October 27, 2026 at 12:15 PM - Board of Managers - Regular Meeting
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1. WELCOME
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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 |
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3. CALL TO ORDER, CONFIRMATION OF QUORUM, VERIFICATION OF MEETING POSTING, AND CLOSED MEETING NOTICE:
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3.A. Call to order.
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3.B. Establish quorum.
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3.C. Confirm posting of the meeting’s public notice in compliance with the Texas Open Meetings Act, Texas Government Code Chapter 551.
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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.
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4. NOTICE REGARDING BUDGET. The Hospital District’s Fiscal Year 2027 Budget (“FY27 Budget”) has been duly adopted by the Board and approved by the Commissioners Court. The Board may discuss the FY27 Budget at this meeting. The adopted FY27 Budget and the required taxpayer impact statement for Fiscal Year 2027 are available for public review on the District’s official website at: https://www.nchdcc.org.
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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.
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6. 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.
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7. 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:
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7.A. Approve Board of Managers Regular Meeting minutes of September 22, 2026.
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7.B. Receive summary payment information on Nueces County health care disbursements for Fiscal Year 2026 year-to-date:
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7.B.1. Salaries, benefits, and supplies at/for the City of Corpus Christi/Nueces County Public Health District;
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7.B.2. Emergency medical services provided in unincorporated areas of Nueces County;
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7.B.3. Supplemental and jail diversion program funding for Nueces Center for Mental Health and Intellectual Disabilities;
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7.B.4. Medical services provided at County correctional facilities:
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7.B.4.a. Nueces County Jail; and
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7.B.4.b. Nueces County Juvenile Detention Center;
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7.B.5. Funding for alcohol and drug abuse treatment programs:
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7.B.5.a. Cenikor (Charlie's Place); and
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7.B.5.b. Council on Alcohol and Drug Abuse;
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7.B.6. Funding for diabetes prevention and supporting programs; and
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7.B.7. Public health grants. (Finance Committee)
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7.C. 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)
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7.D. 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)
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7.E. 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)
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7.F. 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)
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7.G. 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:
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7.G.1. Directed Payment Programs - IGTs to HHSC for Medicaid managed care payments to providers that promote Medicaid program goals and objectives:
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7.G.1.a. Aligning Technology by Linking Interoperable Systems for Client Health Outcomes Program (ATLIS);
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7.G.1.b. Comprehensive Hospital Increase Reimbursement Program (CHIRP);
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7.G.1.c. Network Access Improvement Program (NAIP); and
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7.G.1.d. Texas Incentives for Physicians and Professional Services (TIPPS); and
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7.G.2. 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:
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7.G.2.a. Disproportionate Share Hospital (DSH);
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7.G.2.b. Graduate Medical Education (GME);
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7.G.2.c. Hospital Augmented Reimbursement Program (HARP); and
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7.G.2.d. Hospital Uncompensated Care (UC). (Finance Committee)
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7.H. Receive reports relating to Nueces Aid Program enrollment for the month-ended September 30, 2026:
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7.H.1. Referral Sources;
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7.H.2. Total Persons and Households Enrolled;
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7.H.3. Enrollment Summary;
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7.H.4. Denials;
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7.H.5. Application Processing Summary; and
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7.H.6. Enrollment by Zip Code. (Finance Committee)
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8. 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:
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8.A. Fiscal Year 2027 Health Care Provider Participation Program:
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8.A.1. Review and discuss Texas Health and Safety Code, Chapter 298C relating to the Nueces County Hospital District Health Care Provider Participation Program: authority, mandatory payments, rules and procedures, public hearing and hearing notices, permitted uses of mandatory payments, payment schedule, and other requirements relating to operation of the Fiscal Year 2027 Health Care Provider Participation Program (FY 2027 Program). (INFORMATION)
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8.A.2. Receive and discuss the Texas Health and Human Services Commission's revised requirements, effective October 1, 2026, governing how intergovernmental transfers (IGTs) used to fund Medicaid payments, including FY27 Program payments, are accepted and administered. (INFORMATION)
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8.A.3. Review and discuss the revised FY 2027 Program mandatory payment rate to be imposed exclusively and separately at six percent (6%) of each provider’s net patient revenue attributable to inpatient hospital services and six percent (6%) of each provider’s net patient revenue attributable to outpatient hospital services and payment schedule. (INFORMATION)
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8.A.4. Confirm completion of conditions precedent to setting the revised FY 2027 Program mandatory payment rate:
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8.A.4.a. Notices relating to setting the revised FY 2027 Program mandatory payment rate; notices pursuant to Texas Health and Safety Code, §298C.101(b):
