August 26, 2025 at 12:15 PM - Board of Managers - Regular Meeting
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1. WELCOME
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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 |
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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. 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 a conflict shall abstain from voting and are requested to refrain from participation in discussion of the affected item. Any conflicts identified during the course of the meeting shall be disclosed immediately upon discovery.
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5. REGULAR SESSION
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5.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.
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5.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:
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5.B.1. Approve Board of Managers Regular Meeting minutes of July 1 and August 5, 2025.
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5.B.2. Receive summary payment information on Nueces County health care disbursements for Fiscal Year 2025 year-to-date:
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5.B.2.a. Salaries, benefits, and supplies at/for the City of Corpus Christi/Nueces County Public Health District;
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5.B.2.b. Emergency medical services provided in unincorporated areas of Nueces County;
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5.B.2.c. Supplemental and jail diversion program funding for Nueces Center for Mental Health and Intellectual Disabilities;
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5.B.2.d. Medical services provided at County correctional facilities:
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5.B.2.d.1. Nueces County Jail; and
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5.B.2.d.2. Nueces County Juvenile Detention Center;
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5.B.2.e. Funding for alcohol and drug abuse treatment programs:
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5.B.2.e.1. Cenikor (Charlie's Place); and
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5.B.2.e.2. Council on Alcohol and Drug Abuse;
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5.B.2.f. Funding for diabetes prevention and supporting programs; and
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5.B.2.g. Public health grants. (Finance Committee)
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5.B.3. 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-to-date periods ending June 30 and July 31, 2025. (Finance Committee)
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5.B.4. 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. (Finance Committee)
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5.B.5. Receive statement of fiscal 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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5.B.6. 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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5.B.6.a. Directed Payment Programs – IGTs to HHSC for Medicaid managed care payments to providers that promote Medicaid program goals and objectives:
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5.B.6.a.1. Aligning Technology by Linking Interoperable Systems for Client Health Outcomes Program (ATLIS);
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5.B.6.a.2. Comprehensive Hospital Increase Reimbursement Program (CHIRP);
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5.B.6.a.3. Network Access Improvement Program (NAIP); and
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5.B.6.a.4. Texas Incentives for Physicians and Professional Services (TIPPS); and
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5.B.6.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:
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5.B.6.b.1. Disproportionate Share Hospital (DSH);
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5.B.6.b.2. Graduate Medical Education (GME);
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5.B.6.b.3. Hospital Augmented Reimbursement Program (HARP); and
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5.B.6.b.4. Hospital Uncompensated Care (UC). (Finance Committee)
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5.B.7. Receive reports relating to Nueces Aid Program enrollment for the months-ended June 30 and July 31, 2025:
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5.B.7.a. Total Persons and Households Enrolled;
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5.B.7.b. Enrollment Summary;
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5.B.7.c. Denials;
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5.B.7.d. Application Processing Summary; and
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5.B.7.e. Enrollment by Zip Code. (Finance Committee)
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5.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:
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5.C.1. Finance Committee:
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5.C.1.a. Fiscal Year 2026 Health Care Provider Participation Program:
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5.C.1.a.1. Review and discuss Texas Health and Safety Code, Chapter 298C, relating to the Nueces County Hospital District Health Care Provider Participation Program and its requirements—including authority, mandatory payments, rules and procedures, hearing and notice obligations, permitted uses, payment schedule, and operational provisions—for the FY 2026 Program (October 1, 2025–September 30, 2026). (INFORMATION)
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5.C.1.a.2. Review and discuss the proposed FY 2026 Program mandatory rate and payment schedule. (INFORMATION)
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5.C.1.a.3. Confirm satisfaction of conditions precedent to establishing the FY 2026 Program mandatory payment rate, including publication of notice to the public, provision of written notice to each institutional health care provider within the Hospital District, and the holding of a public hearing regarding the proposed mandatory payment rate and the intended uses of the resulting revenue. (ACTION)
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5.C.1.a.4. Confirm the continued applicability of the Nueces County Hospital District Health Care Provider Participation Program Revised Rules and Procedures, effective August 1, 2023, for the FY 2026 Program. (ACTION)
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5.C.1.a.5. Adopt an Order of the Board of Managers establishing the FY 2026 Program mandatory payment rate at six percent (6%) of the net patient revenue of each institutional healthcare provider within the Hospital District, as authorized by Texas Health and Safety Code §298C.151. (ACTION)
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5.C.1.b. Fiscal Year 2026 Budget:
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5.C.1.b.1. Adopt a Resolution of the Board of Managers 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)
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5.C.1.b.2. Adopt Board of Managers Resolution approving 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)
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5.C.1.b.3. Adopt Board of Managers Resolutions adding specified funding to the FY 2026 Annual Budget (October 1, 2025 – September 30, 2026) for:
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5.C.1.b.3.a. Nueces County Healthcare Expenditures; and
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5.C.1.b.3.b. Nueces Center for Mental Health and Intellectual Disabilities matching funds. (ACTION)
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5.C.1.b.4. Discuss and consider adopting a Resolution of the Board of Managers 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)
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5.C.1.c. Financial Statements:
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5.C.1.c.1. Consider receipt and approval of unaudited financial statements for the month and fiscal year-to-date ending July 31, 2025. (ACTION)
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5.C.2. Legislative Matters:
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5.C.2.a. Receive and discuss reports from Legislative Consultants on the 89th Texas Legislature's Special Sessions and related matters. (INFORMATION)
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5.C.3. Administrator's Briefing:
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5.C.3.a. 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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5.C.3.a.1. 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;
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5.C.3.a.2. Board of Managers: Tuesday, September 23, 2025, 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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5.C.4. Other Business:
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5.C.4.a. Receive documentation of the Administrator’s achievement of Employment Agreement performance goals during Fiscal Year 2024 and approve the related payment. (ACTION)
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6.
CLOSED MEETING – The Board of Managers may, at any point during this meeting, convene in closed session to deliberate any agenda item as permitted under the Texas Open Meetings Act, Texas Government Code Chapter 551. The Board reserves the right to discuss any listed agenda item in closed session when legally authorized, regardless of prior practice distinguishing items for public deliberation from those for executive session. The presiding officer will announce the statutory authority under the Act for each closed session. Any final action, decision, or vote will be taken in open session either upon reconvening of this meeting or at a subsequent public meeting, as required by law. The Board anticipates entering closed session on the matters identified below pursuant to §551.071 of the Texas Government Code. |
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6.A. Consult with attorneys on matters related to the Corpus Christi Housing Authority and associated issues.
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6.B. Consult with attorneys on matters related to CPS Energy and associated issues.
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6.C. Consult with attorneys on matters relating to Nueces County Hospital District v. Purdue Pharma, Inc., et al., MDL PRETRIAL CAUSE NO. 2018-63587, in the 152d District Court of Harris County, Texas.
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7. 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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7.A. Consider authorizing the Administrator to execute the Settlement participation and release forms regarding settlement offers from Purdue, Amneal, West-Ward n/k/a HIKMA, and other certain Defendants in the matter of Nueces County Hospital District v. Purdue Pharma, Inc., et al., MDL PRETRIAL CAUSE NO. 2018-63587, in the 152d District Court of Harris County, Texas. (ACTION)
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7.B. Discuss and consider taking final action, decision, or vote on other matters deliberated in Closed Meeting. (ACTION AS NEEDED)
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8. ADJOURN
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9. Public Notice Posting Receipt
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