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| 1 | CHAMBER ACTION | ||
| 2 | |||
| 3 | |||
| 4 | |||
| 5 | |||
| 6 | The Committee on Judiciary recommends the following: | ||
| 7 | |||
| 8 | Committee Substitute | ||
| 9 | Remove the entire bill and insert: | ||
| 10 | A bill to be entitled | ||
| 11 | An act relating to the Indian River County Hospital | ||
| 12 | District, Indian River County; codifying special laws | ||
| 13 | relating to the district; providing legislative intent; | ||
| 14 | amending, codifying, reenacting, and repealing chapters | ||
| 15 | 61-2275, 63-1432, 65-1708, 67-1515, 67-1516, 71-688, 72- | ||
| 16 | 568, 74-499, 76-387, 84-451, 99-485, and 2002-345, Laws of | ||
| 17 | Florida; providing district boundaries; providing | ||
| 18 | definitions; providing for a board of trustees as the | ||
| 19 | governing body of the district; prescribing the powers and | ||
| 20 | duties of the board; providing for compensation and | ||
| 21 | meetings of the board; providing for the incorporation of | ||
| 22 | the sunshine law, the public records act, the election | ||
| 23 | code, and the bidding requirements of chapters 255 and | ||
| 24 | 287, Florida Statutes; authorizing the board to levy ad | ||
| 25 | valorem tax within the district; providing for the purpose | ||
| 26 | of the tax; providing for a method for such levy; | ||
| 27 | exempting property of the district for assessment; | ||
| 28 | providing for benefits for staff; providing an effective | ||
| 29 | date. | ||
| 30 | |||
| 31 | Be It Enacted by the Legislature of the State of Florida: | ||
| 32 | |||
| 33 | Section 1. Pursuant to section 189.429, Florida Statutes, | ||
| 34 | this act constitutes the codification of all special acts | ||
| 35 | relating to the Indian River County Hospital District. It is | ||
| 36 | the intent of the Legislature to provide a single comprehensive | ||
| 37 | special act charter for the district including all current | ||
| 38 | legislative authority granted to the district by its several | ||
| 39 | legislative enactments. It is further the intent of this act to | ||
| 40 | preserve all district authority. | ||
| 41 | Section 2. Chapters 61-2275, 63-1432, 65-1708, 67-1515, | ||
| 42 | 67-1516, 71-688, 72-568, 74-499, 76-387, 84-451, 99-485, and | ||
| 43 | 2002-345, Laws of Florida, are amended, codified, reenacted and | ||
| 44 | repealed as herein provided. | ||
| 45 | Section 3. The Indian River County Hospital District is | ||
| 46 | re-created and the charter is re-created and reenacted to read: | ||
| 47 | Section 1. District Creation; Boundaries. That the | ||
| 48 | special tax district now existing and known and designated as | ||
| 49 | “Indian River County Hospital District,” as created and | ||
| 50 | incorporated by chapter 59-1385, Laws of Florida, and as | ||
| 51 | abolished, recreated, and reincorporated by chapter 61-2275, | ||
| 52 | Laws of Florida, shall embrace and include all that land and | ||
| 53 | area situated and being in Indian River County, Florida, within | ||
| 54 | the following territorial boundaries, to-wit: | ||
| 55 | |||
| 56 | Begin at the point where the South boundary line of | ||
| 57 | Indian River County, Florida, intersects the Atlantic | ||
| 58 | Ocean; thence run West along said South boundary line | ||
| 59 | to the Southwest corner of Section 31, Township 33 | ||
| 60 | South, Range 36 East; thence run North along the range | ||
| 61 | line dividing Range 35 East and Range 36 East to the | ||
| 62 | Northeast corner of Township 33 South, Range 35 East; | ||
| 63 | thence run West along the North line of said Township | ||
| 64 | 33 South to the Southwest corner of Section 31, | ||
| 65 | Township 32 South, Range 35 East; thence run North on | ||
| 66 | the line dividing Indian River County and Osceola | ||
| 67 | County to the South line of Township 31 South, Range | ||
| 68 | 35 East; thence run East along said South line of | ||
| 69 | Township 31 South to the Southeast corner of Section | ||
| 70 | 31, Township 31 South, Range 35 East; thence run North | ||
| 71 | along the East line of Sections 31, 30, 19, 18, 7 and | ||
| 72 | 6, all said sections being in Township 31 South, Range | ||
| 73 | 35 East, to the North boundary line of Indian River | ||
| 74 | County; thence run East along said North boundary line | ||
| 75 | of Indian River County to the point where said line | ||
| 76 | intersects the medial line of the South Fork of the | ||
| 77 | St. Sebastian River; thence Northerly down the thread | ||
| 78 | of said stream to the main stream of the St. Sebastian | ||
| 79 | River; thence down the thread of the St. Sebastian | ||
| 80 | River to its confluence with the Indian River; thence | ||
| 81 | East to the intersection with the Southwesterly | ||
| 82 | extension of the center line of the approach channel | ||
| 83 | to the Sebastian inlet from the Indian River; thence | ||
| 84 | Northeasterly along said center line and continue | ||
| 85 | Northeasterly and Easterly along the center line of | ||
| 86 | the Sebastian inlet to the Atlantic Ocean; thence run | ||
| 87 | Southerly along and following the Easterly boundary | ||
| 88 | line of Indian River County, Florida, to the point of | ||
| 89 | beginning. | ||
| 90 | |||
| 91 | Section 1.1. Definitions. The following words and terms, | ||
| 92 | unless the context clearly indicates a different meaning, shall | ||
| 93 | have the following meanings: | ||
| 94 | (1) “District” means the Indian River County Hospital | ||
| 95 | District, a special tax district located in Indian River County, | ||
| 96 | Florida, created and incorporated by chapter 61-2275, Laws of | ||
| 97 | Florida, as amended. | ||
| 98 | (2) “Health facility” or “health facilities” means a | ||
| 99 | building, structure, or unit or any improvement to real | ||
| 100 | property, including all necessary or usual attendant and related | ||
| 101 | equipment, facilities, or fixtures, or any part or parts | ||
| 102 | thereof, or any combination or combinations thereof, including, | ||
| 103 | but not limited to, a general hospital, psychiatric hospital, | ||
| 104 | ambulatory clinic or center, chronic disease hospital, | ||
| 105 | rehabilitation hospital, urgent care center, extended care and | ||
| 106 | intermediate care facility, nursing home, life-care facility | ||
| 107 | dispensary, laboratory, laundry, administration building, | ||
| 108 | research facility, maintenance facility, storage facility, | ||
| 109 | medical office buildings, conference centers, physical fitness | ||
| 110 | centers, or any other related facility, including parking and | ||
| 111 | other facilities necessary or desirable for the orderly | ||
| 112 | operation of a health facility, also including equipment and | ||
| 113 | machinery and other similar items necessary or convenient for | ||
| 114 | the operation of a health facility in the manner for which its | ||
| 115 | use is intended, or items of equipment which are necessary or | ||
| 116 | desirable for the operation of a health facility, or any | ||
| 117 | combination thereof, but shall not include such items as fuel, | ||
| 118 | supplies, or other items which are customarily deemed to result | ||
| 119 | in a current operating charge. | ||
| 120 | (3) “Health and medical services” shall mean items or | ||
| 121 | services provided by or under the supervision of a physician or | ||
| 122 | other person trained or licensed to render health care necessary | ||
| 123 | for the prevention, care, diagnosis, or treatment of human | ||
| 124 | disease, pain, injury, deformity, or other physical or mental | ||
| 125 | condition, including, but not limited to, preadmission, | ||
| 126 | outpatient, inpatient and postdischarge care, home care, | ||
| 127 | physician’s care, nursing care, extended care, intermediate | ||
| 128 | care, urgent care, emergency care, and medical care provided by | ||
| 129 | interns or residents-in-training and other paramedical care, | ||
| 130 | ambulance service, bed and board, drugs, biologicals, supplies, | ||
| 131 | appliances, equipment, laboratory services, x-ray, radium, and | ||
| 132 | radioactive isotope therapy, and billing and collection | ||
| 133 | services. | ||
| 134 | (4) “Cost” means the sum total of all or any part of costs | ||
| 135 | incurred or estimated to be incurred by the district or by a | ||
| 136 | health facility which are reasonable and necessary for carrying | ||
| 137 | out all works and undertakings and providing all necessary or | ||
| 138 | desirable equipment for the development of a health facility, | ||
| 139 | exclusive of the amount of any private or federal, state, or | ||
| 140 | local financial assistance for and received by a health facility | ||
| 141 | for the payment of such cost. Such costs shall include, but are | ||
| 142 | not necessarily limited to, interest prior to, during, and for a | ||
| 143 | cost of operation and maintenance during the construction period | ||
| 144 | and for a reasonable additional period thereafter, the cost of | ||
| 145 | necessary studies, surveys, plans and specifications, | ||
| 146 | architectural, engineering, legal or other special services, the | ||
| 147 | cost of acquisition of land, buildings, and improvements | ||
| 148 | thereon, including payments for the relocation of persons | ||
| 149 | displaced by such acquisition, site preparation and development, | ||
| 150 | construction, reconstruction, equipment, including fixtures, | ||
| 151 | equipment, and cost of demolition and removal, and articles of | ||
| 152 | personal property required, the reasonable cost of financing | ||
