February 26, 2025 at 12:00 PM - Regular Board Meeting

1. WELCOME
 

2. ROLL CALL OF MEMBERS

___ Belinda Flores, Chairman
___ Vishnu V. Reddy, Vice Chair
___ Sylvia Tryon Oliver
___ Mariana Garza
___ Efrain Guerrero, Jr.
___ Georgia Neblett
___ Karen O'Connor Urban

 

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. Indigent care enrollment community outreach. 
 

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 - This section provides the public the opportunity to address the Board on any issues within its authority. 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. The presiding officer may, if he/she deems it necessary, limit both the number of commenters and the time allotted to each commenter. Under the law, the Board may only take action on items specifically listed on the agenda. Subject matter presented which is not part of the agenda will be referred to District staff for review if appropriate. Materials submitted to the Board during public comment will not be returned. At least ten (10) copies of any document to be used by any commenter should be available for distribution to the Board. The commenter is responsible for preparation of the copies. The commenter’s name and, if applicable, meeting agenda item number should be clearly marked on such documents.
 

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 January 29, 2025.
 

8.B. Receive listing of new vendors as of February 19, 2025; listing provided pursuant to Board of Managers Bylaws, §2.1.B and Texas Local Government Code, Chapter 176.
 

8.C. Receive summary payment information on Nueces County health care disbursements for Fiscal Year 2025 year-to-date:
 

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

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

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

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

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

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

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

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

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

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

8.C.7. Public health grants. 
 

8.D. 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 January 31, 2025. 
 

8.E. 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. 
 

8.F. 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 January 31, 2025.
 

8.G. 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. 
 

8.H. Receive summary report of cumulative actual intergovernmental transfers (IGTs) made in support of local and other healthcare providers participating in Medicaid directed and supplemental payment programs sponsored by the Texas Health and Human Services Commission (HHSC), and receive estimates of provider payments resulting from the IGTs:
 

8.H.1. Directed Payment Programs - IGTs for HHSC's Medicaid managed care organization payments to healthcare providers that support overall Medicaid program goals and objectives:

8.H.1.a. Aligning Technology by Linking Interoperable Systems for Client Health Outcomes Program (ATLIS);

8.H.1.b. Comprehensive Hospital Increase Reimbursement Program (CHIRP);

8.H.1.c. Network Access Improvement Program (NAIP); and

8.H.1.d. Texas Incentives for Physicians and Professional Services (TIPPS); and
 

8.H.2. Supplemental Payment Programs - IGTs for HHSC Medicaid payments made to hospitals, separate from and in addition to base payments, for achieving certain goals or to support health care providers that see significant numbers of uninsured or persons without much money:

8.H.2.a. Disproportionate Share Hospital (DSH);

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

8.H.2.c. Hospital Augmented Reimbursement Program (HARP); and

8.H.2.d. Hospital Uncompensated Care (UC). 
 

8.I. Receive reports relating to Nueces Aid Program enrollment for the month-ended January 31, 2025:

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

8.I.2. Enrollment Summary;

8.I.3. Denials; 

8.I.4. Application Processing Summary; and

8.I.5. Enrollment by Zip Code.
 

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. Finance Business:
 

9.A.1. Receive, discuss, and consider acceptance of a report from Adamson & Company, LLC on the audit of financial statements of the governmental activities and each major fund of the Hospital District for the fiscal year ended September 30, 2024. (ACTION)
 

9.A.2. Receive and approve unaudited financial statements for the month and fiscal year-to-date period ended January 31, 2025. (ACTION)
 

9.B. Community Outreach:
 

9.B.1. Discuss and consider approving an agreement with MDR Advertising relating to the development of indigent care-related community outreach initiatives and campaigns; authorize Administrator to execute the MDR agreement; and discuss and consider related matters. (ACTION)
 

9.B.2. Discuss and consider authorizing the Administrator to prepare a pro forma for performing indigent care enrollment outreach activities in-house. (ACTION)
 

9.C. Legislative Business:
 

9.C.1. Discuss and consider amending the Hospital District's 89th Texas Legislative Session Agenda. (ACTION)
 

9.D. Employee Health Insurance:
 

9.D.1. Discuss and consider approval of an amended Interlocal Cooperation Agreement between Nueces County and Nueces County Hospital District relating to the provision of certain County employee benefits, including but not limited to health insurance, to Hospital District employees and other related matters; initial term October 1, 2024 - September 30, 2025; authorize Administrator to execute the Agreement; and discuss and consider related matters. (ACTION)
 

9.E. Opioid Settlement Funds:
 

9.E.1. Discuss and confirm April 23, 2024 Board of Managers Resolution relating to conditions precedent to receipt of statewide opioid settlement funds distributed to hospital districts by the Texas Comptroller of Public Accounts. (ACTION)
 

9.E.2. Receive information on the initial distribution of Texas Statewide Opioid Settlement funds to the Hospital District from the Texas Comptroller of Public Accounts, and discuss related matters. (INFORMATION)
 

9.E.4. Discuss and consider utilizing the Nueces Center for Mental Health & Intellectual Disabilities to provide opioid crisis remediation programs for the Hospital District in one or more categories approved by the Texas Opioid Abatement Fund Council; the District's provision of remediation services relates to the required use of funds distributed to the District by the Texas Comptroller of Public Accounts from the Texas Statewide Opioid Settlement; authorize Administrator to prepare and execute the related agreement; and discuss and consider related matters. (ACTION)
 

9.F. Mental Health:
 

9.F.1. Receive a report from the Nueces Center for Mental Health and Intellectual Disabilities relating to its Community Collaborative programs for the period October 1, 2024 - January 31, 2025. (INFORMATION)
 

9.G. Board of Managers Business:
 

9.G.1. Elect Board of Managers Vice Chair for the period February 27 - September 30, 2025; elections pursuant to Texas Health and Safety Code, §281.023(a) and Board of Mangers Bylaws, §2.2.A. (ACTION)
 

9.G.2. Discuss and consider amending the 2025 Board of Managers and Board Committees meeting schedule. (ACTION)
 

9.H. Administrator's Actions:
 

9.H.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.H.1.a. Change accounting firm performing the audit of the Hospital District's financial statements and major funds for the fiscal year ended September 30, 2024, to Adamson & Company, LLC from Collier, Johnson & Woods, P.C. due to the latter firm's divestment of its audit practice during performance of the audit. (ACTION)
 

9.I. Administrator's Briefing:
 

9.I.1. Pending and other matters. (INFORMATION)
 

9.I.2. Next scheduled Board of Managers regular meeting (meeting date, time, and location are subject to change):
 

9.I.2.a. Board of Managers: Tuesday, March 25, 2025, at 12:00 PM in NCHD Board of Managers Meeting Room at 555 North Carancahua Street, Room 950-A, Corpus Christi, Texas 78401.  (INFORMATION)
 

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.
 

10.A. Consult with attorneys on matters relating to employee health and other benefit insurance coverage.
 

10.B. Consult with attorneys on matters relating to the Texas Opioid Abatement Fund Program.
 

10.C. Consult with attorneys on matters relating to Board of Managers Bylaws.
 

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
 

13. Public Notice Posting Receipt.