July 23, 2024 at 12:15 PM - Board of Managers - Regular Meeting

1. WELCOME
 

2. ROLL CALL OF BOARD OF MANAGERS

___ John E. Valls, MBA, Chairman
___ Vishnu V. Reddy, M.D., Vice Chairman
___ Sylvia Tryon Oliver
___ Belinda Flores, R.N.
___ Judge Mariana Garza
___ Efrain Guerrero, Jr.
___ Arthur Granado
 

3. CALL TO ORDER, ESTABLISHMENT OF QUORUM, MEETING POSTING CONFIRMATION, AND CLOSED MEETING 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 Board of Managers 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. WORKSHOP SESSION - Workshop Session is an open meeting for the purposes of information gathering and discussion between the Board of Managers and staff on the Workshop's listed agenda item(s) without taking action on the listed item(s) during the Workshop. Public comment will not be accepted during the Workshop Session.
 

5.A. Fiscal Year 2025 Budget (October 1, 2024 - September 30, 2025):
 

5.A.1. Nueces County property valuations;

5.A.2. Hospital District property valuation and tax revenue;

5.A.3. County Healthcare Expenditures;

5.A.4. Emergency Medical Services Expenditures; and

5.A.5. Nueces County tax and budget planning calendars.
 

6. REGULAR SESSION - Following the Workshop Session, the Board of Managers will move into the Regular Session prior to taking any action(s) on items listed on the Consent or Regular Agendas.
 

7. PUBLIC COMMENT - Persons attending in-person and wishing to comment on any item(s) on the agenda or any subject within the Board's responsibilities must sign-in on the "Agenda Item Request to Speak" form provided at the entrance of the Board 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 Board'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 Board through a translator shall limit their comments to six (6) minutes. 
 

8. 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 Board 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:
 

8.A. Approve Board of Managers Regular Meeting minutes of June 25, 2024.
 

8.B. Receive summary payment information on Nueces County health care disbursements for Fiscal Year 2024 year-to-date:
 

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

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

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

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

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

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

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

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

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

8.B.5.c. Palmer Drug Abuse Program;
 

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

8.B.7. Public health grants; and
 

8.B.8. Legal and professional fees. (Finance Committee)
 

8.C. Receive 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 June 30, 2024. (Finance Committee)
 

8.D. Receive 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. (Finance Committee)
 

8.E. Receive 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 June 30, 2024. (Finance Committee)
 

8.F. Receive 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. (Finance Committee)
 

8.G. Receive 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):
 

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

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

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

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

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

8.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:

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

8.G.2.b. Graduate Medical Education (GME);

8.G.2.c. Hospital Uncompensated Care (UC) pool; and
 

8.G.3. Phase-Out Programs:

8.G.3.a. Delivery System Reform Incentive Payment (DSRIP) pool. (Finance Committee)
 

8.H. Receive reports relating to Nueces Aid Program enrollment for the month-ended June 30, 2024:

8.H.1. Total Persons and Households Enrolled;

8.H.2. Enrollment Summary;

8.H.3. Denials; 

8.H.4. Application Processing Summary; and

8.H.5. Enrollment by Zip Code. (Finance Committee)
 

9. 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:
 

9.A.2. Review and discuss proposed FY 2025 Program mandatory rate and payment schedule. (INFORMATION)
 

9.A.3. Confirm completion of conditions precedent to setting FY 2025 Program mandatory payment rate:
 

9.A.3.a. Notices relating to setting FY 2025 Program mandatory payment rate; notices pursuant to Texas Health and Safety Code, §298C.101 (b): 
 

9.A.3.a.1. Notice of public hearing on the rate of mandatory FY 2025 Program payments that the Board of Managers intends to require of each institutional health care provider located within the Hospital District's boundaries during Hospital District Fiscal Year 2025 and how the revenue derived from the payments will be spent; and
 

9.A.3.a.2. Notice to each institutional health care provider within the Hospital District's boundaries of written notice of public hearing on the rate of mandatory FY 2025 Program payments that the Board of Managers intends to require of each provider during District Fiscal Year 2025 and how the revenue derived from the payments will be spent; and
 

9.A.3.b. Public hearing on the matter of amount of mandatory payments that the Board intends to require during the year and how the revenue derived from those payments is to be spent; hearing pursuant to Texas Health and Safety Code, §298C.101(a). (ACTION)
 

9.A.4. Adopt Board of Managers Order setting the rate of mandatory FY 2025 Program payments during Hospital District Fiscal Year 2025 (October 1, 2024 - September 30, 2025) at six percent (6%) of the net patient revenue of each institutional health care provider located within the Hospital District boundaries; mandatory payments authorized by Texas Health and Safety Code, §298C.151.  (ACTION)

