Tex. Const. art. IX, § 4 · Article 9. COUNTIES
COUNTY-WIDE HOSPITAL DISTRICTS IN CERTAIN LARGE COUNTIES.
Text — Current through the amendments approved by voters in November 2025
The Legislature may by law authorize the creation of county-wide Hospital Districts in counties having a population in excess of 190,000 and in Galveston County, with power to issue bonds for the purchase, acquisition, construction, maintenance and operation of any county owned hospital, or where the hospital system is jointly operated by a county and city within the county, and to provide for the transfer to the county-wide Hospital District of the title to any land, buildings or equipment, jointly or separately owned, and for the assumption by the district of any outstanding bonded indebtedness theretofore issued by any county or city for the establishment of hospitals or hospital facilities; to levy a tax not to exceed seventy-five ($ .75) cents on the One Hundred ($100.00) Dollars valuation of all taxable property within such district, provided, however, that such district shall be approved at an election held for that purpose, and that only qualified voters in such county shall vote therein; provided further, that such Hospital District shall assume full responsibility for providing medical and hospital care to needy inhabitants of the county, and thereafter such county and cities therein shall not levy any other tax for hospital purposes; and provided further that should such Hospital District construct, maintain and support a hospital or hospital system, that the same shall never become a charge against the State of Texas, nor shall any direct appropriation ever be made by the Legislature for the construction, maintenance or improvement of the said hospital or hospitals.
Notes and commentary — not constitutional text
History
(Added Nov. 2, 1954; amended Nov. 2, 1999.) (TEMPORARY TRANSITION PROVISIONS for Sec. 4: See Appendix, Note 1.)
Source of truth
- Edition
- Current through the amendments approved by voters in November 2025
- Official file
- https://statutes.capitol.texas.gov/Docs/CN/htm/CN.9.htm
- Text hash
- sha256 68bcb3c84d0b2864bbaf07e954a46035bab1c4b4043560557b69c579f75215b6
- Composed by
- compose_tx.py 2026-10-05: the Legislative Council's chapter files read in document order; verify_tx.py's independent reading (lxml DOM walk) agrees character for character
Cited by 11 provisions
Provisions in this library whose text cites Tex. Const. art. IX, § 4. Each shows the citation as that text prints it.
The Texas Constitution
Health and Safety Code
- Tex. Health & Safety Code § 281.107ALTERNATIVE FINANCING AND ELECTION PROCEDURES.Printed as Section 4, Article IX, Texas Constitution
- Tex. Health & Safety Code § 283.003DISTRICT AUTHORIZATION.Printed as Article IX, Section 4, of the Texas Constitution
- Tex. Health & Safety Code § 285.009TAXES TO SECURE BONDS.Printed as Article IX, Section 4, of the Texas Constitution
- Tex. Health & Safety Code § 298A.151MANDATORY PAYMENTS BASED ON PAYING PROVIDER NET PATIENT REVENUE.Printed as Section 4, Article IX, Texas Constitution
- Tex. Health & Safety Code § 298B.151MANDATORY PAYMENTS BASED ON PAYING PROVIDER NET PATIENT REVENUE.Printed as Section 4, Article IX, Texas Constitution
- Tex. Health & Safety Code § 298C.151MANDATORY PAYMENTS BASED ON PAYING PROVIDER NET PATIENT REVENUE.Printed as Section 4, Article IX, Texas Constitution
- Tex. Health & Safety Code § 298E.151MANDATORY PAYMENTS BASED ON PAYING PROVIDER NET PATIENT REVENUE.Printed as Section 4, Article IX, Texas Constitution
- Tex. Health & Safety Code § 298F.151MANDATORY PAYMENTS BASED ON PAYING PROVIDER NET PATIENT REVENUE.Printed as Section 4, Article IX, Texas Constitution
- Tex. Health & Safety Code § 298G.151MANDATORY PAYMENTS BASED ON PAYING PROVIDER NET PATIENT REVENUE.Printed as Section 4, Article IX, Texas Constitution
- Tex. Health & Safety Code § 299.151MANDATORY PAYMENTS BASED ON PAYING PROVIDER NET PATIENT REVENUE.Printed as Section 4, Article IX, Texas Constitution
Procedural information only. Not legal advice and not a substitute for the advice of an attorney. Confirm the current text with the official publisher before relying on it.