0001| SENATE BILL 918 | 0002| 43rd legislature - STATE OF NEW MEXICO - first session, 1997 | 0003| INTRODUCED BY | 0004| TIMOTHY Z. JENNINGS | 0005| | 0006| | 0007| | 0008| | 0009| | 0010| AN ACT | 0011| RELATING TO HEALTH; ENACTING THE COUNTY HEALTH COMMISSION ACT; | 0012| ENACTING A NEW SECTION OF THE HOSPITAL FUNDING ACT; AMENDING | 0013| CERTAIN SECTIONS OF THE NMSA 1978 PERTAINING TO OPEN MEETINGS, | 0014| PROCUREMENT AND PUBLIC RECORDS; DECLARING AN EMERGENCY. | 0015| | 0016| BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF NEW MEXICO: | 0017| Section 1. [NEW MATERIAL] SHORT TITLE.--Sections 1 | 0018| through 7 of this act may be cited as the "County Health | 0019| Commission Act". | 0020| Section 2. [NEW MATERIAL] PURPOSE.--The purpose of the | 0021| County Health Commission Act is to permit the transfer of | 0022| ownership of a county hospital to a county health commission, | 0023| thereby enhancing the ability of the hospital to compete in the | 0024| competitive and rapidly changing health care marketplace, while | 0025| ensuring that the hospital maintains its primary purpose of | 0001| providing health care for the benefit of the citizens of the | 0002| county through the requirement of a publicly elected | 0003| commission. | 0004| Section 3. [NEW MATERIAL] DEFINITIONS.--As used in the | 0005| County Health Commission Act: | 0006| A. "commission" means a county health commission | 0007| created pursuant to the County Health Commission Act; | 0008| B. "county hospital" means a hospital owned by a | 0009| county; and | 0010| C. "county health commission hospital" means a | 0011| hospital, the ownership and responsibility for operation of | 0012| which have been transferred from a county to a county health | 0013| commission. | 0014| Section 4. [NEW MATERIAL] CREATION OF COMMISSION.--The | 0015| board of county commissioners of a county in which there is a | 0016| county hospital: | 0017| A. may create a county health commission by the | 0018| adoption of a resolution creating the commission and calling | 0019| for an election of the members of the commission; or | 0020| B. shall create a county health commission by the | 0021| adoption of a resolution creating the commission and calling | 0022| for an election of the members of the commission when a | 0023| petition requesting the action is presented to the board of | 0024| county commissioners. The number of signatures required on the | 0025| petition shall be at least five percent of the number of votes | 0001| cast for governor in the county in the last preceding | 0002| gubernatorial election. | 0003| Section 5. [NEW MATERIAL] MEMBERSHIP OF COMMISSION-- | 0004| ELECTION OF MEMBERS--TRANSFER OF HOSPITAL.-- | 0005| A. An election of the county health commission | 0006| shall be held within ninety days of the date of passage of the | 0007| resolution by the board of county commissioners. Elections | 0008| shall be conducted in the manner provided in the Election Code | 0009| for the conduct of special elections. | 0010| B. Election districts for the commission shall be | 0011| identical to those districts designated for elections of the | 0012| board of county commissioners. Two county health commissioners | 0013| shall be elected from each district by the voters of the | 0014| district. A commissioner shall be a resident of the district | 0015| from which he is elected. To provide for staggered terms, one | 0016| commissioner from each district shall have an initial term of | 0017| two years, and the other commissioner from the district shall | 0018| have an initial term of four years. The commissioners shall | 0019| draw lots to determine the allocation of the initial terms. | 0020| Thereafter, commissioners shall be elected for terms of four | 0021| years. A vacancy on the commission shall be filled by | 0022| appointment by the board of county commissioners for the | 0023| remainder of the unexpired term. | 0024| C. Within ten days after the results of the | 0025| election are certified, the newly elected commission shall meet | 0001| and organize itself. | 0002| D. Within thrity days after the results of the | 0003| election are certified, the county shall transfer ownership of | 0004| the county hospital to the commission. The commission shall | 0005| thereafter own the hospital and be responsible for the | 0006| operations of the hospital; provided that a county health | 0007| commission hospital may be operated by another party pursuant | 0008| to a lease or management contract with the commission. | 0009| Section 6. [NEW MATERIAL] POWERS AND DUTIES OF | 0010| COMMISSION.-- | 0011| A. A county health commission shall operate the | 0012| hospital that has been transferred to its control as a public | 0013| hospital for the benefit of the residents of the county in | 0014| which it is located. | 0015| B. A commission shall have all powers necessary and | 0016| appropriate to carry out and effectuate its public purposes, | 0017| including the following powers: | 0018| (1) to adopt, amend and repeal bylaws for the | 0019| administration and regulation of the affairs of the commission; | 0020| (2) to sue and be sued; | 0021| (3) to purchase, lease, receive, acquire, own, | 0022| hold, use and otherwise deal in and with real property or | 0023| personal property; | 0024| (4) to sell, convey, lease, pledge, exchange, | 0025| transfer and otherwise dispose of all or any part of any of its | 0001| assets and properties for such consideration upon such terms | 0002| and conditions as the commission shall determine; | 0003| (5) to make contracts, incur liabilities and | 0004| borrow money at such rates of interest as the commission may | 0005| determine; | 0006| (6) to make and execute contracts and all | 0007| other instruments necessary or convenient in the exercise of | 0008| its powers and functions; | 0009| (7) to receive, administer, hold and use all | 0010| funds made available to it from any source; | 0011| (8) to apply for and accept gifts or grants of | 0012| property, funds, services or aid in any form from the United | 0013| States, a unit of government or a person; | 0014| (9) to invest and reinvest its funds; | 0015| (10) to conduct its activities, carry out its | 0016| operations, have offices and facilities and exercise the powers | 0017| granted by the County Health Commission Act; | 0018| (11) to employ such officers and employees as | 0019| it deems necessary, set their compensation and describe their | 0020| duties; | 0021| (12) to procure insurance against any loss in | 0022| connection with its operations, property and other assets; | 0023| (13) to employ advisors, consultants, agents | 0024| and employees as may be required in its judgment and to fix and | 0025| pay compensation; and | 0001| (14) to do all things authorized by law not | 0002| inconsistent with the provisions of the County Health | 0003| Commission Act. | 0004| Section 7. [NEW MATERIAL] DISSOLUTION.--In the event | 0005| of dissolution of a county health commission, all rights and | 0006| properties of the commission shall be transferred by action of | 0007| the commission, or in the absence of that action, automatically | 0008| by operation of law, to the board of county commissioners, | 0009| subject to the rights of any bondholders, lienholders or | 0010| creditors of the commission. | 0011| Section 8. A new section of the Hospital Funding Act, | 0012| Section 4-48B-7.1 NMSA 1978, is enacted to read: | 0013| "4-48B-7.1. [NEW MATERIAL] POWER TO TRANSFER HOSPITAL | 0014| TO COUNTY HEALTH COMMISSION.--All counties shall have the power | 0015| to transfer a county hospital to a commission created pursuant | 0016| to the County Health Commission Act." | 0017| Section 9. Section 10-15-1 NMSA 1978 (being Laws 1974, | 0018| Chapter 91, Section 1, as amended) is amended to read: | 0019| "10-15-1. FORMATION OF PUBLIC POLICY--PROCEDURES FOR OPEN | 0020| MEETINGS--EXCEPTIONS AND PROCEDURES FOR CLOSED MEETINGS.