| 153 | incurred in the course of the development of the health | ||
| 154 | facility, reserves for debt service, the fees imposed by the | ||
| 155 | district, other fees charged, and necessary expenses incurred in | ||
| 156 | connection with the initial occupancy of the health facility, | ||
| 157 | and the cost of such other items as may be reasonable and | ||
| 158 | necessary for the development of a health facility. | ||
| 159 | (5) “General obligation bonds” means bonds of the district | ||
| 160 | issued hereunder, which are secured by the levy of ad valorem | ||
| 161 | taxes and which may be issued only after the same have been | ||
| 162 | approved by the majority of votes cast in an election of the | ||
| 163 | qualified voters residing in the district. | ||
| 164 | (6) “Revenue bonds” means bonds of the district issued | ||
| 165 | hereunder, payable solely out of the revenues derived by the | ||
| 166 | district from the sale, operation, or leasing of any health | ||
| 167 | facility or facilities. | ||
| 168 | (7) “Bonds” means all bonds, notes, or other obligations | ||
| 169 | of the district issued hereunder. | ||
| 170 | (8) “State” means the State of Florida. | ||
| 171 | Section 2. Authority. The board of trustees is authorized | ||
| 172 | and empowered to establish, construct, purchase, operate, | ||
| 173 | maintain, and lease, as lessee or lessor, such health facilities | ||
| 174 | in or through which the district provides health and medical | ||
| 175 | services as in its opinion are necessary and desirable for the | ||
| 176 | use of the people of the district. The health facilities in or | ||
| 177 | through which the district provides health and medical services | ||
| 178 | which may be purchased, established, constructed, operated, | ||
| 179 | maintained, and leased by or through or from the board of | ||
| 180 | trustees shall be for the preservation of the public health, and | ||
| 181 | for the public good and for the use of the public of the | ||
| 182 | district. Maintenance of such health facilities in or through | ||
| 183 | which health and medical services are provided within the | ||
| 184 | district is found and declared to be a public purpose and | ||
| 185 | necessary for the preservation of the public health and public | ||
| 186 | use and for the welfare of the district and the inhabitants | ||
| 187 | thereof. The location of such health facilities shall be | ||
| 188 | determined by the board. The trustees may assume and agree to | ||
| 189 | pay any outstanding indebtedness, obligations, or contracts in | ||
| 190 | connection with any health facilities in or through which health | ||
| 191 | and medical services are provided. The board of trustees is | ||
| 192 | further authorized and empowered to expend district funds for | ||
| 193 | any purposes related to or supportive of the authorized | ||
| 194 | activities of the district. The powers granted to the board of | ||
| 195 | trustees herein are in addition to those granted by the general | ||
| 196 | law of the state. | ||
| 197 | Section 2.1. (1) The board of trustees is authorized and | ||
| 198 | empowered to enter into contracts or agreements for the purpose | ||
| 199 | of operating and managing any such health facilities in or | ||
| 200 | through which the district provides health and medical services. | ||
| 201 | (2) The board of trustees is authorized and empowered to | ||
| 202 | enter into financing agreements, to lease, as lessee or lessor, | ||
| 203 | any such health facilities in which the district provides or | ||
| 204 | proposes to provide health and medical services, or any land or | ||
| 205 | property of the district. Any financing agreement to secure | ||
| 206 | bonds of the district shall require that the other party to the | ||
| 207 | financing agreement shall be a governmental unit or nonprofit | ||
| 208 | corporation qualified under Section 501(c)(3) of the United | ||
| 209 | States Internal Revenue Code of 1954, as amended, and exempt | ||
| 210 | from federal income taxes under Section 501(a) or a successor | ||
| 211 | provision thereto, and that such health facilities in or through | ||
| 212 | which the district, prior to entering into the financing | ||
| 213 | agreement, shall be returned to the district upon the | ||
| 214 | termination of the financing agreement, or the dissolution of | ||
| 215 | the nonprofit corporation. | ||
| 216 | (3) The board of trustees shall determine the terms of | ||
| 217 | such financing agreements, contracts, or agreements, and the | ||
| 218 | conditions, covenants, and agreements to be contained therein. | ||
| 219 | (4) The board of trustees is authorized and empowered to | ||
| 220 | from time to time sell such rights in real or personal property | ||
| 221 | or other portions of any health facilities as the district by | ||
| 222 | resolution determines are no longer useful in connection with | ||
| 223 | such health facilities and the health and medical services | ||
| 224 | provided therein. | ||
| 225 | (5) The board of trustees is authorized and empowered to | ||
| 226 | enter into in interlocal agreement pursuant to Florida | ||
| 227 | Interlocal Cooperation Act of 1969, as amended from time to | ||
| 228 | time, and may thereby exercise jointly with any other public | ||
| 229 | entity in the state any power, privilege, or authority which any | ||
| 230 | such entity shares in common with the district and which each | ||
| 231 | might exercise separately. | ||
| 232 | (6) Prior to any decision to sell all or substantially all | ||
| 233 | of the facilities which make up Indian River Memorial Hospital, | ||
| 234 | the district shall cause a referendum to be held at which the | ||
| 235 | electors of Indian River County shall have the opportunity to | ||
| 236 | express their approval or disapproval of the proposed sale. The | ||
| 237 | referendum shall be held in accordance with: | ||
| 238 | (a) The bond referendum procedure set forth in chapter 100 | ||
| 239 | and chapter 101, Florida Statutes; | ||
| 240 | (b) The procedure for a mail ballot referendum set forth | ||
| 241 | in section 101.6101, Florida Statutes; or | ||
| 242 | (c) Any other comparable procedure set forth in then | ||
| 243 | existing Florida law. | ||
| 244 | |||
| 245 | The specific procedure to be utilized shall be determined by the | ||
| 246 | district in the resolution calling for such referendum. The | ||
| 247 | result of the referendum shall be binding upon the district. | ||
| 248 | Nothing herein shall prevent the district from changing minor | ||
| 249 | details of the proposed sale following the referendum, provided | ||
| 250 | the district determines that such changes are in the best | ||
| 251 | interest of the residents of Indian River County. | ||
| 252 | Section 3. Governing Body; Elections. The governing body | ||
| 253 | of the Indian River County Hospital District shall consist of | ||
| 254 | seven trustees who shall be qualified electors and freeholders | ||
| 255 | residing in said district. The board of trustees elected at the | ||
| 256 | general election in 1964 shall remain in office until the | ||
| 257 | expiration of their terms. At the general election to be held | ||
| 258 | in 1966, three trustees shall be elected for 4-year terms. At | ||
| 259 | subsequent general elections, the trustees shall be elected for | ||
| 260 | 4-year terms so that four trustees are elected at one general | ||
| 261 | election and three trustees are elected at the next ensuing | ||
| 262 | general election. The trustees so elected shall serve for a | ||
| 263 | term of 4 years and until their successors are elected and | ||
| 264 | qualified. | ||
| 265 | The election of the trustees shall be conducted in | ||
| 266 | accordance with the Florida Election Code and the Uniform | ||
| 267 | Special District Accountability Act of 1989, as each is amended | ||
| 268 | from time to time, provided, however, that a candidate may | ||
| 269 | qualify by submitting a petition that contains the signatures of | ||
| 270 | at least 25 of the district’s registered electors. | ||
| 271 | Each trustee shall give bond to the Governor of the State | ||
| 272 | of Florida for the faithful performance of his or her duties in | ||
| 273 | the sum of $5,000 with a surety company qualified to do business | ||
| 274 | in the State of Florida as surety, which bond shall be approved | ||
| 275 | and kept by the Clerk of the Circuit Court of Indian River | ||
| 276 | County, Florida. The premiums on said bonds shall be paid as | ||
| 277 | part of the expenses of said district. | ||
| 278 | Section 4. Additional Authority. The board of trustees of | ||
| 279 | said Indian River County Hospital District shall have all the | ||
| 280 | powers of a body corporate, including the power to contract and | ||
| 281 | be contracted with; to adopt and use a common seal, and to alter | ||
| 282 | the same at pleasure; to acquire, purchase, hold, lease, as | ||
| 283 | lessee or lessor, sell, and convey by financing agreement, | ||
| 284 | lease, deed, or other instrument of conveyance real and personal | ||
| 285 | property; and to perform such other acts as said board may deem | ||
| 286 | proper or expedient to carry out the purposes of this act, and | ||
| 287 | the power to sue and be sued under the name of the Indian River | ||
| 288 | County Hospital District, provided, however, that all suits | ||
| 289 | against said board of trustees shall be begun only in Indian | ||
| 290 | River County, regardless of the location of any property | ||
| 291 | involved in the litigation and regardless of where the cause of | ||
