August 26, 2025 at 11:00 AM - Finance Committee - Regular Meeting

1. WELCOME
 

2. ROLL CALL OF COMMITTEE MEMBERS

___ Georgia Neblett, Chair
___ Sylvia Tryon Oliver
___ Karen O'Connor Urban
 

3. CALL TO ORDER, ESTABLISHMENT OF QUORUM, MEETING POSTING CONFIRMATION, AND CLOSED MEETNG 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. Notice is hereby provided that the Committee 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. ANNOUNCEMENT ON DISCLOSURE OF CONFLICTS OF INTEREST – Any Conflict of Interest, or Appearance of a Conflict of Interest, relating to items on this agenda shall be disclosed at this time. Members declaring such conflicts shall abstain from voting and are requested to refrain from discussion on the affected items. Any conflicts identified later in the meeting must be disclosed immediately upon discovery.
 

5. PUBLIC COMMENT – This section provides the public an opportunity to address the Committee on any matter within its authority. In-person attendees wishing to comment on any agenda item or other subject within the Committee’s jurisdiction must complete and submit the “Agenda Item Request to Speak” form, available at the entrance of the meeting room, no later than five (5) minutes before the meeting begins. Remote attendees participating by audio or video conference must verbally notify the presiding officer of their desire to comment when public comment is called. Comments are limited to three (3) minutes per speaker, except that commenters using a translator are allowed up to six (6) minutes. The presiding officer may, in his or her discretion, limit the number of speakers and/or the time allotted to each. By law, the Committee may act only on matters specifically listed on the agenda. Items raised that are not on the agenda will be referred to District staff for review, as appropriate. Materials submitted to the Committee during public comment will not be returned. Commenters intending to provide documents must bring at least ten (10) copies for distribution, clearly marked with the commenter’s name and, if applicable, the relevant agenda item number.
 

6. CONSENT AGENDA – The Consent Agenda includes items that are routine, administrative in nature, and not requiring separate discussion. Any item that a Committee member requests to be considered individually shall, at the direction of the presiding officer, be removed from the Consent Agenda and placed on the Regular Agenda for separate discussion at the appropriate time. All remaining Consent Agenda items will be considered and voted upon together in a single vote:
 

6.A. Approve Finance Committee minutes:

6.A.1. Regular Meetings of July 1 and August 5, 2025; and

6.A.2. Workshop Meeting of July 30, 2025.
 

6.B. Discuss and recommend receipt of summary payment information on Nueces County health care disbursements for fiscal year-to-date:
 

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

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

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

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

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

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

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

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

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

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

6.B.7. Public health grants.
 

6.C. Discuss and recommend receipt of imputed claims summaries on medical and hospital care furnished to the Nueces Aid Program population, prepared pursuant to the CHRISTUS Spohn Health System Corporation Amended and Restated Membership Agreement, for fiscal year-to-date reporting periods ended June 30 and July 31, 2025.
 

6.D. Discuss and recommend receipt of 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.
 

6.E. Discuss and recommend receipt of 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.
 

6.F. Discuss and recommend receipt of summary reports 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:
 

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

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

6.F.1.b. Comprehensive Hospital Increase Reimbursement Program (CHIRP);

6.F.1.c. Network Access Improvement Program (NAIP); and

6.F.1.d. Texas Incentives for Physicians and Professional Services (TIPPS); and
 

6.F.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:

6.F.2.a. Disproportionate Share Hospital (DSH);

6.F.2.b. Graduate Medical Education (GME);

6.F.2.c. Hospital Augmented Reimbursement Program (HARP); and

6.F.2.d. Hospital Uncompensated Care (UC).
 

6.G. Nueces Aid Enrollment:

6.G.1. Discuss and recommend receipt of reports relating to Nueces Aid Program enrollment for months-ended June 30 and July 31, 2025:

6.G.1.a. Total Persons and Households Enrolled;

6.G.1.b. Enrollment Summary;

6.G.1.c. Denials;

6.G.1.d. Application Processing Summary; and

6.G.1.e. Enrollment by Zip Code.
 

7. REGULAR AGENDA – The Regular Agenda consists of items that are non-routine, not administrative in nature, or otherwise require separate consideration. Each item listed under the Regular Agenda shall be addressed individually and, if action is required, voted upon separately.
 

7.A.2. Review and discuss proposed FY 2026 Program mandatory rate and payment schedule. (INFORMATION)
 

7.A.3. Discuss and consider recommending confirmation that all conditions precedent to establishing the FY 2026 Program mandatory payment rate have been satisfied, including publication of public notice, written notice to each institutional health care provider within the Hospital District, and the holding of a public hearing on the proposed rate and intended uses of the resulting revenue. (ACTION)
 

7.A.4. Discuss and consider recommending confirmation of the continued applicability of the Revised Rules and Procedures of the Nueces County Hospital District Health Care Provider Participation Program, effective August 1, 2023, for the FY 2026 Program. (ACTION)
 

7.A.5. Discuss and consider recommending adoption of an Order of the Board of Managers establishing the Fiscal Year 2026 mandatory payment rate for the Program at six percent (6%) of the net patient revenue of each institutional health care provider within the Hospital District, as authorized by Texas Health and Safety Code §298C.151. (ACTION)

7.B. Fiscal Year 2026 Budget:
 

7.B.1. Discuss and consider recommending adoption of a Board of Managers Resolution committing a specified portion of the General Fund balance as of September 30, 2025, to the subsequent fiscal year for payment of obligated but unrequested intergovernmental transfers associated with Supplemental and/or Directed Payment Programs administered by the Texas Health and Human Services Commission during Fiscal Year 2025. (ACTION)
 

7.B.2. Discuss and consider recommending adoption of a Board of Managers Resolution approving the FY 2026 Member Revenue Allocation Percentage, as determined under Section 5.03(a) of the Amended and Restated CHRISTUS Spohn Health System Corporation Membership Agreement. (ACTION)
 

7.B.3. Discuss and consider recommending adoption of Board of Managers Resolutions adding specified funding to the FY 2026 Annual Budget (October 1, 2025 – September 30, 2026) for:

7.B.3.a. Nueces County Healthcare Expenditures; and

7.B.3.b. Nueces Center for Mental Health and Intellectual Disabilities matching funds.  (ACTION)
 

7.B.4. Discuss and consider recommending approval of a Board of Managers Resolution approving the FY 2026 Annual Budget (October 1, 2025 – September 30, 2026), pursuant to Texas Health and Safety Code §281.091(b), with the Budget comprised of the General Fund, Tobacco Settlement Fund, Opioid Settlement Fund, and Indigent Care Fund. (ACTION)
 

7.C. Financial Statements:
 

7.C.1. Discuss and consider recommending approval of the unaudited financial statements for the month and fiscal year-to-date period ended July 31, 2025. (ACTION)
 

7.D. Administrator's Briefing:
 

7.D.1. Next scheduled regular Committee meeting (meeting's date, time, and location are subject to change):
 

7.D.1.a. Finance Committee: Tuesday, September 23, 2025, 11:00 AM in NCHD Board of Managers Meeting Room at 555 North Carancahua Street, Room 950-A, Corpus Christi, Texas 78401.
 

8. ADJOURN
 

9. Public Notice Posting Receipt