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. REGULAR AGENDA:

4.A. Approve Board of Managers Order granting an discretionary exemption from the competitive bidding and competitive proposal requirements of Texas Local Government Code, §262.023 for the purpose of acquiring professional services for development of the Regional Healthcare Partnership, Region 4 Plan and for related matters as required by the Texas Healthcare Transformation and Quality Improvement Program Medicaid 1115 Waiver organized by the Texas Health and Human Services Commission; discretionary exemption grant pursuant to Local Government Code, §262.024(a)(4).  (ACTION)

4.B. Authorize the Administrator to negotiate and execute a professional services agreement with Health Management Associates in an amount not exceed $450,000 for development of the Regional Healthcare Partnership, Region 4 Plan and for related matters as required by the Texas Healthcare Transformation and Quality Improvement Program Medicaid 1115 Waiver organized by the Texas Health and Human Services Commission. (ACTION)

4.C. Ratify Interlocal Agreement with The University of Texas Medical Branch at Galveston to provide supplemental indigent healthcare services for the one-year period September 1, 2013 through August 31, 2014.  (ACTION)

4.D. Adopt Calendar Year 2014 meeting schedule for Board of Managers and Board Committee meetings. (ACTION)

4.E. Finance Committee:

4.E.1. Receive information related to Nueces County Hospital District's performance of Anchor Entity duties under the Regional Healthcare Partnership (RHP) created by the Texas Healthcare Transformation and Quality Improvement Program Medicaid 1115 Waiver; receive summary information relating to reimbursement for RHP 4 Anchor Entity duties. (INFORMATION)

4.E.2. Ratify Letter Agreement relating to the Christus Spohn Health System Corporation Membership Agreement-related annual Member Revenue Allocation Percentage for the period October 1, 2013 - September 30, 2014; Allocation Percentage established pursuant to Membership Agreement, Section 7.03(a). (ACTION)

4.E.3. Adopt Board of Managers Resolution committing a fiscal year-end General Fund amount to the subsequent fiscal year for unpaid Texas Healthcare Transformation and Quality Improvement Program 1115 Waiver-related intergovernmental transfers.  (ACTION)

4.E.4. Adopt Board of Managers Resolutions relating to the Nueces County Hospital District's Fiscal Year 2014 Annual Budget for the fiscal year October 1, 2013 - September 30, 2014:

4.E.4.a. Adopt Resolution approving supplemental funding in the Annual Budget for the Behavioral Health Center of Nueces County (formerly Nueces County Mental Health and Mental Retardation Community Center) and approving related matters;

4.E.4.b. Adopt Resolution approving funding in the Annual Budget for certain Nueces County-related healthcare expenditures and approving related matters; and

4.E.4.c. Adopt Resolution approving Nueces County Hospital District's Fiscal Year 2014 Annual Budget, approval pursuant to Texas Health and Safety Code, §281.091(b); Annual Budget comprised of:

4.E.4.c.1. Operating Budget; and

4.E.4.c.2. Capital Budget. (ACTION)

5. ADJOURN