9.A.5. Confirm applicability of current Nueces County Hospital District Health Care Provider Participation Program rules and procedures to FY 2025 Program.   (ACTION)
 

9.B. Finance Committee:
 

9.B.1. Financial Statements:
 

9.B.1.a. Receive and approve unaudited financial statements for the month and fiscal year-to-date period ended June 30, 2024. (ACTION)
 

9.C. Legislative Committee:
 

9.C.1. Discuss agenda for 89th Texas Legislative Session.  (INFORMATION) 
 

9.C.2. Discuss and consider action related to governmental affairs/lobby professional services for Hospital District-related matters in the 89th Texas Legislative Session. (ACTION)
 

9.D. Administrator's Actions:
 

9.D.1. Ratify Administrator's action(s) performed as part of his duties directing the affairs of the Hospital District and/or as required by the Board of Managers; duties established pursuant to Texas Health and Safety Code, §281.026(e):
 

9.D.1.a. Execution of Medicaid supplemental payment-related Network Access Improvement Program Intergovernmental Transfer Responsibility Contract (NAIP-IGT) with the Texas Health and Human Services Commission for benefit of CHRISTUS Spohn Health System; execution of NAIP-IGT HHSC Contract No. HHS001456800008 for the term September 1, 2024 - August 31, 2025. (ACTION)
 

9.E. Administrator's Briefing:
 

9.E.1. Pending and other Hospital District matters. (INFORMATION)
 

9.E.2. Next scheduled Board of Managers and Board Committee regular meetings (all meetings' dates, times, and locations are subject to change):
 

9.E.2.a. Finance Committee: Tuesday, August 27, 2024 at 11:15 AM in NCHD Board of Managers Meeting Room at 555 North Carancahua Street, Room 950-A, Corpus Christi, Texas 78401;
 

9.E.2.b. Legislative Committee: Tuesday, August 27, 2024 at 11:45 AM NCHD Board of Managers Meeting Room at 555 North Carancahua Street, Room 950-A, Corpus Christi, Texas 78401;
 

9.E.2.c. Board of Managers: Tuesday, August 27, 2024 at 12 Noon in NCHD Board of Managers Meeting Room at 555 North Carancahua Street, Room 950-A, Corpus Christi, Texas 78401; and
 

9.E.2.d. Special Board of Managers To Adopt FY 2025 Budget: Location, date, and time to be arranged.  (INFORMATION)
 

9.F. Other Business:
 

9.F.1. Receive supporting documentation relating to Administrator's achievement of certain Employment Agreement-related performance goals during Fiscal Year 2023 and approve related payment. (ACTION)
 

10. CLOSED MEETING - Public Notice is hereby given that the Board of Managers may 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.  To the extent there has been a past practice of distinguishing items for public deliberation and those for executive session, the public is advised that the Board is departing from that practice and reserves the right to discuss any listed agenda items in a closed meeting when authorized by law to do so. When the Board goes into closed session(s) regarding an agenda item(s), the section(s) of the Open Meetings Act authorizing the closed session will be publicly announced by the presiding officer. Should any final action, final decision, or final vote be required in the opinion of the Board with regard to any matter considered in closed session(s), then the final action, final decision, or final vote shall be either: (a) in the open meeting covered by the Notice upon reconvening of the public meeting; or (b) at a subsequent public meeting of the Board upon notice thereof, as the Board shall determine pursuant to applicable laws. The Board specifically expects to go into a closed session(s) on the matters listed below pursuant to the Act, §551.071 and §551.074, as applicable.
 

10.B. Consult with attorneys on matters relating to provisions of the CHRISTUS Spohn Health System Corporation Membership Agreement, Escrow Agreement, and Memorandum of Understanding Related to Termination of the Membership Agreement, and related matters.
 

10.C. Consult with attorneys on matters relating to the Letter Agreement with CHRISTUS Spohn Health System Corporation relating to Hospital District's support of CHRISTUS Spohn's Emergency Medicine Residency Program, and related matters.
 

10.D. Administrator's performance evaluation and related matters.
 

11. OPEN MEETING - Following the Closed Meeting, the Board of Managers will reconvene the Open Meeting prior to taking any action(s) on matters considered in the Closed Meeting or adjourning the meeting.
 

11.A. Discuss and consider final action, decision, or vote on matters considered in Closed Meeting. (ACTION AS NEEDED)
 

12. ADJOURN