Spec. Dist. Local Laws Code Section 1063.206
(a)The district may issue revenue bonds or certificates of obligation or may incur or assume any other debt only if authorized by a majority of the district voters voting in an election held for that purpose. This subsection does not apply to refunding bonds or other debt incurred solely to refinance an outstanding debt.
(b)The board may issue revenue bonds to:
(1)purchase, construct, acquire, repair, renovate, or equip buildings or improvements for health care or hospital purposes; or
(2)acquire sites to be used for health care or hospital purposes.
(c)The bonds must be payable from and secured by a pledge of all or part of the revenue derived from the operation of the district’s hospital or health care facilities.
(d)The bonds may be additionally secured by a mortgage or deed of trust lien on all or part of district property.
(e)The bonds must be issued in the manner and in accordance with the procedures and requirements prescribed by Sections 264.042 (Form and Procedure), 264.043 (Terms), 264.046 (Junior Lien Bonds; Parity Bonds), 264.047 (Bond Proceeds; Investment of Funds), 264.048 (Refunding Bonds), and 264.049 (Approval and Registration of Bonds), Health and Safety Code, for issuance of revenue bonds by a county hospital authority.
Section 1063.206 — Revenue Bonds,
https://statutes.capitol.texas.gov/Docs/SD/htm/SD.1063.htm#1063.206 (accessed Nov. 25, 2023).