2. ESTABLISHMENT OF QUORUM
 

3. PUBLIC COMMENT - Persons wishing to comment on any item(s) on the agenda or any subject within the Board's responsibilities 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 meeting. Commenters shall limit their comments to three (3) minutes, except that Commenters addressing the Board through a translator shall limit their comments to six (6) minutes. See the "Public Comment" section of the preceding General Information page for additional information.
 

4. CONSENT AGENDA - See the "Consent Agenda" section of the preceding General Information page for an explanation of the Consent Agenda and for additional information.

4.A. Confirm posting of meeting's public notice.
 

4.B. Approve minutes of Board of Managers November 18, 2019 Regular Meeting.
 

4.C. Receive listing of new vendors as of December 12, 2019; listing provided pursuant to Board of Managers Bylaws, Article 2, §2.1 B and Texas Local Government Code, Chapter 176.
 

4.D. Receive revenue reports relating to CHRISTUS Spohn Health System Corporation Membership Agreement for fiscal year-to-date. (Finance Committee)
 

4.E. Receive summary payment information on Nueces County health care disbursements for Fiscal Year 2020 year-to-date:

4.E.1. Salaries, benefits, supplies, and intergovernmental transfers at/for Corpus Christi/Nueces County Public Health Department;

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

4.E.3. Supplemental and jail diversion program funding for Nueces Center for Mental Health and Intellectual Disabilities;

4.E.4. Medical services provided at County correctional facilities:

4.E.4.a. Nueces County Jail; and

4.E.4.b. Nueces County Juvenile Detention Center;

4.E.5. Funding for alcohol and drug abuse treatment programs:

4.E.5.a. Cenikor (Charlie's Place);

4.E.5.b. Council on Alcohol and Drug Abuse; and

4.E.5.c. Palmer Drug Abuse Program;

4.E.6. Funding for diabetes prevention and supporting programs.  (Finance Committee)
 

4.F. Receive reports relating to Nueces Aid Program enrollment for the month ended November 30, 2019. (Finance Committee)
 

4.G. 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 fiscal year-to-date ended November 30, 2019. (Finance Committee)
 

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

4.H.1. Execution of bank depository-related Agreements between the Hospital District and Frost Bank for term December 1, 2019 - September 30, 2023:

4.H.1.a. Bank Depository Agreement;

4.H.1.b. Security Agreement; and

4.H.1.c. Third Party Custodian Agreement (between Hospital District, Frost Bank, and Bank of New York Mellon Trust Company).  (Finance Committee)

4.H.2. Execution of Amendment No. 3 to Health Services Agreement Nueces County Correctional Facilities between Nueces County, Hospital District, and Wellpath LLC (formerly Correct Care Solutions, LLC); Amendment exercised final one (1)-year renewal option that extended the Agreement's termination date to November 30, 2020 and increased annual compensation to $3,504,484.00.  (Finance Committee)

4.H.3. Payment of interest amount of $18,025.61 on refund in Case No. 18-0660, In Re Occidental Chemical Corporation, Oxy Ingelside Energy Center LLC, et al., In the Texas Supreme Court.  (Finance Committee)
 

5. REGULAR AGENDA:

5.A. Community Mental Health Initiatives:

5.A.1. 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)
 

5.A.2. Receive report(s) on work performed under Professional Services Agreement between Nueces County, Meadows Mental Health Policy Institute, and Hospital District relating to preparation of  a comprehensive needs assessment for Nueces County that can serve as the basis for a systematic approach to providing services for mental illnesses and substance abuse disorders in the County. (INFORMATION)
 

5.A.3. Receive report(s) on work performed under Professional Services Agreement between Nueces County, BeHealthle, and Hospital District relating to the Nueces County Community Collaborative Program/Jail Diversion Program. (INFORMATION)
 

5.B. Indigent Health Care:

5.B.1. Receive and discuss information from CHRISTUS Spohn Health System Corporation relating to:

5.B.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.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) 
 

5.B.2. Receive and discuss 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:

5.B.2.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.B.2.b. Construction and/or demolition activities at CHRISTUS Spohn Hospital Corpus Christi-Shoreline located at 600 Elizabeth Street, Corpus Christi, Texas;

5.B.2.c. Transition of mental health 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.B.2.d. Planning orderly transition of mental health 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.B.3. Receive update on referral of potentially qualified Nueces Aid Program enrollees to CHRISTUS Spohn Health System for evaluation toward voluntary enrollment in a health insurance exchange plan offered by CHRISTUS Health Plan. (INFORMATION)
 

5.B.4. Consider request from CHRISTUS Spohn Health System Corporation to amend Nueces Aid Program Handbook Covered Services Policy NA004, Section IV.G.5 and 6 relating to Outpatient Prescription Drug Services to increase the current prescription maximum for common chronic diseases for new and refilled prescriptions from 34 to 90 days for each medication; and authorize Administrator to issue amended Handbook Policy to be effective January 1, 2020.  (ACTION)
 

5.C. Finance Committee:

5.C.1. Receive introductory/planning briefing from Collier, Johnson, & Woods, P.C. Certified Public Accountants relating to their audit of the Hospital District's financial statements for fiscal year ended September 30, 2019. (INFORMATION)
 

5.C.2. Receive and approve unaudited Hospital District financial statements for fiscal year ended September 30, 2019 and month and fiscal year-to-date period ended October 31, 2019. (ACTION)
 

5.C.3. Receive summary report to date of intergovernmental transfers made by Hospital District 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:

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

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

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

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

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

5.C.3.d. Uniform Hospital Rate Increase Program (UHRIP); and

5.C.3.e. Graduate Medical Education (GME).  (INFORMATION)
 