-- | 0021| A. In recognition of the fact that a representative | 0022| government is dependent upon an informed electorate, it is | 0023| declared to be public policy of this state that all persons are | 0024| entitled to the greatest possible information regarding the | 0025| affairs of government and the official acts of those officers | 0001| and employees who represent them. The formation of public | 0002| policy or the conduct of business by vote shall not be | 0003| conducted in closed meeting. All meetings of any public body | 0004| except the legislature and the courts shall be public meetings, | 0005| and all persons so desiring shall be permitted to attend and | 0006| listen to the deliberations and proceedings. Reasonable | 0007| efforts shall be made to accommodate the use of audio and video | 0008| recording devices. | 0009| B. All meetings of a quorum of members of any | 0010| board, commission, administrative adjudicatory body or other | 0011| policymaking body of any state agency, any agency or authority | 0012| of any county, municipality, district or any political | 0013| subdivision, held for the purpose of formulating public policy, | 0014| including the development of personnel policy, rules, | 0015| regulations or ordinances, discussing public business or for | 0016| the purpose of taking any action within the authority of or the | 0017| delegated authority of any board, commission or other | 0018| policymaking body are declared to be public meetings open to | 0019| the public at all times, except as otherwise provided in the | 0020| constitution of New Mexico or the Open Meetings Act. No public | 0021| meeting once convened that is otherwise required to be open | 0022| pursuant to the Open Meetings Act shall be closed or dissolved | 0023| into small groups or committees for the purpose of permitting | 0024| the closing of the meeting. | 0025| C. If otherwise allowed by law or rule of the | 0001| public body, a member of a public body may participate in a | 0002| meeting of the public body by means of a conference telephone | 0003| or other similar communications equipment when it is otherwise | 0004| difficult or impossible for the member to attend the meeting in | 0005| person, provided that each member participating by conference | 0006| telephone can be identified when speaking, all participants are | 0007| able to hear each other at the same time and members of the | 0008| public attending the meeting are able to hear any member of the | 0009| public body who speaks during the meeting. | 0010| D. Any meetings at which the discussion or adoption | 0011| of any proposed resolution, rule, regulation or formal action | 0012| occurs and at which a majority or quorum of the body is in | 0013| attendance, and any closed meetings, shall be held only after | 0014| reasonable notice to the public. The affected body shall | 0015| determine at least annually in a public meeting what notice for | 0016| a public meeting is reasonable when applied to that body. That | 0017| notice shall include broadcast stations licensed by the federal | 0018| communications commission and newspapers of general circulation | 0019| that have provided a written request for such notice. | 0020| E. A public body may recess and reconvene a meeting | 0021| to a day subsequent to that stated in the meeting notice if, | 0022| prior to recessing, the public body specifies the date, time | 0023| and place for continuation of the meeting, and, immediately | 0024| following the recessed meeting, posts notice of the date, time | 0025| and place for the reconvened meeting on or near the door of the | 0001| place where the original meeting was held and in at least one | 0002| other location appropriate to provide public notice of the | 0003| continuation of the meeting. Only matters appearing on the | 0004| agenda of the original meeting may be discussed at the | 0005| reconvened meeting. | 0006| F. Meeting notices shall include an agenda | 0007| containing a list of specific items of business to be discussed | 0008| or transacted at the meeting or information on how the public | 0009| may obtain a copy of such an agenda. Except in the case of an | 0010| emergency, the agenda shall be available to the public at least | 0011| twenty-four hours prior to the meeting. Except for emergency | 0012| matters, a public body shall take action only on items | 0013| appearing on the agenda. For purposes of this subsection, an | 0014| "emergency" refers to unforeseen circumstances that, if not | 0015| addressed immediately by the public body, will likely result in | 0016| injury or damage to persons or property or substantial | 0017| financial loss to the public body. | 0018| G. The board, commission or other policymaking body | 0019| shall keep written minutes of all its meetings. The minutes | 0020| shall include at a minimum the date, time and place of the | 0021| meeting, the names of members in attendance and those absent, | 0022| the substance of the proposals considered and a record of any | 0023| decisions and votes taken that show how each member voted. All | 0024| minutes are open to public inspection. Draft minutes shall be | 0025| prepared within ten working days after the meeting and shall be | 0001| approved, amended or disapproved at the next meeting where a | 0002| quorum is present. Minutes shall not become official until | 0003| approved by the policymaking body. | 0004| H. The provisions of Subsections A, B and G of this | 0005| section do not apply to: | 0006| (1) meetings pertaining to issuance, | 0007| suspension, renewal or revocation of a license, except that a | 0008| hearing at which evidence is offered or rebutted shall be open. | 0009| All final actions on the issuance, suspension, renewal or | 0010| revocation of a license shall be taken at an open meeting; | 0011| (2) limited personnel matters; provided that | 0012| for purposes of the Open Meetings Act, "limited personnel | 0013| matters" means the discussion of hiring, promotion, demotion, | 0014| dismissal, assignment or resignation of or the investigation or | 0015| consideration of complaints or charges against any individual | 0016| public employee; provided further that this subsection is not | 0017| to be construed as to exempt final actions on personnel from | 0018| being taken at open public meetings, nor does it preclude an | 0019| aggrieved public employee from demanding a public hearing. | 0020| Judicial candidates interviewed by any commission shall have | 0021| the right to demand an open interview; | 0022| (3) deliberations by a public body in | 0023| connection with an administrative adjudicatory proceeding. For | 0024| purposes of this paragraph, an "administrative adjudicatory | 0025| proceeding" means a proceeding brought by or against a person | 0001| before a public body in which individual legal rights, duties | 0002| or privileges are required by law to be determined by the | 0003| public body after an opportunity for a trial-type hearing. | 0004| Except as otherwise provided in this section, the actual | 0005| administrative adjudicatory proceeding at which evidence is | 0006| offered or rebutted and any final action taken as a result of | 0007| the proceeding shall occur in an open meeting; | 0008| (4) the discussion of personally identifiable | 0009| information about any individual student, unless the student, | 0010| his parent or guardian requests otherwise; | 0011| (5) meetings for the discussion of bargaining | 0012| strategy preliminary to collective bargaining negotiations | 0013| between the policymaking body and a bargaining unit | 0014| representing the employees of that policymaking body and | 0015| collective bargaining sessions at which the policymaking body | 0016| and the representatives of the collective bargaining unit are | 0017| present; | 0018| (6) that portion of meetings at which a | 0019| decision concerning purchases in an amount exceeding two | 0020| thousand five hundred dollars ($2,500) that can be made only | 0021| from one source and that portion of meetings at which the | 0022| contents of competitive sealed proposals solicited pursuant to | 0023| the Procurement Code are discussed during the contract | 0024| negotiation process. The actual approval of purchase of the | 0025| item or final action regarding the selection of a contractor | 0001| shall be made in an open meeting; | 0002| (7) meetings subject to the attorney-client | 0003| privilege pertaining to threatened or pending litigation in | 0004| which the public body is or may become a participant; | 0005| (8) meetings for the discussion of the | 0006| purchase, acquisition or disposal of real property or water | 0007| rights by the public body; and | 0008| (9) those portions of meetings of committees | 0009| or boards of public hospitals [that receive less than fifty | 0010| percent of their operating budget from direct public funds and | 0011| appropriations] or county health commissions where strategic | 0012| and long-range business plans are discussed. For purposes of | 0013| this paragraph, "strategic and long-range business plans" | 0014| includes all matters involving proprietary information the | 0015| disclosure of which would be likely to impede the ability of | 0016| the hospital to compete in the health care market; provided | 0017| that discussion of possible sale of a public hospital or county | 0018| health commission hospital or its assets to another entity is | 0019| not within the exception provided by this paragraph. | 0020| I. If any meeting is closed pursuant to the | 0021| exclusions