August 17, 2026 at 12:30 PM - Board of Managers - Regular Meeting
| Agenda |
|---|
|
1. WELCOME
|
|
2. ROLL CALL OF MEMBERS
___ Vishnu V. Reddy, Chairman ___ Sylvia Tryon Oliver, Vice Chair ___ Mariana Garza ___ Georgia Neblett, Legislative Committee Chair ___ Karen O'Connor Urban ___ Pamela Brower, Finance Committee Chair ___ Sunil Reddy |
|
3. CALL TO ORDER, CONFIRMATION OF QUORUM, VERIFICATION OF MEETING POSTING, AND CLOSED MEETING NOTICE:
|
|
3.A. Call to order.
|
|
3.B. Establish quorum.
|
|
3.C. Confirm posting of the meeting’s public notice in compliance with the Texas Open Meetings Act, Texas Government Code Chapter 551.
|
|
3.D. Notice is hereby provided that the Board of Managers may convene in closed meeting session(s) during this meeting to consider any agenda item, when permitted under the Texas Open Meetings Act, Texas Government Code Chapter 551.
|
|
4. NOTICE REGARDING BUDGET. The Hospital District’s Fiscal Year 2026 Budget (“FY26 Budget”) has been duly adopted by the Board and approved by the Commissioners Court. The Board may discuss the FY26 Budget at this meeting. The adopted FY26 Budget and the required taxpayer impact statement for Fiscal Year 2026 are available for public review on the District’s official website at: [https://www.nchdcc.org/public_notices/finance.php](https://www.nchdcc.org/public_notices/finance.php).
The Hospital District’s Fiscal Year 2027 Budget (“FY27 Budget”) is currently under development and may be discussed by the Board at this meeting. Because the FY27 Budget has not yet been adopted, a taxpayer impact statement for Fiscal Year 2027 is not currently available. |
|
5. 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.
|
|
6. REGULAR SESSION
|
|
6.A. PUBLIC COMMENT – Opportunity for members of the public to address the Board on matters within its jurisdiction. In-person attendees must sign the “Agenda Item Request to Speak” form at least five (5) minutes before the meeting begins. Remote attendees must notify the presiding officer when called upon. Comments are limited to three (3) minutes (six [6] minutes with translator). The presiding officer may further limit the number of speakers or time allowed. The Board may act only on items listed on the agenda. Materials submitted will not be returned; at least ten (10) copies, labeled with the commenter’s name and agenda item number, must be provided for distribution.
|
|
6.B. 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:
|
|
6.B.1. Approve Board of Managers Regular Meeting minutes of June 23, 2026.
Attachments:
()
|
|
6.B.2. Approve Board of Managers Workshop minutes of June 23, 2026.
Attachments:
()
|
|
6.B.3. Receive listing of new vendors as of August 12, 2026; listing provided pursuant to Board of Managers Bylaws, §2.1.B and Texas Local Government Code, Chapter 176.
Attachments:
()
|
|
6.B.4. Receive summary payment information on Nueces County health care disbursements for Fiscal Year 2026 year-to-date:
Attachments:
()
|
|
6.B.4.a. Salaries, benefits, and supplies at/for the City of Corpus Christi/Nueces County Public Health District;
|
|
6.B.4.b. Emergency medical services provided in unincorporated areas of Nueces County;
|
|
6.B.4.c. Supplemental and jail diversion program funding for Nueces Center for Mental Health and Intellectual Disabilities;
|
|
6.B.4.d. Medical services provided at County correctional facilities:
|
|
6.B.4.d.1. Nueces County Jail; and
|
|
6.B.4.d.2. Nueces County Juvenile Detention Center;
|
|
6.B.4.e. Funding for alcohol and drug abuse treatment programs:
|
|
6.B.4.e.1. Cenikor (Charlie's Place); and
|
|
6.B.4.e.2. Council on Alcohol and Drug Abuse;
|
|
6.B.4.f. Funding for diabetes prevention and supporting programs; and
|
|
6.B.4.g. Public health grants. (Finance Committee)
|
|
6.B.5. Receive summary of imputed claims information for medical and hospital services provided to the Nueces Aid Program population, consistent with the CHRISTUS Spohn Health System Corporation Amended and Restated Membership Agreement for Fiscal Year 2026 year to date. (Finance Committee)
Attachments:
()
|
|
6.B.6. Receive Fiscal Year 2026 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)
Attachments:
()
|
|
6.B.7. Receive fiscal year-to-date statement detailing amounts deposited into and/or withdrawn from the Opioid Settlement Fund, including receipts from the Opioid Abatement Fund Council through the Texas Comptroller of Public Accounts in accordance with Texas Government Code §403.508(a)(2), and disbursements made solely for the remediation of opioid-related harms pursuant to 34 Texas Administrative Code §16.222. (Finance Committee)
Attachments:
()
|
|
