2. ROLL CALL OF BOARD OF MANAGERS MEMBERS:

___ John B. Martinez, J.D., Chairman
___ Sylvia Tryon Oliver, Vice-Chairman
___ Belinda Flores, RN
___ Vishnu V. Reddy, M.D.
___ Daniel W. Dain
___ John E. Valls
___ Mariana Garza, J.D.
 

3. CALL TO ORDER & ESTABLISHMENT OF QUORUM

3.A. Call to order;

3.B. Establish quorum; and

3.C. Confirm posting of Meeting's public notice in accordance with Texas Open Meetings Act, Texas Government Code, Chapter 551.
 

4. 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.
 

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

5.A. Approve Board of Managers Meeting minutes:

5.A.1. August 18, 2020 Regular;

5.A.2. September 1, 2020 Special; and

5.A.3. September 8, 2020 Special.
 

5.B. Receive listing of new vendors as of September 10, 2020; listing pursuant to Board of Managers Bylaws, §2.1.B and Texas Local Government Code, Chapter 176.
 

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

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

5.C.2. Emergency medical services provided in unincorporated areas of Nueces County;

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

5.C.4. Medical services provided at County correctional facilities:

5.C.4.a. Nueces County Jail; and

5.C.4.b. Nueces County Juvenile Detention Center;

5.C.5. Funding for alcohol and drug abuse treatment programs:

5.C.5.a. Cenikor (Charlie's Place);

5.C.5.b. Council on Alcohol and Drug Abuse; and

5.C.5.c. Palmer Drug Abuse Program;

5.C.6. Funding for diabetes prevention and supporting programs;

5.C.7. Public health grants; and

5.C.8. Legal and professional fees. (Finance Committee)
 

5.D. Receive summary report of year-to-date 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. 

5.D.1. Texas Healthcare Transformation and Quality Improvement Program (Medicaid 1115 Waiver):

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

5.D.1.b. Hospital Uncompensated Care (UC) pool.

5.D.2. Disproportionate Share Hospitals (DSH) program;

5.D.3. Network Access Improvement Program (NAIP);

5.D.4. Uniform Hospital Rate Increase Program (UHRIP); and

5.D.5. Graduate Medical Education (GME). (Finance Comittee)
 

5.E. Receive reports relating to Nueces Aid Program enrollment for the month-ended August 31, 2020. (Finance Committee)
 

5.F. Receive summary imputed claims information on medical and hospital care provided to the Nueces Aid Program population consistent with the CHRISTUS Spohn Health System Corporation Amended and Restated Membership Agreement for fiscal year-to-date period-ended August 31, 2020. (Finance Committee)
 

5.G. Receive fiscal year-to-date Specified Annual Percentage-related revenue reports; revenue receipts pursuant to CHRISTUS Spohn Health System Corporation Amended and Restated Membership Agreement, Section 5.03. (Finance Committee)
 

5.H. Receive monthly statement of escrow amounts deposited and/or withdrawn by CHRISTUS Spohn Health System Corporation; deposits pursuant to and consistent with Schedule 1 to CHRISTUS Spohn Health System Corporation Amended and Restated Membership Agreement; receive statement for month-ended August 31, 2020. (Finance Committee)
 

6. REGULAR AGENDA:

6.A. Finance Committee:

6.A.1. Receive and approve unaudited financial statements for fiscal year-to-date period ended August 31, 2020. (ACTION)
 

6.B. Health Care Provider Participation Program:

6.B.1. Discuss and consider Hospital District's creation of and participation in a Health Care Provider Participation Program ("HCPPP") for Distrct Fiscal Year 2020 (October 1, 2019 - September 30, 2020) ("FY 2020") or Fiscal Year 2021 (October 1, 2020 - September 30, 2021) ("FY 2021"); creation and participation pursuant to Texas Health and Safety Code, Chapter 298C:

6.B.1.a. Adopt Board of Managers Order relating to creation of and participation in a HCPPP during FY 2020 or FY 2021; participation pursuant to Texas Health and Safety Code, Chapter 298C;

6.B.1.b. Adopt rules relating to administration of the HCPPP, including collection of the mandatory payments, expenditures, audits, and any other administrative aspects of the Program for FY 2020 or FY 2021; rules adoption pursuant to Texas Health and Safety Code, §298C.052;

6.B.1.c. Establish date, time, and location of public hearing on the amounts of mandatory payments that the Board intends to require under the HCPPP during FY 2020 or FY 2021 and how the revenue derived from the payments will be spent; public hearing required by Texas Health and Safety Code, §298C.101(a);

6.B.1.d. Authorize publishing public notice of the public hearing on the intended HCPPP mandatory payments for FY 2020 or FY 2021 in a newspaper of general circulation in District and providing written notice of the hearing to each institutional health care provider located in the District; notice requirements required by Texas Health and Safety Code, §298C.101(b); and

6.B.1.e. Designate Frost Bank as the depository for mandatory payment funds collected under the HCPPP during any District Fiscal Year; depository designation required by Texas Health and Safety Code, §298C.102(a). (ACTION)
 

6.C. Board of Managers Business:

6.C.1. Adopt Calendar Year 2021 Board of Managers Meeting dates and times.  (ACTION)
 

6.C.2. Elect Board of Managers Officers for the term October 1, 2020 - September 30, 2021; annual officer elections pursuant to Board of Managers Bylaws, §2.2.A:

6.C.2.a. Chairman; and

6.C.2.b. Vice-Chairman. (ACTION)
 

6.C.3. Chairman-Elect to appoint Chairs and members to Standing Committees for term October 1, 2020 - September 30, 2021; appointments pursuant to Board of Managers Bylaws, §2.5.A:

6.C.3.a. Finance;

6.C.3.b. Planning; and

6.C.3.c. Quality Management. (ACTION)
 

6.C.4. Chairman-Elect to establish Special Committees and appoint Chairs and members to the Committees for the term October 1, 2020 - September 30, 2021 as authorized by Board of Managers Bylaws, §2.5.A.  (ACTION AS NEEDED)
 

7. ADMINISTRATOR'S BRIEFING:

7.A. Next Board of Managers and Board Committee meetings (all meetings' dates, times, and locations subject to change):

7.A.1. Finance Committee: October 20, 2020, 11:00 AM in Board of Managers Meeting Room at 555 North Carancahua Street, Room 950-A, Corpus Christi, Texas; and

7.A.2. Board of Managers: October 20, 2020, 12:00 PM in Board of Managers Meeting Room at 555 North Carancahua Street, Room 950-A, Corpus Christi, Texas.  (INFORMATION)

7.B. Public Hearing on FY 2020 or FY 2021 Health Care Provider Participation Program's Mandatory Payment Amounts: Date, time, and location to be announced. (INFORMATION)
 

8. 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 and the Board specifically expects to go into a closed session(s) on the matters listed below pursuant to the Act, §551.071 (Consultations with Attorney) and §551.074 (Personnel Matters). 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, or 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:

8.A. Administrator's performance evaluation;
 

8.B. Consultation with attorney on matters relating to Administrator's Employment Agreement;
 

8.C. Consultation with attorney on matters relating to creation of and participation in Health Care Provider Participation Fund; and
 

8.D. Consultation with attorney on matters relating to intergovernmental transfers used for support of Medicaid supplemental payment programs sponsored by the Texas Health and Human Commission.
 

9. OPEN MEETING - Following the Closed Meeting, the Board of Managers will reconvene the Open Meeting prior to taking any action(s) on matters considered in the Closed Meeting or adjourning the meeting.
 

10. Consider final action, decision, or vote on matters considered in the Closed Meeting. (ACTION AS NEEDED)
 

11. ADJOURN