November 18, 2014 at 5:30 PM - Planning Committee - Regular Meeting

1. CALL TO ORDER

2. ESTABLISHMENT OF QUORUM

3. PUBLIC COMMENT - Persons wishing to comment 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 Committee meeting. Commenters shall limit their comments to three (3) minutes and comments must be appropriate to the agenda item(s). See the "Public Comment" section of the preceding General Information page for additional Public Comment-related information.

4. CONSENT AGENDA:

4.A. Approve minutes of Planning Committee meetings:

4.A.1. Regular Meeting of June 17, 2014; and

4.A.2. Special Meeting of July 22, 2014.

4.B. Recommend amending certain subsections of Nueces Aid Program Eligibility Guidelines Policy No. NA002, Attachment 4, Section F relating to Program Household Income Guidelines and Calculation of Income, amendments to be effective January 1, 2015; amendments to account for certain personal responsibilities under the Patient Protection and Affordable Care Act, Pub. L. 111-148 (PPACA):

4.B.1. Subsection 3 of Program's Eligibility Income Guidelines for Financial Assistance (Gross Household Income Table) to add income interval of 139% to 150% of Federal Poverty Guidelines; and

4.B.2.  Subsection 4 relating to Eligibility Income Guidelines for Financial Assistance and PPACA hardship exemption (exemption from personal responsibility requirements) for Program applicant income levels between 139% and 150% of Federal Poverty Guidelines; hardship exemption described in PPACA, Section 1311(d)(4)(H); and accept admissible demonstration of hardship exemption from the following sources:

4.B.2.a. Health Insurance Marketplace Exchange website (http://www.healthcare.gov) administered by the U.S. Centers for Medicare & Medicaid Services; 

4.B.2.b. Subsidy Calculator for Premium Assistance for Coverage in Exchanges website (http://kff.org/interactive/subsidy-calculator/) administered by the Henry J. Kaiser Family Foundation; or

4.B.2.c. Other publicly-available website(s) as may be designated by the Administrator from time-to-time.

4.C. Recommend receipt of hospital providers' reports relating to Indigent Care Affiliation Agreements associated with the Hospital District's participation in the Texas Healthcare Transformation and Quality Improvement Program Medicaid 1115 Waiver; receive providers' reports for the calendar quarters ended June 30, 2014 and September 30, 2014:

4.C.1. Christus Spohn Hospitals (Joint Report): Alice, Beeville, and Kleberg;

4.C.2. Corpus Christi Medical Center;

4.C.3. DeTar Healthcare System; and

4.C.4. Driscoll Children's Hospital.

5. REGULAR AGENDA:

5.A. Recommend receipt of October 16, 2014 petition requesting an election on ordered closure of Hospital District-owned hospital presently known as Christus Spohn Hospital Corpus Christi-Memorial (formerly known as Memorial Medical Center) located at 2606 Hospital Boulevard, Corpus Christi, Texas; and recommend acceptance of Board of Managers Secretary's certification that the petition did not meet the statutory requirement of at least 10 percent of the qualified voters of the hospital district as prescribed by Texas Health and Safety Code, §285.052(a).

5.B. Recommend appointment of one Director to Board of City of Corpus Christi's Reinvestment Zone Number Two for two-year term to expire November 1, 2016; appointment pursuant to Texas Tax Code, §311.009(a).

5.C. Recommend receipt of information relating to the interaction between the Patient Protection and Affordable Care Act, Pub. L. 111-148 and the Nueces Aid Program (indigent healthcare program):

5.C.1. Frequently asked questions and related answers.

6. ADJOURN (in memory of Dan Winship)