Meeting Agenda
1. WELCOME
 
2. ROLL CALL OF MEMBERS

___ Vishnu V. Reddy, Chairman
___ Sylvia Tryon Oliver, Vice Chair
___ Mariana Garza
___ Georgia Neblett, Legislative Committee Chair
___ Karen O'Connor Urban
___ Pamela Brower, Finance Committee Chair
___ Sunil Reddy
 
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 the meeting’s public notice in compliance with the Texas Open Meetings Act, Texas Government Code Chapter 551.
 
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.
 
4. 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.
 
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.
 
6. REGULAR SESSION
 
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.
 
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:
 
6.B.1. Approve Board of Managers Regular Meeting minutes of February 24, 2026.
 
6.B.2. Receive summary payment information on Nueces County health care disbursements for Fiscal Year 2026 year-to-date:
 
6.B.2.a. Salaries, benefits, and supplies at/for the City of Corpus Christi/Nueces County Public Health District;
 
6.B.2.b. Emergency medical services provided in unincorporated areas of Nueces County;
 
6.B.2.c. Supplemental and jail diversion program funding for Nueces Center for Mental Health and Intellectual Disabilities;
 
6.B.2.d. Medical services provided at County correctional facilities:
6.B.2.d.1. Nueces County Jail; and
6.B.2.d.2. Nueces County Juvenile Detention Center;
 
6.B.2.e. Funding for alcohol and drug abuse treatment programs:
6.B.2.e.1. Cenikor (Charlie's Place); and
6.B.2.e.2. Council on Alcohol and Drug Abuse;
 
6.B.2.f. Funding for diabetes prevention and supporting programs; and
 
6.B.2.g. Public health grants. (Finance Committee)
 
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 2026 year to date. (Finance Committee)
 
6.B.4. Receive Fiscal Year 2026 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)
 
6.B.5. Receive statement of Fiscal Year 2026 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)
 
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:
 
6.B.6.a. Directed Payment Programs - IGTs to HHSC for Medicaid managed care payments to providers that promote Medicaid program goals and objectives:
6.B.6.a.1. Aligning Technology by Linking Interoperable Systems for Client Health Outcomes Program (ATLIS);
6.B.6.a.2. Comprehensive Hospital Increase Reimbursement Program (CHIRP);
6.B.6.a.3. Network Access Improvement Program (NAIP); and
6.B.6.a.4. Texas Incentives for Physicians and Professional Services (TIPPS); and
 
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:
6.B.6.b.1. Disproportionate Share Hospital (DSH);
6.B.6.b.2. Graduate Medical Education (GME);
6.B.6.b.3. Hospital Augmented Reimbursement Program (HARP); and
6.B.6.b.4. Hospital Uncompensated Care (UC). (Finance Committee)
 
6.B.7. Receive reports relating to Nueces Aid Program enrollment for the month-ended February 28, 2026:
6.B.7.a. Total Persons and Households Enrolled;
6.B.7.b. Enrollment Summary;
6.B.7.c. Denials; 
6.B.7.d. Application Processing Summary; and
6.B.7.e. Enrollment by Zip Code. (Finance Committee)
 
6.B.8. Receive information relating to U.S. Department of Health and Human Services (HHS) Poverty Guidelines:
6.B.8.a. Annual update of the HHS Poverty Guidelines from Federal Register, Vol. 91, No. 10, January 15, 2026 pp. 1797-1798; and
6.B.8.b. Prior HHS Poverty Guidelines and Federal Register References, 1982–2026. (INFORMATION)
 
6.B.9. Receive notice of annual increase adjustments of Nueces Aid Program’s Eligibility Guidelines; adjustments effective March 1, 2026 for:
6.B.9.a. Household Resources as required by Program’s Handbook Policy No. NA002, Attachment 2, Sections I-B, I-C-1, I-C-23, and I-F; and
6.B.9.b. Household Income as required by Program’s Handbook Policy No. NA002, Attachment 4, Section I-F-3. (INFORMATION)
 
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:
 
6.C.1. Finance Committee:
 
6.C.1.a. Financial Statements:
 
6.C.1.a.1. Receive and approve unaudited financial statements for month and fiscal year-to-date February 28, 2026. (ACTION)
 
6.C.2. Legislative Committee:
 
6.C.2.a. Receive and discuss reports from Legislative Consultants. (INFORMATION)
 
6.C.2.b. Discuss and consider amending the 90th Texas Legislative Session Agenda. (ACTION)
 
6.C.3. Administrator's Briefing:
 
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):
 
6.C.3.a.1. Legislative Committee: April 28, 2026, 11:00 AM in NCHD Board of Managers Meeting Room at 555 North Carancahua Street, Room 950-A, Corpus Christi, Texas 78401; and
 
6.C.3.a.2. Finance Committee: April 28, 2026, 11:30 AM in NCHD Board of Managers Meeting Room at 555 North Carancahua Street, Room 950-A, Corpus Christi, Texas 78401;
 
6.C.3.a.3. Board of Managers: April 28, 2026, 12:00 PM in NCHD Board of Managers Meeting Room at 555 North Carancahua Street, Room 950-A, Corpus Christi, Texas 78401.  (INFORMATION)
 
7.

