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; commenters shall limit their comments to three (3) minutes.

4. CONSENT AGENDA:

4.A. Board of Managers:

4.A.1. Approve minutes of Board of Managers meetings.

4.A.1.a. Regular Meeting of February 19, 2016; and

4.A.1.b. Special Meeting of May 25, 2016.
 

4.A.2. Receive listing of new vendors as of June 23, 2016; vendor listing pursuant to Board of Managers Bylaws, §2.1.B and Texas Local Government Code, Chapter 176.
 

4.B. Finance Committee:

4.B.1. Receive unaudited financial statements for the month and fiscal year-to-date periods ended January 1, 2016 - April 30, 2016.
 

4.B.2. Receive investment reports and ratify related investment transactions:

4.B.2.a. Quarterly Investment Report for fiscal quarter ended March 31, 2016; and

4.B.2.b. Interim Investment Transactions Report for period of April 1, 2016 to present.
 

4.B.3. Receive revenue report relating to CHRISTUS Spohn Health System Corporation Membership Agreement for current fiscal year-to-date.
 

4.B.4. Receive summary information relating to medical and hospital care provided to the Nueces Aid population consistent with the CHRISTUS Spohn Health System Corporation Membership Agreement for calendar year-to-date ended May 31, 2016.
 

4.B.5. Receive fiscal year-to-date summary report of intergovernmental transfers made in support of local and other providers participating in supplemental payment programs sponsored by the Texas Health and Human Commission, including:

4.B.5.a. Texas Healthcare Transformation and Quality Improvement Program:

4.B.5.a.1. Hospital Uncompensated Care (UC) pool; and

4.B.5.a.2. Delivery System Reform Incentive Payment (DSRIP) pool.

4.B.5.b. Disproportionate Share Hospitals (DSH) program.
 

4.B.6. Receive summary payment information for current fiscal year-to-date:

4.B.6.a. Medical services at Nueces County juvenile detention facility;

4.B.6.b. Emergency medical services in unincorporated areas of Nueces County;

4.B.6.c. Supplemental funding for Behavioral Health Center of Nueces County; and

4.B.6.d. Salaries, benefits, and supplies at Corpus Christi/Nueces County Public Health Department.
 

4.B.7. Adopt Board of Managers Resolution relating to annual review of investment policy and investment strategies and adopting no changes to either the policy or strategies; annual review pursuant to Texas Government Code, §2256.005(e).
 

4.B.8. Adopt Board of Managers Resolution relating to annual review and adoption of listing of qualified broker/dealers authorized to engage in investment transactions; adopted list to be effective August 1, 2016; annual review and list adoption pursuant to Texas Government Code, §2256.025.
 

4.B.9. Ratify Calendar Year 2015 unreimbursed health care expenditure amounts submitted to the Texas Department of State Health Services for pro-rata share distribution of Calendar Year 2015 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).
 

4.B.10. Receive information on State Comptroller of Public Accounts' 2016 pro-rata distributions of Calendar Year 2015 income from the Tobacco Permanent Settlement Trust Account; distributions pursuant to Texas Administrative Code, Title 25, Part 1, Chapter 102, Rule §102.2.
 

4.B.11. Ratify May 25, 2016 letter relating to the CHRISTUS Spohn Health System Corporation Membership Agreement-related annual Member Revenue Allocation Percentage for the fiscal year October 1, 2016 - September 30, 2017; Allocation Percentage established pursuant to Membership Agreement, Section 7.03(a).
 

4.B.12. Receive information on escrow amounts deposited by CHRISTUS Spohn Health System Corporation consistent with Section 3.9.7 of Amended and Restated Schedule 1, a schedule to CHRISTUS Spohn Health System Corporation Amended and Restated Membership Agreement; information for period May 1, 2016 - May 31, 2016.
 

4.C. Planning Committee:

4.C.1. Receive hospital providers' reports relating to certain Indigent Care Affiliation Agreements associated with participation in the Medicaid 1115 Waiver-related Texas Healthcare Transformation and Quality Improvement Program; receive providers' reports for the calendar quarter ended March 31, 2016:

4.C.1.a. CHRISTUS Spohn Health System Hospitals: Alice, Beeville, and Kleberg (Joint Report);

4.C.1.b. Corpus Christi Medical Center;

4.C.1.c. DeTar Healthcare System; and

4.C.1.d. Driscoll Children's Hospital.

4.C.2. Receive information relating to U.S. Department of Health and Human Services (DHHS) Poverty Guidelines:

4.C.2.a. Annual update of the DHHS Poverty Guidelines from Federal Register, Vol. 81, No. 15, January 25, 2016, pp. 4036 - 4037; and

4.C.2.b. Prior DHHS Poverty Guidelines, 1982 - 2015.
 