6.B.8. Receive statement of Fiscal Year 2026 year-to-date deposits to and withdrawals from the Local Provider Participation Fund, made pursuant to the Board of Managers Order authorizing participation in a health care provider participation program under Texas Health and Safety Code, Chapter 298C, as amended. (Finance Committee)
Attachments:
()
|
|
6.B.9. 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:
Attachments:
()
|
|
6.B.9.a. Directed Payment Programs - IGTs to HHSC for Medicaid managed care payments to providers that promote Medicaid program goals and objectives:
|
|
6.B.9.a.1. Aligning Technology by Linking Interoperable Systems for Client Health Outcomes Program (ATLIS);
|
|
6.B.9.a.2. Comprehensive Hospital Increase Reimbursement Program (CHIRP);
|
|
6.B.9.a.3. Network Access Improvement Program (NAIP); and
|
|
6.B.9.a.4. Texas Incentives for Physicians and Professional Services (TIPPS); and
|
|
6.B.9.b. Supplemental Payment Programs - IGTs to HHSC for Medicaid payments to hospitals, made separately from and in addition to base payments, to incentivize achievement of specified goals or to support providers serving significant numbers of uninsured or low-income patients:
|
|
6.B.9.b.1. Disproportionate Share Hospital (DSH);
|
|
6.B.9.b.2. Graduate Medical Education (GME);
|
|
6.B.9.b.3. Hospital Augmented Reimbursement Program (HARP); and
|
|
6.B.9.b.4. Hospital Uncompensated Care (UC). (Finance Committee)
|
|
6.B.10. Receive reports relating to Nueces Aid Program enrollment for the months ended June 30 and July 31, 2026:
|
|
6.B.10.a. Referral Sources;
Attachments:
()
|
|
6.B.10.b. Total Persons and Households Enrolled;
Attachments:
()
|
|
6.B.10.c. Enrollment Summary;
Attachments:
()
|
|
6.B.10.d. Denials;
Attachments:
()
|
|
6.B.10.e. Application Processing Summary; and
Attachments:
()
|
|
6.B.10.f. Enrollment by Zip Code. (Finance Committee)
Attachments:
()
|
|
6.C. REGULAR AGENDA -Items that are non-routine, non-administrative, or require individual attention. Each item will be considered and, if action is needed, voted on separately:
|
|
6.C.1. Finance Committee:
|
|
6.C.1.a. Financial Statements:
|
|
6.C.1.a.1. Receive and approve unaudited financial statements for the month and fiscal year-to-date period ended June 30, 2026. (ACTION)
Attachments:
()
|
|
6.C.1.b. Investment Report:
|
|
6.C.1.b.1. Receive and approve Quarterly Investment Report and ratify related investment transactions for fiscal quarter-ended June 30, 2026 pursuant to Texas Government Code, §2256.023. (ACTION)
Attachments:
()
|
|
6.C.1.c. Investment Policy:
|
|
6.C.1.c.1. Adopt Board of Managers Resolution relating to annual review of investment policy and investment strategies; adopt changes to policy and strategies to be effective September 1, 2026; review and adoption pursuant to Texas Government Code, §2256.005(e). (ACTION)
Attachments:
()
|
|
6.C.1.c.2. Adopt Board of Managers Resolution relating to annual review and adoption of listing of qualified broker/dealers authorized to engage in investment transactions; adopted listing to be effective September 1, 2026; review and adoption pursuant to Texas Government Code, §2256.025. (ACTION)
Attachments:
()
|
|
6.C.1.d. CHRISTUS Spohn Health System:
|
|
6.C.1.d.1. Adopt Board of Managers Resolution approving the Member Revenue Specified Annual Percentage for the period October 1, 2026 – September 30, 2027, pursuant to Section 5.03(a) of the Amended and Restated CHRISTUS Spohn Health System Corporation Membership Agreement. (ACTION)
Attachments:
()
|
|
6.C.1.d.2. Discuss and consider authorizing the Administrator to execute an Intergovernmental Transfer (IGT) Responsibility Contract with the Texas Health and Human Services Commission (HHSC), Contract No. HHS001711400008, for the transfer of public funds as the non-federal share of Network Access Improvement Program (NAIP) payments benefiting CHRISTUS Spohn Health System for the period September 1, 2026 through August 31, 2027, in an amount not to exceed $3,347,716.00. (ACTION)
Attachments:
()
|
|
6.C.1.e. Fiscal Year 2027 Budget:
|
|
6.C.1.e.1. Adopt Board of Managers Resolution committing a specified amount of the September 30, 2026, fiscal year-end General Fund balance to the subsequent fiscal year for payment of obligated, but not yet requested intergovernmental transfers relating to supplemental and/or directed payment programs operated by the Texas Health and Human Services Commission during Fiscal Year 2026. (ACTION)
Attachments:
()
|
|
6.C.1.e.2. Adopt Board of Managers Resolutions incorporating specified funding into the Fiscal Year 2027 Annual Budget (October 1, 2026 – September 30, 2027) for:
|
|
6.C.1.e.2.a. County Healthcare Expenditures; and
Attachments:
()
|
|
6.C.1.e.2.b. Nueces Center for Mental Health and Intellectual Disabilities matching funds. (ACTION)
Attachments:
()
|
|
6.C.1.e.3. Adopt Board of Managers Resolution approving Fiscal Year 2027 Annual Budget (October 1, 2026–September 30, 2027), approval pursuant to Texas Health and Safety Code, §281.091(b); Budget includes:
Attachments:
()
|
|
6.C.1.e.3.a. General Fund;
|
|
6.C.1.e.3.b. Tobacco Fund;
|
|
6.C.1.e.3.c. Opioid Settlement Fund; and
|
|
6.C.1.e.3.d. Indigent Care Fund. (ACTION)
|
|
6.C.2. Legislative Committee:
|
|
6.C.2.a. Receive information from Legislative Consultants on 90th Texas Session Legislative Agenda. (INFORMATION)
|
|
6.C.2.b. Receive a briefing on, discuss, and consider action regarding the potential use of the YourTexasBenefits.com website, operated by the Texas Health and Human Services Commission to additionally facilitate enrollment in the Nueces Aid Program. (ACTION)
Attachments:
()
|
|
6.C.2.c. Discuss and consider action on proposed amendments to the Nueces County Hospital District's Draft 90th Texas Legislative Session Agenda. (ACTION)
Attachments:
()
|
|
6.C.3. Nueces Aid Program:
|
|
6.C.3.a. Receive and discuss a briefing on community engagement and outreach strategies, partnerships, enrollment initiatives, client engagement, and related plans and goals to increase awareness of, access to, and participation in the Nueces Aid Program. (INFORMATION)
Attachments:
()
|
|
6.C.3.b. Receive and discuss a presentation from the Nueces County Sheriff’s Office regarding a new prisoner medical transport van funded by the Hospital District. (INFORMATION) |
|
6.C.4. Opioid Settlement Funds:
|
|
6.C.4.a. Discuss and consider approval of an Interlocal Cooperation Agreement with the Nueces Center for Mental Health and Intellectual Disabilities to implement the Hospital District’s use of distributions received from the Texas Opioid Abatement Fund Council; Agreement term October 1, 2026, through September 30, 2027; receipt and use of funds pursuant to Texas Government Code §403.508(a)(2) and applicable program requirements under Texas Administrative Code §16.22. (ACTION)
Attachments:
()
|
|
6.C.5. Administrator's Actions:
|
|
6.C.5.a. 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):
Attachments:
()
|
|
6.C.5.a.1. Execution of Amendment No. 2 to Letter Agreement with John B. Martinez (Martinez Reilly PLLC) for General Counsel Services for term June 1, 2026 - May 31, 2027. (ACTION)
Attachments:
()
|
|
6.C.6. Administrator's Briefing:
|
|
6.C.6.a. Next scheduled regular meetings of the Board of Managers and Board Committees (all meeting dates, times, and locations are subject to change):
|
|
6.C.6.a.1. Legislative Committee: Tuesday, September 22, 2026, 11:00 AM in NCHD Board of Managers Meeting Room at 555 North Carancahua Street, Room 950-A, Corpus Christi, Texas 78401; and
|
|
6.C.6.a.2. Finance Committee: Tuesday, September 22, 2026, 11:30 AM in NCHD Board of Managers Meeting Room at 555 North Carancahua Street, Room 950-A, Corpus Christi, Texas 78401;
|
|
6.C.6.a.3. Board of Managers: Tuesday, September 22, 2026, 12:00 PM in NCHD Board of Managers Meeting Room at 555 North Carancahua Street, Room 950-A, Corpus Christi, Texas 78401. (INFORMATION)
|
|
7.
CLOSED MEETING – The Board of Managers may convene in closed session at any time during this meeting to deliberate any agenda item, as authorized by the Texas Open Meetings Act, Chapter 551, Texas Government Code. The Board reserves the right to discuss any agenda item in executive session when legally permitted, regardless of whether the item is customarily considered in open session. The presiding officer will announce the applicable statutory authority under the Act prior to each closed session. Any final action, decision, or vote will be taken in open session, either upon reconvening or at a subsequent public meeting, as required by law. The Board anticipates entering closed session on the matters identified below pursuant to Sections 551.071 and 551.074 of the Texas Government Code, as applicable. |
|
7.A. Consult with attorneys regarding CPS Energy’s proposed tax-exemption settlement Agreements related to the Barney Davis and Nueces Bay Power Plants and related matters.
|
|
7.B. Consult with attorneys on legal issues regarding Corpus Christi Housing Authority's workforce housing contracts, tax exemptions, potential open meetings violations, and related matters.
|
|
7.C. Consult with attorneys on matters related to CHRISTUS Spohn Health System Corporation Amended and Restated Membership Agreement and related matters.
|
|
7.D. Consult with attorneys regarding matters related to eligibility for indigent health care under current law. |
|
8. OPEN MEETING - The Board will reconvene in open session following the Closed Meeting before taking action on Closed Meeting matters or adjourning.
|
|
8.A. Discuss and consider taking final action, decision, or vote on matters deliberated in Closed Meeting. (ACTION AS NEEDED)
|
|
9. ADJOURN
|
|
10. Public Notice Posting Receipt.
Attachments:
()
|
