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 January 10, 2017; and

4.A.1.b. Special Meetings of February 28, 2017; April 20, 2017; and May 16, 2017.
 

4.A.2. Receive listing of new vendors as of June 15, 2017 pursuant to Board of Managers Bylaws, §2.1.B and Texas Local Government Code, Chapter 176.
 

4.A.3. Receive hospital providers' quarterly reports relating to certain Indigent Care Affiliation Agreements associated with participation in the Texas Healthcare Transformation and Quality Improvement Program Medicaid 1115 Waiver for the calendar quarters ended December 31, 2016 and March 31, 2017.

4.A.3.a. CHRISTUS Spohn Health System Corporation Hospitals (Joint Report): Alice, Beeville, and Kleberg;

4.A.3.b. Corpus Christi Medical Center;

4.A.3.c. DeTar Healthcare System; and

4.A.3.d. Driscoll Children's Hospital.
 

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

4.A.4.a. Annual update of the DHHS Poverty Guidelines from Federal Register, Vol. 82, No. 19, January 31, 2017, pp. 8831-8832; and

4.A.4.b. Prior DHHS Poverty Guidelines and Federal Register References, 1982 - 2017.
 

4.A.5. Receive notice of annual increase adjustments of Nueces Aid Program’s Eligibility Guidelines; increases effective March 1, 2017 for:

4.A.5.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.A.5.b. Household Income as required by Program’s Handbook Policy No. NA002, Attachment 4, Section I-F-3.
 

4.A.6. Ratify Administrator's action(s) performed as part of his duties required by the Board of Managers; duties established pursuant to Texas Health and Safety Code, §281.026(e):

4.A.6.a. Submission of Calendar Year 2016 unreimbursed health care expenditure amounts to the Texas Department of State Health Services for pro-rata share distribution of Calendar Year 2016 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.A.6.b. Renewal of Engineering Services Agreement with Hanson Professional Services (formerly 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 warranty work relating to new ambulatory health center and eventual removal of the hospital complex buildings located on the campus; renewal for the period October 1, 2017 - September 30, 2018; renewal exercises second of three one-year renewal options pursuant to Section 4.2 of Agreement; and

4.A.6.c. Renewal of Information Technology Management and Support Services Agreement with Southern Networks for the term October 1, 2017 - September 30, 2018 with two additional one-year renewal options. (By Separate Cover).
 

4.B. Finance Committee:

4.B.1. Receive unaudited financial statements for the month and fiscal year-to-date periods ended December 31, 2016 - April 30, 2017.
 

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

4.B.2.a. Quarterly Investment Reports for fiscal quarters ended December 31, 2016 and March 31, 2017.
 

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:

4.B.4.a. Calendar Year ended December 31, 2016; and

4.B.4.b. Calendar Year-to-date ended April 30, 2017.
 

4.B.5. Receive summary payment information for current fiscal year-to-date:

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

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

4.B.5.c. Supplemental funding for Behavioral Health Center of Nueces County; and

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

4.B.6. Receive summary report of intergovernmental transfers made in support of local and other healthcare providers participating in Medicaid supplemental payment programs sponsored by the Texas Health and Human Commission for current fiscal year-to-date:

4.B.6.a. Texas Healthcare Transformation and Quality Improvement Program (Medicaid 1115 Waiver):

4.B.6.a.1. Hospital Uncompensated Care (UC) pool; and

4.B.6.a.2. Delivery System Reform Incentive Payment (DSRIP) pool.

4.B.6.b. Disproportionate Share Hospitals (DSH) program; and

4.B.6.c. Network Access Improvement Program (NAIP).
 

4.B.7. Receive information on State Comptroller of Public Accounts' 2017 pro-rata distributions of Calendar Year 2016 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.8. 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.9. 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, 2017; annual review and list adoption pursuant to Texas Government Code, §2256.025.
 

4.B.10. Receive monthly statement(s) of escrow amounts deposited and withdrawn by CHRISTUS Spohn Health System Corporation; deposits pursuant to and consistent with Section 3.9.7 of Amended and Restated Schedule 1 to Spohn Membership Agreement, a schedule to CHRISTUS Spohn Health System Corporation Amended and Restated Membership Agreement, and Attachment B, Paragraph 9 of Amended and Restated Memorandum of Understanding; receive statement(s) for the month May 2017.
 

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. Operations 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;

5.A.1.c. Transition of certain 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; and

5.A.1.d. 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 Hanson Professional Services Inc. on warranty and other work and actvities at the Dr. Hector P. Garcia - Memorial Family Health Center building located on Hospital District-owned property at 2606 Hospital Boulevard, Corpus Christi, Texas. (INFORMATION) 
 

5.B. Finance Committee:

5.B.1. Receive update on implementation of the Texas Health and Human Services Commission's HHSC Uniform Hospital Rate Increase Program (UHRIP) established for the purpose of increasing Medicaid managed care organization payments to certain classes of hospitals for services provided within HHSC's Medicaid managed-care service delivery areas. (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 Program population consistent with 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 of Managers and Board Committee meetings (all dates and times tentative):

5.D.1.a. Board Meeting:  July 25, 2017; meeting start time to be determined; and

5.D.1.b. Board Committee Meetings: July 25, 2017; meeting start times to be determined:

5.D.1.b.1. Planning Committee;

5.D.1.b.2. Finance Committee; and 

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

6. ADJOURN