June 9, 2015 at 12:30 PM - Board of Managers - 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 Board 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 requirements and information.

4. CONSENT AGENDA:

4.A. Board of Managers:

4.A.1. Approve minutes of March 30, 2015 Board of Managers regular meeting.

4.A.2. Receive listing of new vendors as of June 3, 2015; vendor listing pursuant to Board of Managers Bylaws, §2.1.B and Texas Local Government Code, Chapter 176.

4.B. Finance Committee:

4.B.1. Receive unaudited financial statements for the months and fiscal year-to-date periods ended December 31, 2014 - April 30, 2015.

4.B.2. Receive information relating to typographical errors in and related correction of the Annual Financial Report on financial statements for fiscal year ended September 30, 2014.

4.B.3. Receive revenue report relating to Christus Spohn Health System Corporation Membership Agreement for current fiscal year-to-date.

4.B.4. Receive investment reports and ratify related investment transactions:

4.B.4.a. Quarterly Investment Report for fiscal quarter ended December 31, 2014; and

4.B.4.b. Quarterly Investment Report for fiscal quarter ended March 31, 2015. (ACTION)

4.B.5. Receive summary report of intergovernmental transfers in support of the Medicaid 1115 Waiver-related Texas Healthcare Transformation and Quality Improvement Program sponsored by the Texas Health and Human Commission for fiscal year-to-date.

4.B.6. Receive summary information relating to medical and hospital care provided to the Nueces Aid population consistent with the Christus Spohn Health System Corporation Membership Agreement for calendar year-to-date ended April 30, 2015.

4.B.7. Receive summary payment information for current fiscal year-to-date:

4.B.7.a. Medical services at Nueces County juvenile detention facility;

4.B.7.b. Emergency medical services in unincorporated areas of Nueces County;

4.B.7.c. Supplemental funding for Behavioral Health Center of Nueces County (formerly Nueces County Mental Health and Mental Retardation Center); and

4.B.7.d. Salaries, benefits, and supplies at Corpus Christi/Nueces County Public Health Department.

4.B.8. Receive information on State Comptroller of Public Accounts' 2015 pro-rata distribution of Calendar Year 2014 income from the Tobacco Permanent Settlement Trust Account; distribution pursuant to Texas Administrative Code, Title 25, Part 1, Chapter 102, Rule §102.2.

4.B.9. Adopt Board of Managers Resolution relating to annual review of investment policy and investment strategies and adopting no changes to either the policy or strategies; annual review pursuant to Texas Government Code, §2256.005(e).

4.B.10. Adopt Board of Managers Resolution relating to annual review and adoption of listing of qualified broker/dealers authorized to engage in investment transactions; adopted list to be effective August 1, 2015; annual review and list adoption pursuant to Texas Government Code, §2256.025.

4.B.11. Authorize Board Chairman to negotiate and execute amendment to Administrator's Employment Agreement relating to clarification of performance pay calculation and inclusion of additional employee retirement plan option void of employer contributions.

4.C. Planning Committee:

4.C.1. Authorize Administrator to negotiate and execute Amendment No. 5 to June 12, 2012 Letter Agreement with Health Management Associates relating to support of Anchor Entity responsibilities under the Texas Health and Human Services Commission's Transformation and Quality Improvement 1115 Waiver Program; Amendment to extend Letter Agreement to September 30, 2016 and adjust related fees.

4.C.2. Ratify renewal of Pharmacy Benefit Administrative Services Agreement with Script Care, Limited for the period January 1, 2015 - December 31, 2015; renewal exercises first of two one-year renewal options; renewal pursuant to Agreement, Section 22.2.

4.C.3. Receive hospital providers' reports relating to certain Indigent Care Affiliation Agreements associated with participation in the Texas Healthcare Transformation and Quality Improvement Program Medicaid 1115 Waiver; receive providers' reports for the calendar quarter ended March 31, 2015:

4.C.3.a. Christus Spohn Health System Hospitals: Alice, Beeville, and Kleberg (Joint Report);

4.C.3.b. Corpus Christi Medical Center;

4.C.3.c. DeTar Healthcare System; and

4.C.3.d. Driscoll Children's Hospital.

4.C.4. Receive information on Nueces Aid Program disqualification-related recovery of funds litigation; funds recovery authorized by Texas Health and Safety Code, §61.066(c): 

4.C.4.a. Cause No. 2015CCV-61038-3, Nueces County Hospital District v. Habib Niazi and Khair Niazi, in County Court at Law No. 3 of Nueces County, Texas.

4.C.5. Receive information on "Texas Way Program" initiative in 84th Texas Legislative Session; initiative as method to reduce the number of uninsured in Texas.

5. REGULAR AGENDA:

5.A. Finance Committee:

5.A.1. Authorize Administrator to issue Requests for Applications and set Application due date for depository and related services for four-year period October 1, 2015 - September 30, 2019; depository and term pursuant to Texas Health and Safety Code, §281.093(a)(1). (ACTION)

5.A.2. Receive information relating to maturity of Nueces County Hospital District Limited Tax Refunding Bonds, Series 2003 issued to refund prior Combination Tax and Subordinate Lien Revenue Refunding Bonds, Series 1993; final principal and interest payment on Series 2003 Refunding Bonds to be made July 1, 2015. (INFORMATION)

5.B. Planning Committee:

5.B.1. Authorize the Administrator to negotiate and execute an agreement with Naismith Engineering, Incorporated for owner's representative services relating to forthcoming Christus Spohn Health System Corporation-paid activities on the Christus Spohn Hospital Corpus Christi-Memorial campus, including construction of a new ambulatory health center and eventual removal of the hospital complex buildings located on the campus; campus is located at 2606 Hospital Boulevard, Corpus Christi, Texas 78405. (ACTION)

5.B.2. Adopt Board of Managers Resolution relating to amendment and restatement of the Hospital District's 403(b) Tax Sheltered Annuity Plan; amendment and restatement effective June 9, 2015.  (ACTION)

5.B.3. Receive update on Texas Healthcare Transformation and Quality Improvement Program Medicaid Section 1115 Waiver (Waiver) and related activities by the Texas Health and Human Services Commission (HHSC) and U.S. Centers for Medicare & Medicaid Services (CMS):

5.B.3.a. CMS actions with HHSC relating to deferral of Waiver-related payments for hospital uncompensated care expenditures; and

5.B.3.b. HHSC's actions with CMS to extend or renew Waiver. (INFORMATION)

5.C. Indigent Care Provider's Briefing:

5.C.1. Receive and discuss information from Christus Spohn Health System Corporation (Provider) relating to:

5.C.1.a. Medical aid and hospital care provided to the Nueces Aid Program population consistent with the Christus Spohn Health System Corporation Membership Agreement and related matters; and

5.C.1.b. Programs, projects, and/or activities at Christus Spohn Hospital Corpus Christi-Memorial and other Hospital District-owned facilities and related matters.  (INFORMATION)

5.D. Administrator's Briefing:

5.D.1. Next Scheduled Board and Committee meetings:

5.D.1.a. August or September 2015 special meeting to consider annual budget and related matters; date and time to be determined; and

5.D.1.b. September 22, 2015 regular meetings; times to be determined:

5.D.1.b.1. Planning Committee;

5.D.1.b.2. Finance Committee; and

5.D.1.b.3. Board of Managers.  (INFORMATION)

6. ADJOURN