September 23, 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, CONFIRMATION OF QUORUM, VERIFICATION OF MEETING POSTING, AND CLOSED MEETING 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. Public notice is hereby given that the Committee 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.
 

4. NOTICE REGARDING BUDGETS. The Hospital District’s Fiscal Year 2025 and Fiscal Year 2026 budgets have been duly adopted by the Board of Managers and approved by Commissioners Court. At this meeting, the Committee may discuss either of these budgets. The budget and the required taxpayer impact statement for Fiscal Year 2026 are available for public review by clicking the "Annual Budget & Taxpayer Impact Statement" link on the front page District's official website at https://www.nchdcc.org/.
 

5. 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.
 

6. 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.
 

7. 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:
 

7.A. Approve Finance Committee meeting minutes of August 26, 2025:

7.A.1. Regular Meeting; and

7.A.2. Workshop Meeting.
 

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

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

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

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

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

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

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

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

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

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

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

7.B.7. Public health grants.
 

7.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 period-ended August 31, 2025.
 

7.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.
 

7.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.
 

7.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:
 

7.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:

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

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

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

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

7.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:

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

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

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

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

7.G. Nueces Aid Enrollment:

7.G.1. Discuss and recommend receipt of reports relating to Nueces Aid Program enrollment for month-ended August 31, 2025:

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

7.G.1.b. Enrollment Summary;

7.G.1.c. Denials;

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

7.G.1.e. Enrollment by Zip Code.
 

8. 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.
 

8.A. Receive Commissioners Court-approved Fiscal Year 2026 (October 1, 2025 - September 30, 2026) Tax Rate and Annual Budget for Nueces County District. (INFORMATION)
 

8.B. Discuss and recommend approval of unaudited financial statements for the month and fiscal year-to-date period ended August 31, 2025. (ACTION)
 

8.C. Administrator's Briefing:
 

8.C.1. Finance Committee: Tuesday, October 28, 2025, 11:00 AM in NCHD Board of Managers Meeting Room at 555 North Carancahua Street, Room 950-A, Corpus Christi, Texas 78401.
 

9. ADJOURN
 

10. Public Notice Posting Receipt