May 27, 2025 at 12:00 PM - 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, ESTABLISHMENT OF QUORUM, MEETING POSTING CONFIRMATION, 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 Meeting's public notice in accordance with Texas Open Meetings Act, Texas Government Code, Chapter 551.
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3.D. Public notice is hereby given that the Board of Managers may elect to go into Closed Meeting session(s) at any time during the meeting to discuss any matter(s) listed on the agenda when so authorized by the provisions of the Open Meetings Act, Texas Government Code, Chapter 551.
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4. 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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5. REGULAR SESSION
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5.A. PUBLIC COMMENT - This section provides the public the opportunity to address the Board on any issues within its authority. Persons attending in-person and wishing to comment on any item(s) on the agenda or any subject within the Board's responsibilities 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 meeting. Persons attending via audio or video conference and wishing to comment on any item(s) on the agenda or any subject within the Board's responsibilities must verbally notify the presiding officer of their desire to comment when the officer calls for public comment from those attending via audio and video conference. Commenters shall limit their comments to three (3) minutes, except that commenters addressing the Board through a translator shall limit their comments to six (6) minutes. The presiding officer may, if he/she deems it necessary, limit both the number of commenters and the time allotted to each commenter. Under the law, the Board may only take action on items specifically listed on the agenda. Subject matter presented which is not part of the agenda will be referred to District staff for review if appropriate. Materials submitted to the Board during public comment will not be returned. At least ten (10) copies of any document to be used by any commenter should be available for distribution to the Board. The commenter is responsible for preparation of the copies. The commenter’s name and, if applicable, meeting agenda item number should be clearly marked on such documents.
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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 April 22, 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.
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5.B.3. Receive summary imputed claims information on medical and hospital care 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 period-ended April 30, 2025.
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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.
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5.B.5. Receive 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.
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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 for HHSC's Medicaid managed care organization payments to healthcare providers that support overall 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 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:
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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).
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5.B.7. Receive reports relating to Nueces Aid Program enrollment for the month-ended April 30, 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.
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5.B.8. Aransas Terminal Foreign Trade Zone Quarter 3 & 4 2024 and Quarter 1 2025 Reports.
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5.C. REGULAR AGENDA - The Regular Agenda consists of those agenda items which are non-routine, not administrative in nature, or are otherwise in need of separate attention. Each Regular Agenda item will be voted upon separately if action is required:
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5.C.1. Finance:
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5.C.1.a. Financial Statements:
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5.C.1.a.1. Receive and approve unaudited financial statements for the month and fiscal year-to-date period ended April 30, 2025. (ACTION)
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5.C.1.b. Investment Report:
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5.C.1.b.1. Receive and approve Quarterly Investment Report for fiscal quarter-ended March 31, 2025 and ratify related investment transactions. (ACTION)
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5.C.1.c. Tobacco Settlement Distribution:
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5.C.1.c.1. Receive information on State Comptroller of Public Accounts' 2025 pro-rata distributions of income from Tobacco Permanent Settlement Trust Account; distributions pursuant to Texas Administrative Code, Title 25, Part 1, Chapter 102, Rule §102.2. (INFORMATION)
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5.C.2. Legislation:
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5.C.2.a. Receive information on select Bills in the 89th Texas Legislative Session:
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5.C.2.a.1. H.B. 4801 - Relating to the establishment of a grant program to allow the Nueces County Hospital District to recruit and retain certain medical professionals;
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5.C.2.a.2. S.B. 2666 - Relating to the establishment of a grant program to allow the Nueces County Hospital District to recruit and retain certain medical professionals;
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5.C.2.a.3. H.B. 19 - Relating to the issuance and repayment of debt by local governments, including the adoption of an ad valorem tax rate and the use of ad valorem tax revenue for the repayment of debt;
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5.C.2.a.4. H.B. 3093 - Relating to the calculation of certain ad valorem tax rates of a taxing unit for a year in which a property owner provides notice that the owner intends to appeal an order of an appraisal review board determining a protest by the owner regarding the appraisal of the owner's property; and
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5.C.2.a.5. other related Bills. (INFORMATION)
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5.C.3. Patient Access & Physician Supply/Demand:
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5.C.3.a. Discuss matters relating to medical needs assessment component of the December 14, 2023, Emergency Medicine Support Letter Agreement between Hospital District and CHRISTUS Spohn Health System Corporation. (INFORMATION)
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5.C.3.b. Receive and discuss information from 3Dhealth's Patient Access Study and Physician Supply/Demand Needs Analysis for Nueces County. (INFORMATION)
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5.C.3.c. Receive and discuss information curated from 3Dhealth's Patient Access Study and Physician Supply/Demand Needs Analysis for Nueces County. (INFORMATION)
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5.C.4. Board of Managers Business:
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5.C.4.a. Board Chairman appointment of Chair and members to the Finance Committee for the term June 1, 2025 - September 30, 2025; appointments pursuant to Board of Managers Bylaws, §2.5.A. (ACTION)
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5.C.5. Administrator's Briefing:
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5.C.5.a. Next scheduled Board of Managers and Board Committee regular meetings (all meetings' dates, times, and locations are subject to change):
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5.C.5.a.1. Finance Committee: Tuesday, June 24, 2025, 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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5.C.5.a.2. Board of Managers: Tuesday, June 24, 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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6. CLOSED MEETING - Public Notice is hereby given that the Board of Managers may go into closed meeting session(s) at any time during the meeting to discuss any matter(s) listed on the agenda, when so authorized by the provisions of the Open Meetings Act, Texas Government Code, Chapter 551. To the extent there has been a past practice of distinguishing items for public deliberation and those for executive session, the public is advised that the Board is departing from that practice and reserves the right to discuss any listed agenda items in a closed meeting when authorized by law to do so. When the Board goes into closed session(s) regarding an agenda item(s), the section(s) of the Open Meetings Act authorizing the closed session will be publicly announced by the presiding officer. Should any final action, final decision, or final vote be required in the opinion of the Board with regard to any matter considered in closed session(s), then the final action, final decision, or final vote shall be either: (a) in the open meeting covered by the Notice upon reconvening of the public meeting; or (b) at a subsequent public meeting of the Board upon notice thereof, as the Board shall determine pursuant to applicable laws. The Board specifically expects to go into a closed session(s) on the matters listed below pursuant to the Act, §551.071.
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6.A. Consult with attorneys on matters relating to December 14, 2023, Emergency Medicine Support Letter Agreement between the Hospital District and CHRISTUS Spohn Health System Corporation and related matters.
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6.B. Consult with attorneys on matters relating to use of certain Hospital District funds and related matters.
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6.C. Consult with attorneys on matters relating to the retention and recruitment of physicians and expansion of residency positions in Nueces County and related matters.
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6.D. Consult with attorneys on matters related to the tax-exempt status of and associated property acquisitions by Corpus Christi Housing Authority and CPS Energy.
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7. OPEN MEETING - Following the Closed Meeting, the Board of Managers will reconvene the Open Meeting prior to taking any action(s) on matters considered in the Closed Meeting or adjourning the meeting.
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7.A. Discuss and consider final action, decision, or vote on matters considered 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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