contained in Subsection H of this section, the | 0022| closure: | 0023| (1) if made in an open meeting, shall be | 0024| approved by a majority vote of a quorum of the policymaking | 0025| body; the authority for the closure and the subject to be | 0001| discussed shall be stated with reasonable specificity in the | 0002| motion calling for the vote on a closed meeting; the vote shall | 0003| be taken in an open meeting; and the vote of each individual | 0004| member shall be recorded in the minutes. Only those subjects | 0005| announced or voted upon prior to closure by the policymaking | 0006| body may be discussed in a closed meeting; and | 0007| (2) if called for when the policymaking body | 0008| is not in an open meeting, shall not be held until public | 0009| notice, appropriate under the circumstances, stating the | 0010| specific provision of the law authorizing the closed meeting | 0011| and stating with reasonable specificity the subject to be | 0012| discussed is given to the members and to the general public. | 0013| J. Following completion of any closed meeting, the | 0014| minutes of the open meeting that was closed or the minutes of | 0015| the next open meeting if the closed meeting was separately | 0016| scheduled shall state that the matters discussed in the closed | 0017| meeting were limited only to those specified in the motion for | 0018| closure or in the notice of the separate closed meeting. This | 0019| statement shall be approved by the public body under Subsection | 0020| G of this section as part of the minutes." | 0021| Section 10. Section 13-1-98 NMSA 1978 (being Laws 1984, | 0022| Chapter 65, Section 71, as amended) is amended to read: | 0023| "13-1-98. EXEMPTIONS FROM THE PROCUREMENT CODE.--The | 0024| provisions of the Procurement Code shall not apply to: | 0025| A. procurement of items of tangible personal | 0001| property or services by a state agency or a local public body | 0002| from a state agency, a local public body or external | 0003| procurement unit except as otherwise provided in Sections | 0004| 13-1-135 through 13-1-137 NMSA 1978; | 0005| B. procurement of tangible personal property or | 0006| services for the governor's mansion and grounds; | 0007| C. printing and duplicating contracts involving | 0008| materials which are required to be filed in connection with | 0009| proceedings before administrative agencies or state or federal | 0010| courts; | 0011| D. purchases of publicly provided or publicly | 0012| regulated gas, electricity, water, sewer and refuse collection | 0013| services; | 0014| E. purchases of books and periodicals from the | 0015| publishers or copyright holders thereof; | 0016| F. travel or shipping by common carrier or by | 0017| private conveyance or to meals and lodging; | 0018| G. purchase of livestock at auction rings or to the | 0019| procurement of animals to be used for research and | 0020| experimentation or exhibit; | 0021| H. contracts with businesses for public school | 0022| transportation services; | 0023| I. procurement of tangible personal property or | 0024| services, as defined by Sections 13-l-87 and 13-l-93 NMSA 1978, | 0025| by the corrections industries division of the corrections | 0001| department pursuant to regulations adopted by the corrections | 0002| [industries] commission, which shall be reviewed by the | 0003| purchasing division of the general services department prior to | 0004| adoption; | 0005| J. minor purchases consisting of magazine | 0006| subscriptions, conference registration fees and other similar | 0007| purchases where prepayments are required; | 0008| K. municipalities having adopted home rule charters | 0009| and having enacted their own purchasing ordinances; | 0010| L. the issuance, sale and delivery of public | 0011| securities pursuant to the applicable authorizing statute, with | 0012| the exception of bond attorneys and general financial | 0013| consultants; | 0014| M. contracts entered into by a local public body | 0015| with a private independent contractor for the operation, or | 0016| provision and operation, of a jail pursuant to Sections 33-3-26 | 0017| and 33-3-27 NMSA 1978; | 0018| N. contracts for maintenance of grounds and | 0019| facilities at highway rest stops and other employment | 0020| opportunities, excluding those intended for the direct care and | 0021| support of persons with handicaps, entered into by state | 0022| agencies with private, nonprofit, independent contractors who | 0023| provide services to persons with handicaps; | 0024| O. contracts and expenditures for services to be | 0025| paid or compensated by money or other property transferred to | 0001| New Mexico law enforcement agencies by the United States | 0002| department of justice drug enforcement administration; | 0003| P. contracts for retirement and other benefits | 0004| pursuant to Sections 22-11-47 through 22-11-52 NMSA 1978; | 0005| [and] | 0006| Q. contracts with professional entertainers; and | 0007| R. procurement of items of tangible personal | 0008| property or services by a hospital owned and operated by a | 0009| county health commission pursuant to purchasing regulations | 0010| adopted by that commission." | 0011| Section 11. Section 14-2-1 NMSA 1978 (being Laws 1947, | 0012| Chapter 130, Section 1, as amended) is amended to read: | 0013| "14-2-1. RIGHT TO INSPECT PUBLIC RECORDS--EXCEPTIONS.-- | 0014| Every person has a right to inspect any public records of this | 0015| state except: | 0016| A. records pertaining to physical or mental | 0017| examinations and medical treatment of persons confined to any | 0018| institution; | 0019| B. letters of reference concerning employment, | 0020| licensing or permits; | 0021| C. letters or memorandums which are matters of | 0022| opinion in personnel files or students' cumulative files; | 0023| D. law enforcement records that reveal confidential | 0024| sources, methods, information or individuals accused but not | 0025| charged with a crime. Law enforcement records include evidence | 0001| in any form received or compiled in connection with any | 0002| criminal investigation or prosecution by any law enforcement or | 0003| prosecuting agency, including inactive matters or closed | 0004| investigations to the extent that they contain the information | 0005| listed above; | 0006| E. as provided by the Confidential Materials Act; | 0007| [and] | 0008| F. records of a county health commission or a | 0009| county health commission hospital if the records include | 0010| proprietary information, the disclosure of which would be | 0011| likely to impede the ability of the hospital to compete in the | 0012| health care market; and | 0013| [F.] G. as otherwise provided by law." | 0014| Section 12. EMERGENCY.--It is necessary for the public | 0015| peace, health and safety that this act take effect immediately. | 0016|  | 0017| | 0018| FORTY-THIRD LEGISLATURE | 0019| FIRST SESSION, 1997 | 0020| | 0021| | 0022| March 7, 1997 | 0023| | 0024| Mr. President: | 0025| | 0001| Your PUBLIC AFFAIRS COMMITTEE, to whom has been | 0002| referred | 0003| | 0004| SENATE BILL 918 | 0005| | 0006| has had it under consideration and reports same with | 0007| recommendation that it DO NOT PASS, but that | 0008| | 0009| SENATE PUBLIC AFFAIRS COMMITTEE SUBSTITUTE FOR | 0010| SENATE BILL 918 | 0011| | 0012| DO PASS. | 0013| | 0014| Respectfully submitted, | 0015| | 0016| | 0017| | 0018| | 0019| __________________________________ | 0020| Shannon Robinson, Chairman | 0021| | 0022| | 0023| | 0024| Adopted_______________________ Not | 0025| Adopted_______________________ | 0001| (Chief Clerk) (Chief Clerk) | 0002| | 0003| | 0004| Date ________________________ | 0005| | 0006| | 0007| The roll call vote was 5 For 0 Against | 0008| Yes: 5 | 0009| No: 0 | 0010| Excused: Boitano, Adair, Feldman, Vernon | 0011| Absent: None | 0012| | 0013| | 0014| S0918PA1 | 0015| | 0016| SENATE PUBLIC AFFAIRS COMMITTEE SUBSTITUTE FOR | 0017| SENATE BILL 918 | 0018| 43rd legislature - STATE OF NEW MEXICO - first session, 1997 | 0019| | 0020| | 0021| | 0022| | 0023| | 0024| | 0025| | 0001| AN ACT | 0002| RELATING TO HEALTH; ENACTING THE COUNTY HEALTH COMMISSION ACT; | 0003| ENACTING A NEW SECTION OF THE HOSPITAL FUNDING ACT; AMENDING | 0004| CERTAIN SECTIONS OF THE NMSA 1978 PERTAINING TO OPEN MEETINGS, | 0005| PROCUREMENT AND PUBLIC RECORDS; DECLARING AN EMERGENCY. | 0006| | 0007| BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF NEW MEXICO: | 0008| Section 1. [NEW MATERIAL] SHORT TITLE.--Sections 1 | 0009| through 8 of this act may be cited as the "County Health | 0010| Commission Act". | 0011| Section 2. [NEW MATERIAL] PURPOSE.