| 292 | action accrued. The board is authorized to provide for the | ||
| 293 | management of health facilities of the district, and may employ | ||
| 294 | administrators, a chief surgeon, pathologist, radiologist, and | ||
| 295 | such other specialists, agents, and employees as said board may | ||
| 296 | deem advisable. The board shall have power to borrow money and | ||
| 297 | to issue the notes, bonds, and other evidences of said district | ||
| 298 | therefor to carry out the provisions of this act in the manner | ||
| 299 | hereinafter provided. The trustees of said board shall have the | ||
| 300 | authority and the power to make contracts extending beyond their | ||
| 301 | terms of office. The powers granted to the board of trustees | ||
| 302 | herein are in addition to those granted by the general law of | ||
| 303 | the state. | ||
| 304 | If, in the absolute opinion of the board, adequate | ||
| 305 | emergency ambulance service is not supplied and maintained in | ||
| 306 | the district by private or volunteer ambulance companies or | ||
| 307 | associations, then the board shall have the authority and power | ||
| 308 | to provide, maintain, and operate emergency ambulance services | ||
| 309 | within the area of the district and to prescribe rules and | ||
| 310 | regulations for the operation and use of such ambulances and to | ||
| 311 | charge such fee for the use of such facilities as it might | ||
| 312 | determine. The board is further authorized and empowered to | ||
| 313 | secure and keep in force, in companies duly authorized to do | ||
| 314 | business in Florida, insurance covering liability for damages on | ||
| 315 | account of bodily injury, death, or property damage, in such | ||
| 316 | amounts as the board may determine, resulting from the operation | ||
| 317 | of such ambulances or by reason of the ownership, maintenance, | ||
| 318 | operation, or use of such ambulances. | ||
| 319 | Section 5. Organization of Board. The trustees shall | ||
| 320 | organize the board of said district, at their regular meeting | ||
| 321 | held in January of each year, by the election of one of their | ||
| 322 | members as chair, one as vice chair, one as secretary, and one | ||
| 323 | as treasurer, and by the election of such other officers as they | ||
| 324 | deem necessary. | ||
| 325 | Section 6. Meetings; Sunshine Law. The board of trustees | ||
| 326 | shall hold regular meetings for the transaction of business | ||
| 327 | according to a schedule arranged by the board of trustees and | ||
| 328 | shall convene in special sessions when called by the chair of | ||
| 329 | the board or by a majority of the trustees of the board, | ||
| 330 | provided that actions taken at special meetings shall have the | ||
| 331 | same force and effect as if taken at a regular meeting. All | ||
| 332 | meetings of the board of trustees, including notices and minutes | ||
| 333 | relating thereto, shall be governed by chapter 286, Florida | ||
| 334 | Statutes, including those provisions commonly referred to as the | ||
| 335 | Florida Government in the Sunshine Law, and the Uniform Special | ||
| 336 | District Accountability Act of 1989, as each is amended from | ||
| 337 | time to time. | ||
| 338 | Section 7. Quorum; Public Records. Four of said trustees | ||
| 339 | shall constitute a quorum, and an affirmative vote of at least | ||
| 340 | three of said trustees shall be necessary to the transaction of | ||
| 341 | any business of the district. The trustees shall cause true and | ||
| 342 | accurate minutes and records to be kept of all business | ||
| 343 | transacted by them, and shall keep full, true, and complete | ||
| 344 | books of accounts and minutes. The district shall comply with | ||
| 345 | chapter 119, Florida Statutes, commonly referred to as the | ||
| 346 | Florida Public Records Act, as amended from time to time. | ||
| 347 | Section 8. Travel Expenses. The trustees under this act, | ||
| 348 | the employees of the district, and other authorized travelers | ||
| 349 | shall be paid per diem and travel expenses provided in section | ||
| 350 | 112.061, Florida Statutes, as amended from time to time, to be | ||
| 351 | substantiated by paid bills therefor. | ||
| 352 | Section 9. Expenses. The board is authorized to pay from | ||
| 353 | the funds of the district all expenses of the organization of | ||
| 354 | said board and all expenses necessarily incurred in the | ||
| 355 | formation of said district and all other reasonable and | ||
| 356 | necessary expenses, including the fees and expenses of any | ||
| 357 | attorney in the transaction of the business of the district and | ||
| 358 | in carrying out and accomplishing the purposes of this act. | ||
| 359 | This section, however, shall not be construed to limit or | ||
| 360 | restrict any of the powers vested in said board of trustees by | ||
| 361 | any other section or provision of this act. | ||
| 362 | Section 10. Vacancies. Vacancies in the board of trustees | ||
| 363 | occasioned by resignations, removals, or otherwise shall be | ||
| 364 | reported to the Governor of the state, who shall fill such | ||
| 365 | vacancies by appointment within 45 days after the occurrence | ||
| 366 | thereof. Any vacancies not so filled within such time shall | ||
| 367 | remain vacant until the next general election, and at such | ||
| 368 | general election the vacancies shall be filled by the election | ||
| 369 | of a trustee to serve for the remainder of the term in which | ||
| 370 | such vacancy occurred. Any appointments made by the Governor to | ||
| 371 | fill vacancies shall hold office until the next general | ||
| 372 | election, and at such general election the vacancies shall be | ||
| 373 | filled by the election of a trustee to serve for the remainder | ||
| 374 | of the term in which the vacancy occurred. | ||
| 375 | Section 11. Rules and Regulations. The board of trustees | ||
| 376 | of the Indian River County Hospital District is further | ||
| 377 | authorized and empowered to establish reasonable rules and | ||
| 378 | regulations to govern the operation of district-owned or | ||
| 379 | district-operated health facilities in or through which the | ||
| 380 | district provides health and medical services and to govern and | ||
| 381 | control the conduct of all employees, patients, private duty | ||
| 382 | nurses, sitters, guests and visitors, and any other parties or | ||
| 383 | persons who are, in any manner, upon or using the premises and | ||
| 384 | facilities of the district health facilities, so that the health | ||
| 385 | and welfare of the patients and the best interest of the | ||
| 386 | district will at all times be served. | ||
| 387 | Section 12. Medical Staff. | ||
| 388 | (1) In the management of such hospital, no discrimination | ||
| 389 | shall be made against any medical doctors, commonly known as | ||
| 390 | MD’s, duly licensed to practice materia medica in the state, and | ||
| 391 | graduate dentists licensed to practice in the state, and who | ||
| 392 | shall qualify under the bylaws, rules, and regulations | ||
| 393 | established by the board and under the bylaws of the medical | ||
| 394 | staff as approved by the board, and all such regular medical | ||
| 395 | doctors and dentists shall have equal privileges in treating | ||
| 396 | patients in said hospital. The patient shall have the right to | ||
| 397 | employ, at his or her own expense, his or her own medical doctor | ||
| 398 | or dentist, so qualified as aforesaid, and when acting for any | ||
| 399 | patient in such hospital, such medical doctor or dentist | ||
| 400 | employed by such patient shall have exclusive charge of the care | ||
| 401 | and treatment of such patient, and nurses therein as to such | ||
| 402 | patient shall be subject to the direction of said medical | ||
| 403 | doctor, subject always to such general rules and regulations as | ||
| 404 | shall be established by the board of trustees under the | ||
| 405 | provisions of this act. | ||
| 406 | (2) The board of trustees shall organize a staff of | ||
| 407 | medical doctors and dentists of every practicing medical doctor | ||
| 408 | and dentist who shall qualify under the rules and regulations | ||
| 409 | established by the board. The board of trustees is hereby | ||
| 410 | authorized and empowered to establish reasonable rules, | ||
| 411 | regulations, and bylaws to govern said staff, and the members | ||
| 412 | thereof, and to prescribe and establish in said rules, | ||
| 413 | regulations, and bylaws reasonable duties and responsibilities | ||
| 414 | for the staff, and member thereof, so that the welfare and | ||
| 415 | health of the patients and the best interests of the hospital | ||
| 416 | may at all times be best served. It shall be the duty of said | ||
| 417 | staff to organize in a manner prescribed by the said board so | ||
| 418 | that there shall be a rotation of service among the members of | ||
| 419 | said staff to give proper medical and surgical attention to the | ||
| 420 | indigent sick, injured, or maimed who may be admitted to said | ||
| 421 | hospital for treatment. | ||
| 422 | (3) The board of trustees is hereby authorized and | ||
| 423 | empowered to grant or refuse, revoke, or suspend membership on | ||
| 424 | the said staff, and to grant or refuse, revoke, or suspend any | ||
| 425 | privileges attendant to such membership so that the welfare and | ||
| 426 | health of the patients and the best interests of the district | ||
| 427 | may at all times be best served, provided, further, that: | ||
| 428 | (a) The board of trustees is hereby authorized and | ||
