2. ESTABLISHMENT OF QUORUM
 

3. CONSENT AGENDA:

3.A. Approve minutes of Board of Managers meetings:

3.A.1. December 10, 2018 Special Session; and

3.A.2. February 19, 2019 Regular Session.
 

3.B. Receive listing of new vendors as of May 31, 2019; listing pursuant to Board of Managers Bylaws, Article 2, §2.1 B and Texas Local Government Code, Chapter 176.
 

3.C. 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 quarter ended March 31, 2019:

3.C.1. CHRISTUS Spohn Health System Corporation Hospitals: Alice, Beeville, and Kleberg (Consolidated Report);

3.C.2. Corpus Christi Medical Center;

3.C.3. DeTar Healthcare System; and

3.C.4. Driscoll Children's Hospital.
 

3.D. Receive summary information on 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 April 30, 2019. (FINANCE COMMITTEE)
 

3.E. Receive summary payment information for current fiscal year-to-date:

3.E.1. Medical services at Nueces County juvenile detention facility;

3.E.2. Emergency medical services in unincorporated areas of Nueces County;

3.E.3. Supplemental funding for Behavioral Health Center of Nueces County; and

3.E.4. Salaries, benefits, and supplies at Corpus Christi/Nueces County Public Health Department. (FINANCE COMMITTEE)
 

3.F. Receive information on State Comptroller of Public Accounts' 2019 pro-rata distributions of Calendar Year 2018 income from Tobacco Permanent Settlement Trust Account; distributions pursuant to Texas Administrative Code, Title 25, Part 1, Chapter 102, Rule §102.2. (FINANCE COMMITTEE)
 

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

3.G.1. Annual update of the DHHS Poverty Guidelines from Federal Register, Vol. 84, No. 22, February 1, 2019, pp. 1167-1168; and

3.G.2. Prior DHHS Poverty Guidelines and Federal Register References 1982-2019.
 

3.H. Receive notice of annual increase adjustments of Nueces Aid Program’s Eligibility Guidelines; increases effective March 1, 2019 for:

3.H.1. 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

3.H.2. Household Income as required by Program’s Handbook Policy No. NA002, Attachment 4, Section I-F-3.
 

3.I. Ratify Administrator's action(s) performed as part of his duties directing the affairs of the Hospital District and/or as required by the Board of Managers; duties established pursuant to Texas Health and Safety Code, §281.026(e):

3.I.1. Issuance of Request for Applications for Depository and Banking Services for Services to commence October 1, 2019 (RFA-2019-01);

3.I.2. Submission of Calendar Year 2018 unreimbursed health care expenditure amounts to the Texas Department of State Health Services for pro-rata share distribution of Calendar Year 2018 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); and

3.I.3. Engagement of Bickerstaff Heath Delgado Acosta LLP for assistance on matters relating to offering and sale of Hospital District-owned properties.
 

4. REGULAR AGENDA:

4.A. Nueces County Judge:

4.A.1. In support of the County Judge's recently announced "5 for 5" Goal relating to better health outcomes, authorize issuance of Request for Applications, Proposals, or Qualifications for development of a County Health and Behavioral/Mental Health Improvement Plan, including preparation of an underlying Needs Assessment. (ACTION)
 

4.A.2. Receive information from County Judge on Nueces County's legislative agenda for the 86th (2019) Texas Session. (INFORMATION)
 

4.B. CHRISTUS Spohn Health System Leadership:

4.B.1. Introduce Osbert Blow, MD, PhD, FACS as newly announced President and Chief Medical Officer of CHRISTUS Spohn Health System. (INFORMATION)
 

4.C. Finance Committee:

4.C.1. Receive revenue reports relating to CHRISTUS Spohn Health System Corporation Membership Agreement for current fiscal year-to-date. (ACTION)
 

4.C.2. Receive monthly statement of escrow amounts deposited and/or 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; receive statements for months ended February 28 - April 30, 2019. (ACTION)
 

4.C.3. 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 year-to-date:

4.C.3.a. Texas Healthcare Transformation and Quality Improvement Program (Medicaid 1115 Waiver):

4.C.3.a.1. Delivery System Reform Incentive Payment (DSRIP) pool; and

4.C.3.a.2. Hospital Uncompensated Care (UC) pool.

4.C.3.b. Disproportionate Share Hospitals (DSH) program;

4.C.3.c. Network Access Improvement Program (NAIP); and

4.C.3.d. Uniform Hospital Rate Increase Program (UHRIP). (ACTION)
 

4.C.4. Receive and approve unaudited financial statements for months and fiscal year-to-date periods ended January 31 - April 30, 2019. (ACTION)
 

4.C.5. Receive and approve investment reports and ratify related investment transactions:

4.C.5.a. Quarterly Investment Report for fiscal quarter ended March 31, 2019; and

4.C.5.b. Report of interim investment transactions for period April 1, 2019 to date. (ACTION)
 

4.C.6. Adopt Board of Managers Resolution relating to annual review of investment policy and investment strategies; adopt changes to policy and strategies to be effective August 1, 2019; annual review and adoption pursuant to Texas Government Code, §2256.005(e). (ACTION)
 