--The purpose of the | 0012| County Health Commission Act is to permit the transfer of | 0013| ownership of a county hospital to a county health commission, | 0014| thereby enhancing the ability of the hospital to compete in the | 0015| competitive and rapidly changing health care marketplace, while | 0016| ensuring that the hospital maintains its primary purpose of | 0017| providing health care for the benefit of the citizens of the | 0018| county through the requirement of a publicly elected | 0019| commission. | 0020| Section 3. [NEW MATERIAL] DEFINITIONS.--As used in the | 0021| County Health Commission Act: | 0022| A. "commission" means a county health commission | 0023| created pursuant to the County Health Commission Act; | 0024| B. "county" means a class B county having a | 0025| population of more than fifty thousand but less than fifty-five | 0001| thousand according to the 1990 federal decennial census and | 0002| having a net taxable value for rate-setting purposes for the | 0003| 1996 property tax year of more than four hundred fifty million | 0004| dollars ($450,000,000) but less than five hundred million | 0005| dollars ($500,000,000); | 0006| C. "county hospital" means a hospital owned by a | 0007| county; and | 0008| D. "county health commission hospital" means a public | 0009| hospital, the ownership and responsibility for operation of | 0010| which have been transferred from a county to a county health | 0011| commission. | 0012| Section 4. [NEW MATERIAL] CREATION OF COMMISSION.--The | 0013| board of county commissioners of a county in which there is a | 0014| county hospital: | 0015| A. may create a county health commission by the | 0016| adoption of a resolution creating the commission; or | 0017| B. may call for an election on the question of | 0018| creating a county health commission. Such an election shall be | 0019| required upon presentation to the board of county commissioners | 0020| of a petition signed by registered electors of the county | 0021| requesting an election on the question. The number of signatures | 0022| required on the petition shall be at least five percent of the | 0023| number of votes cast for governor in the county in the last | 0024| preceding gubernatorial election. An election pursuant to this | 0025| subsection shall be conducted in the manner provided in the | 0001| Election Code for the conduct of special elections. If the | 0002| election is held as the result of presentation of a petition to | 0003| the board of county commissioners, the election shall be held | 0004| within forty-five days of the receipt of the petition. | 0005| Section 5. [NEW MATERIAL] MEMBERSHIP OF COMMISSION-- | 0006| ELECTION OF MEMBERS--TRANSFER OF HOSPITAL.-- | 0007| A. The initial election of the county health commission | 0008| shall be held within sixty days of the adoption by the board of | 0009| county commissioners of a resolution creating a county health | 0010| commission, or of an election pursuant to Section 4 of the County | 0011| Health Commission Act in which a majority of the voters voted in | 0012| favor of creating a county health commission. The election shall | 0013| be conducted in the manner provided in the Election Code for the | 0014| conduct of special elections. | 0015| B. Election districts for the commission shall be | 0016| identical to those districts designated for elections of the board | 0017| of county commissioners. Two county health commissioners shall be | 0018| elected from each district by the voters of the district. A | 0019| commissioner shall be a resident of the district from which he is | 0020| elected. Commissioners elected in the initial election shall | 0021| serve until the next general election. Thereafter, elections for | 0022| the commission shall be conducted at general elections. | 0023| C. At the first general election in which there is an | 0024| election for the county health commission, commissioners shall be | 0025| elected for staggered terms. One commissioner from each district | 0001| shall be elected to a term of four years, and the other | 0002| commissioner from the district shall be elected to a term of two | 0003| years. The commissioner receiving the highest vote total shall | 0004| have the four-year term. Thereafter, commissioners shall be | 0005| elected for terms of four years. A vacancy on the commission | 0006| shall be filled by appointment by the board of county | 0007| commissioners for the remainder of the unexpired term. | 0008| D. Within ten days after the results of the election are | 0009| certified, the newly elected commission shall meet and organize | 0010| itself. | 0011| E. Within thirty days after the results of the election | 0012| are certified, the county shall transfer ownership of the county | 0013| hospital to the commission. The commission shall thereafter own | 0014| the hospital, which shall remain a public hospital. The county | 0015| health commission shall be responsible for the operations of the | 0016| hospital; provided that a county health commission hospital may be | 0017| operated by another party pursuant to a lease or management | 0018| contract with the commission. | 0019| Section 6. [NEW MATERIAL] POWERS AND DUTIES OF | 0020| COMMISSION.-- | 0021| A. A county health commission shall operate the hospital | 0022| that has been transferred to its control as a public hospital for | 0023| the benefit of the residents of the county in which it is located. | 0024| B. A commission shall have all powers necessary and | 0025| appropriate to carry out and effectuate its public purposes, | 0001| including the following powers: | 0002| (1) to adopt, amend and repeal bylaws for the | 0003| administration and regulation of the affairs of the commission; | 0004| (2) to sue and be sued; | 0005| (3) to purchase, lease, receive, acquire, own, | 0006| hold, use and otherwise deal in and with real property or personal | 0007| property; | 0008| (4) to sell, convey, lease, pledge, exchange, | 0009| transfer and otherwise dispose of all or any part of any of its | 0010| assets and properties for such consideration upon such terms and | 0011| conditions as the commission shall determine; | 0012| (5) to make contracts, incur liabilities and borrow | 0013| money at such rates of interest as the commission may determine; | 0014| (6) to make and execute contracts and all other | 0015| instruments necessary or convenient in the exercise of its powers | 0016| and functions; | 0017| (7) to receive, administer, hold and use all funds | 0018| made available to it from any source; | 0019| (8) to apply for and accept gifts or grants of | 0020| property, funds, services or aid in any form from the United | 0021| States, a unit of government or a person; | 0022| (9) to invest and reinvest its funds; | 0023| (10) to conduct its activities, carry out its | 0024| operations, have offices and facilities and exercise the powers | 0025| granted by the County Health Commission Act; | 0001| (11) to employ such officers and employees as it | 0002| deems necessary, set their compensation and describe their duties; | 0003| (12) to procure insurance against any loss in | 0004| connection with its operations, property and other assets; | 0005| (13) to employ advisors, consultants, agents and | 0006| employees as may be required in its judgment and to fix and pay | 0007| compensation; and | 0008| (14) to do all things authorized by law not | 0009| inconsistent with the provisions of the County Health Commission | 0010| Act. | 0011| Section 7. [NEW MATERIAL] HOSPITAL REVENUE BONDS.-- | 0012| A. A county health commission may issue hospital revenue | 0013| bonds pursuant to the County Health Commission Act for the purpose | 0014| of constructing, purchasing, remodeling, equipping or re-equipping | 0015| a county health commission hospital. | 0016| B. The county health commission issuing the hospital | 0017| revenue bonds pursuant to the County Health Commission Act may | 0018| pledge irrevocably all or a portion of the revenues derived from | 0019| the operation of the county health commission hospital and | 0020| revenues derived from the leasing or other contractual arrangement | 0021| for the operation of a county health commission hospital for the | 0022| payment of principal and interest on the revenue bonds. | 0023| C. At a regular or special meeting called for the | 0024| purpose of issuing revenue bonds as authorized pursuant to the | 0025| County Health Commission Act the county health commission may | 0001| adopt a resolution that: | 0002| (1) declares the necessity for issuing revenue | 0003| bonds; | 0004| (2) authorizes the issuance of revenue bonds by an | 0005| affirmative vote of a majority of the county health commission; | 0006| and | 0007| (3) designates the source of the pledged revenues. | 0008| D. Hospital revenue bonds: | 0009| (1) may have interest, appreciated principal