| 429 | empowered to require members of the staff to abide by all | ||
| 430 | reasonable rules, regulations, and bylaws established by the | ||
| 431 | board of trustees under the authorization of this act, and to | ||
| 432 | require the performance of those duties and responsibilities | ||
| 433 | prescribed by said rules, regulations, and bylaws, and to | ||
| 434 | enforce such requirements by the revocation or suspension of | ||
| 435 | staff membership and privileges, under the terms of this act. | ||
| 436 | (b) The board of trustees shall adopt rules and bylaws | ||
| 437 | providing the procedure for considering the refusal, revocation, | ||
| 438 | or suspension of staff membership of any person, or suspension | ||
| 439 | or modification of privileges attendant to such membership. The | ||
| 440 | procedure adopted shall afford due process to the parties and | ||
| 441 | shall provide for an orderly, fair, and impartial proceeding. | ||
| 442 | (c) In those instances when the board of trustees, under | ||
| 443 | its rules or bylaws, considers the refusal, revocation, or | ||
| 444 | suspension of staff membership of any person, or suspension or | ||
| 445 | modification of privileges which are attendant to such | ||
| 446 | membership, the vote of five of the seven trustees shall be | ||
| 447 | required to revoke, suspend, or modify staff membership or | ||
| 448 | privileges of any staff member for any reason whatsoever or to | ||
| 449 | refuse to grant staff membership to any practitioner. The right | ||
| 450 | of judicial review shall at all times be preserved. | ||
| 451 | Section 13. Bank Accounts; Investments; Procurement of | ||
| 452 | Personal Property or Services. | ||
| 453 | (1) The board of trustees shall designate a bank or banks, | ||
| 454 | or other depository or depositories, to receive and be custodian | ||
| 455 | of all the moneys received by the board for the operation and | ||
| 456 | maintenance of health facilities within the district. The board | ||
| 457 | of trustees, pursuant to chapter 218, Florida Statutes, as | ||
| 458 | amended, is authorized and empowered, as the board of a special | ||
| 459 | district of the state, to invest district surplus funds, as | ||
| 460 | defined in that chapter, as it now exists and as it may be | ||
| 461 | amended from time to time. The board of trustees shall also | ||
| 462 | have the power to delegate its authority to invest these surplus | ||
| 463 | funds, as outlined above, to a national or State of Florida | ||
| 464 | banking organization acting pursuant to a written trust | ||
| 465 | agreement as a trustee of district funds, provided that such | ||
| 466 | delegation is made in writing by the board of trustees. | ||
| 467 | (2) The funds of the district shall be paid out only upon | ||
| 468 | warrants signed as the trustees may in their bylaws, rules, and | ||
| 469 | regulations provide, provided that no warrant shall be drawn or | ||
| 470 | issued against funds of the district except for a purpose | ||
| 471 | authorized by this act. All funds of the district paid out by | ||
| 472 | warrants as described above shall be approved by the board of | ||
| 473 | trustees. The board may by resolution provide for such special | ||
| 474 | accounts as the board may deem desirable, and may designate the | ||
| 475 | persons authorized to draw on such special accounts in advance | ||
| 476 | of approval by a majority of the board. | ||
| 477 | (3) All purchases or procurement of personal property or | ||
| 478 | services shall be made in accordance with chapter 287, Florida | ||
| 479 | Statutes, as amended from time to time. | ||
| 480 | Section 13.1. Construction or Repairs. All contracts | ||
| 481 | concerning any construction, improvement, or repair to any | ||
| 482 | facility or property owned or leased by the district shall be | ||
| 483 | entered into in accordance with the procedure set forth in | ||
| 484 | chapter 255, Florida Statutes, as amended from time to time. | ||
| 485 | Section 14. Ad Valorem Taxes; Additional Authority. | ||
| 486 | (1) It shall be the duty of the board of trustees and the | ||
| 487 | said board is hereby authorized and empowered to annually assess | ||
| 488 | and levy against the taxable property within the district a | ||
| 489 | special tax not to exceed 5 mills on the dollar to be collected | ||
| 490 | and paid into the district fund and used by said board of | ||
| 491 | trustees for: | ||
| 492 | (a) First, to pay the interest and to provide and maintain | ||
| 493 | a sinking fund for the payment of the interest and principal of | ||
| 494 | the ad valorem bonds provided for and authorized by section 17 | ||
| 495 | of this act, and any other ad valorem bonds which may be assumed | ||
| 496 | by said board; | ||
| 497 | (b) Second, to pay any outstanding indebtedness incurred | ||
| 498 | as authorized in section 16 of this act; and | ||
| 499 | (c) Third, to purchase, lease, as lessee or lessor, | ||
| 500 | operate, maintain, and repair health facilities established as | ||
| 501 | authorized by this act, and to pay other expenses reasonably | ||
| 502 | related to, or supportive of, the authorized activities of the | ||
| 503 | district. | ||
| 504 | (2) The board of trustees shall be authorized and | ||
| 505 | empowered: | ||
| 506 | (a) To declare accounts receivable, including charity | ||
| 507 | accounts, uncollectible and to write such accounts off the | ||
| 508 | active books of the financial records of the district as bad | ||
| 509 | debts. The board of trustees is further authorized to destroy | ||
| 510 | the account records of those accounts declared to be bad debts, | ||
| 511 | but such records shall not be destroyed earlier than 4 years | ||
| 512 | after the annual private audit of the district reflecting such | ||
| 513 | write-off; | ||
| 514 | (b) To compromise and settle any accounts receivable or | ||
| 515 | other claim for money due and owing to the district according to | ||
| 516 | such terms and conditions as the board of trustees, in its | ||
| 517 | discretion, may determine; | ||
| 518 | (c) To sell, assign, or convey to any person the right, | ||
| 519 | title, and interest in any account receivable or judgment owned | ||
| 520 | by the district by full or part payment of such account or | ||
| 521 | judgment as the board of trustees, in its discretion, may | ||
| 522 | determine; and | ||
| 523 | (d) At the discretion of the board, to provide for the | ||
| 524 | payment of hospital and nursing home expenses for patients | ||
| 525 | transferred from health facilities of the district to such other | ||
| 526 | institutions at the district’s request, provided that said | ||
| 527 | patients shall be first certified to be medically indigent by | ||
| 528 | the Indian River County Hospital District, based upon the | ||
| 529 | definition and standards used by the State of Florida Department | ||
| 530 | of Health. | ||
| 531 | (3) All acts and procedures of the board of trustees | ||
| 532 | relative to subparagraphs (2)(a), (b), and (c) are hereby | ||
| 533 | validated retroactively to June 23, 1971. | ||
| 534 | Section 14.1. Non-Ad Valorem Revenues. The district is | ||
| 535 | authorized to fix, revise, charge, and collect rates, rents, | ||
| 536 | fees, and charges for the use of its health facilities and for | ||
| 537 | the health and medical services furnished or to be furnished in | ||
| 538 | each health facility and to contract with any person, | ||
| 539 | partnership, association or corporation, or other body, public | ||
| 540 | or private, in respect thereof. Such rates, rents, fees, and | ||
| 541 | charges shall be fixed and adjusted in respect of the aggregate | ||
| 542 | of rents, rates, fees, and charges from such health facility so | ||
| 543 | as to provide funds at least sufficient with other revenues or | ||
| 544 | moneys, if any: | ||
| 545 | (1) To pay the cost of maintaining, repairing, and | ||
| 546 | operating the health facility and each and every portion | ||
| 547 | thereof, to the extent that the payment of such cost has not | ||
| 548 | otherwise been adequately provided for; | ||
| 549 | (2) To pay the principal of and interest on outstanding | ||
| 550 | revenue bonds of the district issued in respect of such health | ||
| 551 | facility as the same shall become due and payable; and | ||
| 552 | (3) To create and maintain reserves required or provided | ||
| 553 | for in any resolution authorizing, or trust agreement securing, | ||
| 554 | such revenue bonds of the district. | ||
| 555 | Section 15. Levy of Ad Valorem Taxes. Levy by said board | ||
| 556 | of taxes authorized by any provision of this act shall be by | ||
| 557 | resolution of said board duly entered upon the minutes of the | ||
| 558 | board. Certified copies of such resolution executed in the name | ||
| 559 | of the board by its chair, under its corporate seal, shall be | ||
| 560 | made and delivered to the Board of County Commissioners of | ||
| 561 | Indian River County, Florida, the Property Appraiser of Indian | ||
| 562 | River County, Florida, the Tax Collector of Indian River County, | ||
| 563 | Florida, and the Department of Revenue of the state, within the | ||
| 564 | time as may be specified by the laws of the state. It shall be | ||
| 565 | the duty of the County Commissioners of Indian River County to | ||
| 566 | order and require the Property Appraiser of said County to | ||
| 567 | assess, and the County Tax Collector of said County to collect, | ||
| 568 | the amount of taxes so assessed or levied by the board of | ||
| 569 | trustees of said Indian River County Hospital District upon the | ||
