                             ATTORNEY GENERAL OF TEXAS
                                         GREG        ABBOTT




                                               May 30,2012



The Honorable Dennis Bonnen                       Opinion No. GA-0945
Chair, Select Committee on Voter
     Identification and Voter Fraud               Re: Whether the Angleton-Danbury Hospital District
Texas House of Representatives                    is authorized to sell a hospital facility to a third party
Post Office Box 2910                              and lease it back to fulfill its responsibility to provide
Austin, Texas 78768-2910                          hospital care for the District's needy residents
                                                  (RQ-1033-GA)

Dear Representative Bonnen:

        You ask whether the Angleton-Danbury Hospital District (the "District") is authorized to sell
a hospital facility to a third party and then lease the facility back from the purchaser to fulfill its
responsibility to provide hospital care for the District's needy residents. I

        The District was created and established under article IX, section 9 ofthe Texas Constitution
and special enabling legislation that is now codified in chapter 1002 of the Special District Local
Laws Code. TEX. CaNST. art. IX, § 9; TEX. SPEC. DIST. CODE ANN. §§ 1002.001-.352 (West 2011).
The District was created to "assume full responsibility for providing medical and hospital care for
its needy inhabitants." TEX. CONST. art. IX, § 9; see also TEX. SPEC. DIST. CODE ANN. § 1002.002
(West 2011). The District's board of directors ("Board") "has all powers necessary, convenient, or
incidental to carry out the purposes for which the district was created." TEX. SPEC. DIST. CODE ANN.
§ 1002.103(a) (West 2011). The Board's powers include

                 the power to negotiate and contract with any person to ... lease land,
                 ... to operate and maintain a hospital or hospitals, and to negotiate
                 and contract with other political subdivisions of the state or private
                 individuals, associations, or corporations for those purposes, all as
                 may be determined to be necessary or desirable for the district by the
                 board.

Id. § 1002.1 03(b). The governing body of a hospital district such as the Board is also authorized to
"order the sale [or] lease ... of all or part of a hospital owned and operated by the hospital district,



        ISee Letter from Han. Dennis Bonnen, Chair, House Comm. on Voter Identification & Voter Fraud, to Han.
Greg Abbott, Tex . Att'y Gen. at 1 (Dec. 7, 2011), http://www.texasattorneygeneral.goy/opin ("Request Letter").
The Honorable Dennis Bonnen - Page 2                     (GA-0945)




including real property," provided that the Board does so by resolution that includes "a finding by
the governing body that the sale [or] lease ... is in the best interest of the residents of the hospital
district." TEX. HEALTH & SAFETY CODE ANN. § 285.051(a) (West 2010); see also Tex. Att'y Gen.
Op. No. JC-0220 (2000) at 4 (concluding that section 285.051(a) of the Health and Safety Code
authorizes an article IX, section 9 hospital district to sell, lease, or close a hospital owned by the
district).

        No single statute specifically addresses the District's authority to both sell and lease back a
hospital facility. Nevertheless, the District has specific statutory authority to sell a hospital. TEX.
HEALTH & SAFETY CODE ANN. § 285.051(a) (West 2010). The District also has specific authority
to lease land and broad authority to negotiate and contract with third parties when doing so is
necessary, convenient, or incidental to fulfill the District's constitutional responsibility. TEX. SPEC.
DIST. CODE ANN. § 1002.103(b) (West 2011). Accordingly, we conclude that the District is
authorized to sell a hospital facility to a third party and lease it back, provided that when it does so,
the Board adopts a resolution finding the transaction to be in the best interest of the District's
residents, and the transaction is consistent with the District's constitutional and statutory
responsibilities. 2 TEX. CONST. art. IX, § 9; TEX. HEALTH & SAFETY CODE ANN. § 285.05 1(a)-(b)
(West 2010). See also TEX. HEALTH & SAFETY CODE ANN. § 61.055(a), (c) (West 2010) (Indigent
Health Care and Treatment Act, requiring a hospital district to provide specified basic health care
services together with services required by the constitution and the statutes creating the district); Tex.
Att'y Gen. Op. No. JM-864 (1988) at 6 (determining that the sale of a hospital has no effect on a
hospital district's duties under the constitution, statutes creating the district, and the Indigent Health
Care and Treatment Act).




         2y ou do not provide us with details about the specific sale-leaseback arrangement in question, and we express
no opinion as to whether any particular arrangement is in the best interest of the District's residents. Pursuant to statute,
the District must make that determination. TEX. HEALTH & SAFETY CODE ANN. § 28S.0S1(a) (West 2010).
The Honorable Dennis Bonnen - Page 3          (GA-0945)



                                       SUMMARY

                      The Angleton-Danbury Hospital District is authorized to sell
              a hospital facility to a third party and lease it back, provided its Board
              does so by resolution finding the transaction is in the best interest of
              the District's residents, and the transaction is consistent with the
              District's constitutional and statutory responsibilities.

                                              Very b-uJy yours,




DANIEL T. HODGE
First Assistant Attorney General

JAMES D. BLACKLOCK
Deputy Attorney General for Legal Counsel

JASON BOATRIGHT
Chair, Opinion Committee

William A. Hill
Assistant Attorney General, Opinion Committee