4.C.7. Adopt Board of Managers Resolution relating to annual review and adoption of listing of qualified broker/dealers authorized to engage in investment transactions; adopt listing to be effective August 1, 2019; annual review and adoption pursuant to Texas Government Code, §2256.025. (ACTION)
 

4.D. Other Business:

4.D.1. Receive information on selected legislation resulting from the 86th (2019) Texas Legislative Session:

4.D.1.a. Senate Bill 2: Property tax reform, ad valorem taxation, and roll back tax rates;

4.D.1.b. Senate Bill 2315: Hospital provider-funded Local Provider Participation Fund (Local Bill); and

4.D.1.c. House Bill 4289: Hospital provider-funded Local Provider Participation Fund (Statewide Bill). (INFORMATION)
 

4.D.2. Receive briefing on Supreme Court of Texas Case No. 18-0660, In Re Occidental Chemical Corporation, Oxy Ingleside Energy Center, LLC, Oxy Ingleside LPG Terminal LLC, and Oxy Ingleside Oil Terminal LLC, Realtors, On Petition for Writ of Mandamus; relates to shoreline boundary on Corpus Christi Bay and tax payments. (INFORMATION)
 

4.D.3. Receive update from CHRISTUS Spohn Health System Corporation relating to operation, construction, transition, planning, and/or demolition activities pursuant to Sections 3.5 and 3.9 of Amended and Restated Schedule 1 to Spohn Membership Agreement, as schedule to CHRISTUS Spohn Health System Corporation Amended and Restated Membership Agreement:

4.D.3.a. Operations of Dr. Hector P. Garcia - Memorial Family Health Center located on Hospital District-owned property at 2606 Hospital Boulevard, Corpus Christi, Texas;

4.D.3.b. Construction and/or demolition activities at CHRISTUS Spohn Hospital Corpus Christi-Shoreline located at 600 Elizabeth Street, Corpus Christi, Texas;

4.D.3.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

4.D.3.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) 
 

4.D.4. Receive report from Nueces Center for Mental Health and Intellectual Disabilities (NCMHID) on activities performed under Interlocal Agreement between Nueces County, NCMHID, and Hospital District relating to diversion of persons from jails or other detention facilities, provision of crisis intervention teams, expansion of mobile crisis outreach, and development of jail-based competency restoration.  (INFORMATION)
 

4.E. Indigent Care Provider's Briefing:

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

4.E.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

4.E.1.b. Programs, projects, and/or activities at CHRISTUS Spohn Hospital Corpus Christi-Memorial and other Hospital District-owned facilities and related matters.  (INFORMATION) 
 

4.F. Administrator's Briefing:

4.F.1. Next Scheduled Board of Managers and Board Committee meetings (all meetings, dates, and times shown are tentative):

4.F.1.a. Board Meeting:  July 23, 2019; meeting time to be determined; and

4.F.1.b. Board Committee Meetings: July 23, 2019; meeting times to be determined:

4.F.1.b.1. Planning Committee;

4.F.1.b.2. Finance Committee; and 

4.F.1.b.3. Quality Management Committee. (INFORMATION) 
 

5. CLOSED MEETING - Public notice is hereby given that the Board of Managers may elect to go into closed meeting session(s) at any time during the meeting to discuss any matter(s) listed on the agenda, when so authorized by the provisions of the Open Meetings Act, Texas Government Code, Chapter 551; the Texas Health and Safety Code, Chapter 161, §161.031, §161.0315, and §161.032; and the Texas Occupations Code, Chapters 151 and 160; and that the Board specifically expects to go into a closed session(s) on the matters listed below. In the event the Board elects to go into closed session(s) regarding an agenda item(s), the section(s) of the Open Meetings Act authorizing the closed session will be publicly announced by the presiding officer. Should any final action, final decision, or final vote be required in the opinion of the Board with regard to any matter considered in closed session(s), then the final action, final decision, final vote shall be either: (a) in the open meeting covered by the Notice upon reconvening of the public meeting; or (b) at a subsequent public meeting of the Board upon notice thereof, as the Board shall determine pursuant to applicable laws.
 

5.A. Consult with attorneys on matters relating to litigation against opioid drug manufacturers, promoters, and distributers responsible for causing and contributing to an epidemic of opioid addiction in Nueces County, including but not limited to Purdue Pharma, Endo Pharmaceuticals, Janssen Pharmaceuticals, Insys Therapeutics, the McKesson Corporation, Cardinal Health and AmerisourceBergen for violations of the DTPA, fraud, unjust enrichment, negligence, violations of the federal Controlled Substances Act, civil conspiracy and any other related causes of action, and related matters; consultation pursuant to Open Meetings Act, Texas Government Code, §551.071.
 

6. OPEN MEETING
 

7. Consider action on item(s) covered during Closed Meeting. (ACTION AS NEEDED)
 

8. ADJOURN
 

9. Nueces County Clerk posting receipt for this meeting.