| 570 | taxable property in said district, at the rate of taxation | ||
| 571 | adopted by said board of trustees of said district for said year | ||
| 572 | and included in the warrant of the Property Appraiser and | ||
| 573 | attached to the assessment roll of taxes for said County each | ||
| 574 | year. The Tax Collector shall collect such tax so levied by | ||
| 575 | said board in the same manner as other taxes are collected, and | ||
| 576 | shall pay the same over to the board of trustees of Indian River | ||
| 577 | County Hospital District within the time and in the manner | ||
| 578 | prescribed by law for the payment by the Tax Collector of county | ||
| 579 | taxes to the County depository. The assessment and levy of ad | ||
| 580 | valorem taxes on the railroad lines and railroad property, and | ||
| 581 | on the telegraph lines, telegraph property, and telephone lines | ||
| 582 | situated or located in said district, shall be in accordance | ||
| 583 | with general law. If any such taxes so assessed are not paid, | ||
| 584 | the said property shall be by said Tax Collector sold and | ||
| 585 | certificates issued and tax deeds issued in the same manner and | ||
| 586 | under the same laws relating to sales, issuance of certificates, | ||
| 587 | and deeds with reference to all other state and county taxes. | ||
| 588 | All such taxes shall be held by said board of trustees and paid | ||
| 589 | out of them as provided in this act. | ||
| 590 | Section 16. Tax Anticipation Financing. The board of | ||
| 591 | trustees of the Indian River County Hospital District is | ||
| 592 | authorized to borrow in any 1 tax year, calendar year, a sum not | ||
| 593 | to exceed 80 percent of the estimated taxes to be collected on | ||
| 594 | behalf of the district within such year and to evidence such | ||
| 595 | loan made to the district by its tax anticipation note or notes | ||
| 596 | bearing interest at a rate not to exceed the maximum rate | ||
| 597 | permissible under Florida law. Such notes shall be payable at a | ||
| 598 | time not greater than 1 year from the date of the borrowing of | ||
| 599 | such moneys. The sums so borrowed shall be repaid together with | ||
| 600 | interest at a rate not to exceed the maximum rate permissible | ||
| 601 | under Florida law. No sums shall be borrowed as herewith | ||
| 602 | provided in any subsequent year unless all moneys so borrowed in | ||
| 603 | any preceding year shall have been entirely paid as to both | ||
| 604 | principal and interest. | ||
| 605 | Section 16.1. Personal Property Acquisition Financing. | ||
| 606 | (1) The board of trustees of the Indian River County | ||
| 607 | Hospital District is hereby authorized and empowered, in order | ||
| 608 | to acquire and finance the acquisition of capital assets in the | ||
| 609 | form of personal property, to borrow money from time to time for | ||
| 610 | periods not exceeding 10 years at any one time, from a bank, | ||
| 611 | banks, banking institutions, or other lending institutions, from | ||
| 612 | local, state, or federal government agencies, or as part of a | ||
| 613 | pooled financing from designated lenders, and to repay such | ||
| 614 | financing on an amortized, monthly or yearly basis, and to issue | ||
| 615 | a note or notes of the district or enter into financing | ||
| 616 | agreements, or loan or lease arrangements, on such terms and | ||
| 617 | rates of interest, not to exceed the maximum rates permissible | ||
| 618 | under Florida law. | ||
| 619 | (2) For any loans procured pursuant to subsection (1), the | ||
| 620 | board of trustees of said district is further authorized and | ||
| 621 | empowered to secure a note or notes, lease, or loan arrangements | ||
| 622 | by executing such security instruments or lease instruments as | ||
| 623 | may be permitted by law if required by said lending institution | ||
| 624 | or institutions, pledging as security the equipment acquired | ||
| 625 | through the financing under this section. | ||
| 626 | (3) Any amounts borrowed under subsection (1) shall be | ||
| 627 | repaid solely and exclusively from nontax revenues and shall not | ||
| 628 | be construed to be a part of or fall within the limitations of | ||
| 629 | section 16, but shall be in addition thereto. | ||
| 630 | Section 16.2. Revenue Bonds. | ||
| 631 | (1) The board of trustees of the district is authorized | ||
| 632 | and empowered by resolution to issue and sell from time to time | ||
| 633 | negotiable revenue bonds of the district for the purpose of | ||
| 634 | raising funds to pay all or any part of the costs of any health | ||
| 635 | facility or facilities and to provide such health and medical | ||
| 636 | services as in its opinion are necessary or desirable in the | ||
| 637 | district. In anticipation of the sale of such revenue bonds, | ||
| 638 | the board of trustees of the district is authorized and | ||
| 639 | empowered by resolution to issue negotiable bond anticipation | ||
| 640 | notes and may renew the same from time to time, but the maximum | ||
| 641 | maturity of any such note, including renewals thereof, shall not | ||
| 642 | exceed 7 years from the date of issue of the original note. | ||
| 643 | Such notes shall be paid from any revenues of the district | ||
| 644 | available therefor and not otherwise pledged or from the | ||
| 645 | proceeds of the sale of revenue bonds of the district in | ||
| 646 | anticipation of which they were issued. | ||
| 647 | (2) The revenue bonds and notes of every issue shall be | ||
| 648 | payable solely out of the revenues derived by the district from | ||
| 649 | the sale, operation, or leasing of any health facility or | ||
| 650 | facilities, subject only to any agreements with the holders of | ||
| 651 | particular revenue bonds or notes pledging any particular | ||
| 652 | revenues. Notwithstanding that the revenue bonds and notes may | ||
| 653 | be payable from a special fund, they shall have all the quality | ||
| 654 | of negotiable instruments under the Florida Uniform Commercial | ||
| 655 | Code-Investment Securities and shall not be invalidated for any | ||
| 656 | irregularity or defect in the proceedings for the issue and sale | ||
| 657 | thereof, and shall be incontestable in the hands of bona fide | ||
| 658 | purchasers or holders for value. | ||
| 659 | (3) The revenue bonds may be issued as serial bonds or as | ||
| 660 | term bonds, or the district, in its discretion, may issue bonds | ||
| 661 | of both types. The revenue bonds shall be authorized by | ||
| 662 | resolution of the board of trustees of the district and shall | ||
| 663 | bear such date or dates; mature at such time or times, not | ||
| 664 | exceeding 40 years from their respective dates; bear interest at | ||
| 665 | such rate or rates; be payable at such time or times; be in such | ||
| 666 | denominations; be executed in such manner; be payable in lawful | ||
| 667 | money of the United States at such place or places; and be | ||
| 668 | subject to such terms of redemption, including redemption prior | ||
| 669 | to maturity, as the board of trustees shall determine in such | ||
| 670 | resolution or resolutions. The revenue bonds issued by the | ||
| 671 | district are exempt from all taxation to the extent provided by | ||
| 672 | the general law. The revenue bonds may be issued in coupon or | ||
| 673 | in registered form, as the board of trustees may determine or in | ||
| 674 | accordance with the Registered Public Obligations Act of | ||
| 675 | Florida, chapter 83-271, Laws of Florida, and provisions may be | ||
| 676 | made for the registration of coupon bonds as to principal alone, | ||
| 677 | and as to both principal and interest, and for the reconversion | ||
| 678 | into coupon bonds of any bonds as to both principal and | ||
| 679 | interest. The district shall determine the form and manner of | ||
| 680 | execution of the revenue bonds, including interest coupons, if | ||
| 681 | any, to be attached thereto, and shall fix the denomination or | ||
| 682 | denominations of the revenue bonds and the place or places of | ||
| 683 | payment of principal and interest, which may be at any bank or | ||
| 684 | trust company within or without the state. In case any board | ||
| 685 | member, officer, or employee of the district whose signature, or | ||
| 686 | a facsimile of whose signature, shall appear on any bonds or | ||
| 687 | coupons shall cease to be a board member, officer, or employee | ||
| 688 | of the district before the delivery of such bonds, such | ||
| 689 | signature or facsimile shall nevertheless be valid and | ||
| 690 | sufficient for all purposes as if he or she had remained in | ||
| 691 | office until such delivery. The district may also provide for | ||
| 692 | the authentication of the revenue bonds by a trustee, fiscal | ||
| 693 | agent, or registrar. The revenue bonds or notes may be sold at | ||
| 694 | public or private sale for such price or prices as the district | ||
| 695 | shall determine. Pending preparation of the definitive bonds, | ||
| 696 | the district may issue interim or temporary receipts or | ||
| 697 | certificates which shall be exchanged for such definitive bonds. | ||
| 698 | (4) Revenue bonds may be issued under the provision of | ||
| 699 | this section without obtaining the approval or consent of any | ||
| 700 | commission, board, or agency of the state or the country and | ||
| 701 | without any other proceedings or the happening of any other | ||
| 702 | condition or things. | ||
| 703 | (5) Any resolution or resolutions authorizing any revenue | ||
| 704 | bonds or any issue of revenue bonds may contain provisions which | ||