value | 0010| or any part thereof payable at intervals or at maturity as may be | 0011| determined by the county health commission; | 0012| (2) may be subject to a prior redemption at the | 0013| option of the county health commission at such time and upon such | 0014| terms and conditions, with or without the payment of a premium, as | 0015| may be provided by resolution of the county health commission; | 0016| (3) may mature at any time not exceeding thirty | 0017| years after the date of issuance; | 0018| (4) may be serial in form and maturity or may | 0019| consist of one bond payable at one time or in installments or may | 0020| be in any other form as may be provided in the resolution | 0021| authorizing the bonds; | 0022| (5) shall be sold for cash at above or below par | 0023| and at a price that results in a net effective interest rate which | 0024| does not exceed the maximum permitted by the Public Securities | 0025| Act; and | 0001| (6) may be sold at a public or private sale. | 0002| E. Hospital revenue bonds issued under the authority of | 0003| the County Health Commission Act shall not be the general | 0004| obligations of the county and shall be payable only from the | 0005| proper pledged revenues, and each bond shall state that it is | 0006| payable solely from the proper pledged revenues and that the | 0007| bondholders may not look to any other fund for the payment of the | 0008| principal and interest on the bonds. | 0009| F. Hospital revenue bonds issued under authority of the | 0010| County Health Commission Act and the income from the bonds shall | 0011| be exempt from all taxation by the state or any political | 0012| subdivision of the state. | 0013| G. It is unlawful to divert, use or expend any money | 0014| received from the issuance of hospital revenue bonds for any | 0015| purpose other than the purpose for which the bonds were issued. | 0016| Section 8. [NEW MATERIAL] SALE OR DISSOLUTION.--In the | 0017| event of sale of a county health commission hospital, all proceeds | 0018| from the sale of the hospital shall be transferred to the board of | 0019| county commissioners subject to the rights of any bondholders, | 0020| lienholders or creditors of the commission. In the event of | 0021| dissolution of a county health commission, all rights and | 0022| properties of the commission shall be transferred by action of the | 0023| commission, or in the absence of that action, automatically by | 0024| operation of law, to the board of county commissioners, subject to | 0025| the rights of any bondholders, lienholders or creditors of the | 0001| commission. | 0002| Section 9. A new section of the Hospital Funding Act, | 0003| Section 4-48B-7.1 NMSA 1978, is enacted to read: | 0004| "4-48B-7.1. [NEW MATERIAL] POWER TO TRANSFER HOSPITAL TO | 0005| COUNTY HEALTH COMMISSION.--All counties shall have the power to | 0006| transfer a county hospital to a commission created pursuant to the | 0007| County Health Commission Act." | 0008| Section 10. Section 10-15-1 NMSA 1978 (being Laws 1974, | 0009| Chapter 91, Section 1, as amended) is amended to read: | 0010| "10-15-1. FORMATION OF PUBLIC POLICY--PROCEDURES FOR OPEN | 0011| MEETINGS--EXCEPTIONS AND PROCEDURES FOR CLOSED MEETINGS.-- | 0012| A. In recognition of the fact that a representative | 0013| government is dependent upon an informed electorate, it is | 0014| declared to be public policy of this state that all persons are | 0015| entitled to the greatest possible information regarding the | 0016| affairs of government and the official acts of those officers and | 0017| employees who represent them. The formation of public policy or | 0018| the conduct of business by vote shall not be conducted in closed | 0019| meeting. All meetings of any public body except the legislature | 0020| and the courts shall be public meetings, and all persons so | 0021| desiring shall be permitted to attend and listen to the | 0022| deliberations and proceedings. Reasonable efforts shall be made | 0023| to accommodate the use of audio and video recording devices. | 0024| B. All meetings of a quorum of members of any board, | 0025| commission, administrative adjudicatory body or other policymaking | 0001| body of any state agency, any agency or authority of any county, | 0002| municipality, district or any political subdivision, held for the | 0003| purpose of formulating public policy, including the development of | 0004| personnel policy, rules, regulations or ordinances, discussing | 0005| public business or for the purpose of taking any action within the | 0006| authority of or the delegated authority of any board, commission | 0007| or other policymaking body are declared to be public meetings open | 0008| to the public at all times, except as otherwise provided in the | 0009| constitution of New Mexico or the Open Meetings Act. No public | 0010| meeting once convened that is otherwise required to be open | 0011| pursuant to the Open Meetings Act shall be closed or dissolved | 0012| into small groups or committees for the purpose of permitting the | 0013| closing of the meeting. | 0014| C. If otherwise allowed by law or rule of the public | 0015| body, a member of a public body may participate in a meeting of | 0016| the public body by means of a conference telephone or other | 0017| similar communications equipment when it is otherwise difficult or | 0018| impossible for the member to attend the meeting in person, | 0019| provided that each member participating by conference telephone | 0020| can be identified when speaking, all participants are able to hear | 0021| each other at the same time and members of the public attending | 0022| the meeting are able to hear any member of the public body who | 0023| speaks during the meeting. | 0024| D. Any meetings at which the discussion or adoption of | 0025| any proposed resolution, rule, regulation or formal action occurs | 0001| and at which a majority or quorum of the body is in attendance, | 0002| and any closed meetings, shall be held only after reasonable | 0003| notice to the public. The affected body shall determine at least | 0004| annually in a public meeting what notice for a public meeting is | 0005| reasonable when applied to that body. That notice shall include | 0006| broadcast stations licensed by the federal communications | 0007| commission and newspapers of general circulation that have | 0008| provided a written request for such notice. | 0009| E. A public body may recess and reconvene a meeting to a | 0010| day subsequent to that stated in the meeting notice if, prior to | 0011| recessing, the public body specifies the date, time and place for | 0012| continuation of the meeting, and, immediately following the | 0013| recessed meeting, posts notice of the date, time and place for the | 0014| reconvened meeting on or near the door of the place where the | 0015| original meeting was held and in at least one other location | 0016| appropriate to provide public notice of the continuation of the | 0017| meeting. Only matters appearing on the agenda of the original | 0018| meeting may be discussed at the reconvened meeting. | 0019| F. Meeting notices shall include an agenda containing a | 0020| list of specific items of business to be discussed or transacted | 0021| at the meeting or information on how the public may obtain a copy | 0022| of such an agenda. Except in the case of an emergency, the agenda | 0023| shall be available to the public at least twenty-four hours prior | 0024| to the meeting. Except for emergency matters, a public body shall | 0025| take action only on items appearing on the agenda. For purposes | 0001| of this subsection, an "emergency" refers to unforeseen | 0002| circumstances that, if not addressed immediately by the public | 0003| body, will likely result in injury or damage to persons or | 0004| property or substantial financial loss to the public body. | 0005| G. The board, commission or other policymaking body | 0006| shall keep written minutes of all its meetings. The minutes shall | 0007| include at a minimum the date, time and place of the meeting, the | 0008| names of members in attendance and those absent, the substance of | 0009| the proposals considered and a record of any decisions and votes | 0010| taken that show how each member voted. All minutes are open to | 0011| public inspection. Draft minutes shall be prepared within ten | 0012| working days after the meeting and shall be approved, amended or | 0013| disapproved at the next meeting where a quorum is present. | 0014| Minutes shall not become official until approved by the | 0015| policymaking body. | 0016| H. The provisions of Subsections A, B and G of this | 0017| section do not apply to: | 0018| (1) meetings pertaining to issuance, suspension, | 