March 7, 2023 at 11:00 AM - Board Finance Committee - Regular Meeting

1. WELCOME
 

2. ROLL CALL OF COMMITTEE MEMBERS

___ Judge Mariana Garza, Chairman
___ Sylvia Tryon Oliver
___ Belinda Flores, R.N.
 

3. CALL TO ORDER, ESTABLISHMENT OF QUORUM, MEETING POSTING CONFIRMATION, AND CLOSED MEETNG NOTICE
 

3.A. Call to order.
 

3.B. Establish quorum.
 

3.C. Confirm posting of Meeting's public notice in accordance with Texas Open Meetings Act, Texas Government Code, Chapter 551.
 

3.D. Public notice is hereby given that the Committee may elect to go into Closed Meeting session(s) at any time during the meeting to discuss any matter(s) listed on the agenda when so authorized by the provisions of the Open Meetings Act, Texas Government Code, Chapter 551.
 

4. ANNOUNCEMENT ON DISCLOSURE OF CONFLICTS OF INTEREST.  Any Conflicts of Interest or Appearance of a Conflict of Interest with items on this agenda shall be declared at this time. Members with conflicts will refrain from voting and are asked to refrain from discussion on such items. Conflicts discovered later in the meeting shall be disclosed at that time.
 

5. PUBLIC COMMENT - Persons attending in-person and wishing to comment on any item(s) on the agenda or any subject within the Committee's responsibilities must sign-in on the "Agenda Item Request to Speak" form provided at the entrance of the Committee meeting room at least five (5) minutes prior to commencement of the meeting. Persons attending via audio or video conference and wishing to comment on any item(s) on the agenda or any subject within the Committee's responsibilities must verbally notify the presiding officer of their desire to comment when the officer calls for public comment from those attending via audio and video conference. Commenters shall limit their comments to three (3) minutes, except that Commenters addressing the Committee through a translator shall limit their comments to six (6) minutes.
 

6. CONSENT AGENDA - The Consent Agenda consists of those agenda items which are routine, administrative in nature, not in need of separate attention, and which a member of the Committee has not requested be discussed separately. If requested to be discussed separately, that agenda item will be removed from the Consent Agenda by the presiding officer to the Regular Agenda and discussed as a part of the Regular Agenda at the appropriate time. All remaining items listed under the Consent Agenda will be voted upon in a single vote:
 

6.A. Approve Finance Committee Regular Meeting minutes of January 24, 2023.
 

6.B. Discuss and recommend receipt of summary payment information on Nueces County health care disbursements for fiscal year-to-date:
 

6.B.1. Salaries, benefits, supplies, and intergovernmental transfers at/for City of Corpus Christi/Nueces County Public Health District;
 

6.B.2. Emergency medical services provided in unincorporated areas of Nueces County;
 

6.B.3. Supplemental and jail diversion program funding for Nueces Center for Mental Health and Intellectual Disabilities;
 

6.B.4. Medical services provided at County correctional facilities:

6.B.4.a. Nueces County Jail; and

6.B.4.b. Nueces County Juvenile Detention Center;
 

6.B.5. Funding for alcohol and drug abuse treatment programs:

6.B.5.a. Cenikor (Charlie's Place);

6.B.5.b. Council on Alcohol and Drug Abuse; and

6.B.5.c. Palmer Drug Abuse Program;
 

6.B.6. Funding for diabetes prevention and supporting programs;
 

6.B.7. Public health grants; and
 

6.B.8. Legal and professional fees.
 

6.C. Discuss and recommend receipt of summary imputed claims information on medical and hospital care provided to the Nueces Aid Program population consistent with the CHRISTUS Spohn Health System Corporation Amended and Restated Membership Agreement for fiscal year-to-date period-ended January 31, 2023.
 

6.D. Discuss and recommend receipt of fiscal year-to-date Specified Annual Percentage-related revenue reports; revenue receipts pursuant to CHRISTUS Spohn Health System Corporation Amended and Restated Membership Agreement, Section 5.03.
 

6.E. Discuss and recommend receipt of monthly statement of escrow amounts deposited and/or withdrawn by CHRISTUS Spohn Health System Corporation; deposits pursuant to and consistent with Schedule 1 to CHRISTUS Spohn Health System Corporation Amended and Restated Membership Agreement; receive statement for month-ended January 31, 2023.
 

6.F. Discuss and recommend receipt of statement of amounts deposited to and/or withdrawn from Local Provider Participation Fund for fiscal year-to-date; deposits and withdrawals pursuant to Board of Managers Order authorizing participation in a health care provider participation program pursuant to Texas Health and Safety Code, Chapter 298C, as amended.
 

6.G. Discuss and recommend receipt of summary report of cumulative estimated provider payments and actual intergovernmental transfers made in support of local and other healthcare providers participating in Medicaid supplemental and directed payment programs sponsored by the Texas Health and Human Services Commission (HHSC):
 

6.G.1. Directed Payment Programs - Medicaid managed care organization payments to healthcare providers that support overall Medicaid program goals and objectives:

6.G.1.a. Comprehensive Hospital Increase Reimbursement Program (CHIRP);

6.G.1.b. Network Access Improvement Program (NAIP);

6.G.1.c. Texas Incentives for Physicians and Professional Services (TIPPS);

6.G.1.d. Uniform Hospital Rate Increase Program (UHRIP);
 

6.G.2. Supplemental Payment Programs - HHSC-directed payments made to hospitals for achieving certain goals or to support health care providers that see significant numbers of uninsured or persons without much money:

6.G.2.a. Disproportionate Share Hospitals (DSH) program;

6.G.2.b. Hospital Uncompensated Care (UC) pool;

6.G.2.c. Graduate Medical Education (GME); and
 

6.G.3. Phase-Out Programs:

6.G.3.a. Delivery System Reform Incentive Payment (DSRIP) pool.
 

6.H. Nueces Aid Enrollment:

6.H.1. Discuss and recommend receipt of reports relating to Nueces Aid Program enrollment for month-ended January 31, 2023:

6.H.1.a. Total Persons and Households Enrolled;

6.H.1.b. Enrollment Summary;

6.H.1.c. Denials;

6.H.1.d. Application Processing Summary; and

6.H.1.e. Enrollment by Zip Code.
 

7. REGULAR AGENDA - The Regular Agenda consists of those agenda items which are non-routine, not administrative in nature, or are otherwise in need of separate attention. Each Regular Agenda item will be voted upon separately if action is required:
 

7.A. Discuss and consider recommending acceptance of Annual Financial Report from Collier, Johnson, & Woods, P.C., Certified Public Accountants on Nueces County Hospital District's governmental activities financial statements, major funds, and aggregate remaining funds for fiscal year ended September 30, 2022. (ACTION)
 

7.B. Discuss and consider recommending approval of unaudited financial statements for the month and fiscal year-to-date period ended January 31, 2023. (ACTION)
 

7.C. Discuss and consider recommending receipt of information from Specialized Public Finance Inc. relating to Hospital District's possible issuance and sale of certain indebtedness or debt obligations to finance expansion of the Dr. Hector P. Garcia Memorial Family Health Center. (ACTION)
 

8. ADMINISTRATOR'S BRIEFING:
 

8.A. Next scheduled regular Committee meeting (meeting's date, time, and location are subject to change):
 

8.A.1. Finance Committee: Tuesday, March 28, 2023 at 11:15 AM  in NCHD Board of Managers Meeting Room at 555 North Carancahua Street, Room 950-A, Corpus Christi, Texas 78401.
 

9. ADJOURN