| 705 | shall be a part of the contract with the holders of the revenue | ||
| 706 | bonds to be authorized as to: | ||
| 707 | (a) Pledging of all or any part of the revenues of a | ||
| 708 | health facility or of the district to secure the payment of the | ||
| 709 | revenue bonds or of any particular issue of revenue bonds, | ||
| 710 | subject to such agreements with bondholders as may then exist. | ||
| 711 | (b) The rentals, fees, and other charges to be charged, | ||
| 712 | the amounts to be raised in each year thereby, and the use and | ||
| 713 | disposition of the revenues. | ||
| 714 | (c) The setting aside of reserves or sinking funds, and | ||
| 715 | the regulation and disposition thereof. | ||
| 716 | (d) Limitations on the right of the district to restrict | ||
| 717 | and regulate the use of the health facility. | ||
| 718 | (e) Limitations on the purpose to which the proceeds of | ||
| 719 | sale of any issue of revenue bonds then or thereafter to be | ||
| 720 | issued may be applied and pledging such proceeds to secure the | ||
| 721 | payment of the revenue bonds or any issue of the revenue bonds. | ||
| 722 | (f) Limitations on the issuance of additional bonds, the | ||
| 723 | terms upon which additional bonds may be issued and secured, and | ||
| 724 | the refunding of outstanding bonds. | ||
| 725 | (g) The procedure, if any, by which the terms of any | ||
| 726 | contract with bondholders may be amended or abrogated, the | ||
| 727 | amount of bonds the holders of which must consent thereto, and | ||
| 728 | the manner in which such consent may be given. | ||
| 729 | (h) Defining the acts or omissions to act which shall | ||
| 730 | constitute a default in the duties of the district to holders of | ||
| 731 | its obligations and providing the rights and remedies of such | ||
| 732 | holders in the event of a default. | ||
| 733 | (6) Neither the members of the board of trustees of the | ||
| 734 | district nor any person executing the revenue bonds or notes | ||
| 735 | shall be liable personally on the revenue bonds or notes or be | ||
| 736 | subject to any personal liability or accountability by reason of | ||
| 737 | the issuance thereof. | ||
| 738 | (7) In the discretion of the district, any revenue bonds | ||
| 739 | issued under the provisions of this part may be secured by a | ||
| 740 | trust agreement by and between the district and a corporate | ||
| 741 | trustee, which may be any trust company or bank having the | ||
| 742 | powers of a trust company within or without the state. Such | ||
| 743 | trust agreement or resolution providing for the issuance of such | ||
| 744 | bonds may pledge or assign the fees, rents, charges, or proceeds | ||
| 745 | from the sale of any health facility or part thereof, insurance | ||
| 746 | proceeds, condemnation awards, and other funds and revenues to | ||
| 747 | be received therefor as security for repayment of the bonds. | ||
| 748 | Such bonds shall contain such provisions for protecting and | ||
| 749 | enforcing the rights and remedies of the bondholders as may be | ||
| 750 | reasonable and proper and not in violation of law, including | ||
| 751 | covenants setting forth the duties of the district in relation | ||
| 752 | to the acquisition of property and the construction, | ||
| 753 | improvement, maintenance, repair, operation, and insurance of | ||
| 754 | the health facility or facilities in connection with which such | ||
| 755 | bonds shall have been authorized; the fees, rents, and other | ||
| 756 | charges to be fixed and collected; the sale of any health | ||
| 757 | facility, or part thereof, or other property; the terms and | ||
| 758 | conditions for the issuance of additional bonds; and the | ||
| 759 | custody, safeguarding, and application of all moneys. It shall | ||
| 760 | be lawful for any bank or trust company incorporated under the | ||
| 761 | laws of the state which may act as depository of the proceeds of | ||
| 762 | bonds, revenues, or other money hereunder to furnish such | ||
| 763 | indemnifying bonds or to pledge such securities as may be | ||
| 764 | required by the district. Any such trust agreement or | ||
| 765 | resolution shall set forth the rights and remedies of the | ||
| 766 | bondholders and of the trustee and may restrict the individual | ||
| 767 | right of action by bondholders. In addition to the foregoing, | ||
| 768 | any such trust agreement or resolution may contain such other | ||
| 769 | provisions as the district may deem reasonable and proper for | ||
| 770 | the security of the bondholders. All expenses incurred in | ||
| 771 | carrying out the provisions of such trust agreement or | ||
| 772 | resolution may be treated as a part of the cost of the health | ||
| 773 | facility or facilities in connection with which bonds are issued | ||
| 774 | or as an expense of administration of such health facilities as | ||
| 775 | the case may be. | ||
| 776 | (8) Revenue bonds issued under the provisions hereof shall | ||
| 777 | not be deemed to constitute a debt, liability, or obligation of | ||
| 778 | the state or any political subdivision thereof or of the | ||
| 779 | district, or a pledge of the faith and credit of the state or | ||
| 780 | any political subdivision thereof, but shall be payable solely | ||
| 781 | from the revenues provided therefor. All such revenue bonds | ||
| 782 | shall contain on the face thereof a statement to the effect that | ||
| 783 | the district shall not be obligated to pay the same or the | ||
| 784 | interest thereon except from the revenues of or derived from the | ||
| 785 | health facility or of the district, or any portion thereof, and | ||
| 786 | that neither the faith and credit nor the taxing power of the | ||
| 787 | state or of any political subdivision thereof, including the | ||
| 788 | district, is pledged to the payment of the principal of or the | ||
| 789 | interest on such bonds. The issuance of revenue bonds under the | ||
| 790 | provisions of this section shall not directly, indirectly, or | ||
| 791 | contingently obligate the state or any political subdivision | ||
| 792 | thereof or the district to levy or to pledge any form of | ||
| 793 | taxation whatever therefor or to make any appropriation for | ||
| 794 | their payment. | ||
| 795 | (9)(a) The district is hereby authorized to fix and | ||
| 796 | collect fees, rents, and charges for the use of any health | ||
| 797 | facility and any part or section thereof. The district may | ||
| 798 | require that the lessee or operator of any health facility or | ||
| 799 | part thereof shall operate, repair, and maintain the health | ||
| 800 | facility and bear the cost thereof and other costs of the | ||
| 801 | district in connection with the health facility or facilities | ||
| 802 | leased as may be provided in the financing agreement or other | ||
| 803 | contract with the district, in addition to other obligations | ||
| 804 | imposed under such financing agreement or contract. | ||
| 805 | (b) The repayments, fees, rents, and charges to the lessee | ||
| 806 | shall be fixed as to provide a fund at least sufficient to pay | ||
| 807 | the principal of, and the interest on, such bonds as the same | ||
| 808 | shall become due and payable and to create reserves, if any, | ||
| 809 | deemed by the district to be necessary for such purposes. The | ||
| 810 | repayments, fees, rents, charges, and all other revenues and | ||
| 811 | proceeds derived from the health facility or facilities in | ||
| 812 | connection with which the revenue bonds of any issue shall have | ||
| 813 | been issued, except such part thereof as may be necessary for | ||
| 814 | such reserves or any expenditures as may be provided in the | ||
| 815 | resolution authorizing the issuance of such bonds or in the | ||
| 816 | trust agreement securing the same, may be set aside at such | ||
| 817 | regular intervals as may be specified in such resolution or such | ||
| 818 | trust agreement in one or more sinking funds which may be | ||
| 819 | pledged to, and charged with, the payment of the principal of | ||
| 820 | and the interest on such bonds as the same shall become due and | ||
| 821 | the redemption price or the purchase price of bonds retired by | ||
| 822 | call or purchase as therein provided. Such pledge shall be | ||
| 823 | valid and binding from the time when the pledge is made. | ||
| 824 | Notwithstanding any provision of the Florida Uniform Commercial | ||
| 825 | Code requiring the filing of any pledge to create a perfected | ||
| 826 | security interest, the repayments, fees, rents, charges, and | ||
| 827 | other revenues and moneys so pledged and thereafter received by | ||
| 828 | the district shall immediately be subject to the lien of such | ||
| 829 | pledge without any physical delivery thereof or further act, and | ||
| 830 | the lien of any such pledge shall be valid and binding as | ||
| 831 | against all parties having claims of any kind in tort, contract, | ||
| 832 | or otherwise against the district, irrespective of whether such | ||
| 833 | parties have notice thereof. The use and disposition of money | ||
| 834 | to the credit of such sinking fund shall be subject to the | ||
| 835 | provisions of the resolution authorizing the issuance of such | ||
| 836 | bonds or of such trust agreement. Except as may otherwise be | ||
| 837 | provided in the resolution or the trust agreement, the sinking | ||
| 838 | fund shall be a fund for all such bonds without distinction or | ||
| 839 | priority of one over another. | ||
| 840 | Section 17. Bonds Payable From Ad Valorem Taxes. | ||
