HB 1148 - Hospital Authorities; conflicts of interest

Georgia House of Representatives - 1995/1996 Sessions

HB 1148 - Hospital Authorities; conflicts of interest

Page Numbers - 1/ 2/ 3/ 4/ 5/ 6/ 7
Code Sections - 31-7-74/ 31-7-74.1
Prev Bill Next Bill Bill Summary Bill List Disclaimer
1. Childers  13th         2. Smith  12th             3. Smith  175th
4. Titus  180th           5. Day  153rd              6. Perry  11th

House Comm: H&E / Senate Comm: / House Vote: Yeas 73 Nays 93 Senate Vote: Yeas Nays ---------------------------------------- House Action Senate ---------------------------------------- 1/8/96 Read 1st Time 1/9/96 Read 2nd Time 1/26/96 Favorably Reported Sub Committee Amend/Sub 2/13/96 Read 3rd Time 2/13/96 Lost 2/13/96 Notice to Reconsider 2/14/96 Reconsidered ---------------------------------------- Rules Suspended to Introduce Code Sections amended: 31-7-71, 31-7-72, 31-7-74, 31-7-74.1, 31-7-75, 31-7-75.3
HB 1148 LC 11 8884S/5 A BILL TO BE ENTITLED AN ACT 1- 1 To amend Article 4 of Chapter 7 of Title 31 of the Official 1- 2 Code of Georgia Annotated, the "Hospital Authorities Law," 1- 3 so as to change the provisions relating to definitions; to 1- 4 provide for removal of members of hospital authorities; to 1- 5 provide for notice and hearing; to prohibit certain 1- 6 conflicts of interest and the transaction of business by 1- 7 members of hospital authorities and controlled corporations 1- 8 of such authorities; to limit the powers of hospital 1- 9 authorities and provide for special elections to approve 1-10 certain sales; to provide for an effective date; to repeal 1-11 conflicting laws; and for other purposes. 1-12 BE IT ENACTED BY THE GENERAL ASSEMBLY OF GEORGIA: SECTION 1. 1-13 Article 4 of Chapter 7 of Title 31 of the Official Code of 1-14 Georgia Annotated, the "Hospital Authorities Law," is 1-15 amended by adding after paragraph (2) of Code Section 1-16 31-7-71, relating to definitions, the following: 1-17 "(2.1) 'Controlled corporation' means any private 1-18 corporation, whether a nonprofit or for profit 1-19 corporation, over which a hospital authority exercises 1-20 control because a majority of the members of the board 1-21 of directors of that corporation are: 1-22 (A) Members of that hospital authority; 1-23 (B) Subject to appointment by that hospital authority; 1-24 or 1-25 (C) Constituted as provided in subparagraphs (A) and 1-26 (B) of this paragraph." SECTION 2. 1-27 Said article is further amended by adding after subsection 1-28 (c) of Code Section 31-7-72, relating to creation of such 1-29 authorities, the following: -1- (Index) LC 11 8884S/5 2- 1 "(c.1) Any member appointed to a hospital authority may be 2- 2 removed from such office for any of the following: 2- 3 (1) Inability or neglect to perform the duties required 2- 4 of members; 2- 5 (2) Incompetence; 2- 6 (3) Dishonest conduct; 2- 7 (4) Conviction of a crime involving moral turpitude; 2- 8 (5) Failure to attend three consecutive regular meetings 2- 9 of the authority; 2-10 (6) Any violation of Code Section 31-7-74.1. 2-11 (c.2) A member of a hospital authority may be removed from 2-12 office for any reason specified in subsection (c.1) of 2-13 this Code section if a resolution providing for such 2-14 authorization or removal is either: 2-15 (1) Initiated by the county or municipal governing 2-16 authority or other entity which nominated such member to 2-17 the hospital authority and is approved by each other 2-18 entity which is required to approve such nomination; or 2-19 (2) Approved by the county or municipal governing 2-20 authority or other entity which appoints directly, 2-21 without nomination, the member in question. 2-22 The procedure for approving a resolution under this 2-23 subsection shall be substantially the same as required for 2-24 approving the appointment of the member in question. 2-25 (c.3)(1) A resolution providing for removal from office 2-26 of a member of a hospital authority may not be approved 2-27 unless it specifies the grounds under which removal is 2-28 sought under subsection (c.1) of this Code section and 2-29 the factual circumstances relating thereto. If such 2-30 resolution is approved as provided in subsection (c.2) 2-31 of this Code section, the removal shall not become 2-32 effective until written notice thereof is provided to 2-33 the authority member sought to be removed and until that 2-34 person is provided an opportunity for a hearing upon 2-35 such removal. 2-36 (2) A hospital authority member notified of approval of 2-37 a removal resolution regarding that member shall have 15 2-38 days after receiving such notification to file a 2-39 petition in the superior court of any county for which 2-40 that hospital authority was created or in which is -2- (Index) LC 11 8884S/5 3- 1 located the municipality for which that authority was 3- 2 created. If the petition is not timely filed, the 3- 3 removal shall become effective the sixteenth day 3- 4 following receipt of such notification by the person. 3- 5 (3) Upon the timely filing of any petition under 3- 6 paragraph (2) of this subsection, the judge of the 3- 7 superior court shall set a hearing to inquire into the 3- 8 merits of the removal resolution no sooner than ten days 3- 9 nor later than 30 days from the date of filing. The 3-10 hearing may be continued in the discretion of the judge, 3-11 on motion of any party. 