4.C.3. Receive notice of annual increase adjustments of Nueces Aid Program’s Eligibility Guidelines; increases effective March 1, 2016 for:

4.C.3.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

4.C.3.b. Household Income as required by Program’s Handbook Policy No. NA002, Attachment 4, Section I-F-3.
 

4.C.4. Ratify Amendment No. 6 to June 12, 2012 Letter Agreement with Health Management Associates relating to support of Anchor Entity responsibilities under the Medicaid 1115 Waiver-related Texas Health and Human Services Commission's Transformation and Quality Improvement Program; Amendment extends Letter Agreement to September 30, 2017 and adjusts related fees.
 

4.C.5. Ratify renewal of Pharmacy Benefit Administrative Services Agreement with Script Care, Limited for the period January 1, 2016 - December 31, 2016; renewal exercises second of two one-year renewal options pursuant to Section 22.2 of Agreement.
 

4.C.6. Ratify renewal of Engineering Services Agreement with Naismith Engineering, Inc. for owner's representative services relating to Christus Spohn Health System Corporation-paid activities on the Christus Spohn Hospital Corpus Christi-Memorial campus located at 2606 Hospital Boulevard, Corpus Christi, Texas 78405, including construction of a new ambulatory health center and eventual removal of the hospital complex buildings located on the campus; renewal for the period October 1, 2016 - September 30, 2017; renewal exercises first of three one-year renewal options pursuant to Section 4.2 of Agreement.
 

4.C.7. Ratify Easement and Right-of-Way Agreement with AEP Texas Central Company relating to provision of electrical power to and construction of Dr. Hector P. Garcia-Memorial Family Health Center located on Hospital District-owned property at 2606 Hospital Boulevard, Corpus Christi, Texas.
 

5. REGULAR AGENDA:

5.A. Board of Managers:

5.A.1. Receive update from CHRISTUS Spohn Health System Corporation relating to planning, construction, and/or demolition activities associated with September 10, 2014 Letter of Intent Regarding Material Alteration Notice:

5.A.1.a. Construction of Dr. Hector P. Garcia-Memorial Family Health Center located on Hospital District-owned property at 2606 Hospital Boulevard, Corpus Christi, Texas;

5.A.1.b. Construction and/or demolition activities at CHRISTUS Spohn Hospital Corpus Christi-Shoreline located at 600 Elizabeth Street, Corpus Christi, Texas; and

5.A.1.c. Planning orderly transition of services from Hospital District-owned hospital presently known as CHRISTUS Spohn Hospital Corpus Christi-Memorial (formerly known as Memorial Medical Center) located at 2606 Hospital Boulevard to CHRISTUS Spohn Hospital Corpus Christi-Shoreline located at 600 Elizabeth Street, both facility locations in Corpus Christi, Texas. (INFORMATION) 
 

5.A.2. Receive Owner's Representative update from Naismith Engineering, Inc. on construction of Dr. Hector P. Garcia-Memorial Family Health Center located on Hospital District-owned property at 2606 Hospital Boulevard, Corpus Christi, Texas. (INFORMATION) 
 

5.B. Finance Committee:

5.B.1. Receive update report on progress of Medicaid Network Access Improvement Program (NAIP) intergovernmental transfer responsibility agreement with Texas Health & Human Services Commission to facilitate CHRISTUS Spohn Hospital Corpus Christi's participation in NAIP during the term September 1, 2016 - August 31, 2017.   (INFORMATION)
 

5.C. Planning Committee:

5.C.1. Receive information relating to 15-month temporary extension of Medicaid 1115 Waiver-related Texas Healthcare Transformation and Quality Improvement Program sponsored by the Texas Health and Human Services Commission; Waiver extension effective through December 31, 2017.  (INFORMATION)
 

5.D. Indigent Care Provider's Briefing:

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

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

5.D.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.E. Administrator's Briefing:

5.E.1. Next Scheduled Board of Managers and Board Committee meetings (all dates and times tentative):

5.E.1.a. Board of Managers Meetings: 

5.E.1.a.1. Budget Meeting: August or September 2016, Specific date and time to be announced; and

5.E.1.a.2. Regular Meeting: September 27, 2016; meeting start time to be announced.

5.E.1.b. Board Committee Meetings: September 27, 2016; meeting start times to be announced:

5.E.1.b.1. Planning Committee;

5.E.1.b.2. Finance Committee; and 

5.E.1.b.3. Quality Management Committee. (INFORMATION) 
 

6. ADJOURN