| 841 | (1) The board of trustees of the Indian River County | ||
| 842 | Hospital District is authorized and empowered by resolution to | ||
| 843 | issue and sell, from time to time, ad valorem bonds of the | ||
| 844 | district for the purpose of raising funds to purchase, | ||
| 845 | establish, construct, equip, and maintain such health facilities | ||
| 846 | for the provision of such health and medical services as in its | ||
| 847 | opinion are necessary or desirable in the district. All ad | ||
| 848 | valorem bonds issued as herein authorized shall be of the | ||
| 849 | denomination of $100 or some multiple thereof, shall bear | ||
| 850 | interest at a rate not to exceed the maximum rate permissible | ||
| 851 | under Florida law, payable semiannually, and both principal and | ||
| 852 | interest shall be payable at such place or places as the board | ||
| 853 | of trustees may determine. The form of such bonds shall be | ||
| 854 | fixed by resolution of the board of trustees, and such bonds | ||
| 855 | shall be signed by the chair of the board of trustees and shall | ||
| 856 | have the seal of the Indian River County Hospital District | ||
| 857 | affixed thereto. The ad valorem bonds may be issued in coupon | ||
| 858 | or in registered form, as the board of trustees may determine in | ||
| 859 | accordance with the Registered Public Obligations Act of | ||
| 860 | Florida, chapter 83-271, Laws of Florida, and provisions may be | ||
| 861 | made for the registration of coupon bonds as to principal alone, | ||
| 862 | and as to both principal and interest, and for the reconversion | ||
| 863 | into coupon bonds of any bonds registered as to both principal | ||
| 864 | and interest. Ad valorem bonds so executed shall be valid | ||
| 865 | notwithstanding any change in the persons holding said office or | ||
| 866 | in the seal occurring after such execution. The ad valorem | ||
| 867 | bonds shall be due not more than 40 years from the date thereof | ||
| 868 | as the board of trustees may determine, and shall be exempt from | ||
| 869 | all state, county, and city taxation. All the ad valorem bonds | ||
| 870 | issued by the Indian River County Hospital District shall have | ||
| 871 | all the quality of negotiable instruments under the Florida | ||
| 872 | Uniform Commercial Code-Investment Securities and shall not be | ||
| 873 | invalidated for any irregularity or defect in the proceedings | ||
| 874 | for the issue and sale thereof, and shall be incontestable in | ||
| 875 | the hands of a bona fide purchasers or holders thereof for | ||
| 876 | value. The bonds in this section authorized and empowered to be | ||
| 877 | issued shall be issued only after the same have been approved by | ||
| 878 | the majority of votes cast in an election of the qualified | ||
| 879 | voters residing in the district. Such election shall be called, | ||
| 880 | held, and conducted in the manner as provided by the general law | ||
| 881 | of the state. | ||
| 882 | (2) Prior to the issuance of such ad valorem bonds, the | ||
| 883 | board of trustees shall, by resolution, determine the amount, | ||
| 884 | not exceeding 5 mills on the dollar, which, in their opinion, | ||
| 885 | will be necessary to be raised annually by taxation for an | ||
| 886 | interest and sinking fund with which to pay the interest and | ||
| 887 | principal of the ad valorem bonds. The board of trustees is | ||
| 888 | authorized, empowered, and required to provide for the levy and | ||
| 889 | collection annually of a sufficient tax, not exceeding 5 mills | ||
| 890 | on the dollar, upon all the taxable property in the district, to | ||
| 891 | pay such interest, and with which to provide and maintain a | ||
| 892 | sinking fund for the payment of the principal of the ad valorem | ||
| 893 | bonds and any ad valorem bonds which may have been assumed by | ||
| 894 | the board. | ||
| 895 | (3) The board of trustees shall offer the ad valorem bonds | ||
| 896 | for sale by notice stating the amount of ad valorem bonds for | ||
| 897 | sale, the maximum rate of interest and when due and payable, by | ||
| 898 | advertising once a week for 2 weeks in a newspaper published in | ||
| 899 | the district. The board of trustees shall receive bids for the | ||
| 900 | purchase of the ad valorem bonds or any part thereof on the date | ||
| 901 | fixed by the notice, being not less than 20 days from the date | ||
| 902 | of first publication. The board shall have the right to reject | ||
| 903 | any and all bids and readvertise the ad valorem bonds or any | ||
| 904 | portion thereof remaining unsold. | ||
| 905 | (4) A bank or banks or other depository or depositories to | ||
| 906 | be designated by the board of trustees shall receive and be | ||
| 907 | custodian of the ad valorem bonds and moneys arising from the | ||
| 908 | sale of said ad valorem bonds. | ||
| 909 | Section 17.1. Refunding Bonds. | ||
| 910 | (1) The board of trustees of the district is authorized | ||
| 911 | and empowered by resolution to issue and sell, from time to | ||
| 912 | time, refunding bonds of the district for the purpose of | ||
| 913 | refunding any bonds then outstanding and issued under the | ||
| 914 | provisions of sections 16.2 and 17, including any redemption | ||
| 915 | premium, and any interest accrued or to accrue to the earliest | ||
| 916 | or subsequent date of redemption, purchase, or maturity of such | ||
| 917 | bonds, and, if deemed advisable by the board of trustees, for | ||
| 918 | the additional purpose of paying all or any part of the cost of | ||
| 919 | constructing and acquiring additions, improvements, extensions, | ||
| 920 | or enlargements of a health facility or any portion thereof and | ||
| 921 | the costs of issuance of the bonds and the amounts necessary to | ||
| 922 | establish any reserve or other funds required to be established | ||
| 923 | in connection therewith. | ||
| 924 | (2) The proceeds of any such bonds issued for the purpose | ||
| 925 | of refunding outstanding bonds may, in the discretion of the | ||
| 926 | board of trustees, be applied to the purchase or retirement at | ||
| 927 | maturity or redemption of such outstanding bonds either on their | ||
| 928 | earliest or any subsequent redemption date or upon the purchase | ||
| 929 | or at the maturity thereof and may, pending such application, be | ||
| 930 | placed in escrow to be applied to such purchase or retirement at | ||
| 931 | maturity or redemption on such date as may be determined by the | ||
| 932 | board of trustees. | ||
| 933 | (3) Any such escrowed proceeds, pending such use, may be | ||
| 934 | invested and reinvested in obligations of, or guaranteed by, the | ||
| 935 | United States of America, or any agency or instrumentality | ||
| 936 | thereof presently existing or hereafter created or in | ||
| 937 | certificates of deposit or time deposits secured by obligations | ||
| 938 | of, or guaranteed by, the United States of America, maturing at | ||
| 939 | such time or times as shall be appropriate to assure the prompt | ||
| 940 | payment, as to the principal, interest, and redemption premium, | ||
| 941 | if any, of the outstanding bonds to be so refunded. The | ||
| 942 | interest, income, and profits, if any, earned or realized on any | ||
| 943 | such investment may also be applied to the payment of the | ||
| 944 | outstanding bonds to be so refunded. After the terms of the | ||
| 945 | escrow have been fully satisfied and carried out, any balance of | ||
| 946 | such proceeds and interest, income, and profits, if any, earned | ||
| 947 | or realized on the investments thereof may be returned to the | ||
| 948 | district for use by it in any lawful manner. | ||
| 949 | (4) The portion of the proceeds of any such bonds issued | ||
| 950 | for the additional purpose of paying all or any part of the cost | ||
| 951 | of constructing and acquiring additions, improvements, | ||
| 952 | extensions, or enlargements of a health facility may be invested | ||
| 953 | and reinvested in obligations of, or guaranteed by, the United | ||
| 954 | States of America, or in certificates of deposit or time | ||
| 955 | deposits secured by obligations of, or guaranteed by, the United | ||
| 956 | States of America, maturing not later than the time or times | ||
| 957 | when such proceeds will be needed for the purpose of paying all | ||
| 958 | or any part of such cost. The interest, income, and profits, if | ||
| 959 | any, earned or realized on such investment may be applied to the | ||
| 960 | payment of all or any part of such cost or may be used by the | ||
| 961 | district in any lawful manner. | ||
| 962 | (5) The issuance of such obligations, the maturities and | ||
| 963 | other details thereof, the rights and remedies of the holders | ||
| 964 | thereof, and the rights, powers, privileges, duties, and | ||
| 965 | obligations of the district with respect to the same shall be | ||
| 966 | governed by the provisions hereof, as amended, as they may be | ||
| 967 | applicable. The refunding bonds issued by the district are | ||
| 968 | exempt from all taxation to the extent provided by general law. | ||
| 969 | Section 18. Validation of Bonds. Any and all bonds issued | ||
| 970 | under the provisions of this act may be validated by the board | ||
| 971 | of trustees for said Indian River County Hospital District under | ||
| 972 | and in accordance with the provisions of the general laws of | ||
| 973 | Florida, in the same manner as is therein provided for | ||
| 974 | validation of bonds, etc., by any county, municipality, taxing | ||
| 975 | district, etc., of the State of Florida. | ||
| 976 | Section 19. Indigents. Each hospital and clinic | ||