3-12 (4) At each hearing held as provided in paragraph (3) of 3-13 this subsection the judge, sitting without a jury, shall 3-14 inquire into and determine whether the removal of an 3-15 authority member is authorized under this subsection. 3-16 After giving all parties an opportunity to be heard, the 3-17 judge shall determine, based on the evidence presented, 3-18 whether the clear and convincing weight of the evidence 3-19 is that the authority member met one or more of the 3-20 grounds for removal specified in subsection (c.1) of 3-21 this Code section. In the event the judge so 3-22 determines, the judge shall order the immediate removal 3-23 from office of such member; otherwise, the petition 3-24 shall be dismissed and the removal may not become 3-25 effective. 3-26 (5) Vacancies created by removal from office shall be 3-27 filled in the same manner provided in this Code section 3-28 for the initial appointment of members of the 3-29 authority." SECTION 3. 3-30 Said article is further amended by striking Code Section 3-31 31-7-74, relating to qualifications of members, and 3-32 inserting in its place the following: 3-33 "31-7-74. (Index) 3-34 (a) The members of a hospital authority shall be residents 3-35 of the participating units comprising the authority. The 3-36 requirement of residence shall not apply to authorities 3-37 activated under subsection (d) of Code Section 31-7-72, 3-38 provided they are selected from within the area of service 3-39 and within 12 miles of the hospital location or within 12 3-40 miles of the sponsoring county or municipality, whichever 3-41 is farther. The members shall elect one of their number -3- (Index) LC 11 8884S/5 4- 1 as chairman chairperson and another as vice-chairman 4- 2 vice-chairperson and shall also elect a 4- 3 secretary-treasurer, who need not be a member. The 4- 4 members shall receive no compensation for their services, 4- 5 either as members or as employees of the authority but may 4- 6 be reimbursed for their actual expenses incurred in the 4- 7 performance of their duties or, in the alternative, the 4- 8 members may elect to be reimbursed for such expenses on a 4- 9 per diem basis in an amount not to exceed $100.00 per 4-10 meeting and with the total amount not to exceed $100.00 4-11 per month. The authority shall make rules and regulations 4-12 for its governance and may delegate to one or more of its 4-13 members, officers, agents, or employees such powers and 4-14 duties as may be deemed necessary and proper. 4-15 (b) The provisions of Code Section 45-10-23 and any other 4-16 Code section shall be deemed to have been complied with 4-17 and an authority may purchase from, sell to, borrow from, 4-18 loan to, contract with, or otherwise deal with any member 4-19 or any organization or person with which any member of an 4-20 authority is in any way interested or involved, provided 4-21 that: 4-22 (1) Any interest or involvement by such member is 4-23 disclosed in advance to the authority and is recorded in 4-24 the minutes of the authority; 4-25 (2) No member having a substantial interest or 4-26 involvement may be present at that portion of an 4-27 authority meeting during which discussion of any matter 4-28 is conducted involving any such organization or person; 4-29 and 4-30 (3) No member having a substantial interest or 4-31 involvement may participate in any decision of the 4-32 authority relating to any matter involving such 4-33 organization or person. 4-34 As used in this Code section, a 'substantial interest' 4-35 shall mean any interest which reasonably may be expected 4-36 to result in a direct financial benefit to such member as 4-37 determined by the authority, which determination shall be 4-38 final and not subject to review. 4-39 (c) Nothing contained in this article shall be deemed to 4-40 prohibit any member who is present at any meeting or who 4-41 participates in any decision of the authority from 4-42 providing legal services in connection with any of the -4- (Index) LC 11 8884S/5 5- 1 undertakings of the authority or from being paid for such 5- 2 services." SECTION 4. 5- 3 Said article is further amended by adding following Code 5- 4 Section 31-7-74, a new Code section to read as follows: 5- 5 "31-7-74.1. (Index) 5- 6 (a) As used in this Code section, the term: 5- 7 (1) 'Business' means any corporation, partnership, 5- 8 proprietorship, firm, enterprise, franchise, 5- 9 association, organization, self-employed individual, 5-10 trust, or other legal entity. 5-11 (2) 'Family' means spouse and children. 5-12 (3) 'Person' means any person, corporation, partnership, 5-13 proprietorship, firm, enterprise, franchise, 5-14 association, organization, or other legal entity. 5-15 (4) 'Substantial interest' means the direct or indirect 5-16 ownership of more than 25 percent of the assets or stock 5-17 of any business. 5-18 (5) 'Transact business' or 'transact any business' means 5-19 to sell or lease any personal property, real property, 5-20 or services on behalf of oneself or on behalf of any 5-21 third party as an agent, broker, dealer, or 5-22 representative and means to purchase surplus real or 5-23 personal property on behalf of oneself or on behalf of 5-24 any third party as an agent, broker, dealer, or 5-25 representative. 