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.
 
7.A. Consult with attorneys regarding CPS Energy’s proposed tax-exemption settlement agreements related to the Barney Davis and Nueces Bay Power Plants and related matters.
 
7.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.
 
7.C. Consult with attorneys on matters related to CHRISTUS Spohn Health System Corporation Amended and Restated Membership Agreement and related matters.
 
7.D. Consult with attorneys on matters related to indigent health care and related matters.
 
7.E. Consult with attorneys on matters relating to uses of funds and related matters.
 
7.F. Consult with attorneys on legal matters relating to medical education and related matters.
 
7.G. Consult with attorneys on matters relating to support of medical education and related matters.
 
8. OPEN MEETING - The Board will reconvene in open session following the Closed Meeting before taking action on Closed Meeting matters or adjourning.
 
8.A. Discuss and consider taking final action, decision, or vote on matters deliberated in Closed Meeting. (ACTION AS NEEDED)
 
9. ADJOURN
 
10. Public Notice Posting Receipt
Agenda Item Details Reload Your Meeting

 

 
Meeting: March 31, 2026 at 12:00 PM - Board of Managers - Regular Meeting
Subject:
1. WELCOME
 
Subject:
2. ROLL CALL OF MEMBERS

___ Vishnu V. Reddy, Chairman
___ Sylvia Tryon Oliver, Vice Chair
___ Mariana Garza
___ Georgia Neblett, Legislative Committee Chair
___ Karen O'Connor Urban
___ Pamela Brower, Finance Committee Chair
___ Sunil Reddy
 
Subject:
3. CALL TO ORDER, CONFIRMATION OF QUORUM, VERIFICATION OF MEETING POSTING, AND CLOSED MEETING NOTICE:
 
Subject:
3.A. Call to order.
 
Subject:
3.B. Establish quorum.
 
Subject:
3.C. Confirm posting of the meeting’s public notice in compliance with the Texas Open Meetings Act, Texas Government Code Chapter 551.
 
Subject:
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.
 
Subject:
4. 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.
 
Subject:
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.
 
Subject:
6. REGULAR SESSION
 
Subject:
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.
 
Subject:
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:
 
Subject:
6.B.1. Approve Board of Managers Regular Meeting minutes of February 24, 2026.
 
Attachments:
Subject:
6.B.2. Receive summary payment information on Nueces County health care disbursements for Fiscal Year 2026 year-to-date:
 
Attachments:
Subject:
6.B.2.a. Salaries, benefits, and supplies at/for the City of Corpus Christi/Nueces County Public Health District;
 
Subject:
6.B.2.b. Emergency medical services provided in unincorporated areas of Nueces County;
 
Subject:
6.B.2.c. Supplemental and jail diversion program funding for Nueces Center for Mental Health and Intellectual Disabilities;
 
Subject:
6.B.2.d. Medical services provided at County correctional facilities:
Subject:
6.B.2.d.1. Nueces County Jail; and
Subject:
6.B.2.d.2. Nueces County Juvenile Detention Center;
 
Subject:
6.B.2.e. Funding for alcohol and drug abuse treatment programs:
Subject:
6.B.2.e.1. Cenikor (Charlie's Place); and
Subject:
6.B.2.e.2. Council on Alcohol and Drug Abuse;
 
Subject:
6.B.2.f. Funding for diabetes prevention and supporting programs; and
 
Subject:
6.B.2.g. Public health grants. (Finance Committee)
 
Subject:
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 2026 year to date. (Finance Committee)
 
Attachments:
Subject:
6.B.4. Receive Fiscal Year 2026 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)
 
Attachments:
Subject:
6.B.5. Receive statement of Fiscal Year 2026 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)
 
Attachments:
Subject:
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:
 
Attachments:
Subject:
6.B.6.a. Directed Payment Programs - IGTs to HHSC for Medicaid managed care payments to providers that promote Medicaid program goals and objectives:
Subject:
6.B.6.a.1. Aligning Technology by Linking Interoperable Systems for Client Health Outcomes Program (ATLIS);
Subject:
6.B.6.a.2. Comprehensive Hospital Increase Reimbursement Program (CHIRP);
Subject:
6.B.6.a.3. Network Access Improvement Program (NAIP); and
Subject:
6.B.6.a.4. Texas Incentives for Physicians and Professional Services (TIPPS); and
 
