MO SB447

Allows hospital boards in third class cities to abolish property tax and impose up to 1% sales tax on retail sales and utilities (water, electricity, gas, heating oil) for hospital funding with voter approval requiring two-thirds majority.

Creates "City of the Third Class City Hospital Sales Tax Fund" to hold revenues collected by the Department of Revenue, with 1% retained for collection costs and remainder used solely for hospital operations.

Permits hospital boards to submit repeal questions to voters on any election date, with majority vote required to end the tax effective December 31st of approval year.

Allows registered voters to petition for repeal election if petition signatures equal at least 10% of voters from last gubernatorial election, triggering mandatory repeal vote.

Extends similar sales tax authority to county hospitals under section 205.205 and hospital districts under section 206.165, with comparable voter approval, fund management, and repeal procedures.