5-26 (b) Except as provided in subsections (c) and (d) of this 5-27 Code section: 5-28 (1) No member of the board of an authority; 5-29 (2) No member of the board of directors of a controlled 5-30 corporation of an authority; and 5-31 (3) No administrator or chief executive officer of an 5-32 authority or a controlled corporation thereof 5-33 shall, for such person or on behalf of any for profit 5-34 business, or for any business in which such person or that 5-35 person's family has a substantial interest, transact any 5-36 business with that authority or with a controlled 5-37 corporation of such authority. -5- (Index) LC 11 8884S/5 6- 1 (c) The prohibition of subsection (b) of this Code section 6- 2 shall not apply to a health care provider licensed to 6- 3 practice professional counseling, social work, marriage 6- 4 and family therapy, chiropractic, dentistry, dietetics, 6- 5 nursing, occupational therapy, optometry, physical 6- 6 therapy, medicine, podiatry, psychology, speech-language 6- 7 pathology, or audiology under Title 43 who may provide to 6- 8 such authority or controlled corporation thereof any 6- 9 personal services authorized to be provided within the 6-10 scope of practice of such person's license. 6-11 (d) The prohibition of subsection (b) of this Code section 6-12 shall not apply to any transaction when the aggregate of 6-13 all such transactions does not exceed $2,500.00 per 6-14 calendar year. 6-15 (e) The provisions of Code Section 45-10-23 shall not 6-16 apply to those persons specified in subsection (b) of this 6-17 Code Section, but the penalties specified in Code Section 6-18 45-10-28 shall apply to a violation of this Code section." SECTION 5. 6-19 Said article is further amended by designating existing Code 6-20 Section 31-7-75, relating to functions and powers, as 6-21 subsection (a) and inserting immediately thereafter a new 6-22 subsection to read as follows: 6-23 "(b) Notwithstanding the provisions of subsection (a) of 6-24 this Code section, the sale of a hospital owned by a 6-25 hospital authority may not become effective unless a 6-26 majority of the voters voting in each county for which 6-27 such hospital authority was created approves such sale in 6-28 a special election. If a hospital authority seeks to sell 6-29 such hospital, the hospital authority shall transmit a 6-30 resolution to the election superintendent of each county 6-31 for which the hospital authority was created requesting 6-32 that such special election be conducted approving or 6-33 disapproving such sale. Upon receiving such resolution, 6-34 unless prohibited by the federal Voting Rights Act of 6-35 1965, as amended, the election superintendent shall call 6-36 and conduct an election as provided in this subsection. 6-37 The election superintendent of each such county shall 6-38 conduct that election on the earliest date therefor 6-39 permissible under Code Section 21-2-540 and shall issue 6-40 the call and conduct that election as provided by general 6-41 law. The election superintendent of each such county 6-42 shall cause the date and purpose of the election to be -6- (Index) LC 11 8884S/5 7- 1 published once a week for two weeks immediately preceding 7- 2 the date thereof in the official organ of the county for 7- 3 which that person is such superintendent. The ballot shall 7- 4 have written or printed thereon the words: 7- 5 '( ) YES Shall the sale of the hospital owned by the 7- 6 Hospital Authority of ____________ be 7- 7 ( ) NO approved?' 7- 8 All persons desiring to vote for approval of the sale shall 7- 9 vote 'Yes,' and those persons desiring to vote for rejection 7-10 of the sale shall vote 'No.' If more than one-half of the 7-11 votes cast on such question are for approval of the sale, in 7-12 each county for which the hospital authority was created, 7-13 such sale shall become effective immediately. If the sale 7-14 is not so approved in each such county or if the election is 7-15 not conducted as provided in this subsection, the sale shall 7-16 not become effective and no election to approve such sale 7-17 may be conducted until at least 24 months have elapsed since 7-18 the last such election seeking such sale approval. The 7-19 expense of such election shall be borne by each county for 7-20 which the hospital authority was created which seeks to sell 7-21 its hospital. It shall be the election superintendent's duty 7-22 to certify the result thereof to the Secretary of State." SECTION 6. 7-23 Said article is further amended by striking paragraph (4) of 7-24 subsection (d) of Code Section 31-7-76, relating to failure 7-25 to perform minimum functions, and inserting in its place the 7-26 following: 7-27 "(4) Failed to make plans for unmet needs of the 7-28 community as authorized by paragraph (22) of subsection 7-29 (a) of Code Section 31-7-75;". SECTION 7. 7-30 This Act shall become effective upon its approval by the 7-31 Governor or upon its becoming law without such approval. SECTION 8. 7-32 All laws and parts of laws in conflict with this Act are 7-33 repealed. -7- (Index)

Office of the Clerk of the House
Robert E. Rivers, Jr., Clerk of the House
Last Updated on 01/02/97