| 977 | established under this act shall be for the use and benefit of | ||
| 978 | the indigent sick who have resided in such County for not less | ||
| 979 | than 1 year next preceding application for admission for | ||
| 980 | treatment. Such residents shall be admitted to such hospital | ||
| 981 | and clinic and be entitled to medical care without charge, | ||
| 982 | subject to the rules and regulations prescribed by said board of | ||
| 983 | trustees. Such hospital and clinics shall care for and treat | ||
| 984 | without charge only such patients who are found by such board of | ||
| 985 | trustees to be indigent, but such board may collect from | ||
| 986 | patients financially able such charges as such board of trustees | ||
| 987 | may, from time to time, establish. Such board of trustees shall | ||
| 988 | have the power to extend the benefits and privileges of such | ||
| 989 | hospitals and clinics and treatment and outpatient department to | ||
| 990 | the homes of the indigent residents of such county. Said board | ||
| 991 | of trustees may extend the privileges and use of such hospitals | ||
| 992 | and clinics to nonresidents of such district upon such terms and | ||
| 993 | conditions as the said board may from time to time by its rules | ||
| 994 | and regulations provide, provided, however, that the indigent | ||
| 995 | residents of the district wherein such hospitals and clinics are | ||
| 996 | located shall have the first claim to admission. | ||
| 997 | The board of trustees is authorized to accept moneys from | ||
| 998 | the welfare funds provided by Indian River County, the State of | ||
| 999 | Florida, the United States of America, or any other source for | ||
| 1000 | the payment of the cost of treatment and care of the indigent. | ||
| 1001 | Section 20. Eminent Domain. The board shall have the | ||
| 1002 | power of eminent domain and may thereby condemn and acquire any | ||
| 1003 | real property which the board may deem necessary for the use of | ||
| 1004 | said district. Such power of condemnation shall be exercised in | ||
| 1005 | the same manner as is now provided by the general law for the | ||
| 1006 | exercise of the power of eminent domain by cities and towns of | ||
| 1007 | the State of Florida. | ||
| 1008 | Section 21. Donations. Any person or persons, firm, | ||
| 1009 | organizations, corporations, or society, public or private, | ||
| 1010 | municipal corporations, or municipalities desiring to make | ||
| 1011 | donations of money, personal property, or real estate for the | ||
| 1012 | benefit of such hospital, for the creation of a memorial or an | ||
| 1013 | endowment, or for any other purpose shall have the right to vest | ||
| 1014 | title of the money, personal property, or real estate so donated | ||
| 1015 | in said board of trustees to be controlled when accepted by the | ||
| 1016 | board of trustees of said hospital according to the terms of the | ||
| 1017 | deed, gift, devise, or bequest of such property. | ||
| 1018 | Section 22. Liberal Construction. It is intended that the | ||
| 1019 | provisions of this act shall be liberally construed for | ||
| 1020 | accomplishing the work authorized and provided for or intended | ||
| 1021 | to be and provided for in this act, and where strict | ||
| 1022 | construction would result in the defeat of the accomplishment of | ||
| 1023 | any part of the work authorized by this act and a liberal | ||
| 1024 | construction would permit or assist in the accomplishment | ||
| 1025 | thereof, the liberal construction shall be chosen. | ||
| 1026 | Section 23. Invalidity. Any clause or section of this act | ||
| 1027 | which for any reason may be held or declared invalid, may be | ||
| 1028 | eliminated and the remaining portion or portions thereof shall | ||
| 1029 | be and remain in full force and be valid as if such invalid | ||
| 1030 | clause or section had not been incorporated therein. | ||
| 1031 | Section 24. Retirement Program. The board of trustees | ||
| 1032 | shall have the power to provide a retirement program for the | ||
| 1033 | Indian River County Hospital District employees; to establish | ||
| 1034 | qualifications for coverage under the program; to pay any part | ||
| 1035 | or all of the cost of such program; to contract with any company | ||
| 1036 | licensed to do business in Florida for the establishment and | ||
| 1037 | operation of the program; to charge its covered employees for | ||
| 1038 | the employees’ share of the cost of the program; to take such | ||
| 1039 | other action as may be necessary to establish and operate the | ||
| 1040 | retirement program; and to withdraw, by resolution of the board | ||
| 1041 | of trustees, from the State and County Officers and Employees' | ||
| 1042 | Retirement System of Florida, as established by chapter 122, | ||
| 1043 | Florida Statutes. All general, special, or local laws or parts | ||
| 1044 | thereof inconsistent herewith are declared to be inapplicable to | ||
| 1045 | the provisions of this act, including specifically section | ||
| 1046 | 122.061, Florida Statutes, which shall not apply and which is | ||
| 1047 | hereby amended insofar as it prohibits the withdrawal of the | ||
| 1048 | Indian River County Hospital District and its employees from the | ||
| 1049 | retirement system. In the event that the board of trustees | ||
| 1050 | adopts a resolution by which the Indian River County Hospital | ||
| 1051 | District and its employees shall be withdrawn from the State and | ||
| 1052 | County Officers and Employees' Retirement System, such | ||
| 1053 | withdrawal shall become effective on the first day of the next | ||
| 1054 | month following the adoption of such resolution, and the board | ||
| 1055 | of trustees shall send a certified copy of the resolution to the | ||
| 1056 | Department of Management Services. Beginning on the first day | ||
| 1057 | of the next month following the adoption of the resolution, the | ||
| 1058 | Indian River County Hospital District shall not be required to | ||
| 1059 | contribute to the State and County Officers and Employees' | ||
| 1060 | Retirement System, and its employees shall not thereafter be | ||
| 1061 | participants in said system. Following the adoption of the | ||
| 1062 | resolution, 100 percent of the contributions previously made to | ||
| 1063 | the state retirement system shall be refunded to the employees | ||
| 1064 | of the Indian River County Hospital District and the said | ||
| 1065 | district, without interest, and the Department of Management | ||
| 1066 | Services shall make such refunds upon application therefor by | ||
| 1067 | each employee and the district, notwithstanding any other | ||
| 1068 | provisions of the general law relating to such refund. | ||
| 1069 | Section 24.1. Employee Insurance. The Indian River County | ||
| 1070 | Hospital District is authorized and empowered to provide for | ||
| 1071 | life and disability and medical insurance for all or any of its | ||
| 1072 | employees or officers on a group insurance plan, or other | ||
| 1073 | acceptable plan, approved by the board of trustees of the Indian | ||
| 1074 | River County Hospital District, and to establish and create by | ||
| 1075 | resolution such other employee benefit programs as the board of | ||
| 1076 | trustees may deem proper for any groups of officers or employees | ||
| 1077 | of the district qualified for such program, and to pay all or | ||
| 1078 | such portion of the costs of any such plan or program from funds | ||
| 1079 | available to the district from such balance thereof, if any, as | ||
| 1080 | the board of trustees by resolution may determine for any and | ||
| 1081 | all groups of officers or employees of the Indian River County | ||
| 1082 | Hospital District. | ||
| 1083 | Section 25. Tax Anticipation Financing; Additional | ||
| 1084 | Provisions. In addition to any other obligations authorized | ||
| 1085 | under this act, the board of trustees of the Indian River County | ||
| 1086 | Hospital District is hereby authorized to borrow a sum not to | ||
| 1087 | exceed the maximum outstanding amount at any time of $15 million | ||
| 1088 | and to evidence such loan made to the district by its tax | ||
| 1089 | anticipation note or notes bearing interest at a rate not to | ||
| 1090 | exceed the maximum rate permissible under Florida law. The sum | ||
| 1091 | so borrowed shall be repaid together with interest at a rate not | ||
| 1092 | to exceed the maximum rate permissible under Florida law. The | ||
| 1093 | notes authorized in this section shall be made only after the | ||
| 1094 | same have been approved by the majority of votes cast in an | ||
| 1095 | election in which the majority of qualified voters residing in | ||
| 1096 | the district shall participate. Such election shall be called, | ||
| 1097 | held, and conducted in the manner as provided by the general law | ||
| 1098 | of the state. | ||
| 1099 | Section 4. Chapters 61-2275, 63-1432, 65-1708, 67-1515, | ||
| 1100 | 67-1516, 71-688, 72-568, 74-499, 76-387, 84-451, 99-485, and | ||
| 1101 | 2002-345, Laws of Florida, are repealed. | ||
| 1102 | Section 5. If any provision of this act or its application | ||
| 1103 | to any person or circumstance is held invalid, the invalidity | ||
| 1104 | does not affect other provisions or applications of the act | ||
| 1105 | which can be given effect without the invalid provision or | ||
| 1106 | application, and to this end the provisions of this act are | ||
| 1107 | declared severable. | ||
| 1108 | Section 6. This act shall take effect upon becoming a law. | ||
| 1109 | |||