{"data":{"id":"us-ok/okla.-stat.-tit.-63-63-3250.3","jurisdiction":"us-ok","citation":"Okla. Stat. tit. 63, § 63-3250.3","heading":"Purpose – Creation of public trust – Instrument –","body":"Condition precedent – Filing - Amendment.\n\nA. 1. The Oklahoma Legislature finds that the delivery of\n\nhealth care services to the public including medically indigent\n\npersons will be enhanced through the establishment of community\n\nhospital public trust authorities and the creation of hospital\n\ndistricts pursuant to the Oklahoma Community Hospitals Public Trust\n\nAuthorities Act.\n\n2. The purpose of the Oklahoma Community Hospitals Public Trust\n\nAuthorities Act is to provide maximum utilization and efficient\n\nadministration in delivering health care services by hospital\n\ndistricts to the public including medically indigent persons, and to\n\nprovide for supplemental Medicaid programs.\n\nB. 1. A hospital or two or more hospitals located within a\n\ncounty or adjacent counties or located within a county or adjacent\n\ncounties and a municipality may jointly create a public trust for\n\nthe purposes of:\n\na. establishing a hospital district,\n\nb. accessing and providing funding for coordination of\n\nthe delivery of health care to the public including\n\nbut not limited to programs that contribute to serving\n\nthe medically indigent,\n\nc. improving access to health care by the public,\n\nd. coordinating the development of new health services in\n\nthe hospital district,\n\ne. considering various alternatives for integrating the\n\nservices of the health care delivery system in the\n\nhospital district, and\n\nf. providing for and supplementing Medicaid programs.\n\n2. A hospital participating in the creation of a public trust\n\nmust:\n\na. expend at least Fifty Thousand Dollars ($50,000.00)\n\nannually providing care for medically indigent\n\npersons, and\n\nb. have a system of inpatient and/or outpatient health\n\ncare, trauma care, or emergency care services that is\n\nnot limited to a specific modality of health care.\n\n3. The boundaries of a community hospital public trust\n\nauthority should be coextensive with the boundaries of a county or a\n\ngroup of member counties.\n\n4. The county or counties or the county or counties and\n\nmunicipality in which a hospital district is established must\n\napprove and shall be the beneficiary of the public trust pursuant to\n\nthe provisions of Sections 176 and 177 of Title 60 of the Oklahoma\n\nStatutes.\n\nC. The instrument creating the public trust shall provide at a\n\nminimum:\n\n1. The reasons for organizing and constituting a hospital\n\ndistrict, including a statement that the community hospital public\n\ntrust authority will comply with all applicable provisions of\n\nSections 176 through 180.3 of Title 60 of the Oklahoma Statutes and\n\nthe Oklahoma Community Hospitals Public Trust Authorities Act;\n\n2. A statement that the public trust shall be separate and\n\nindependent from the affairs of the beneficiary in all matters or\n\nactivities authorized by the written instrument creating the public\n\ntrust;\n\n3. The names and corporate headquarters of each hospital\n\nlocated in the proposed hospital district;\n\n4. The general patient loads of each hospital within the\n\nproposed hospital district and the anticipated number of medically\n\nindigent persons for whom medical services will be provided;\n\n5. A concise description of the geographic boundaries to be\n\nembraced within the proposed hospital district;\n\n6. A statement that the proposed hospital district is embracing\n\nonly those lands within the proposed boundaries specified by\n\nparagraph 5 of this subsection which can reasonably and economically\n\nbe served in the foreseeable future;\n\n7. Assurance that all hospitals located within the hospital\n\ndistrict which meet the eligibility criteria can participate in the\n\npublic trust;\n\n8. For the appointment, succession, powers, duties, terms and\n\nmanner of removal of trustees;\n\n9. For the appointment of at least five trustees as follows:\n\na. the chief executive officers of the hospitals\n\nparticipating in the community hospital public trust\n\nauthority and may include the chief executive officers\ndistrict which meet the eligibility criteria can participate in the\n\npublic trust;\n\n8. For the appointment, succession, powers, duties, terms and\n\nmanner of removal of trustees;\n\n9. For the appointment of at least five trustees as follows:\n\na. the chief executive officers of the hospitals\n\nparticipating in the community hospital public trust\n\nauthority and may include the chief executive officers\n\nof hospitals located within the hospital district,\n\nb. (1) one county commissioner or their designee from\n\neach beneficiary county which the hospital\n\ndistrict embraces, appointed by the commissioners\n\nof each such county, and\n\n(2) the chief administrative officer or his or her\n\ndesignee from a municipality in which the\n\nhospital district is situated, if such\n\nmunicipality is the beneficiary of the public\n\ntrust, and\n\nc. one member appointed by the Governor who has no direct\n\naffiliation with any hospital participating in the\n\ncommunity hospital public trust authority; provided,\n\nthat if pursuant to the provisions of this paragraph\n\nthe Board will have less than five members, the\n\nGovernor shall appoint additional members; and\n\n10. The time and place of the regular meetings and the manner\n\nin which special meetings may be called. A community hospital\n\npublic trust authority shall keep a complete record of all its\n\nproceedings.\n\nD. As a condition precedent, each community hospital public\n\ntrust authority must receive approval from the Attorney General that\n\nthe public trust is in the proper form.\n\nE. A certified copy of the public trust agreement must be filed\n\nwith the Secretary of State and with the court clerk of each\n\nbeneficiary county and municipality.\n\nF. Each public trust established pursuant to the Oklahoma\n\nCommunity Hospitals Public Trust Authorities Act shall not be\n\namended without a two-thirds (2/3) vote of approval of the trustees\n\nof such trust.","path":["OK Code","Title 63"],"source_url":"https://www.oklegislature.gov/OK_Statutes/CompleteTitles/os63.pdf","current_through":"2026-08-14","vintage":"open-us-law v2026.08, retrieved 2026-09-14","retrieved_at":"2026-09-14T18:32:36Z","sha256":"d244ae0800c8a2bd2c51395dc96159e85087f49de7167465fac4ccfc05222fe1","source_id":"us-ok","stale":false,"prev":"us-ok/okla.-stat.-tit.-63-63-3250.2","next":"us-ok/okla.-stat.-tit.-63-63-3250.4"},"notice":"GroundRules: Original legal text. Not legal advice."}