0019| renewal or revocation of a license, except that a hearing at which | 0020| evidence is offered or rebutted shall be open. All final actions | 0021| on the issuance, suspension, renewal or revocation of a license | 0022| shall be taken at an open meeting; | 0023| (2) limited personnel matters; provided that for | 0024| purposes of the Open Meetings Act, "limited personnel matters" | 0025| means the discussion of hiring, promotion, demotion, dismissal, | 0001| assignment or resignation of or the investigation or consideration | 0002| of complaints or charges against any individual public employee; | 0003| provided further that this subsection is not to be construed as to | 0004| exempt final actions on personnel from being taken at open public | 0005| meetings, nor does it preclude an aggrieved public employee from | 0006| demanding a public hearing. Judicial candidates interviewed by | 0007| any commission shall have the right to demand an open interview; | 0008| (3) deliberations by a public body in connection | 0009| with an administrative adjudicatory proceeding. For purposes of | 0010| this paragraph, an "administrative adjudicatory proceeding" means | 0011| a proceeding brought by or against a person before a public body | 0012| in which individual legal rights, duties or privileges are | 0013| required by law to be determined by the public body after an | 0014| opportunity for a trial-type hearing. Except as otherwise | 0015| provided in this section, the actual administrative adjudicatory | 0016| proceeding at which evidence is offered or rebutted and any final | 0017| action taken as a result of the proceeding shall occur in an open | 0018| meeting; | 0019| (4) the discussion of personally identifiable | 0020| information about any individual student, unless the student, his | 0021| parent or guardian requests otherwise; | 0022| (5) meetings for the discussion of bargaining | 0023| strategy preliminary to collective bargaining negotiations between | 0024| the policymaking body and a bargaining unit representing the | 0025| employees of that policymaking body and collective bargaining | 0001| sessions at which the policymaking body and the representatives of | 0002| the collective bargaining unit are present; | 0003| (6) that portion of meetings at which a decision | 0004| concerning purchases in an amount exceeding two thousand five | 0005| hundred dollars ($2,500) that can be made only from one source and | 0006| that portion of meetings at which the contents of competitive | 0007| sealed proposals solicited pursuant to the Procurement Code are | 0008| discussed during the contract negotiation process. The actual | 0009| approval of purchase of the item or final action regarding the | 0010| selection of a contractor shall be made in an open meeting; | 0011| (7) meetings subject to the attorney-client | 0012| privilege pertaining to threatened or pending litigation in which | 0013| the public body is or may become a participant; | 0014| (8) meetings for the discussion of the purchase, | 0015| acquisition or disposal of real property or water rights by the | 0016| public body; and | 0017| (9) those portions of meetings of committees or | 0018| boards of public hospitals [that receive less than fifty percent | 0019| of their operating budget from direct public funds and | 0020| appropriations] or county health commissions where strategic | 0021| and long-range business plans are discussed. For purposes of this | 0022| paragraph, "strategic and long-range business plans" includes all | 0023| matters involving proprietary information the disclosure of which | 0024| would be likely to impede the ability of the hospital to compete | 0025| in the health care market; provided that discussion of possible | 0001| sale of a public hospital or county health commission hospital or | 0002| its assets to another entity is not within the exception provided | 0003| by this paragraph. | 0004| I. If any meeting is closed pursuant to the exclusions | 0005| contained in Subsection H of this section, the closure: | 0006| (1) if made in an open meeting, shall be approved | 0007| by a majority vote of a quorum of the policymaking body; the | 0008| authority for the closure and the subject to be discussed shall be | 0009| stated with reasonable specificity in the motion calling for the | 0010| vote on a closed meeting; the vote shall be taken in an open | 0011| meeting; and the vote of each individual member shall be recorded | 0012| in the minutes. Only those subjects announced or voted upon prior | 0013| to closure by the policymaking body may be discussed in a closed | 0014| meeting; and | 0015| (2) if called for when the policymaking body is not | 0016| in an open meeting, shall not be held until public notice, | 0017| appropriate under the circumstances, stating the specific | 0018| provision of the law authorizing the closed meeting and stating | 0019| with reasonable specificity the subject to be discussed is given | 0020| to the members and to the general public. | 0021| J. Following completion of any closed meeting, the | 0022| minutes of the open meeting that was closed or the minutes of the | 0023| next open meeting if the closed meeting was separately scheduled | 0024| shall state that the matters discussed in the closed meeting were | 0025| limited only to those specified in the motion for closure or in | 0001| the notice of the separate closed meeting. This statement shall | 0002| be approved by the public body under Subsection G of this section | 0003| as part of the minutes." | 0004| Section 11. Section 13-1-98 NMSA 1978 (being Laws 1984, | 0005| Chapter 65, Section 71, as amended) is amended to read: | 0006| "13-1-98. EXEMPTIONS FROM THE PROCUREMENT CODE.--The | 0007| provisions of the Procurement Code shall not apply to: | 0008| A. procurement of items of tangible personal property or | 0009| services by a state agency or a local public body from a state | 0010| agency, a local public body or external procurement unit except as | 0011| otherwise provided in Sections 13-1-135 through 13-1-137 NMSA | 0012| 1978; | 0013| B. procurement of tangible personal property or services | 0014| for the governor's mansion and grounds; | 0015| C. printing and duplicating contracts involving | 0016| materials which are required to be filed in connection with | 0017| proceedings before administrative agencies or state or federal | 0018| courts; | 0019| D. purchases of publicly provided or publicly regulated | 0020| gas, electricity, water, sewer and refuse collection services; | 0021| E. purchases of books and periodicals from the | 0022| publishers or copyright holders thereof; | 0023| F. travel or shipping by common carrier or by private | 0024| conveyance or to meals and lodging; | 0025| G. purchase of livestock at auction rings or to the | 0001| procurement of animals to be used for research and experimentation | 0002| or exhibit; | 0003| H. contracts with businesses for public school | 0004| transportation services; | 0005| I. procurement of tangible personal property or | 0006| services, as defined by Sections 13-l-87 and 13-l-93 NMSA 1978, by | 0007| the corrections industries division of the corrections department | 0008| pursuant to regulations adopted by the corrections [industries] | 0009| commission, which shall be reviewed by the purchasing division of | 0010| the general services department prior to adoption; | 0011| J. minor purchases consisting of magazine subscriptions, | 0012| conference registration fees and other similar purchases where | 0013| prepayments are required; | 0014| K. municipalities having adopted home rule charters and | 0015| having enacted their own purchasing ordinances; | 0016| L. the issuance, sale and delivery of public securities | 0017| pursuant to the applicable authorizing statute, with the exception | 0018| of bond attorneys and general financial consultants; | 0019| M. contracts entered into by a local public body with a | 0020| private independent contractor for the operation, or provision and | 0021| operation, of a jail pursuant to Sections 33-3-26 and 33-3-27 NMSA | 0022| 1978; | 0023| N. contracts for maintenance of grounds and facilities | 0024| at highway rest stops and other employment opportunities, | 0025| excluding those intended for the direct care and support of | 0001| persons with handicaps, entered into by state agencies with | 0002| private, nonprofit, independent contractors who provide services | 0003| to persons with handicaps; | 0004| O. contracts and expenditures for services to be paid or | 0005| compensated by money or other property transferred to New Mexico | 0006| law enforcement agencies by the United States department of | 0007| justice drug enforcement administration; | 0008| P. contracts for retirement and other benefits pursuant | 0009| to Sections 22-11-47 through 22-11-52 NMSA 1978; [and] | 0010| Q. contracts with professional entertainers; and | 0011| R. procurement of items of tangible personal property or | 0012| services by a hospital owned and operated by a county health | 0013| commission pursuant to purchasing regulations adopted by that | 0014| commission." | 0015| Section 12. Section 14-2-1 NMSA 1978 (being Laws 1947, | 0016| Chapter 130, Section 1, as amended) is amended to read: | 0017| "14-2-1. RIGHT TO INSPECT PUBLIC RECORDS--EXCEPTIONS.