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8.A.4.a.1. Notice of public hearing on the rate of mandatory FY 2027 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 2027 and how the revenue derived from the payments will be spent; and
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8.A.4.a.2. Notice to each institutional health care provider within the Hospital District's boundaries of written notice of public hearing on the revised rate of mandatory FY 2027 Program payments that the Board of Managers intends to require of each provider during District Fiscal Year 2027 and how the revenue derived from the payments will be spent; and
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8.A.4.b. Public hearing on the matter of the revised 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)
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8.A.5. Adopt a Board of Managers Order revising the Nueces County Hospital District Health Care Provider Participation Program's Rules and Procedures to be effective October 1, 2026. (ACTION)
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8.A.6. Adopt a Board of Managers Order setting the revised rate of the Nueces County Hospital District Health Care Provider Participation Program mandatory FY 2027 Program payments, applicable only to Hospital District Fiscal Year 2027 (October 1, 2026 – September 30, 2027), for each institutional health care provider located within the Hospital District boundaries; the mandatory rate is set exclusively and separately at six percent (6%) of each provider's net patient revenue attributable to inpatient hospital services and six percent (6%) of its net patient revenue attributable to outpatient hospital services. Mandatory payments are authorized by Texas Health and Safety Code § 298C.151. (ACTION)
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8.B. Finance Committee:
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8.B.1. Financial Statements:
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8.B.1.a. Receive and approve unaudited financial statements for the month and fiscal year-to-date ended September 30, 2026. (ACTION)
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8.B.2. Investment Report:
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8.B.2.a. Receive and approve Quarterly Investment Report and ratify related investment transactions for fiscal quarter-ended September 30, 2026 pursuant to Texas Government Code, §2256.023. (ACTION)
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8.C. Legislative Committee:
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8.C.1. Receive information from Legislative Consultants on 90th Texas Session Legislative Agenda. (INFORMATION)
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8.C.2. 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)
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8.C.3. Discuss and consider action on proposed amendments to the Nueces County Hospital District's Draft 90th Texas Legislative Session Agenda. (ACTION)
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8.D. Meeting Schedule:
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8.D.1. Discuss and consider holding the December 2026 regular meetings of the Board of Managers and its committees subject to call. (ACTION)
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8.E. Administrator's Actions:
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8.E.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):
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8.E.1.a. Execution of Grant Agreement with Coastal Bend Wellness Foundation for the provision of gap health care services provided to residents of the Hospital District during the term October 1, 2026 - September 30, 2027. (ACTION)
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8.E.1.b. Execution of Interlocal Cooperation Agreement with the Nueces Center for Mental Health and Intellectual Disabilities for the provision of opioid crisis remediation programs on behalf of the Hospital District in one or more categories approved by the Texas Opioid Abatement Fund Council; District’s provision of remediation services is in connection with the required use of funds distributed by the Texas Comptroller of Public Accounts from the Texas Statewide Opioid Settlement. Agreement term: October 1, 2026 through September 30, 2027. (ACTION)
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8.F. Administrator's Briefing:
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8.F.1. Next scheduled regular meetings of the Board of Managers and Board Committees (all meeting dates, times, and locations are subject to change):
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8.F.1.a. Legislative Committee: Tuesday, November 17, 2026, 11:00 AM in NCHD Board of Managers Meeting Room at 555 North Carancahua Street, Room 950-A, Corpus Christi, Texas 78401;
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8.F.1.b. Finance Committee: Tuesday, November 17, 2026, 11:30 AM in NCHD Board of Managers Meeting Room at 555 North Carancahua Street, Room 950-A, Corpus Christi, Texas 78401; and
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8.F.1.c. Board of Managers: Tuesday, November 17, 2026, 12:00 PM in NCHD Board of Managers Meeting Room at 555 North Carancahua Street, Room 950-A, Corpus Christi, Texas 78401. (INFORMATION)
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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. |
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9.A. Consult with attorneys on matters relating to the Health Care Provider Participation Program for Fiscal Year 2027, covering the period October 1, 2026, through September 30, 2027.
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9.B. Consult with attorneys on matters relating to revised Texas Health and Human Services Commission requirements effective October 1, 2026 governing the acceptance and administration of intergovernmental transfers used to finance Medicaid payments.
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9.C. Consult with attorneys on matters relating to intergovernmental transfers the Hospital District submits to the Texas Health and Human Services Commission from its Local Provider Participation Fund (LPPF) to support the non-federal share of Medicaid payments and related attestation.
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10. OPEN MEETING - The Board will reconvene in open session following the Closed Meeting before taking action on Closed Meeting matters or adjourning.
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10.A. Consider final action, decision, or vote on matters considered in the Closed Meeting:
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10.A.1. Authorize the Administrator to execute the Texas Health and Human Services Commission (HHSC) attestation for intergovernmental transfers made by the Hospital District from its Local Provider Participation Fund (LPPF) on or after October 1, 2026, to fund the non-federal share of Medicaid payments. (ACTION)
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10.B. Discuss and consider taking final action, decision, or vote on other matters deliberated in Closed Meeting. (ACTION AS NEEDED)
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11. ADJOURN
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12. Public Notice Posting Receipt
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