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. BOARD CHAIRMAN:

4.A. Appoint Board of Managers members to standing Board Committees and appoint Committee Chairs; appointments pursuant to Board of Managers Bylaws, Section 2.5:

4.A.1. Finance Committee;

4.A.2. Planning Committee; and

4.A.3. Quality Improvement Committee.  (ACTION)

5. CONSENT AGENDA:

5.A. Board of Managers:

5.A.1. Approve minutes of Board of Managers meetings:

5.A.1.a. Regular Meeting of July 23, 2013; and

5.A.1.b. Special Meetings of August 27, 2013 and October 8, 2013.

5.A.2. Receive complete listing of vendors as of February 12, 2014; listing pursuant to provisions of Board of Managers Bylaws, §2.1.B and Texas Local Government Code, Chapter 176.

5.B. Finance Committee:

5.B.1. Receive unaudited financial statements for the months and fiscal year-to-date periods ended June 30, 2013 - December 31, 2013.

5.B.2. Receive summary payment information for Fiscal Year 2014 to-date:

5.B.2.a. Emergency medical services in unincorporated areas of Nueces County;

5.B.2.b. Medical services at Nueces County juvenile detention facility;

5.B.2.c. Supplemental funding for Nueces County Mental Health and Mental Retardation Center; and

5.B.2.d. Salaries, benefits, and supplies at Corpus Christi/Nueces County Public Health Department.
 

5.B.3. Receive summary report of intergovernmental transfers relating to the Texas Health and Human Service Commission's Transformation and Quality Improvement 1115 Waiver Program as of January 31, 2014.

5.B.4. Receive investment reports and ratify related investment transactions:

5.B.4.a. Quarterly Investment Report for fiscal quarter ended September 30, 2013;

5.B.4.b. Annual Investment Report for fiscal year ended September 30, 2013;

5.B.4.c. Quarterly Investment Report for fiscal quarter ended December 31, 2013; and

5.B.4.d. Interim Investment Transactions Report for January 1, 2014 - February 14, 2014.
 

5.B.5. Receive revenue report relating to Christus Spohn Health System Corporation Membership Agreement; receive Membership Revenue Report for Fiscal Year 2014 to-date.
 

5.B.6. 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:

5.B.6.a. Imputed Claims Experience for calendar year-to-date ended December 31, 2013.
 

5.C. Planning Committee:

5.C.1. Receive hospital providers' quarterly 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:

5.C.1.a. Christus Spohn Hospitals (Joint Report): Alice, Beeville, and Kleberg: June 30, 2013; September 30, 2013; and December 31, 2013;

5.C.1.b. Corpus Christi Medical Center: June 30, 2013;

5.C.1.c. DeTar Healthcare System: June 30, 2013 and December 31, 2013; and

5.C.1.d. Driscoll Children's Hospital: June 30, 2013; September 30, 2013; and December 31, 2013.
 

5.C.2. Ratify award of RFP No. 2013-02 for Pharmacy Benefit Administrative Services and related Agreement.

5.C.3. Amend Enrollment Department Policy No. ED004 relating to Administrative Disqualification Hearings and Appeals; Amendment updates general Policy statement, expands Rules & Procedure section, and revises related Policy attachments; amendment effective February 19, 2014.

6. REGULAR AGENDA:

6.A. Finance Committee:

6.A.1. Approve Annual Financial Report on Hospital District's financial statements for fiscal year ended September 30, 2013 from Collier, Johnson & Woods, P.C., Certified Public Accountants.  (ACTION)

6.B. Planning Committee:

6.B.1. Approve and confirm Nueces County Commissioners Court's nomination of Mr. Richard L. Bowers to the Christus Spohn Health System Board of Trustees for a three-year term ending December 2016.  (ACTION)

6.B.2. Amend Nueces Aid Program’s Eligibility Guidelines Policy No. NA002, Attachment 4, Section F relating to Program Household Income Guidelines effective April 1, 2014; amendments relate to federal Patient Protection and Affordable Care Act, Public Law 111-148 (Act):

6.B.2.a. Amend Paragraph 3 to reduce upper limit of Program's Eligibility Income Guidelines for Financial Assistance (Gross Household Income Table) from 150% to 138% (133% plus 5% of individual's income disregarded) of Federal Poverty Guidelines, reduction due to availability of cost-sharing and/or premium subsidies; and

6.B.2.b. Add new Paragraph 4 relating to Eligibility Income Guidelines for Financial Assistance and requiring hardship exemption (exemption from personal responsibility requirements) for Program applicant income levels between 101% and 138% of Federal Poverty Guidelines; hardship exemption described under Act, Section 1311(d)(4)(H) and admissible demonstration of hardship exemption via:

6.B.2.b.1. Health Insurance Marketplace Exchange website (http://www.healthcare.gov) operated by the U.S. Centers for Medicare & Medicaid Services; 

6.B.2.b.2. Subsidy Calculator for Premium Assistance for Coverage in Exchanges website (http://kff.org/interactive/subsidy-calculator/) operated by the Henry J. Kaiser Family Foundation; or

6.B.2.b.3. Other publicly-available website(s) as may be designated from time-to-time by the Administrator. (ACTION)
 

6.B.3. Authorize the Administrator to temporarily modify and/or postpone any or all portions of the Policy No. NA002 amendments approved under Agenda Item 6.B.2. above for reasonable cause taking into account the ongoing interpretation, implementation, and/or application of related portions of the federal Patient Protection and Affordable Care Act, Public Law 111-148 and state law. (ACTION)

6.C. Indigent Care Provider's Briefing:

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

6.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

6.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)

6.D. Administrator's Briefing: 

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

6.D.1.a. March 25, 2014 Meetings:

6.D.1.a.1. Planning Committee at 5:30 PM;

6.D.1.a.2. Finance Committee at 6:15 PM;

6.D.1.a.3. Quality Committee at 7:00 PM; and

6.D.1.a.4. Board of Managers at 7:45 PM.  (INFORMATION)

7. CLOSED MEETING - See the "Closed Meeting" section of the preceding General Information page for additional Closed Meeting-related information.

7.A. Consult with attorneys pursuant to Open Meetings Act, Texas Government Code, §551.071:
 

7.A.1. Matters related to Hospital District's obligations to and provision of indigent health care services under state law and federal Patient Protection and Affordable Care Act, Public Law 111-148.
 

7.A.2. Matters related to Hospital District-owned real property described in Christus Spohn Health System Corporation Membership Agreement and related schedules, September 2012 Amendment to Lease Agreement, and other related agreements between the parties.
 

7.A.3. Matters related to Christus Spohn Health System Corporation Membership Agreement, Schedule 1, Section 3.8.6 relating to material alteration of Hospital District-owned real property located at 2606 Hospital Boulevard, Corpus Christi, Texas.
 

8. OPEN MEETING:

8.A. Discuss final action, decision, or vote on matters deliberated in Closed Meeting. (ACTION AS NEEDED)
 

9. ADJOURN