2. ESTABLISHMENT OF QUORUM

3. PUBLIC COMMENT - Persons wishing to comment 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 Board meeting.  See the "Public Comment" section of the preceding General Information page for additional Public Comment-related information.

4. CONSENT AGENDA:  The following Consent Agenda items consist of those agenda items which are routine, non-controversial, or administrative in nature, and which a member of the Board or a citizen 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.  The Consent Agenda items follow.

4.A. Approve minutes of Board of Managers' April 9, 2013 Regular Meeting. [Board of Managers]

4.B. Receive listing of new vendors as of July 18, 2013; listing related and pursuant to provisions of Board of Managers Bylaws, §2.1.B and Texas Local Government Code, Chapter 176. [Board of Managers]

4.C. Receive unaudited financial statements for the months and fiscal year-to-date periods ended:

4.C.1. March 31, 2013;

4.C.2. April 30, 2013; and

4.C.3. May 31, 2013.  [Finance Committee]

4.D. Receive revenue report relating to CHRISTUS Spohn Health System Corporation Membership Agreement; receive Membership Revenue Report for fiscal year-to-date period ended June 30, 2013. [Finance Committee]

4.E. Receive summary payment information for fiscal year-to-date period ended June 30, 2013:

4.E.1. Medical services at Nueces County juvenile detention facility;

4.E.2. Emergency medical services in unincorporated areas of Nueces County;

4.E.3. Supplemental funding for Nueces County Mental Health and Mental Retardation Center; and

4.E.4. Salaries, benefits, and supplies at Corpus Christi/Nueces County Public Health Department. [Finance Committee]

4.F. Receive summary report of intergovernmental transfers relating to the Texas Health and Human Service Commission's Medicaid Disproportionate Share, Upper Payment Limit, and Transformation and Quality Improvement 1115 Waiver Programs for fiscal year-to-date period ended June 30, 2013. [Finance Committee]

4.G. Receive Quarterly Investment Reports for fiscal quarters ended:

4.G.1. March 31, 2013; and

4.G.2. June 30, 2013.  [Finance Committee]

4.H. Receive summary information relating to medical and hospital care provided to the Nueces Aid population consistent with the Indigent Care Agreement and the CHRISTUS Spohn Health System Corporation Membership Agreement:

4.H.1. Imputed Claims Experience for calendar year-to-date period ended June 30, 2013. [Finance Committee]

4.I. Receive information relating to the State Comptroller of Public Accounts' 2013 local and statewide pro rata distribution of Calendar Year 2012 income from the Tobacco Permanent Settlement Trust Account; distribution pursuant to Texas Administrative Code, Title 25, Part 1, Chapter 102, Rule §102.2. [Finance Committee]

4.J. Receive providers' reports relating to certain Indigent Care Affiliation Agreements associated with the Hospital District's participation in the Texas Healthcare Transformation and Quality Improvement Program Medicaid 1115 Waiver; receive providers' reports for calendar quarter ended March 31, 2013:

4.J.1. CHRISTUS Spohn Hospitals: Alice, Beeville, and Kleberg (Joint Report);

4.J.2. Corpus Christi Medical Center;

4.J.3. DeTar Healthcare System; and

4.J.4. Driscoll Children's Hospital. [Planning Committee]

5. REGULAR AGENDA:

5.A. Finance Committee:

5.A.1. Ratify Second Amendment to Lease Agreement with T2 Building, LP relating to Tower II Office Building lease extension; lease extension term 60 months with optional termination after 36 months. (ACTION)

5.A.2. Adopt Board of Managers' Resolution relating to annual review of the investment policy and investment strategy and adopting no changes to the policy and strategy; review pursuant to Texas Government Code, §2256.005(e).  (ACTION)

5.A.3. Adopt Board of Managers' Resolution relating to review and adoption of listing of qualified broker/dealers authorized to engage in investment transactions effective August 1, 2013; list review and adoption pursuant to Texas Government Code, §2256.025.  (ACTION)

5.B. Planning Committee:

5.B.1. Ratify Interlocal Agreement with Texas Health and Human Services Commission (HHSC) relating to intergovernmental transfers under the Texas Healthcare Transformation and Quality Improvement Program Medicaid 1115 Waiver organized by HHSC. (ACTION)

5.B.2. Receive update on the Regional Healthcare Partnership (RHP) created by the Texas Healthcare Transformation and Quality Improvement Program Medicaid 1115 Waiver organized by the Texas Health and Human Services Commission; receive information on initial federal review findings for proposed RHP 4 projects.  (INFORMATION)

5.B.3. Receive briefing on Nueces County Hospital District legislation in 83rd Texas Legislative Session (Regular):

5.B.3.a. S.B. 1863 relating to use of funds for Medicaid-related intergovernmental transfers.  (INFORMATION)

5.C. Indigent Care Provider's Briefing:

5.C.1. Receive and discuss information from CHRISTUS Spohn Health System Corporation (Provider) relating to:

5.C.1.a. Medical aid and hospital care provided to the Nueces Aid population consistent with the Indigent Care Agreement and the CHRISTUS Spohn Health System Corporation Membership Agreement and related matters; and

5.C.1.b. Programs, projects, and/or activities at CHRISTUS Spohn Hospital Corpus Christi - Memorial and other Hospital District-owned facilities and related matters.  (INFORMATION)

5.D. Administrator's Briefing:

5.D.1. Next Scheduled Board and Committee Meetings:

5.D.1.a. To Be Announced for August 2013:

5.D.1.a.1. Adopt Fiscal Year 2013-2014 Operating Budget and related matters.

5.D.1.b. Tuesday, September 24, 2013:

5.D.1.b.1. Finance Committee at 5:30 PM;

5.D.1.b.2. Planning Committee at 6:00 PM; and

5.D.1.b.3. Board of Managers at 6:30 PM. (INFORMATION)

6. ADJOURN