5.C.4. 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 month ended November 30, 2019. (INFORMATION)
 

5.C.5. Consider escrow disbursement request from CHRISTUS Spohn Health System Corporation relating to: [1] achievement of third milestone relating to construction or renovation of at least thirty-nine (39) emergency department beds at CHRISTUS Spohn Shoreline Hospital; and [2] correction of prior April 2018 escrow disbursement for achievement of second milestone relating to Level II Trauma designation at CHRISTUS Spohn Shoreline Hospital; milestone achievements and escrow amount disbursements pursuant to Amended and Restated Schedule 1, Section 3.9.7(c) and (d) of Amended and Restated Membership Agreement between Nueces County Hospital District and CHRISTUS Spohn Health System Corporation, as amended; and authorize Administrator to execute related documents.  (ACTION)
 

5.C.6. Receive information on federal regulations proposed by the Department of Health and Human Services, Centers for Medicare & Medicaid Services relating to the financing of supplemental and base Medicaid payments through the non-federal share, including states' uses of health care-related taxes and bona fide provider-related donations, as well as the requirements on the non-federal share of any Medicaid payment; proposed regulations posted November 18, 2019, Federal Register, Vol. 84, No. 222, pp. 63722-63785; and authorize the Administrator to submit related comments.  (INFORMATION & ACTION)
 

5.D. Other Business:

5.D.1. Reappoint Mr. Govind Nadkarni as Director to CHRISTUS Spohn Health System Corporation's Board of Directors for three-year term commencing January 1, 2020 and ending December 31, 2022; receive and consider Nueces County Commissioners Court's nomination of the aforesaid individual; concur with Court's nomination and appoint nominee for aforesaid term; Hospital District's appointment pursuant to CHRISTUS Spohn Health System Corporation Amended and Restated Membership Agreement, Article III, Section 3.01(b); and authorize Administrator to notify Commissioners Court and CHRISTUS Spohn Health System Corporation.  (ACTION)
 

5.D.2. Amend Hospital District Policy and Procedure No. 302.2 to: [1] add Martin Luther King, Jr. Day as an additional recognized holiday; [2] recognize the last four hours of Thanksgiving Eve as part of Thanksgiving Day holiday; and [3] recognize the last four hours of Christmas Eve as part of Christmas Day holiday; and authorize Administrator to issue amended Policy and Procedure No. 302.2 and to additionally issue amended Policy and Procedure No. 302.4 relating to Paid Time Off to adjust accruals, both to be effective January 1, 2020.  (ACTION)
 

5.D.3. Discuss and consider establishing a Hospital District membership in the association Texas Healthcare Trustees, a statewide association affiliated with the Texas Hospital Association that provides education, resources, and leadership development opportunities for healthcare trustees.  (ACTION)
 

5.D.4. Adopt Board of Managers Order approving a contingency Professional Services Agreement between Nueces County Appraisal District, Corpus Christi Independent School District, City of Corpus Christi, County of Nueces, and Nueces County Hospital District and the Phipps Deacon Purnell PLLC law firm relating to property tax litigation against Valero Refining-Texas, LP relating to tax years 2018, 2019, and 2020.  (ACTION)
 

5.D.5. Decline request from Gulf Cooper & Manufacturing Inc. (GCMI) for Hospital District letter to the Port of Corpus Christi supporting GCMI's proposed establishment and operation of a Foreign Trade Zone on Harbor Island.  (ACTION)
 

5.E. Board of Managers Business:

5.E.1. Identify and confirm membership of Board's Standing and Ad-Hoc Committees:

5.E.1.a. Standing Committees:

5.E.1.a.1. Finance: Pamela L. Brower, Chair; Vishnu V. Reddy, M.D.; and Daniel W. Dain.

5.E.1.a.2. Planning: Vishnu V. Reddy, M.D., Chair; and

5.E.1.a.3. Quality Management: John E. Valls, Chair;

5.E.1.b. Ad-Hoc Committees:

5.E.1.b.1. Bylaws Review: Daniel W. Dain, Chair; and

5.E.1.b.2. Legislative: Belinda Flores, Chair.  (ACTION)
 

5.E.2. Discuss and identify items of Board member contact and other information for public posting on the Hospital District's website.  (ACTION)
 

6. ADMINISTRATOR'S BRIEFING:

6.A. Future Board of Managers and Board Committee meetings:

6.A.1. Next Scheduled Regular Board Meeting:  January 21, 2020, 12 Noon (date, time, and location subject to change); and

6.A.2. Next Scheduled Regular Finance Committee Meeting:  January 21, 2020, 11:15 AM (date, time, and location subject to change).
 

7. 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.

7.A. Consultation with legal counsel on the status of the payment of interest on the refund in Case No. 18-0660, In Re Occidental Chemical Corporation, Oxy Ingelside Energy Center LLC, et al., In the Texas Supreme Court; and related matters.

7.B. Consultation with legal counsel on matters relating to federal regulations proposed by the Department of Health and Human Services, Centers for Medicare & Medicaid Services relating to the financing of supplemental and base Medicaid payments through the non-federal share, including states' uses of health care-related taxes and bona fide provider-related donations, as well as the requirements on the non-federal share of any Medicaid payment; proposed regulations posted November 18, 2019, Federal Register, Vol. 84, No. 222, pp. 63722-63785.
 

8. OPEN MEETING

8.A. Consider final action, decision, or vote on matters discussed or considered in Closed Meeting.  (ACTION AS NEEDED)
 

9. ADJOURN