Texas Code § 1031.204

REVENUE BONDS
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Sec. 1031.204. REVENUE BONDS. (a) The district may issue revenue bonds for any health care purpose, including a purpose described by Section 1031.201 , only if the bonds are authorized by a majority of the district voters voting at an election held for that purpose.
(b) 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 health care system.
(c) The bonds may be additionally secured by a mortgage or deed of trust lien on all or part of district property.
(d) The bonds must be issued in the manner provided by Sections 264.042 , 264.043 , and 264.046-264.049, Health and Safety Code, for issuance of revenue bonds by a county hospital authority.

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