October 28, 2025 at 12:00 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. 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 Board 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/.
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5. 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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6. REGULAR SESSION
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6.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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6.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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6.B.1. Approve Board of Managers Regular Meeting minutes of September 23, 2025.
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6.B.2. Receive summary payment information on Nueces County health care disbursements for Fiscal Year 2025 year-to-date:
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6.B.2.a. Salaries, benefits, and supplies at/for the City of Corpus Christi/Nueces County Public Health District;
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6.B.2.b. Emergency medical services provided in unincorporated areas of Nueces County;
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6.B.2.c. Supplemental and jail diversion program funding for Nueces Center for Mental Health and Intellectual Disabilities;
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6.B.2.d. Medical services provided at County correctional facilities:
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6.B.2.d.1. Nueces County Jail; and
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6.B.2.d.2. Nueces County Juvenile Detention Center;
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6.B.2.e. Funding for alcohol and drug abuse treatment programs:
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6.B.2.e.1. Cenikor (Charlie's Place); and
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6.B.2.e.2. Council on Alcohol and Drug Abuse;
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6.B.2.f. Funding for diabetes prevention and supporting programs; and
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6.B.2.g. Public health grants.
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6.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 period ending.
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6.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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6.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.
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6.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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6.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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6.B.6.a.1. Aligning Technology by Linking Interoperable Systems for Client Health Outcomes Program (ATLIS);
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6.B.6.a.2. Comprehensive Hospital Increase Reimbursement Program (CHIRP);
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6.B.6.a.3. Network Access Improvement Program (NAIP); and
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6.B.6.a.4. Texas Incentives for Physicians and Professional Services (TIPPS); and
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6.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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6.B.6.b.1. Disproportionate Share Hospital (DSH);
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6.B.6.b.2. Graduate Medical Education (GME);
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6.B.6.b.3. Hospital Augmented Reimbursement Program (HARP); and
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6.B.6.b.4. Hospital Uncompensated Care (UC).
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6.B.7. Receive reports relating to Nueces Aid Program enrollment for the month-ended September 30, 2025:
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6.B.7.a. Total Persons and Households Enrolled;
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6.B.7.b. Enrollment Summary;
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6.B.7.c. Denials;
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6.B.7.d. Application Processing Summary; and
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6.B.7.e. Enrollment by Zip Code.
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6.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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6.C.1. Legislative Matters:
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6.C.1.a. Receive and discuss reports from Legislative Consultants on the 89th Texas Legislature's Special Sessions and related matters. (INFORMATION)
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6.C.2. Community Mental Health Initiatives:
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6.C.2.a. Receive and discuss reports and information from Nueces Center for Mental Health and Intellectual Disabilities ("MHID") relating to work performed under agreements between Nueces County, MHID, and Hospital District for Fiscal Year 2025. (INFORMATION)
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6.C.3. Administrator's Briefing:
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6.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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6.C.3.a.1. Finance Committee: November 18, 2025, 11:30 AM in NCHD Board of Managers Meeting Room at 555 North Carancahua Street, Room 950-A, Corpus Christi, Texas 78401;
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6.C.3.a.2. Board of Managers: November 18, 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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7. Other Business:
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7.A. Receive supporting documentation relating to Administrator's achievement of certain Employment Agreement-related performance goals for the fiscal quarter ended September 30, 2025 and approve related payment. (ACTION)
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8.
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 item. 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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8.A. Consult with attorneys on matters related to CPS Energy's property acquisitions and related matters.
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8.B. Consult with attorneys on legal issues regarding the Corpus Christi Housing Authority's tax-exemption, potential open meetings violations, and related matters.
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8.C. Consult with attorneys on legal matters relating to medical education, residency training, and physician recruitment and retention and related matters.
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9. 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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9.A. Discuss and consider engaging the law firm of Bickerstaff, Heath, Delgado, Acosta LLP—either jointly or independently—to initiate legal action against the Corpus Christi Housing Authority’s tax-exemption scheme and potential Texas Open Meetings Act violations, including but not limited to any contractual arrangements; authorize the Administrator to determine the form of engagement and execute the necessary engagement and related documents. (ACTION)
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9.B. Discuss and consider authorizing immediate legal action against the Corpus Christi Housing Authority challenging the validity of the contracts related to the Authority's tax exemption scheme and potential Texas Open Meetings Act violations, including, but not limited to any contractual agreements, and authorize the Administrator to execute related documents. (ACTION)
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9.C. Discuss and consider taking final action, decision, or vote on other matters deliberated in Closed Meeting. (ACTION AS NEEDED)
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10. ADJOURN
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11. Public Notice Posting Receipt
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