Subject:
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:
Subject:
6.B.6.b.1. Disproportionate Share Hospital (DSH);
Subject:
6.B.6.b.2. Graduate Medical Education (GME);
Subject:
6.B.6.b.3. Hospital Augmented Reimbursement Program (HARP); and
Subject:
6.B.6.b.4. Hospital Uncompensated Care (UC). (Finance Committee)
 
Subject:
6.B.7. Receive reports relating to Nueces Aid Program enrollment for the month-ended February 28, 2026:
Subject:
6.B.7.a. Total Persons and Households Enrolled;
Attachments:
Subject:
6.B.7.b. Enrollment Summary;
Attachments:
Subject:
6.B.7.c. Denials; 
Attachments:
Subject:
6.B.7.d. Application Processing Summary; and
Attachments:
Subject:
6.B.7.e. Enrollment by Zip Code. (Finance Committee)
 
Attachments:
Subject:
6.B.8. Receive information relating to U.S. Department of Health and Human Services (HHS) Poverty Guidelines:
Subject:
6.B.8.a. Annual update of the HHS Poverty Guidelines from Federal Register, Vol. 91, No. 10, January 15, 2026 pp. 1797-1798; and
Attachments:
Subject:
6.B.8.b. Prior HHS Poverty Guidelines and Federal Register References, 1982–2026. (INFORMATION)
 
Attachments:
Subject:
6.B.9. Receive notice of annual increase adjustments of Nueces Aid Program’s Eligibility Guidelines; adjustments effective March 1, 2026 for:
Attachments:
Subject:
6.B.9.a. Household Resources as required by Program’s Handbook Policy No. NA002, Attachment 2, Sections I-B, I-C-1, I-C-23, and I-F; and
Attachments:
Subject:
6.B.9.b. Household Income as required by Program’s Handbook Policy No. NA002, Attachment 4, Section I-F-3. (INFORMATION)
 
Attachments:
Subject:
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:
 
Subject:
6.C.1. Finance Committee:
 
Subject:
6.C.1.a. Financial Statements:
 
Subject:
6.C.1.a.1. Receive and approve unaudited financial statements for month and fiscal year-to-date February 28, 2026. (ACTION)
 
Attachments:
Subject:
6.C.2. Legislative Committee:
 
Subject:
6.C.2.a. Receive and discuss reports from Legislative Consultants. (INFORMATION)
 
Subject:
6.C.2.b. Discuss and consider amending the 90th Texas Legislative Session Agenda. (ACTION)
 
Attachments:
Subject:
6.C.3. Administrator's Briefing:
 
Subject:
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):
 
Subject:
6.C.3.a.1. Legislative Committee: April 28, 2026, 11:00 AM in NCHD Board of Managers Meeting Room at 555 North Carancahua Street, Room 950-A, Corpus Christi, Texas 78401; and
 
Subject:
6.C.3.a.2. Finance Committee: April 28, 2026, 11:30 AM in NCHD Board of Managers Meeting Room at 555 North Carancahua Street, Room 950-A, Corpus Christi, Texas 78401;
 
Subject:
6.C.3.a.3. Board of Managers: April 28, 2026, 12:00 PM in NCHD Board of Managers Meeting Room at 555 North Carancahua Street, Room 950-A, Corpus Christi, Texas 78401.  (INFORMATION)
 
Subject:
7.

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.
 
Subject:
7.A. Consult with attorneys regarding CPS Energy’s proposed tax-exemption settlement agreements related to the Barney Davis and Nueces Bay Power Plants and related matters.
 
Subject:
7.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.
 
Subject:
7.C. Consult with attorneys on matters related to CHRISTUS Spohn Health System Corporation Amended and Restated Membership Agreement and related matters.
 
Subject:
7.D. Consult with attorneys on matters related to indigent health care and related matters.
 
Subject:
7.E. Consult with attorneys on matters relating to uses of funds and related matters.
 
Subject:
7.F. Consult with attorneys on legal matters relating to medical education and related matters.
 
Subject:
7.G. Consult with attorneys on matters relating to support of medical education and related matters.
 
Subject:
8. OPEN MEETING - The Board will reconvene in open session following the Closed Meeting before taking action on Closed Meeting matters or adjourning.
 
Subject:
8.A. Discuss and consider taking final action, decision, or vote on matters deliberated in Closed Meeting. (ACTION AS NEEDED)
 
Subject:
9. ADJOURN
 
Subject:
10. Public Notice Posting Receipt
Attachments:

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