January 27, 2026 at 12:00 PM - Board of Managers - Regular Meeting
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1. WELCOME
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2. WELCOME NEW APPOINTEES TO THE BOARD OF MANAGERS: Pamela Brower and Sunil Reddy.
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3. ROLL CALL OF MEMBERS
___ Vishnu V. Reddy, Vice Chair ___ Sylvia Tryon Oliver ___ Mariana Garza ___ Georgia Neblett ___ Karen O'Connor Urban ___ Pamela Brower ___ Sunil Reddy |
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4. CALL TO ORDER, CONFIRMATION OF QUORUM, VERIFICATION OF MEETING POSTING, AND CLOSED MEETING NOTICE:
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4.A. Call to order.
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4.B. Establish quorum.
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4.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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4.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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5. NOTICE REGARDING BUDGET. The Hospital District’s Fiscal Year 2026 budget has been duly adopted by the Board and approved by Commissioners Court. At this meeting, the Board may discuss the budget. The budget and the required taxpayer impact statement for Fiscal Year 2026 are available for public review on the District's official website at: https://www.nchdcc.org/public_notices/finance.php.
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6. 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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7. REGULAR SESSION
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7.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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7.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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7.B.1. Approve Board of Managers Regular Meeting minutes of November 18, 2025.
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7.B.2. Receive annual listing of vendors as of January 21, 2026; listing provided pursuant to Board of Managers Bylaws, §2.1.B and Texas Local Government Code, Chapter 176.
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7.B.3. Receive summary payment information on Nueces County health care disbursements for Fiscal Year 2026 year-to-date:
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7.B.3.a. Salaries, benefits, and supplies at/for the City of Corpus Christi/Nueces County Public Health District;
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7.B.3.b. Emergency medical services provided in unincorporated areas of Nueces County;
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7.B.3.c. Supplemental and jail diversion program funding for Nueces Center for Mental Health and Intellectual Disabilities;
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7.B.3.d. Medical services provided at County correctional facilities:
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7.B.3.d.1. Nueces County Jail; and
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7.B.3.d.2. Nueces County Juvenile Detention Center;
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7.B.3.e. Funding for alcohol and drug abuse treatment programs:
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7.B.3.e.1. Cenikor (Charlie's Place); and
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7.B.3.e.2. Council on Alcohol and Drug Abuse;
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7.B.3.f. Funding for diabetes prevention and supporting programs; and
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7.B.3.g. Public health grants. (Finance Committee)
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7.B.4. 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 ended November 30 and December 31, 2025. (Finance Committee)
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7.B.5. 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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7.B.6. 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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7.B.7. 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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7.B.7.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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7.B.7.a.1. Aligning Technology by Linking Interoperable Systems for Client Health Outcomes Program (ATLIS);
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7.B.7.a.2. Comprehensive Hospital Increase Reimbursement Program (CHIRP);
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7.B.7.a.3. Network Access Improvement Program (NAIP); and
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7.B.7.a.4. Texas Incentives for Physicians and Professional Services (TIPPS); and
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7.B.7.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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7.B.7.b.1. Disproportionate Share Hospital (DSH);
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7.B.7.b.2. Graduate Medical Education (GME);
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7.B.7.b.3. Hospital Augmented Reimbursement Program (HARP); and
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7.B.7.b.4. Hospital Uncompensated Care (UC). (Finance Committee)
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7.B.8. Receive reports relating to Nueces Aid Program enrollment for the month-ended periods of November 30 and December 31, 2025
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7.B.8.a. Total Persons and Households Enrolled;
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7.B.8.b. Enrollment Summary;
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7.B.8.c. Denials;
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7.B.8.d. Application Processing Summary; and
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7.B.8.e. Enrollment by Zip Code. (Finance Committee)
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7.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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7.C.1. Finance Committee:
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7.C.1.a. Financial Statements:
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7.C.1.a.1. Receive and approve unaudited financial statements for the monthly and fiscal year-to-date periods ended October 31, November 30, and December 31, 2025. (ACTION)
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7.C.1.b. Investment Report:
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7.C.1.b.1. Receive and approve Quarterly Investment Report and ratify related investment transactions for fiscal quarter-ended December 31, 2025 pursuant to Texas Government Code, §2256.023. (ACTION)
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7.C.2. Legislative Matters:
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7.C.2.a. Receive and discuss reports from Legislative Consultants on legislative matters. (INFORMATION)
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7.C.2.b. Discuss and propose interim committee charges for consideration by the 90th Texas Legislature; interim charges are directives issued to legislative committees to study specific issues before the next legislative session. (ACTION)
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7.C.2.c. Discuss and consider approval of a Personal Services Contract with Patricia A. Shipton for consulting services to represent the Hospital District’s interests before the Texas Legislature, with a contract term of January–December 2026. (ACTION)
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7.C.2.d. Discuss and consider approval of a Personal Services Contract with Joel J. Romo for consulting services to represent the Hospital District’s interests before the Texas Legislature, with a contract term of January–December 2026. (ACTION)
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7.C.3. Community Mental Health Initiatives:
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7.C.3.a. Receive and discuss a report and information from the Nueces Center for Mental Health and Intellectual Disabilities (MHID) regarding work performed under agreements among Nueces County, MHID, and the Hospital District, or directly between MHID and the Hospital District, for the fiscal quarter ended December 31, 2025. (INFORMATION)
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7.C.4. CHRISTUS Spohn Board of Directors:
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7.C.4.a. Discuss and consider appointment of a representative to the CHRISTUS Spohn Health System Corporation Board of Directors for a three-year term commencing January 1, 2026 and ending December 31, 2028, pursuant to Article IV, Section 4.01(b) of the CHRISTUS Spohn Health System Membership Agreement. (ACTION)
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7.C.5. Board of Managers Business:
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7.C.5.a. Elect Board of Managers officers for the term January 28 - September 30, 2026; annual officer elections pursuant to Board of Managers Bylaws, §2.2.A:
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7.C.5.a.1. Chair; and
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7.C.5.a.2. Vice-Chair. (ACTION)
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7.C.5.b. Chair-Elect appointment of Chairs and members to Standing Committees for the term January 28 - September 30, 2026; appointments pursuant to Board of Managers Bylaws, §2.5.A:
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7.C.5.b.1. Finance;
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7.C.5.b.2. Planning; and
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7.C.5.b.3. Quality Management. (ACTION)
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7.C.5.c. Chair-Elect's establishment of Special Committees and appoint Chairs and members to the Committees for the term January 28 - September 30, 2026 as authorized by Board of Managers Bylaws, §2.5.A.
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7.C.5.c.1. Legislative; and
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7.C.5.c.2. Additional Special Committees. (ACTION)
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7.C.5.d. Confirm appointment of Administrator as Board of Managers Secretary, pursuant to §281.023(b), Texas Health and Safety Code. (ACTION)
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7.C.6. Administrator's Actions:
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7.C.6.a. Ratify Administrator's action(s) performed as part of his duties directing the affairs of the Hospital District and/or as required by the Board of Managers; duties established pursuant to Texas Health and Safety Code, §281.026(e):
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7.C.6.a.1. Execution of Interlocal Cooperation Agreement with the Nueces Center for Mental Health and Intellectual Disabilities for the provision of opioid crisis remediation programs on behalf of the Hospital District in one or more categories approved by the Texas Opioid Abatement Fund Council; District’s provision of remediation services is in connection with the required use of funds distributed by the Texas Comptroller of Public Accounts from the Texas Statewide Opioid Settlement. Agreement term: October 1, 2025 through September 30, 2026. (ACTION)
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7.C.7. Administrator's Briefing:
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7.C.7.a. Annual audit of financial statements for the fiscal year ended September 30, 2025. (INFORMATION)
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7.C.7.b. 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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7.C.7.b.1. Legislative Committee: Tuesday, February 24, 2026, 11:15 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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7.C.7.b.2. Finance Committee: Tuesday, February 24, 2026, 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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7.C.7.b.3. Board of Managers: Tuesday, February 24, 2026, 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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8.
CLOSED MEETING – The Board of Managers may convene in closed session at any time during this meeting to deliberate any agenda item, as authorized by the Texas Open Meetings Act, Chapter 551, Texas Government Code. The Board reserves the right to discuss any agenda item in executive session when legally permitted, regardless of whether the item is customarily considered in open session. The presiding officer will announce the applicable statutory authority under the Act prior to each closed session. Any final action, decision, or vote will be taken in open session, either upon reconvening or at a subsequent public meeting, as required by law. The Board anticipates entering closed session on the matters identified below pursuant to Sections 551.071 and 551.074 of the Texas Government Code, as applicable. |
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8.A. Consult with legal counsel regarding CPS Energy’s proposed tax-exemption settlement agreements related to the Barney Davis and Nueces Bay Power Plants and related matters.
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8.B. Consult with attorneys on legal issues regarding the Corpus Christi Housing Authority's workforce housing contracts, tax exemptions, potential open meetings violations, and related matters.
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8.C. Consult with attorneys on legal matters relating to medical education 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 taking final action, decision, or vote on 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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