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. Board Chairman appoint members to standing Board Committees and appoint Committee Chairs; appointments pursuant to Board of Managers Bylaws, §2.5.A; consider appointment of members and Chairs from Chairman's nominations:

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' February 18, 2014 Regular Meeting.

5.A.2. Receive complete listing of vendors to date; 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 January 31, 2014 - April 30, 2014.

5.B.2. Receive revenue report relating to CHRISTUS Spohn Health System Corporation Membership Agreement; receive Membership Revenue Report for the fiscal year-to-date.

5.B.3. Receive summary payment information for the fiscal year-to-date period ended April 30, 2014:

5.B.3.a. Medical services at Nueces County juvenile detention facility;

5.B.3.b. Emergency medical services in unincorporated areas of Nueces County;

5.B.3.c. Supplemental funding for Nueces County Mental Health and Mental Retardation Center; and

5.B.3.d. Salaries, benefits, and supplies at Corpus Christi/Nueces County Public Health Department.

5.B.4. Receive summary report of intergovernmental transfers relating to the Texas Health and Human Service's Transformation and Quality Improvement 1115 Waiver Programs for fiscal year-to-date.

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

5.B.5.a. Quarterly Investment Report for fiscal quarter ended March 31, 2014; and

5.B.5.b. Interim Investment Transactions Report for period of April 1, 2014 - June 12, 2014.

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 March 31, 2014.

5.B.7. Ratify Calendar Year 2013 unreimbursed health care expenditure amounts submitted to the Texas Department of State Health Services for pro rata share distribution of Calendar Year 2013 income from the Tobacco Permanent Settlement Trust Account; expenditure submission pursuant to Texas Administrative Code, Title 25, Part 1, Chapter 102, Rules §102.1(b) and §102.3(a), (e)(2), and (f).

5.B.8. Receive information relating to the State Comptroller of Public Accounts' 2014 local and statewide pro rata distribution of Calendar Year 2013 income from the Tobacco Permanent Settlement Trust Account; distribution submission pursuant to Texas Administrative Code, Title 25, Part 1, Chapter 102, Rule §102.2.

5.B.9. Adopt Board of Managers Resolution relating to annual review of Hospital District's investment policy and investment strategies and adopting no changes to either the investment policy or investment strategies; annual review pursuant to Texas Government Code, §2256.005(e).

5.B.10. Adopt Board of Managers Resolution relating to annual review and adoption of Hospital District's listing of qualified broker/dealers authorized to engage in investment transactions effective August 1, 2014; annual list review and adoption pursuant to Texas Government Code, §2256.025.

5.C. Planning Committee:

5.C.1. Receive information relating to U.S. Department of Health and Human Services (DHHS) Poverty Guidelines:

5.C.1.a. Annual update of the DHHS Poverty Guidelines from Federal Register, Vol. 79, No. 14, January 22, 2014, pp. 3593 - 3594; and

5.C.1.b. Historical DHHS Poverty Guidelines, 1965 - 2013 from Table 3.E8, Annual Statistical Supplement to the Social Security Bulletin, 2013.

5.C.2. Receive notice of annual adjustment of Nueces Aid Program’s Eligibility Guidelines for Household Resources as required by Program’s Handbook Policy No. NA002, Attachment 2, Sections I-B, I-C-1, I-C-22, and I-F; resources guidelines increase adjustments effective March 1, 2014.

5.C.3. Receive notice of annual adjustment of Nueces Aid Program’s Eligibility Guidelines for Household Income as required by Program’s Handbook Policy No. NA002, Attachment 4, Section I-F-3; income guideline increase adjustment effective March 1, 2014.

5.C.4. Receive hospital 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 the calendar quarter ended March 31, 2014:

5.C.4.a. CHRISTUS Spohn Hospitals: Alice, Beeville, and Kleberg (Joint Report);

5.C.4.b. Corpus Christi Medical Center;

5.C.4.c. DeTar Healthcare System; and

5.C.4.d. Driscoll Children's Hospital.

5.C.5. Ratify Amendment No. 4 to June 12, 2012 Letter Agreement with Health Management Associates relating to support of Hospital District's Anchor Entity duties under the Texas Health and Human Services Commission's Transformation and Quality Improvement 1115 Waiver Program; Amendment to extend Letter Agreement to September 30, 2015 and revise charge and expense categorization procedures.

6. REGULAR AGENDA:

6.A. Planning Committee:

6.A.1. Receive update on implementation of amendments relating to adjustment of Nueces Aid Program Eligibility Guidelines Policy No. NA002, Attachment 4, Section F concerning Program Household Income Guidelines due to federal Health Insurance Marketplace Exchange income requirements; amendments adopted February 2014 for effect April 1, 2014; receive information relating to Administrator's postponed implementation of certain amendment provisions due to disparate income, hardship exemption, and other related definitions.  (INFORMATION)

6.A.2. Review preliminary listing of circumstances and/or factors relating to the potential re-purposing and material alteration of Hospital District-owned real property formerly known as Memorial Medical Center located at 2606 Hospital Boulevard, Corpus Christi, Texas; preliminary listing to provide basis for future Findings of Fact and Conclusions concerning the potential re-purposing and material alteration of Memorial Medical Center. (INFORMATION)

6.A.3. Adopt letter to CHRISTUS Spohn Health System Corporation requesting that Spohn publicize and conduct public meetings concerning the potential re-purposing and material alteration of Hospital District-owned real property formerly known as Memorial Medical Center located at 2606 Hospital Boulevard, Corpus Christi, Texas and to provide opportunities for public comment at such meetings.  (ACTION)

6.A.4. Authorize Board Chairman to negotiate and execute an Employment Agreement with the Administrator for the four-year term October 1, 2014 - September 30, 2018 and submit Agreement for ratification; Administrator's employment pursuant to Texas Health and Safety Code, §281.026. (ACTION)

6.B. Indigent Care Provider's Briefing:

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

6.B.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.B.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.C. Administrator's Briefing:

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

6.C.1.a. July 22, 2014 Meetings; times to be determined:

6.C.1.a.1. Quality Management Committee;

6.C.1.a.2. Planning Committee;

6.C.1.a.3. Finance Committee; and

6.C.1.a.4. Board of Managers.  (INFORMATION)

7. ADJOURN