--Every | 0018| person has a right to inspect any public records of this state | 0019| except: | 0020| A. records pertaining to physical or mental examinations | 0021| and medical treatment of persons confined to any institution; | 0022| B. letters of reference concerning employment, licensing | 0023| or permits; | 0024| C. letters or memorandums which are matters of opinion | 0025| in personnel files or students' cumulative files; | 0001| D. law enforcement records that reveal confidential | 0002| sources, methods, information or individuals accused but not | 0003| charged with a crime. Law enforcement records include evidence in | 0004| any form received or compiled in connection with any criminal | 0005| investigation or prosecution by any law enforcement or prosecuting | 0006| agency, including inactive matters or closed investigations to the | 0007| extent that they contain the information listed above; | 0008| E. as provided by the Confidential Materials Act; | 0009| [and] | 0010| F. records of a county health commission or a county | 0011| health commission hospital if the records include proprietary | 0012| information, the disclosure of which would be likely to impede the | 0013| ability of the hospital to compete in the health care market; and | 0014| [F.] G. as otherwise provided by law." | 0015| Section 13. EMERGENCY.--It is necessary for the public | 0016| peace, health and safety that this act take effect immediately. | 0017|  State of New Mexico | 0018| House of Representatives | 0019| | 0020| FORTY-THIRD LEGISLATURE | 0021| FIRST SESSION, 1997 | 0022| | 0023| | 0024| March 15, 1997 | 0025| | 0001| | 0002| Mr. Speaker: | 0003| | 0004| Your VOTERS AND ELECTIONS COMMITTEE, to whom has | 0005| been referred | 0006| | 0007| SENATE PUBLIC AFFAIRS COMMITTEE SUBSTITUTE FOR | 0008| SENATE BILL 918 | 0009| | 0010| has had it under consideration and reports same with | 0011| recommendation that it DO PASS, amended as follows: | 0012| | 0013| 1. On page 1, line 11, after the second semicolon insert | 0014| "ENACTING THE NONPROFIT HOSPITAL SALE ACT;". | 0015| | 0016| 2. On page 2, line 1, before "citizens" insert "sick and | 0017| indigent". | 0018| | 0019| 3. On page 2, line 8, strike "fifty-five" and insert in lieu | 0020| thereof "sixty". | 0021| | 0022| 4. On page 19, line 18, before "records" insert "those | 0023| portions of". | 0024| | 0025| 5. On page 19, line 19, strike "if the records" and insert in | 0001| lieu thereof "that". | 0002| | 0003| 6. On page 19, between lines 22 and 23, insert the following | 0004| new sections: | 0005| | 0006| "Section 13. [NEW MATERIAL] SHORT TITLE.--Sections 13 | 0007| through 22 of this act may be cited as the "Nonprofit Hospital Sale | 0008| Act". | 0009| | 0010| Section 14. [NEW MATERIAL] DEFINITIONS.--As used in the | 0011| Nonprofit Hospital Sale Act: | 0012| | 0013| A. "acquire" or "acquisition" means the acquiring by a | 0014| person of an interest in a hospital, whether by purchase, merger, | 0015| lease, gift or otherwise, that results in a change of ownership or | 0016| control of twenty percent or greater or that results in the | 0017| acquiring person holding a fifty percent or greater interest in the | 0018| ownership or control of a hospital, but "acquisition" does not | 0019| include the acquiring of an interest in a hospital owned by a | 0020| nonprofit corporation if the transferee: | 0021| | 0022| (1) is a nonprofit corporation having a substantially | 0023| similar charitable health care purpose as the transferor; and | 0024| | 0025| (2) will continue representation from the affected | 0001| community on the local board; | 0002| | 0003| B. "department" means the department of health; | 0004| | 0005| C. "hospital" means a general or acute care or specialty | 0006| hospital licensed by the department; | 0007| | 0008| D. "nonprofit corporation" means a person exempt from | 0009| federal income tax pursuant to Section 501(c)(3) of the Internal | 0010| Revenue Code of 1986 or the state or a department, agency, | 0011| institution or political subdivision of the state; and | 0012| | 0013| E. "person" means an individual or other legal entity, not | 0014| including the state or a department, agency, institution or | 0015| political subdivision of the state. | 0016| | 0017| Section 15. [NEW MATERIAL] ACQUISITIONS--APPLICATIONS-- | 0018| APPROVALS.-- | 0019| | 0020| A. No person shall acquire a hospital owned by a nonprofit | 0021| corporation without first applying for and receiving the approval of | 0022| the department and without first notifying the attorney general and, | 0023| if applicable, receiving approval from the attorney general pursuant | 0024| to the Nonprofit Hospital Sale Act. | 0025| | 0001| B. Except as provided in Subsection C of this section, no | 0002| person shall acquire a hospital owned by a person other than a | 0003| nonprofit corporation without first applying for and receiving the | 0004| approval of the department pursuant to the Nonprofit Hospital Sale | 0005| Act unless the acquiring person is a nonprofit corporation. | 0006| | 0007| C. Approval of the department and the attorney general is | 0008| not required for the acquisition of a hospital if the acquisition is | 0009| a result of: | 0010| | 0011| (1) the lease of a county hospital; | 0012| | 0013| (2) the dissolution of a hospital district; or | 0014| | 0015| (3) the merger of hospital districts or governmental | 0016| hospitals. | 0017| | 0018| D. The acquisition application shall be submitted to the | 0019| department and the attorney general on forms provided by the | 0020| department and shall include the name of the seller, the name of the | 0021| purchaser or other parties to the acquisition, the terms of the | 0022| proposed agreement, the sale price, a copy of the acquisition | 0023| agreement, a financial and economic analysis and report from an | 0024| independent expert or consultant of the effect of the acquisition | 0025| based on the criteria set forth in Sections 7 and 8 of the Nonprofit | 0001| Hospital Sale Act and all other related documents. A copy of the | 0002| application and copies of all additional related materials shall be | 0003| submitted to the department and to the attorney general at the same | 0004| time. Applications and all related documents are public records. | 0005| | 0006| E. A person not required to obtain approval for an | 0007| acquisition shall notify the department and the attorney general at | 0008| least thirty days before the acquisition. The notice shall briefly | 0009| describe the impending acquisition, including any change in | 0010| ownership of tangible and intangible assets. | 0011| | 0012| Section 16. [NEW MATERIAL] APPLICATION--CONTENTS--TIME | 0013| PERIODS--APPROVALS OR DISAPPROVALS.-- | 0014| | 0015| A. Within ten days after receipt of an application, the | 0016| department shall publish notice of the application in a newspaper of | 0017| general circulation in the county where the hospital is located and | 0018| shall notify by mail any person who has requested notice of the | 0019| filing of applications. The notice shall state that an application | 0020| has been received, state the names of the parties to the agreement, | 0021| describe the contents of the application and state the date by which | 0022| a person may submit written comments about the application to the | 0023| department. | 0024| | 0025| B. Within twenty days after receiving an application, the | 0001| attorney general shall determine whether to review the application | 0002| in accordance with Section 7 of the Nonprofit Hospital Sale Act and | 0003| | 0004| | 0005| shall notify the applicant of his decision. If the attorney general | 0006| reviews the application, he shall approve or disapprove the | 0007| acquisition within sixty days. | 0008| | 0009| C. Within sixty days after receiving an application, the | 0010| department shall review the application in accordance with the | 0011| standards set forth in the Nonprofit Hospital Sale Act and shall: | 0012| | 0013| (1) approve the acquisition, with or without any | 0014| specific modifications; or | 0015| | 0016| (2) disapprove the acquisition. | 0017| | 0018| D. If during its review the department determines that the | 0019| application is incomplete, it may return the application to the | 0020| applicant or may request additions or changes to the application. | 0021| All deadlines are suspended during the time an application is | 0022| incomplete. | 0023| | 0024| E. The department shall not make its decision subject to | 0025| any condition not directly related to criteria enumerated in Section | 0001| 8 of the Nonprofit Hospital Sale Act, and any condition or | 0002| modification shall bear a direct and rational relationship to the | 0003| application under review. | 0004| | 0005| F. An affected person may appeal a final decision by the | 0006| department pursuant to the Nonprofit Hospital Sale Act in the same | 0007| manner as appeals related to the department's denial, suspension or | 0008| revocation of a hospital license pursuant to Section 24-1-5 NMSA | 0009| 1978. | 0010| | 0011| Section 17. [NEW MATERIAL] PUBLIC HEARING.