This proposed amendment will allow public hospitals to acquire facilities, equipment, technology and real property through a variety of means that aid the public hospital operations, as long as the acquisitions are paid for solely from charges, rents or payments derived from the existing or financed facilities and are not funded by property taxes. Under current Idaho constitutional provisions, public hospitals, as subdivisions of the state of Idaho, have limited ability to incur debt without the approval of a two-thirds vote at an election held for that purpose. This proposed amendment will provide a limited alternative to that two-thirds vote requirement. The use of tax dollars to finance these kinds of investments is prohibited.