursuant to section 21 of said chapter.
1164    The Hospital Board shall not take any action which would result
1165    in the termination of such direct control and administration
1166    unless such action is approved by the electors of Sarasota County
1167    at a referendum called for that purpose; however, for purposes of
1168    this section, the term "operations of the hospital" does not
1169    include:
1170          seq level0 \h \r0 seq level1 \h \r0 seq level2 \h \r0 seq level3 \h \r0 seq level4 \h \r0 seq level5 \h \r0 seq level6 \h \r0 seq level7 \h \r0 (1) The operation of nonhospital health care services or
1171    related activities, which services or activities may be
1172    controlled and administered by subsidiaries or affiliates of the
1173    Hospital Board or nonaffiliated, not-for-profit corporations
1174    operating primarily within the territory of the Hospital Board;
1175    or
1176          (2) The operation and provision of hospital services
1177    through any form of shared service arrangement approved by
1178    resolution of the said Hospital Board adopted in public session
1179    and wherein the Hospital Board shall be represented by two or
1180    more Hospital Board members on the governing body of such entity.
1181          Section 26. In order to secure and promote the provision of
1182    quality medical services to the public, the authority provided
1183    for herein is found by the Legislature to be within the public
1184    policy of this state. The Hospital Board is authorized to
1185    exercise all the powers granted in this act, and those granted in
1186    the Hospital Board's enabling legislation, as amended, in such
1187    manner as it may determine to be consistent with the purposes of
1188    such enabling legislation.
1189          Section 4. Chapter 26468 (1949), Laws of Florida, which
1190    was approved by Sarasota County electors in referendum held on
1191    January 10, 1950, is hereby repealed except that, in order not
1192    to abrogate the ad valorem taxing power which vested in the
1193    Sarasota County Public Hospital Board under such act and
1194    referendum, the provisions of sections 14 and 15 of such act,
1195    which granted taxing authority to the Hospital Board, are not
1196    repealed and are preserved. Chapters 27888 (1951), 31262
1197    (1955), 57-1838, 59-1839, 61-2807, 61-2855, 61-2868, 63-1893,
1198    63-1895, 63-1896, 63-1913, 65-2226, 65-2227, 65-2232, 67-2047,
1199    69-1583, 69-1593, 71-907, 83-525, 84-530, 85-501, 86-373, 87-
1200    526, 88-534, 90-411, 90-422, 95-507, and 2000-400, Laws of
1201    Florida, are repealed. Chapter 69-1583, Laws of Florida, which
1202    was approved by Sarasota County electors in referendum conducted
1203    pursuant to such act on November 4, 1969, is reenacted, except
1204    for requirements of referendum to approve the act, and all
1205    actions heretofore taken by the Sarasota County Public Hospital
1206    District and the Sarasota County Public Hospital Board pursuant
1207    to the authority and powers conferred by chapter 69-1583, Laws
1208    of Florida, are ratified and confirmed.
1209          Section 5. If any section, paragraph, sentence, clause,
1210    phrase, or other part of this act shall be declared
1211    unconstitutional, or if this act should be declared unapplicable
1212    in any case, such declaration shall not affect the remainder of
1213    this act or the applicability thereof in any other case.
1214          Section 6. This act shall be construed as remedial and
1215    shall be liberally construed to promote the purpose for which it
1216    is intended.
1217          Section 7. This act shall take effect upon becoming a law.