Texas Health and Safety Code 265.001 – Municipality With Population of At Least 10,000 and Any County
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(a) The commissioners court of a county may cooperate with the proper authorities of a municipality with at least 10,000 inhabitants to establish, build, equip, and maintain a hospital in the municipality.
(b) The commissioners court may appropriate funds for the hospital that the commissioners court considers appropriate after a joint conference with the municipal authorities.
(c) The commissioners court and the municipal authorities shall jointly control the management of the hospital.