--The department | 0012| and the attorney general shall hold a public hearing in which any | 0013| person may file written comments and exhibits or appear and make a | 0014| statement. The department and the attorney general may subpoena | 0015| additional information or witnesses, require and administer oaths, | 0016| require sworn statements, take depositions and use related discovery | 0017| procedures for purposes of the hearing and at any time prior to | 0018| making a decision on the application. The hearing shall be held not | 0019| later than forty days after receipt of an application. The hearing | 0020| shall be held upon ten working days' notice, not including days the | 0021| application is deemed incomplete. | 0022| | 0023| Section 18. [NEW MATERIAL] DECLARATORY JUDGMENT.--After the | 0024| attorney general approves or disapproves the acquisition, the | 0025| applicant or any person who has submitted comments pursuant to | 0001| Section 5 of the Nonprofit Hospital Sale Act, if the person has an | 0002| interest in the hospital being acquired or in another hospital that | 0003| has contracted with the acquirable hospital for the provision of | 0004| essential health services, may bring an action for declaratory | 0005| judgment for a determination that the acquisition is or is not in | 0006| the public interest as provided in Section 7 of that act. | 0007| | 0008| Section 19. [NEW MATERIAL] ATTORNEY GENERAL--CRITERIA.-- | 0009| | 0010| A. The attorney general shall approve the application | 0011| unless he finds that the acquisition is not in the public interest. | 0012| An acquisition is not in the public interest unless appropriate | 0013| steps have been taken to safeguard the value of charitable assets | 0014| and ensure that any proceeds of the transaction are used for | 0015| appropriate charitable health care purposes as provided in Paragraph | 0016| (8) of Subsection B of this section. | 0017| | 0018| B. In determining whether the acquisition meets the | 0019| requirements of the Nonprofit Hospital Sale Act, the attorney | 0020| general shall consider: | 0021| | 0022| (1) whether the acquisition is permitted by the | 0023| Nonprofit Corporation Act and other laws of New Mexico governing | 0024| public procurement or nonprofit entities; | 0025| | 0001| (2) whether the nonprofit hospital exercised due | 0002| diligence in deciding to sell, selecting the purchaser and | 0003| negotiating the terms and conditions of the sale; | 0004| | 0005| (3) the procedures used by the seller in making its | 0006| decision, including whether appropriate expert assistance was used; | 0007| | 0008| (4) whether conflict of interest was disclosed, | 0009| including conflicts of interest related to board members of, | 0010| executives of and experts retained by the seller, purchaser or other | 0011| parties to the acquisition; | 0012| | 0013| (5) whether the seller will receive reasonable | 0014| consideration and fair value for its assets. The attorney general | 0015| may employ, at the seller's expense, reasonably necessary expert | 0016| assistance in making this determination; | 0017| | 0018| (6) whether public and charitable funds are placed at | 0019| unreasonable risk, if the acquisition is financed in part by the | 0020| seller; | 0021| | 0022| (7) whether any management contract under the | 0023| acquisition is for reasonable consideration and fair value; | 0024| | 0025| (8) whether the sale proceeds will be used for | 0001| appropriate public and charitable health care purposes consistent | 0002| with the seller's original purpose or for the support and promotion | 0003| of health care in the affected community and whether the proceeds | 0004| will be controlled as public or charitable funds independent of the | 0005| purchaser or parties to the acquisition; and | 0006| | 0007| (9) whether a right of first refusal has been | 0008| retained to repurchase the assets by a successor nonprofit | 0009| corporation or foundation if the hospital is subsequently sold to, | 0010| acquired by or merged with another entity. | 0011| | 0012| Section 20. [NEW MATERIAL] DEPARTMENT CRITERIA.-- | 0013| | 0014| A. In determining whether the acquisition meets the | 0015| requirements of the Nonprofit Hospital Sale Act, the department | 0016| shall consider: | 0017| | 0018| (1) whether sufficient safeguards are included to | 0019| assure the affected community continued access to affordable and | 0020| appropriate health care; | 0021| | 0022| (2) whether the purchaser and parties to the | 0023| acquisition have made a commitment to provide health care to the | 0024| | 0025| disadvantaged, the uninsured and the underinsured and to provide | 0001| benefits to the affected community to promote health care. | 0002| Activities and funding provided by the seller to provide such health | 0003| care may be considered in evaluating compliance with this paragraph; | 0004| and | 0005| | 0006| (3) if health care providers will be offered the | 0007| opportunity to invest or own an interest in the purchaser or an | 0008| entity related to the purchaser, whether procedures or safeguards | 0009| are in place to avoid conflict of interest in patient referral and | 0010| the nature of the procedures or safeguards. | 0011| | 0012| B. This section does not apply higher standards to | 0013| hospitals covered by the provisions of the Nonprofit Hospital Sale | 0014| Act than those applicable to hospitals not covered by the provisions | 0015| of that act. | 0016| | 0017| Section 21. [NEW MATERIAL] ACQUISITION--FAILURE TO FULFILL | 0018| OBLIGATIONS--REVOCATION OF LICENSE.--If the department receives | 0019| information indicating that the acquiring person is not fulfilling | 0020| the commitment to the affected community pursuant to Section 7 of | 0021| the Nonprofit Hospital Sale Act, the department shall hold a hearing | 0022| on ten working days' notice to the affected parties. If after the | 0023| hearing the department determines that the information is true, it | 0024| may institute proceedings to revoke the license issued to the | 0025| purchaser. | 0001| | 0002| Section 22. [NEW MATERIAL] LICENSURE--DENIAL, SUSPENSION OR | 0003| REVOCATION.-- | 0004| | 0005| A. No license to operate a hospital shall be issued or | 0006| renewed by the department and a license that has been issued shall | 0007| be suspended or revoked if: | 0008| | 0009| (1) there is an acquisition of a hospital without | 0010| first having received the approval, if applicable, of the department | 0011| pursuant to the Nonprofit Hospital Sale Act; | 0012| | 0013| (2) there is an acquisition of a hospital without the | 0014| approval of the attorney general if the attorney general determines | 0015| | 0016| to review the application pursuant to the Nonprofit Hospital Sale | 0017| Act; | 0018| | 0019| (3) there is an acquisition of a hospital and there | 0020| is a judicial determination that the acquisition is not in the | 0021| public interest; or | 0022| | 0023| (4) the hospital is not fulfilling its commitment | 0024| pursuant to Section 8 of the Nonprofit Hospital Sale Act. | 0025| | 0001| B. Hearings and appeals of department actions pursuant to | 0002| this section shall be taken in the same manner as provided for other | 0003| hospital license suspensions or revocations in Section 24-1-5 NMSA | 0004| 1978.". | 0005| | 0006| 7. Renumber the succeeding section accordingly., | 0007| | 0008| Respectfully submitted, | 0009| | 0010| | 0011| | 0012| | 0013| Edward C. Sandoval, Chairman | 0014| | 0015| | 0016| Adopted Not Adopted | 0017| (Chief Clerk) (Chief Clerk) | 0018| | 0019| Date | 0020| | 0021| The roll call vote was 9 For 0 Against | 0022| Yes: 9 | 0023| Excused: Lujan, Nicely, Sanchez | 0024| Absent: None | 0025| | 0001| | 0002| .118867.2 | 0003| G:\BILLTEXT\BILLW_97\S0918 |